05-104711 City of Federal Way Mechanical Permit#: 05 - 104711 - 00 - ME
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
,. (253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-305C
t
Project Name: YOHANN Q,
Project Address: 306214TH'S Parcel Number: 241330 0800
Project Description: Installing new furnace&water heater plus gas piping
Owner Applicant Contractor
Frederick R Yohann &Cindy R Yohann WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO
30621 4TH PL S 2800 THORNDYKE AVE W 2800 THORNDYKE AVE W
FEDERAL WAY WA SEATTLE WA 98199 SEATTLE WA 98199
98003-4043 (206)282-4700
Mechanical Valuation 4997 Over the Counter Permit Yes
Mechanical Fixtures
Description !Quantity Description Quantity Description Quantity
Furnaces 1 Gas Piping 2
PERMIT EXPIRES March 21,2006.
Permit issued on September 22,2005
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 ' accordance with the laws,rules and regulations of the State of Washington and
the City of Federal W/,.
Owner or agent: /11) /4 — Date:
f
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-104711-00-ME
Owner: FREDERICK R YOHANN
Address: 30621 4TH PL S
FEDERAL WAY, WA 98003-4043
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 leR 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 G_ (,i Date(d�Z�-
SEP-14-2005 11: 10 FROM:PERMIT 4257756315 TO:12538352609 P.9
cede Way _ .
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commuma•DEBEW1MENTSERYwCES RM IT SF MF COM L PL DE EN FP
4 33530 FIRST WAY SOUTH.PO DOX 9718
FEDERAL WAY,WA 35366 5FAX253 980634718
47 9 APPLICATION
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The oiiowin• is re•wired i arm:ition-•an ince •fete a..Malian will not be acre•ted, Please •rint Ic•tbi in Ink)or
,,tt�� PROPERTY INFORMATION
SITE ADDRESS 3V�d/ Z I Li �`'t Q J S SUITE/UNIT i
ASSESSOR'S TAR/PARCEL if Z q 1 3 3 0- �) O d LOT SIZE(sJ7
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1)
(Axed.e'er.ine p'f rlengthy l gd dampion7
PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING XMECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
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PROJECT NAME(Name of Business or Owner Last Name) YO t [a hl
PEOPLE INFORMATION
PROPERTY N ' PRIMARY PHONE
OWNER ` Wrl6 E 6 66cg/k7/1 (Z 52.9 77
M/ILING 0 cAZ'ADDRESS 4"- CITY,STATE ZIP
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
WRs /1 511V (7.114a) -
MAIUNG ADORES CITY,STATE,ZIP CELL PHONE
I/B6r3 td KG Awe ,S' .2-{-1a. 11./H2 I f ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
'2'6- v3 - ia41123V-DC_ B L I / / ( ) -
CONTRACTORS REGISTRATION NUMBER(copy arcari required with each application) EXPIRATION DATE
IVA-J'Klc=s 9171 < - X46
APPLICANT COMPANY NAME � G M, r���s t J, OFFICE PHONECO { ? GrV{T/
( ) -
MAIUNG ADDRESS CITY,STATE,ZIP CEU..PHONE
�o FOC �3� re el ttrA �3 ( a!') 2(5-q5
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect ❑Tenant O Agent ❑ Other(Describe) ( ) -
CONTACT r PRAPHONE _
E-MAIL ADDRESS
S -,p. Ltnd� T �nc�� , (A ) z3 ?' 5-1
LEND
Per.Rii,ii*CtY.'19y7.495: Lereder i!{/orrfi titeiN'iN• NAME
regifprolcct value exeeeds45;01.13:::'•''
MAILING ADDRESS CITY,STATE,ZIP
DETAILED BUILDING INFORMATION
EXISTING USE
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE S_ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? O YES ❑ NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL
SEWER SERVICE PROVIDER 0 LAKERAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC) )
SEP-14-2005 11: 10 FROM:PERMIT 4257756315 TO:12538352609 P.10
.•,-c'
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=ATM TOTAL PROM= TOTAL cnscua AND PROPOS o
•'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 factures to remain.
NICAL
Value of qe?-7
-
Value Mechanical Work
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIO.SYSTEMS
BBQS FANS HOODS(C.n t...dal, WOODSTOVES
BOILERSFIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS � FURNACES I GAS WATER HEATERS
DUCTS � GAS PIPE OUTLETS
PLUMBING
BATHTUBS I. lob/Showaeombo) SHOWERS WATER CLOSETS(rou.i MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
Ir►VS(9ahnomstni.j VACUUM BREAKERS ELECTRIC WATER HEATERS
A_- 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 authorised 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,incite its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE !I' w(�� fieta DATE
(Signature, (Title)
RELATIONSHIP TO PROJECT D Owner Agent 0 Contractor 0 Architect 0 Other
4EO[2 OFFICE USEt.,W's '
o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OP USE? a YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO
3.062- ( Y P "
Bulletin#100.-March 30,2004 Page 2 of 4 k\Handouts-Reviscd Permit Application