05-104319 City of Federal Way Mechanical Permit #: 05 - 104319 - 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) 835-305C
1 Project Name: DELROSARIO
Project Address: 3763618TH.LI S Parcel Number: 721265 0980
Project Description: Installing gas furnace and A/C unit
Owner Applicant Contractor
WILLIE DELROSARIO WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO
37636 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 12854 Over the Counter Permit Yes
Mechanical Fixtures
Description Quantity 7 Description !Quantity Description Quantity
Air Handling Units 1 I Furnaces c 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 accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way. Ci4
Owner or agent: Date: 170
A\9
C
.a
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-104319-00-ME
Owner: WILLIE DELROSARIO
Address: 37636 18TH PL S
FEDERAL WAY, WA 98003
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 VA Date - ` p bs
n
AUG-?2 U19 FROM: TO:12538352609 P,4
rery
Federal Way 4E- 0 �' 31 _7
PERMIT
ooMwRSTWEYELOPMEN1•SER 971 SF� MF CO EL PL DE EN FP
33510 FIRSTIYAYSOtl17f.r0BOX 7:"" APPLICATION
FEDERAL WAY,WA 98063-9718
2534614115.4FAX 2534614129 + /
unsrllt•ItuolkderalwaacorA im }
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The oiiou/t • is re•tared to ormation-an Inco •tete a••Iication urn(not be acce• • I Please •rtnt le•lbt in in or
PROPERTY INFORMATION
SITE ADDRESS 37Ce 96, !( ,Ql •S SUITE/UNIT
ASSESSOR'S TAX/PARCEL# _att 7 a (0 - do 1 j) LOT SIZE(V)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
Glaaih separate pope far why t•gd d•soi/tory ••
PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING YMECHANICAL
0 DEMOLITION O ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
PROJECT NAME(Name of Business or Owner Last Name) I rn cr 4 ry V I
PEOPLE INFORMATION
PROPERTY N ME ( r. V / PRIMARY PHONE
/
OWNER `/ e_• a • e_i' l&3, -.)--7 S"
MAILING ADDRESS G7'Y,STATE,ZIP
r°3 423 I� 1 3 7—_.g.,) (-0.4.744),,... qtfr---103
CONTRACTOR COMPANY NAME
APPLICANT NAME OFFICE) iON
WP614 I/1 l c -
2MAIUNG� ADDarr{� yh�� I /,_ ,-I��ff 6 6Q
Wa Ftl%'! 1i/I,dy lw• ? � See -C�& t ` ' I T /STATE,ZIP I (CELL PHONE _
CITY OF FEDERAL WAY BUSIN�ES�S7UCENSE NUMBER EXPIRATIONTWE FAX NUMBER
r2.tn— V 3— /d l� C...T v-Po_B L 7 / :/ ( ) _
CONTRACTORS REGISTRATION NUMBER(copy of cud rryalred with each application) EXPIRATION DATE
• t-u it SH «J gr710� / Z / aC
APPLICANT COMPANY NAME APPUCANT ME •r OFFICE.PHONE
`7 -e ` - rvt ct Gro -� Linda_ t6 ( I -
MAIUNO ADDRESS CITY STATE,ZIP �`` _ CE PHONE
fP0 36X• ?03c f -AA-WA 7 12 ('2 ) 7 XI.- 3 d''
RELATIONSHIP TO PROJECT I FAX NUMBER
O Architect 0 Tenant Agent 0 Other(Describe) ( ) -
CONTACT • E�- NAM � • + PRIMf PHONE E-MAIL ADDRESS
LENDE PSr RcW.T $,i6W Lender'litforril ditdor,44';;'' NAME
,-regilti ed, pirofect value exce$its:¢S,QOO ,,
MAIUNO ADDRESS CITY,STATE,ZIP
—
DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES D NO FIRE SUPPRESSION SYSTEM PROPOSE/REQUIRED? 0 YES Cl NO
WATER SERVICE PROVIDER 0 LAKERAVEN 0 HIGHLINE O TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKEHAVEN 0 HIGHLINE O PRIVATE)SEPTIC)
I,
I
1
AUG-22- 05 13:20 FROM: TO:12538352609 P.5
-- -- - - - PROJECT — • - -- 1111111
AREA DESCRIPTION EXISTING S .FT. PROPOS = •.FT. TOTAL
BASEMENT
• FIRST
t SECOND
THIRD -
FOURTH I
ADDITIONAL.FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL=STOPS Tota Toru.EXosrao MD PROPOSED
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE I $
1
FIXTURES
Indicate number of each type of fixture tobeinstalled or relocated as part of this project. Do include existing fixtures to remain.
ME
Value
of Mechanical Work $ /l_ i SI'.• d i
( AIR HANDUNO UNITS ! EVAPORATIVE COOLERS GAS L003 REFRIG.SYSTEMS
BBQS FANS HOODS(c....- WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS I FURNACES GAS WATER H ERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(.rn.risn.eeramt.) SHOWERS WATER CLOSET
(Nee) M1SC(Describe)
DISHWASHERS SINKS DRINKING FOU AIRS
GAS PIPE OUTLETS SUMPS RAINWATER SY,.
WASHING MACHINES URINALS HOSE BIBBS
LAVS ism.sem) VACUUM BREAKERS ELECTRIC WATCV HEATERS
11
DISCLAIMER/SIGNATURE BLOCK . AIMIIIIIIIIIIIIIIIIIIIIIIIII
I certify wider penalty of perjury that the Information furnished by me Is true and correct to the 'lest of my knowledge,and further,that I
em authorized by the owner of the above premises to perform the work for which the permit app li'ation is made. I further agree to hold
harmless the City of Federal Way as to any claim/including costs, expenses, and attorneys'fees inrired In the investigation and defense of
such claim),which may be made by any person,including the undersigned,and filed against the City o/Federal Way,but only where such claim
arises out of the reliance o the city, Ing Its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application. // ,. �
NAME/TITLE `IVti/ . DATE 42-740/—
(Signature' (Title)
RELATIONSHIP 0 PROJECT o Owner o Agent O tractor a Architect 0 0
OFOF �F CEa,;U5W-ai`L�CC'; i
o NEW o ADDITION u ALTERATION o REPAIR U TENANT I. ROVEMENT
BUILDING SHELL ONLY? o YES a NO BASIC PLAN? 4 o YES o NO
ZONING DESIGNATION CHAN( E_OFVSE? a'YES o NO
NEW ADDRESS REQUIRED? o YES a NO UP/SEPA /SU? o YES o NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? o YES a NO
?elef-e-- Z �� Pei I'Qera Cy
Bulletin#100-March 30,2004 Page 2 of 4 k\Handouts-RevisedU'ermit Application