05-105447 •
City of Federal Way' Mechanical Permit #: 05 - 105447 - 00 - ME
Community Development Services
PO.Box 9718
Federal Way,WA 98063-9718
Ph.(253)835-7000 Fax•(253)835-2609 Inspection request line: (253) 835-3050
Project Name: SHUMWAY i,X
Project Address: 33712 29THtSW Parcel Number: 255700 0450
Project Description: Install gas furnace
Owner Applicant Contractor
William D Shumway &Sara B Shumway WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO
33712 29TH CT SW 2800 THORNDYKE AVE W 2800 THORNDYKE AVE W
FEDERAL WAY WA SEATTLE WA 98199 SEATTLE WA 98199
98023-7718 (206)282-4700
Mechanical Valuation 4080 Over the Counter Permit Yes
Mechanical Fixtures
Description Quantity Description Quantity Description Quantity
Furnaces 1
PERMIT EXPIRES April 23,2006.
Permit issued on October 25,2005
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 accord. ce with the laws,rules and regulations of the State of Washington and
the City of Federal Way, � (6/2_
Owner or agent: /A a"241- lauggr. Date:
'
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way WR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-105447-00-ME
Owner: WILLIAM D SHUMWAY
Address: 33712 29TH CT SW
FEDERAL WAY, WA 98023-7718
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 Date y/Va
OCT-24-2085 11:24 FROM:PrE,R46E�`'ED 4257756315 T0:12538352609 P.2
0 c — I 0 st.ty 7
Fedi way 2 5 Zoos PERMIT
oouuUIYnTBEvr�oPUSNTSERVICES OCT SF MF CO L PL DE EN FP
32530 FIRST WAY SO •IU- 9718 �I CATION
FEDERAL WAY WAA 94063-9718 D
� -.
�s, a, ,ls•FAX2SJ661�119 CITY OF FE / /
ywy.s+Iwffedelohnaaeom BUILDING D
The ortourt • is re,wired i orrnation-an ince .fete a .Neat-Ian will not be acce•ted. Please •-int lc•ibl in in or
PROPERTY INFORMATION
SITE ADDRESS -Z q + S C1 SUITE/UNIT#
• ASSESSOR'S TAX/PARCEL# 55--___7 d 0 - O CIOLOT SIZE(sJ)
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1)
µoodh sepawe page/br 1.401w loyal dwmprmJ ••
PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING ❑ PLUMBING ❑ MECHANICAL
0 DEMOLITION a ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
PROJECT NAME(Name of Business or Owner Last Name) (f)/Iv 117.1,41-04 V
PEOPLE INFORMATION
PROPERTY NAME//`/ !,,,, (�/�/,,A' PRIMARY PHONE
OWNER W[Gli -Pvi V/'<K/'v[ '�V (Z13644 -zeX‘,
MAILING ADDRESS CI ,STATE,ZIP
33-11-2- Zq-c7`'4 C(--16.) c-7 Gt-/c . 9',42-3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
W14S1.1 to q6 *t(•13ci SavV (? ZQZ_ -Ve
MAILINO ADDRFSg ` CITY.STATE,Z P CELL PHONE
.2-Boo
--'{�,/�.LV_I„r,�� (.4 � 'I-e) S �- . 1.at-TS l 49 ( 1 -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER PIRATION DATE FAX NUMBER
CONTRACTOR'S REGISTRATION NUMBER(copy of chili regalred with shah•pplicatnn( EXPIRATION DATE
LI)f t S kt i(---=s 1'-710 , z /456
APPLICANT COMPANY NAME APPLICANT ME OFFICE PHONE
?.r-hAcf' G•rr 2 r eke_ ?iul 16
( ) -
MAILING _ADDRESS CITY,STATE,ZIP CE PHONE
!PO F. 203q r =ere- Wit Vat? ( f)
1
REIATIONSHlPTO PROJECT _ FAX NUMBE3.--
0 Architect ❑ Tenant ❑Agent 0 Other(Describe) ( )
CONTACT NAME PRI ARY PHONE E-MAIL ADDRESS
Fs)-7'. 111fcA-t.)- Lt�-�d� 77 Qe�%1'�' r �") 7zo 3ZJ P'
LENDER 'Per ROW'I :2TA9S: L'ender's' orniiatiori i•:,',i; NAME d.7S II.jp�
requ(red_if project value elteesd SS,QOO''
MAILING ADDRESS CITY,STATE,ZIP
•
DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE _
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 RIGHLINE 0 PRIVATE(SEPTIC)
1
OCT-24-2005 11:25 FROM:PERMIT 4257756315 TO:12538352609 P.3
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIR,
SECOND
•
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE) •
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL msrtso TOTAL PROMS= TOTAL L7QST0IO AND PROPOS=
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type offurture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL / /O�L
Value of Mechanical Work $ `T � -
AIR HANDLING UNITS EVAPORATIVE COOLERS _ GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(e. .niaii WOODSTOVFIS
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS I FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or tub/St,owercombo) SHOWERS WATER CLOSETS(mike MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIDES
LAYS(Bathroom Sides) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and further, that I
ant 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
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,includi is officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE h/WCL( L17)41111 l/ DATE L /cJrd
ignaturej ���JJJ (Title)
RELATIONSHIP TO PROJECT 0 Owner o Agent o Contractor o Architect o Other
{FOR'1°F. CE USEONL11'7.V•.
a NEW o ADDITION a ALTERATION a REPAIR p TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? o YES n NO
ZONING DESIGNATION CHANGE,Or USE? a YES a NO
NEW ADDRESS REQUIRED? o YES a NO UP/SEPA/SU? a YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? 0 YES a NO
7P4'6/1 —
Bulletin
#100—March 30,2004 Page 2 of 4
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