05-106485 City of Federal Way Mechanical Permit #: 05-106465-00-ME
Community Development Services
- P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
.. v
Project Name: JEFFRIES
Project Address: 611 S 317TH ST Parcel Number: 794170 0450
Project Description: Gas furnace replacement
Owner Applicant Contractor
DENNIS J JEFFRIES WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO
DEVEN D JEFFRIES 2800 THORNDYKE AVE W WASHIES971OB (9/2/06) i
611 S 317TH ST SEA 1 1'LE WA 98199 2800 THORNDYKE AVE W
FEDERAL WAY WA SEATTLE WA 98199
98003-5218
Additional Permit Information
Mechanical Valuation 2772 Over the Counter Permit? Yes
Mechanical Fixtures
Furnaces 1
CONDITIONS: •
0
•
PERMIT EXPIRES Tuesday;June 27, 2006 . i,:.-:.rt .
Permit Issued on Thursday, December 29, 2005
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: L It/ Date: ZQ7d
/•
Y
THIS CARD IS TO REMAIN ON-SITE •- ''411
CITY OF ►.. Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-106485-00-ME
Owner: DENNIS J JEFFRIES
Address: 611 S 317TH ST
FEDERAL WAY, WA 98003-5218
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 Approved
By Date By Date By C eJ Date d
-2005 12:47 FROM:PERMIT 4257756315 TO: 12538352609 P.1
Federal Wa0-(9-7(1----F .y -�
PERMIT SF' MF CO LPL DE EN FP
COMMUNITY DEVEL01!MENr SERVICES _
3J32F AVENUE TN BO9718 APPLICATION
FEDERAL WAY,WAA9806?-97711 -
ri)
• 253.835.2607•FAX 2534154609 /
•
wow.atyoj&damhtMv.ant
The following is required in ormation-an tncom•Tete a••lication will not be acce•ted. Please •'int le•ibly in in or
■ PROPERTY INFORMATION
SITE ADDRESS �i I . -3/ 7 7L SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# ,f 9 � 7 `_{- e9 (70`" c"---e:5 LOT SIZE Of)
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1)
(Mtadteeparale page ler lengthy legal description)
• ■ PROJECT INFORMATION - _ _ .
TYPE OP PERMIT 0 BUILDING 0 PLUMBING )(MECHANICAL
0 DEMOLITION CI ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on;his permit onlu)
64-s -f_-/r-14 te•e )?,104c7./2,(0.46 -7 a/62x7 b*---2-
PROJECT NAME(Name of Business or Owner Last Name) -rf e,/
R PEOPLE INFORMATION - . •
PROPERTY MEpnff �� ie./ (L+,�)PRIMARY HLt / -c/'
OWNER ��y� /' � ,/may
IUN
pia
7 71t JY--
i(l ZIP �" 96C.L..j7 _
CONTRACTOR CO PANY NAME APPUCANT NAME OFFICE PHONE
W A-54-4 2140.-Atp ..92.ev czev Zea- - V7cz)
1,./:.1,LSLILSR fruit,
`tet
CITY,STAT 1�� w�� (EU PHONE -
CITY OF FEDERAL WAY BUSINESSy10E NUMBER '/'vJ EXPIRATION DATE FAX NUMBER/
'LC..)-0 3_ l�C.st z3 I I ( ) -
CONTRACTOR'S REGISTRATION NU BER leopy of d required with each applications EXPIRATION DATE
Q)'9f H I J 7/0a V4G I /
APPLICANT ANY NA A PUCANT A O CE PHONE
1-Q- d gkes-u 6/via's. ac,(J )� -mss7
PCiôX2f
UNG A RESS TY.STAT IP ELL PRONE
ff �� eik�� ) -
REL T1ONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant ❑Agent ❑ Other(Describe) ( ) -
CONTACT ' NAM PRt PRIMARY PHONE E-MAIL ADDRESS
-�,�, pts��
"'Lind c `7�1 r�(dt-fl ( s-- ds7
EN� Lia s- "'"='. NAME
+Pel2CW �,27095 rxener;IrifsirmuHen Ls*;.:
'.I'eyiiired ?•pro/tet vailaiexcgeds$S,O*O MAILING ADDRESS CITY,STATE,ZIP
.' : ,"•,': .■ DETAILED BUILDING INFORMATION • . -
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES a NO
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
-2005 12:47 FROM:PERMIT 4257756315 TO:12538352609 P.2
PROJECT FIA OR AREAS .
- -
AREA DESCRIPTIQN EXISTING S•.FT. PROPOSED S e.FT. TOTAL
BASEMENT
-
• FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
TOTAL L1d.TRc
TOTAL,PROPOSED TOTAL=SWIGMOrROWSL�
HOW MANY FLOORS?
•NEW HOMES ONLY** NUMBER OF BEDROOMS
ESTIMATED SELLING PRICE $
_ /IXTURES - ... - ,-. .
Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
IdECILANICAL /L`7'72.5
Value
Value of Mechanical Work $
EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
AIR HANDLING UNITS FANS HOODS(c.mmuei.i) WOODSTOVES
BBOS RANGES MISC(Describe)
80lLERS FIREPLACE INSERTS
_ COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
--
PLUMBING SHOWERS WATER CLOSETS ir.aeil MISC(Describe)
BATHTUBSH(.r Tun/sno.«comeW DRINKING FOUNTAINS
DISHWASHERS SINKS
SUMPS RAINWATER SYST
GAS PIPE OUTLETS
WASHING MACHINES _ URINALS HOSE BIBBS
LAV.S Bathroom Sink _ - .-
VACUUM BREAKERS ELECTRIC WATER HEATERS
".; __ ' •.:' .. ; . • .'DISCLAIMER/thGNATURE BLOCK :',.1-'- • _• • = -
`I certify under penalty of perjury that the inj'ormation furnished by me it true and correct to the best of my knowledge,and further,that I
am authorized by the owner of the above 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
s-ueh claim), which may be made by any person, including the undersigned,and filed against the City of Federal Way,u owhere claim
arises out of (SiYnaturd the reliance of the city,incl g its officers and employees,upon the accuracy of the information supplie
the city as a p
this applig6 cation.
� �� DATE t 2! ,S�
NAME/T[TLE (Tait,RELATIONSHIP TO PROJECT 0 Owner tl Agent 0 Contractor O:Archltect O Otho
C.
,FOR OFFICE USE ONLY
a NEW o ADDITION o ALTERATION a REPAIR t5 TENANT IMPROVEMENT
• BASIC PLAN? o YES o NO
BUILDING SHELL ONLY? o YES o NO o YES o NO
_ZONING DESIGNATION CHANGE OF USE?
NEW ADDRESS REQUIRED? o YES o NO
UP/BFPO/SU? o YES a NO
PLATTED LOT? o YES a NO DEMO PERMIT REQUIRED? o YES a NO
pci,6 a fr---,_ Ir / -- e•✓
Bulletin II 100-March 30,2004 - Page 2 of 4 k\Handouts-RevisedU'crmit Application