04-103219 Aim
City unityDevelopment Services Federalway
Community Mechanical Permit #:04 - 103219 - 00 - ME
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: NEWCOMBE
Project Address: 704 SW 304TH 5k Parcel Number: 039580 0510
Project Description: Remove and replace gas water heater
Owner Applicant Contractor
William E Newcombe WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO
704 SW 304TH ST 2800 THORNDYKE AVE W 2800 THORNDYKE AVE W
FEDERAL WAY WA SEATTLE WA 98199 SEATTLE WA 98199
98023-3944 (206)282-4700
Mechanical Valuation 600 Over the Counter Permit Yes
PERMIT EXPIRES February 15,2005.
Permit issued on August 19,2004
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way
Owner or agent: / Date:
04-,( ( 8 -
AUG-12-2004 07:09 FROM: TO: 12536614129 O q —g073 -
110
�I�'�..%
COMMUNITY DRVELop `1!t'�!
3sssoFIRST WAY SOUTH•roBOX 9rla
CITY O$ FEDERAL WAY, WA 9$061-977$
Federal Way - PERMIT APPLICATIQ �- 15�6I�i1 alede lwau tq,z9
)uww.tit4.IkrfcrtJwnu mrn
tFor Office um Only TD:
FW File Number: 0 �' - 1 0 - ( Q / /
The ollowin• is re•uired in orrnation-an ince •late a••lication will not be acce•ted. Please •rint le•iirl in in. or •
• PROPERTY INFORMATION
SITE ADDRESS: 76 ! s[.'i /�36 , SUITE/APT#
ASSESSOR'S TAX/PARCEL I: 6 3_l 5�O - 0 3 7 0 SQUARE FOOTAGE OF LOT:
LEGAL DESCRIPTION (e.g.:Acme .Estates,Lot 1)
(Attach separate page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT(This application): O BUILDING O PLUMBING MECHANICAL 0 DEMOLITION
O ELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM '
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlul:
91441 lb ,?4.s CAIke-le--e. f-u__,,zie-,- (-1 ../-y,e..,0
PROJECT NAME(Name of Business/Owner Last Name): Ar�Ccia/44 v
■ PEOPLE INFORMATION
PROPERTY
OWNER: NAME:WC / /I4 „` /e � PRIMARY PHONE:
C/S 'TA 'au/ fZ3314q/ -3739
MAI[INO A DRESS(STREET ADDRESS;): CITY STATE,VP -
7a q sw ?so Ick S 71 C4/0-41 W4- fiec)-3
CONTRACTOR: tra,Cf r� �� COMPANY OFFICE PHONE:
MAILING ADORE ST ET D \(�a/,/�V/ / PHONE:
Ze� V760
1NNjj: STAT /}f-G L (ELI PHONE -
CITY OF FEDE WAY BUSINESS LICE PS 'NNUMBER: EXPIRATION DATE: . FAX NUMBER:
-0:-L6 3 z250a L / 8- las (
OONTRACrows REGISTRATION NUMBER: J`�/�r EXPIRATION DATE:
(c•!,.$earl revolved with each application) W (Sul L _S 97 Lo . - - ? / -z_ / .67-
LENDER: NAME: DAYTIME PHONE:
(If Ps.F...$v.l..>$3,000)
MAILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP
APPLICANT: NAME: 4zry........ COMPANY OFFICE PHONE: -
MAILING ADDRESS(STREET ADDRESS): CITY,STATE.ZIP EVENING)PHONE:
RELATIONSHIP TO PROJECT: FAX NUMBER:
O Architect 0 Tenant O Other(Describe): ( ) -
CONTACT PERSON FOR THIS PROJECT: 0 Property Owner Contractor 0 Applicant E-MAIL ADDRESS:
•
■ DETAILED BUILDING INFORMATION
•
EXISTING USE: PROPOSED USE:
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK: $ '
•
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: ❑ YES 0 NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN O HIGHLINE O TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN a HIGHLINE• 0 PRIVATE(SEPTIC)
AUG-12-2004 07:09 FROM: TO:12536614129 P.8
• • ? d� 5 c -3a
a PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. . TOTAL
BASEMENT -
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? Tarru.pasruto , Torii.PROPOSED tOTel.L3QSTRIO AND PROPOSED
!VIEW HOMES ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
• FIXTURES
Indicate number of each type of fixture that Is to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MBOHAMC4L I ,- i
Value of Mechanical Work $
•-AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(a.ma.a.q WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES f GAB WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shaver cnm, SHOWERS WATER CLOSETS(r s.,) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RfUNWATER SYS
WASHING MACHINES URINALS HUSE BIBBS
LAYS(aanL...mSinh VACUIjM BREAKERS ELECTRIC WATER HEATERS
■ DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the in/omit/it-ion furnished by me is true and correct to the best of my
knowledge,and further, that I am authorized by the owner of the aborle premises to perform the work for which the permit
application is made. I further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses,and
attorneys'fees incurred in the investigation and defense of such claim), which may be made by any person,including the
undersigned, and filed against the City of Federal Way, but only where such claim arises out of the reliance of the city,
including its officers employe pan the accura of the information supplied to the city as a part of this application.
NAME/TITLE: 1 °V21ANA DATE: c/ ` E—/Cfyi
(Signature( , (Title)
RELATIONSHIP TO PROJECT: O Property Owner 0 Applicant contractor `d Architece
(--/24--- 7 70 3 2d
.F FILE SE ONY
' ';,a'r i' �,",,a;ADDPPIOIi-, • : 1a. ALTERATION , o REPAIR L: • o TENANT,IMPROVEMENT
B,_UIL'DING�S,HELL"ONLY'?•; ;• �" ff:YES o 11 OHASIC.PLANT?: o lirES
7ANIN(3&DESIGNATION:;' ' o NO
• CIiANGE bF'USE? o YES a NO _
NEWADDRES,S REQUIRED? o,YES a NO UP/SEPA/SU? o YES o NO
t'
,-PLTTE-LO _T? O TES o NO DEMO PERMIT REQUIRED? a YES o NO L
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