05-103085 R -s
• City of Federal Way Mechanical Permit #: 05 - 103085 - 00 - ME
Community Development Services
P.O Box 9718
Federal Way,WA 980639718
Ph (253)835-7000 Fax.(253)835-2609 Inspection request line: (253) 835-305C
Project Name: HOLMES
Project Address: 1818 SW 325TH P) Parcel Number: 010453 0030
Project Description: Gas to gas furnace changeout
Owner Applicant Contractor
Joan M Holmes PERMIT GROUP,THE*LINDA THORNQUIS WASHINGTON ENERGY SERVICES CO
1818 SW 325TH PL PO BOX 2034 2800 THORNDYKE AVE W
FEDERAL WAY WA KIRKLAND WA 98083 SEATTLE WA 98199
98023-5422 (206)282-4700
Mechanical Valuation 3746.53 Over the Counter Permit Yes
Mechanical Fixtures
�— ---
Description QuantityDescription Quantity Description Quantity'
Furnaces 1
PERMIT EXPIRES December 25,2005.
Permit issued on June 28,2005
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: `
* 1706181Y cILG
0402- /!
00/05,
* liffuenct4 MR)
THIS CARD IS TO REMAIN ON-SITE
CITY OF A Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-103085-00-ME
Owner: JOAN M HOLMES
Address: 1818 SW 325TH PL
FEDERAL WAY, WA 98023-5422
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) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By C L V Date 7. 7 65-
JUN-2,-2005 12:41 FROM: TO:12538352609 P.2
e M1 RECEIVED 0 `7 _f C a > c
Federal Way PERMIT w
a�uuutarymVor�vrsexvtcts SF MF CO E J EL PL DE EN FP
„u'rJRt4LWAZ0 7J.PO BOX„4UPI 2 8 ?k5PPLICATION
f6DERA411SY,FAX
53.61412
im
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1
953b61�115.FAX 953661�J?,
s"u"�"ffederalf"°v cPt i T Y OF FEDERAL�WAY
The °trawl • is •u10.461 t ! bpel-an Iswo •fete a••lication will not be acce•ted Please •rint •lb in in or j•
p. '- -PPRyOPERTY INFORMATION
SITE ADDRESS IV /f S ( ) 3 Z r - p1 SUITE/UNIT i
ASSESSOR'S TAX/PARCEL 11 0 1 O 44 .5 a - o in 3 Q LOT SIZE(sJ)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot I)
(Mach separate Paperer k+rNw Wei aesu►a1••) _
PROJECT INFORMATION
,TYPE OF PERMIT 0 BUILDING O PLUMBING MECHANICAL
0 DEMOLITION O ELECTRICAL a ENGINEERING a FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work includfd on this permit onW)
,trts i.11 3a S lb 94./ g=e4 i1'7 (-(47T
"7Oj 02)o Ohl If
PROJECT NAME(Name of Business or Owner Last Name) 1`40/`►'is
PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER day, 2--r3) ,,,7'1 -923r
MAILING ADDRESS CITY.STATE,ZIP
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
WAS141 v), f a yy ct.me) 2,62.- - i
2eoaD`FtEi� / W i C17Y STATE, P CELL PHONE -
G�JC�A� y (� SeA-�a_ tat-fie?? ( )
CITY OP FEDERAL WAY BUSINESS��IUCItNSSEE NUMBER RATION DATE FAX NUMBER
P2'4:)- V3- bol' 2 7 'QC'B L / / ( ) -
CONTRACTORS REGISTRATION NUMBER(copy of card:oinked pity each ipplicetioe) EXPIRATION DATE
W sK !mss 9"--7.1or .7 / Z /41-
APPLICANT COMPANY NAME PPLICANT E
OFFICE PHONE
-rte `P � r G' ' WI_ r� ( ) - _
MAILING ADDRESS CITY,STATE,ZIP CEIA.PHONE
f�0 f36X 203C( rfr LJA Van (ip-r) 7 xi- 3 '
RELATIONSHIP TO PROJECT FAX NUMBER
O Architect 0 Tenant 0 Agent 0 Other(Describe) ( ) -
—
CONTACT r- NAME PRI ARY PHONE E-MAIL ADDRESS •
�.Q.1-t 4t� Lthdo� aril A cd r 776 -32J->
LENDE ���
:rc►;'RCWVr1 . 7,o9i Lsnsi ; :•4 , �r`
NAME
.iregiiie jProect'batietceed t
MAILINO ADDRESS CITY,STATE,ZIP
DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YEM 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN O HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER O LAKEHAVEN a IIIGHLINE 0 PRIVATE(SEPTIC)
JUN-27-2005 12:44 FROM: TO:12538352609 P.1
•
- - CONTRACT OF SALE
WasilinEsrgy S H s SUBJECT TO APPROVAL AND ACCEPTANCE BY SELLER
eb00 TFiCRNDYKE AWG W•SEATTLE.WA 91799
f IM$TAUCTIONS--BLOCKPRINY -
(aAsr NAME,NICOLE mix,LA AIME) n FEMME JOB NUMBER
•.+ _ . s *. .vr 1 °8882 OB tea'
SERVICE Me
ADORE% • . . % CUSTOMER D NO.
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ITER!NUMBER I+a op rtlC.. WINCE USE omit CASH PRIGS
DESCRIPTION - - Am roe w.u". r.. mi. min PIM EQUIP INSTALLS
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( ew& ) jil v t Pi ir` L�e ii, , • ears-0 ;aylis-0
rriS AGREED AND DECLARED THAT THE TERMS AND CONDITIONS SET
FORTH ON THE REVERSE HEREOF ARE PART OF THIS CONTRACT AND Sub Total • $3LiV3 I
BINDING UPON THE PARTIES HERETO. •
Tax ��' % 303 10NOTICE TO BUYER
Do not sign this contract before you read it or it any spaces Intended for the agreed terms Gash Price $ 7j7 ��3
except as to unavailable Information,are blank.,You are entitled to a copy of this contract _ - Z!i I
at the time you sign It.
You may canard this contract,if his solicited In person and you sign It ata piece other Liss 'Down Payment $ /app (00
than the seller's business address shown on the contract,by sending mace 61 such i6
cancellation by certified emit return receipt requested to seller at his address shown Amount Owing $2.21(, l
on the contract,which notice shell be posted not later than midnight of the third day '
.-..-...,..a..�.....1 w...1 u•asdw....4 SI. ulww vu..,similes thin P..efllhset. if you choose
•
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT - —
- FIRST
SECOND
•
THIRD .
FOURTH
ADDITIONAL FLOORS(DESCRIBE) —
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL EtOSTD(G Tony,PROPOSED Toru.uusrnto AND PROPOSED —
•*NEW HOMES ONLY* NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of furture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL "7`'f 5 3
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS I FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/shower Combo) SHOWERS WATER CLOSETS(Toilet) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
!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 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,including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application. (x /
NAME/TITLE (41..Gt� 6' Yl YLCJI YV "rn L DATE ��7` �J
(Signature) Title)
RELATIONSHIP TO PROJECT 0 Owner kAgent 0 Contractor 0 Architect 0 Other
FOROFF •ICEZ •
TSE,ONL'Y>
o NEW o ADDITION a ALTERATION a REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? a YES o NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES o NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES ❑NO
Pcty 2— I f Sw3254 /
Bulletin#100—March 30,2004 Page 2 of 4 k\Handouts—Revised\Permit Application