04-104610 City of Federal Way Mechanical Permit #: 04 - 104610 - 00 - ME
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718 •
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253)835-305C
Project Name: MITCHELL
Project Address: 31634 8THOW Parcel Number: 555731 0050
Project Description: Gas to gas furnace changeout
Owner Applicant Contractor
Michael S Mitchell WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO
31634 8TH PL SW 2800 THORNDYKE AVE W 2800 THORNDYKE AVE W
FEDERAL WAY WA SEATTLE WA 98199 SEATTLE WA 98199
98023-4649 (206)282-4700
Mechanical Valuation 2381 Over the Counter Permit Yes
Mechanical Fixtures
Description Quantity Description Quantity Description Quantity
Furnaces
PERMIT EXPIRES May 17,2005.
Permit issued on November 18,2004
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: lr'U Date: ( (/l I!
ry1 ,vip
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-104610-00-ME
Owner: MICHAEL S MITCHELL
Address: 31634 8TH PL SW
FEDERAL WAY, WA 98023-4649
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD.
Inspections are listed as close to sequential order as possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not
be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections
are logged on the back of this card.
0 Mechanical Rough-in(4165) ❑ Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test fr,fApprovedBy Date By Date By Date/Z "17"4)7L/
NOV-10-2004 12:39 FROM: TO:12538352609 P.1
•
« RECEIVED CO - l 0 4 _6210 •
`J Federal Way PERMIT
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fete a• •iicatton will not be acce•ted. Please •tint le•ibi in or 1•
I. PROPERTY INFORMATION
•
SITE ADDRESS .7/la 3(I.5-5-4 P 1 �- SUITE/UNIT f
ASSESSOR'S TAX/PARCEL I r-7 3 1 i- O U J `/�/ LOT SIZE Of)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
tAtu.*wrauPoe*fir leWWkvddc$c(pE«V
' . . • PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING VMECHANICAL
0 DEMOLITION 0 ELECTRICAL CI ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
. q CEJ y r 4-u��sc-c, chi
cy 1"...-ZS
PROJECT NAME(Name of Business or Owner Last Name) fill l ( 4-elt_e_ ( 1
• PEOPLE INFORMATION
N PRIMARY
HOWR 3lG1a / Ml he 1I (2j) gcf( -f2-
I( _CITY. E.
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CONTRACTOR COMPANY NAME APPLICANT NAM i OFFICE PHONE
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MAIADDRESS II J� ,Q„ ♦ Cz Z �A �� (CELL.PHONE -
CnY OF FEDERA WAY BUSINESS ENNS.EENNU�BEER'S EXPIRATION DATE FAX NUMBERI
°3-Lo�2 -13 L / / g /63 ( ) -
CONTRAC��S.44l y--...5-.9.-2(copy`c) E_ _d with tack application, _EXPIRATION DATE
of / 2 //
0
APPLICANT COMPANYLtLtNA `i 6AP CANT NA OFFICE PlIONE
IAAILINO"R DR ��/� CIT CE PHONE
) -no - 3ZJ '
RELATIONSHIP TO PROJECT • FAX NUMBER
O Architect O Tenant o Agent a Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
( ) - ,
LENDER fi.,'. ?IRik-9.4�' 7 • :Tr:;` ormatto NAME
•
MAILINO ADDRESS CITY.STATE.ZIP
- • DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? O YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES a NO
. WATER SERVICE PROVIDER a LAKEHAVEN O HEMLINE O TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAREHAVEN O UIGHLINE O PRIVATE(SEPTIC)
NOV-10-2004 12:40 FROM: TO:12538352609 P.2
• ',. PROJECT FLOOR AREAS . • r
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD •
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
TOTAL STDt6 TOTAL PROPORDrO
D TOTAL 6STeAAP P�OrO.e.
HOW MANY FLOORS? ry
"NEW HOMES ONLY" NUMBER OF BEDROOMS, _ ESTIMATED SELLING PRICE $ -
.
. - _ - FIXTURES - • ..
Indicate number of each type offacture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
b1ECUANIC L !J k`
Value of Mechanical Work $ ` 3" ` •
EVAPORATIVE COOLERS GAS LOOS REFRIO.SYSTEMS
AIR HANDLING UNITS
BBQS FANS HOODStc..�rcwi WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS 1 FURNACES GAS WATER HEATERS
DUCTSOAS PIPE OUTLETS
PLUMBING MISC(Describe)
• BATHTUBS t.rTu►/st»w.res� SHOWERS WATER CLOSETS gad)
DISHWASHERS SINKSDRINKING FOUNTAINS
. OAS PIPE OUTLETSSUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS 18.W...swM VACUUM BREAKERS ELECTRIC WATER HEATERS
-�' DISCLAIDZER/SIGNATUREBIACK _ _ -___
I certify under penalty of perjury that the information furnished by me is true and correct to the isest of made.knowledge,and l further agreeJ
,that I
hold
am authorized by the owner of the above premises to perform the work for which the permit application in the invIfurthe and defense of
harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'J
ee:incurredsuch 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 eluding its officers and employees, on the accuracy of the information supplied to/4-t_(
the city as a part of
this application. / , � ( 10'3 � I 1 it Q
��. • VZ DATE
NAME/TITLE • (rite)
(Signature)
RELATIONSHIP TO PROJECT o Owner Agent 0 Contractor O Architect 0 Other
;'FORD FICEltISEO ki •�•• I '•`
o NEW o ADDITION o ALTERATION o REPAIR d TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES o NO BASIC PLAN? o YES o NO
ZONING DESIGNATIONCHANGE OF US,E? . o YES o.NO
NEW ADDRESS REQUIRED? o YES •o NO --e----•
PA/SU? o YES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO
i _
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Bulletin N100—March 30,2004 — Page 2 of 4 k\Handouts—Revised\['ertnit Application