05-104468 City of Federal Way Mechanical Permit #: 05 - 104468 - 00 - ME
Community Development Services
P.O.Box 9718 I�
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253)835-3050
Project Name: WERTH
Project Address: 37641 18TH 4, I$ Parcel Number: 721265 0830
Project Description: New A/C
Owner Applicant Contractor
JOHN WERTH WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO
37641 18TH PL S 2800 THORNDYKE AVE W 2800 THORNDYKE AVE W
FEDERAL WAY WA SEATTLE WA 98199 SEATTLE WA 98199
(206)282-4700
Mechanical Valuation 5780 Over the Counter Permit Yes
Mechanical Fixtures
Description iQuantity Description Quantity Description Quantity
Air Handling Units 1
PERMIT EXPIRES February 28,2006.
Permit issued on September 1,2005
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 acc• :.nce with the laws,rules and regulations of the State of Washington and
the City of Federal Way/ j
Owner or agent: /11Date: �[ l d
v\k1?1
THIS CARD IS TO REMAIN ON-SITE
CITY OF ►.. Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-104468-00-ME
Owner: JOHN WERTH
Address: 37641 18TH PL S
FEDERAL WAY, WA 98063
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) Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By . Date 1 q,
AUG-22-2005 13:24 FROM: - "�
�� y� � rrl�,� T0:12538352609 P.14
Federal Way 26 let (12
OJMMUIO(DEVFLOPMENfSERVICES PERMIT SF MF C.ap EL PL DE EN FP
94530 FIRST WAY 80f17N•SO BOX 9714
FEDERAL WAY,WA 98063.9716 APPLICATION
fr° "761-/115•FAX153661-4149 / /
5.)6
The oUourin• is re•wired i ormation-an Inco •Tete . •.licatlon will not be acce•ted Please •rint le-Ib in in or
PROPERTY INFORMATION
SITE ADDRESS ." -7(.4) $ / P) D / s SUITE/UNIT B
ASSESSOR'S TAX/PARCEL# 7 Z. l i[L 5.- - a ..$ 3 L) LOT SIZE(sf)
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1) 6�=- d
(Attach saparmta paY•%•Io�jty t•Dd/caolpi•,,
PROJECT INFORMATION
TYPE OF PERMIT O BUILDING ❑ PLUMBING YMECHANIc.AL
0 DEMOLITION ❑ ELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
—11-1 s- (( V ^ ;•l l Q vi / 141 r (OK s-) ri-tavLir--
PROJECT NAME(Name of Business or Owner Last Name) Loa
PEOPLE INFORMATION
PROPERTY NAM �� / , A 1 l PRIMPHONE,/� -
OWNER D /w/ I/J�l `j j/�1 (2 ,t 0-1`f
MAI DR S ts ( a/ I CITY,STATE,ZIP f '�""3
CONTRACTOR COMPANY NAME
C(1 -‘7
/,(/ j(�/{�
APPLICANT NAME
ONE
WASH r n 5 �+w.r9 OFFICE- ) 2a2._. -V
2 a i ,4
111NG ADDRESS CITY,STATE,Z P CELL PHONE
y i Ste- u1 M.? ( ) -
CITY'2-6-
?.OF FEDERAL WAY BUSINESSLICENSE NUM _EXPIRATION C l; FAX NUMBER -
'2-/L1J 3 V 23 V- B L 7 " ( )
CONTRACTORS REGISTRATION NUMBER(coPy of card required with each application) EXPIRATION DATE
t.t1�'SK !C�1' 9"7.1p / Z / aC
APPLICANT COMPANY NAME APPLICANT MEOFFICE PHONE
--me ?-eryl tit- C rano Cirax._ Vit, IQ ( ) -
_
MAILING ADDRESS CITY,STATE,ZIP CE PHONE
f D f36x 2Q3f f art W'A *�3 t r .24 fpr
RELATIONSHIP TO PROJECT (L�+ ) X) 3�Pd
FAX NUMBER
0 Architect a Tenant11(
Agent 0 Other(Describe) ( )
CONTACT .- time
PRI ARY PHONE E-MAIL ADDRESS
�,k,r. t,...: NAME
LENDS PcR'.RQW 14:,$7.095:•Lerlder'thfdimatfoasts,`.,
" requtreri project iiatde eaceeeds 45;000 .-
MAILING ADDRESS CITY,STATE,ZIP '
DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSEu'WORK $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER a LAKEHAVEN a HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN a HIGHLINE o PRIVATE(SEPTIC) I
AUG13:24 FROM: ...-22-2005 TO:12538352609 P.15
• PROJECT FLOOR AREAS
- AREA DESCRIPTION EXISTING SQ.FT. PROPOSE 0 :Q.FT. TOTAL
BASEMENT
FIRST -
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? Toms,Esrsrao Torr P -. Toru,cusraG ARD PROPOSED —
**NEW HOMES mar. NUMBER OF BEDROOMS ESTIMATED SELUNG PRICE
FIXTURES
Indicate number of each type of facture to be installed or relocated as part of this project. Do . include existing fixtures to remain.
MBCIIANICAL
Valueof Mechanical Work $ S / t
/
` AIR HANDUNG UNITS EVAPORATIVE COOLERS OAS LOOS REFRIO.SYSTEMS
BBQS FANS HOODS(c.amacali WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEA"(ERS
DUCTS OAS PIPE OUTLETS
PLUMBING
BATHTUBS orTua/Sh.aerCombs) SHOWERS WATER CLOSETS i.s.q MISC(Describe) •
DISHWASHERS SINKS DRINKING FOUN1AANS
OAS PIPE OUTLETS SUMPS RAINWATER SYS
WASHING MACHINES URINALS HOSE MSS
LAVE mathr...sink.l VACUUM BREAKERS ELECTRIC WATE' HEATERS
• DISCLAIMER/SIGNATURE BLOCK
I ecrt(fy under penalty of perjury that the information furnished by me is true and correct to the*art 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 •erson,including the undersigned,and/114d against the City of Federal Way,but only where such claim
arises out of the reliance o the city,tding its officers and employees,upon the accuracy of the int' supplied to the city as a part of
this application. ,, �
NAM1AA,,
E/TITLE - 16 r t/�DACE d 'Z////��,�
(1'Itk)
(Signature) a
RELATIONSHIP PROJECT D Owner 13 Agent ci Contractor a Architect a Othe^,
- FSO, + FFICEM5,1G'!,t
a NEW o ADDITION a ALTERATION a REPAIR• a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC,PLAN? a YES a NO
TONING DESIGNATION CHANGE,QFIJSE? o VjES o NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEL'A/$U? o YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO
7)4.0/4 Z - Gve-e .
Bulletin#100-March 30,2004 Page 2 of 4 \Itandouts-Revised\Pennit Application