05-102193 City of Federal Way Mechanical Permit #: 05 - 102193 - 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: TURCOTT,„,g1Project Address: 29725 4TITS Parcel Number: 692860 0550
Project Description: Installing gas furnace
Owner Applicant Contractor
G L Turcott WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO
2800 THORNDYKE AVE W 2800 THORNDYKE AVE W
SEATTLE WA 98199 SEATTLE WA 98199
(206)282-4700
Mechanical Valuation .... 4725 Over the Counter Permit Yes
Mechanical Fixtures
Description !Quantity Description Quantity Description ,Quantity
Furnaces 1
PERMIT EXPIRES November 6,2005.
Permit issued on May 10,2005
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 ccordance with the laws,rules and regulations of the State of Washington and
the City of Federal Wa j
g ✓ lLo )..c"Owner ora agent: ` Date:
fflsULED
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTIQN REQUEST PHONE # (253) 835-3050
PERMIT #: 05-102193-00-ME
Owner: G L TURCOTT
Address: 29725 4TH AVE S
FEDERAL WAY, WA 98003-3621
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) ❑ inal-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date Date , /
MAY-10-2005 09:46 FROM: T0:12538352609 P.2
Federa Wa RECEIVED _
Way - - - 3
COMMUNITY DEVELOPMENT SERVICES PERMIT
33530 FIRST WAY SOUTH•PO BOX 9718 SF MF CO y PL DE EN FP
FEDERAL WAY,WA 93061412 MAY 1 A2► 'I,I C AT I 0 N
253-6614115.FAX 2536611/29 /
yrtuw.d(Yotl-edemlway.coal /
The ollotoin• isre.utr�''�TiY • FEDERAL WAY
lctr::...tja�:;i co •fete a•,Iication will not be acce•ted. Please •rint le•ibl in ink)or j• .
PROPERTY INFORMATION
SITE ADDRESS
SUITE/UNIT I
ASSESSOR'S TAX/PARCEL N (i q '2,- ,7' (4, O - DO.5_5:19
5� LOT SIZE OD
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Anceh...,.i.pp.Jor lengthy loyal d.ofa..nl
PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING O PLUMBING
MECHANICAL
0 DEMOLITION ❑ ELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
_____1hs- II t ni
tkh
,mare l410 /2 n .c t1vt -
an� 3 s-snvt>Mv St2/410
PROJECT NAME(Name of Business or Owner Last Name) 1—U rLo-1--1—
PEOPLE INFORMATION
PROPERTY NAME
PRIMARY
PHONE ONEOWNER /�c5NL� 1r ,� (7s7)QA
-Y401=7�MAI O ADOESS CITY,STATE,ZIP % /4f�3vl72� JTK4V 5 "P•PdCe//
CONTRACTOR COMPANY NAME
APPUGNT NAME OFFICE PHONE
WASH r r,*A Uv 'I / 'L,� - 2- -(/�
6
CITY,
�� y(QCELL PHONEMAILING ADORSd /lIsea_
tapto��V�a � t ✓ J -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER P/T10N DA/TE FAX NUMBERr2p_ 03- iax23t ` -
CONTRACTOR'S REGISTRATION NUMBER(copy.t card required with.ach application' J
J K / /+ - .7 PI RATION DATE -
a [ I J 9_'7l o _ / Z /a�'
APPLICANT COMPANY NAME APPLICANT ME
' t '-arh1�� 6--try-0 `/,[t rti OFFICE PHONE
MAIUNO ADDRESS �yC�vl�� ( ) -
tPQ36x �3(/ I CITY,STATE,` ZIP �jT 3 CEL,.PHONE .y-���
RELATIONSHIP TO PROJECT Pte�4A-WA V6/- (stir) 7 2b- 3 2<T,
CI Ar ❑Tenant D Agent ❑ Other(Describe) FAx NUMBER
� CONTACT�yyC� ry1. I NAME 1 . //.�� N/� PRIM.?PHONE �7 /y
�`r, /��-• i.Ga� / "�Sralf -7 eor (L1 u I (/-�) no -7G-�6P 1 E-MAIL ADDRESS I
LENDE Per RCW 19;27:50: Lender NAME
requtred`uf project value escceeds$5.000`` ',
MAILING ADDRESS CITY,STATE,ZIP
DDTAILED BUILDING INFORMATION
EXISTING USE
PROPOSED USE
EXISTING,ASSESSED/APPRAISED VALUE
VALUE OF PROPOSED WORK $
SPRINI{LERED BUILDING? ❑ YES O NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? o YES O NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGH:LINE 0 TACOMA ❑ PRIVATE(WELL
SEWER SERVICE PROVIDER O LAKEHAVEIV )
O HIGHLINE 0 PRNATE(SEPTIC)
•-b-- w‘nasU0ur5-KevlseAU'crmlt Application
MAY-10-2005 09:49 FROM: ' TO:12538352609 P.1
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 wSTuto TOTAL TROTOSLO TOTAL=STENO ARO PROVOS=
"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 fixtures to remain.
MECFIANICAL (��Z5, v v
Value
Value o Mechanical Work
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIO.SYSTEMS
BBQS FANS HOODS(Gmm.rcus W OODSTOV ES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(.r rub/Shower c..b.) SHOWERS WATER CLOSETS
MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYS iO.tlu..sshe.) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perfury 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.
NAME/TITLE ,V_/ Ik QLI( (i Z3 Q/ � DATE ci(Cl f -
(Signdturc)
(Tit
RELATIONSHIP TO PROJECT 0 Owner Agent 0 Contractor 0 Architect ❑ Other
'lFO tFFICE USE OAF/ 't
o NEW a ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES o NO BASIC PLAN? a YES a NO
ZONING DESIGNATION CHANGE OF USE? o YES a NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? o YES o NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO
't urc:,-F-1-
Bulletin M I00—March 30,2004 Page 2 of 4 k\Handouts—Rcvised\Permit Application