05-103329 , ,
City of Federal Way Mechanical Permit #: 05 - 103329 - 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) 835-3050
Project Name: ANDERSON
Project Address: 29201 20TH S•AyJe s Parcel Number: 422280 0170
Project Description: Replace gas furnace.
Owner Applicant Contractor
Robert J Anderson WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO
29201 20TH AVE S 2800 THORNDYKE AVE W 2800 THORNDYKE AVE W
FEDERAL WAY WA SEATTLE WA 98199 SEATTLE WA 98199
98003-3870 (206)282-4700
Mechanical Valuation 3934 Over the Counter Permit. Yes
Mechanical Fixtures
Description Quantity Description Quantity Description Quantity
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 Wa
Owner or agent: Date: 7��Q J,—
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-103329-00-ME
Owner: ROBERT J ANDERSON
Address: 29201 20TH AVE S
FEDERAL WAY, WA 98003-3870
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) ❑ Gas Piping(4125) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By /'L f Date 7//7/05
JUL-i-2005 11:38 FROM: 1 TO:12538352609 P.9 -
Fede Way a - O 3 3 ..�
aonw,erYDEYLLOPMENr$ERY,CES PERMIT SF MF C•` EL PL DE EN FP
33S30 FIREr WAY$011771•PO t#OX PM
FEDERAL
S,WA 98 „� APPLICATION
s o.o lYede1au.V.Com �_
eleea_
*The allow( • is re• bred i ormation-an Inco •fete a. •lication will not be acce•ted Please •rint le,ibi in I or .j.
^ PROPERTY INFORMATION
SITE ADDRESS 2 q ZO 2..O J
SUITE/UNIT#
ASSESSOR'S TAX/PARCEL I 11 22,-• 7 er d_ � 1 -2
LOT SIZE(s,/)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach=poorer poor*sar,Ow Ugel deaoip.anl
PROJECT INFORMATION` '
TYPE OF PERMIT O BUILDING 0 PLUMBING jQ MECHANICAL
0 DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
iti / MI . n dr,it i ..rill
PROJECT NAME(Name of Business or Owner Last Name) Q (141111.01
11
PEOPLE INFORMATION
PROPERTY NAME T
OWNER �_n V e _ ('III/1 1 (PRIMARY PHONED ��//h�
MAIUNG ADDRESS `�1�I,"_V`+ r' J I ` �� ( ��[�-+
CITY STATE ZIP
2C'z-o i 12e)"CAUL?1 I y (-tj VC-
CONTRACTOR COMPANY NAME � APPUGNT NAME OFFICE PHONE --(ie-fix)��
WRSH1h� q`� 4-) 267_
IUAp CITY,STATE,ZIP IgrCELL PHONE
/ :Q1�Z � Seg
Gr !?9 ( )
-
ern,OF
BUSIN
`1FEDERALWAY _ SE NUMBER TION DA/TE FAX NUMBER03 i Q cetT�-
$ L ( ) -
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application'
r 4 (f u i ci n q""71
Q a loatlo �EXPIR-2_ATIODATE
eSC
APPLICANT COMPANY NAME •7
OFFICE PHONE
`7Xe `P-ol- c� C��r� IIIPPura-"IreAllut/6 ( ) -
MAILING ADDRESS
CITY,STATE,ZIP CELI.PHONE
f FOC7-03(1li - -1art_&rA ��3 ( ) ?j- 32 '
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant 0 Agent 0 Other(Describe) ( I -
CONTACT
�• NAME 1�� c,„4 c( PRI p 7'745 _3 2.11-
EMAIL ADDRESS
LENDS
Per,ithsti i 2 :biee.iona.,Nhic",'.awitlr'sf'�lkti NAME
'i:regeis`42 roj collie tiece14.• :
MAIUNG ADDRESS .�..r;#00 h }
CITY,STATE,ZIP —'
DETAILED BUILDING INFORMATION
EXISTING USE
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ •
SPRINKLERED BLIILDD(O? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES O NO
WATER SERVICE PROVIDER 0 LAKEKAVEN 0 HIGHLINE ❑ TACOMA O PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
'
JUL-11-2005 11:39 FROM: T0:12538352609 P.10
' PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT _ —
FIR3T
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT •
HOW MANY FLOORS? TOTAL MATO,* TOTAL PROPOSLD TOTAL LnSTuO AND PROPOSE
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of facture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECEHANICAL
Value of Mechanical Work $ -3,13q.
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(r..ernmwJ WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS / FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS NrTub/Sh.rerc.mb.( SHOWERS WATER CLOSETS ir.so MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYS m.o..=awes .....,___ VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
i
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
am authorised by the owner of the above premises to perform the work for which the permit application is made. I further agree to held
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,Inc g its officers and employees,upon the accuracy of the information supplied to the city as a part of
Chis application. `
NAME/TITLE V'r�l C-
r(! )
(SI
(Signature) vvv`
(TYt(Thiel �DATE (//C/fd / —
RELATIONSHIP TO PROJECT O Owner *gent O Contractor O Architect O Other
7:00400,§1r4-40,:t:•
a NEW a ADDITION o ALTERATION o REPAIR 0 TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES rt NO BASIC PLAN? , o YES o NO
ZONING DESIGNATION CRANOE,OF USE? o YES a NO
•
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU?- o YES a NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES a NO
C.P4 te- z__ pm, 2.,, 2g2or I -.07"Af-z, f
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Bulletin#100-March 30,2004 Page 2 of 4 k\Handouts-RcvisedU'eimit Application