05-103337 •
City of Federal Way Mechanical Permit #: 05 - 103337 - 00 - ME
Community Development Services
P 0 Box 9718
Federal Way,WA 98063-9718
A
Ph:(253)835-7000 Fax•(253)835-2609 Inspection request line: (253) 835-31050
Project Name: THOMAS
Project Address: 30112 21ST% A"G.S Parcel Number: 798290 0010
Project Description: Install gas furnace and 2-ton air conditioner.
Owner Applicant Contractor
William L Thomas WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO
30112 21ST AVE S 2800 THORNDYKE AVE W 2800 THORNDYKE AVE W
FEDERAL WAY WA SEATTLE WA 98199 SEATTLE WA 98199
98003-4260 (206)282-4700
Mechanical Valuation 6508 Over the Counter Permit Yes
Mechanical Fixtures
Description Quantity Description Quantity Description Quantity
Air Handling Units 1 Furnaces 1
PERMIT EXPIRES January 8,2006.
Permit issued on July 12,2005
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 Ways
Owner or agent: 76 Date: lZ�
CCL
ATHIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-103337-00-ME
Owner: WILLIAM L THOMAS
Address: 30112 21ST AVE S '
FEDERAL WAY, WA 98003-4260
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.
❑ Mechanical Rough-in(4165) 0 Gas Piping(4125) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By C- (/i Date g- q-or.
JUL-12-2005 06:34 FROM: TO:12538352609 P.2
my cede Way O - Q. . 3 3
ODI(1finen'DEVELOPMBWWT=IMEq PERMIT SF MF CO E LPL DE EN FP
.13530 FIRST WAY SOU171•PO BOX 9711
FEDERALwSFA"z53°�419 APPLICATION
WSW.CliNertderPhOa.wnt r /
The oUoud • is re. fired i ormation-an{rico •fete . ••Election will not be acre•ted. P ase .tint ie,ibi in or
I 3 PROPERTY FORMATION rIN
SITE ADDRESS 0/ 1 Z 24 sf". 4vcS
SUITE/UNIT#
• ASSESSOR'S TAX/PARCEL# 7 9' 8 2- q a _ 6.7 a. /
-- � LOT SIZE(sn
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
Am.*scion/Vat P...1.r MVJa,-,ofp.n
PROJECT INFORMATION
.TYPE OF PERMIT ❑BUILDING ❑ PLUMBING "MECHANICAL
0 DEMOLITION CI ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit 011011114l
,__t_rV 1 k3-f 1 ( 12 G 1.1 't'"c-L r-rt C Zvi 0-O c3 ION f
PROJECT NAME(Name of Business or Owner Last Name)
PEOPLE INFORMATION
PROPERTYI E �1�'
OWNER (`( - -RA� a-s "Th O�� PRIMARY PHONE
MAIUNOADDRESS I!�- c_f4- I 'l lrJ) -sd p��
3 o l 1 '1- ZI /are i 17 v ZIP zcazi We p3 Ci[
CONTRACTOR COMPANY NAME
WASH(h g q /� APPLICANT NAME OFFICE PHONE
MAILING ADDRESS /,V' �1�y —L l'` ,`�'om'G -
,5• /ala `�cj L C± le 4) se E Cal-ea CELT,PHONE -
CITY OF FEDERAL WAY ROSINESS LICENSE NUMBER �•4 l��
�_ U?— i Q V2.7 V- PION DATE `FAX NUMBER -
•
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) ` )
W�sH l 1---=:s y,r71 as 47EXPIRATION-2 . DATE
APPLICANT COMPANY NAME /� UCA `,y /�(/� ( L.
?-e,-ht_ii- 6�/-/'� Oak-7 r7i ! V FF(CE PHONE
/�MAIUNO ADDRESS R CITY,STATE,ZIP
r �F6 CY3'/ f cE PHONE
RELATIONSHIP TO PROJECT
❑ Architect 0 Tenant 0 Agent ❑ Other(Describe) FAX NUMBER( -
�f CONTACT .r NAME PRI ARY PHONE I
F`' P 'r" (5q--s
f ) --Zt' 1
E-MAIL ADDRESS J
LENDS ,,� �
Pei,AecV�3.�" ` y"p s; iimilef l ido Ota o13* 1 NAME
'rC¢ktre?;,:Pell iatll'e&c '+ •05.0,gQ.f:I .I'
MAILING ADDRESS CITY,STATE,ZIP
DETAILED BUILDING INFORMATION
EXISTING USE
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? O YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? O YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE
Ci TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER o LAKEHAVEN
❑ HIGHLINE ❑ PRIVATE(SEPTIC)
JUL-12-2005 06:34 FROM: TO:12538352609 P.3
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
. ��FIRST
SECOND
1
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL=CMG TOTAL PROPOSLO TOTAL Wastao run moral= -
"NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing futures to remain._
MECHANICAL /^
Valueof Mechanical Work £W'co P
IAIR HANDUNO UNITS EVAPORATIVE COOLERS OAS LOOS REPRIO.SYSTEMS
BBQS FANS HOODS(e.tverd.!) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS / FURNACES GAS WATER HEATERS
DUCTS - OAS PIPE OUTLETS
PLUMING
BATHTUBS(.r Tub/Shower Combo) SHOWERS WATER CLOSETS noel MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom swcsl �v VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
l,cert{fy under penalty of perjury that the information furnished by me is 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
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,incl Ing its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application. /'
NAME/TITLE JL4-- Clan 6-6AC DATE 76 4-(C)r-
(signature) (Thiel
RELATIONSHIP TO PROJECT 0 Owner 0 Agent O Contractor 0 Architect 0 Other
FOR'-OfICEtU3 OrNii:Y2r'. i
a NEW ci ADDITION o ALTERATION o REPAIR O TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN?•- O YES a NO
ZONING DESIGNATION CHANGE OF USE? o'YES a NO
NEW ADDRESS REQUIRED? O YES oNO UP/SEA/SU?- o YES a NO
PLATTED LOT? o YES a NO DEMO PERMIT REQUIRED? O YES o NO
?a(f,e_ 2 kig Cm ik tom - L1144/1/1f �-
36112 al -�
Bulletin 11100-March 30,2004 Page 2 of 4 IA Handouts-Revised\Pennit Application