04-104418 ti a
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City of Federal Way Mechanical Permit #: 04 - 104418 - 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: EASTER/GALUS
Project Address: 30706 4TH.SVW Acv Parcel Number: 178890 0740
Project Description: New gas furnace changeout
Owner Applicant Contractor
LEE EASTER LEONARD GALUS WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO
30706 4TH AVE SW 2800 THORNDYKE AVE W 2800 THORNDYKE AVE W
FEDERAL WAY WA 98023 SEATTLE WA 98199 SEATTLE WA 98199
(206)282-4700
Mechanical Valuation 6112 Over the Counter Permit Yes
Mechanical Fixtures
Description Quantity Description Quantity Description Quantity
Furnaces 1
PERMIT EXPIRES May 3,2005.
Permit issued on November 4,2004
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. VI/Owner or agent: Date:
P/Lorif4)ki
THIS CARD IS TO REMAIN ON-SITIL ,
. A
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-104418-00-ME
Owner: LEE EASTER LEONARD GALUS
Address: 30706 4TH AVE SW
FEDERAL WAY, WA 98023-3913
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) 0 Gas Piping(4125) 0 Final-Mechanical(4965)
Approved Approved to release test Approved
By Date By Date By G(4,) Date/Z. •a.,,,Ole
OCT-27-2004 11 14 FROM: TO:12538352609 P.3
ci•A . • .
Federal Way 04
PERMIT SF MF CO ME L PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES ,
33325 a",AVENUE SOUTH•PO DOE 9718
FEDERAL WAY,WA 98063-9711 - ' //
2534357607•FAX 753435-2609 APPLICATION
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The oIloud • is re•uired M orrnation-an Inco •tete a••Ideation will not be acct•ted. Please •tint lc•ibly(in ink)or ty•
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• !! • PROPERTY INFORMATION
SITE ADDRESS 307 0 l0 ` v.e s t.C..J SUITE/UNIT#
ASSESSOR'S TAX/PARCEL I 1 E...*, t D - 7 1/4J LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
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. ' • PROJECT INFORMATION •
TYPE OF PERMIT 0 BUILDING 0 PLUMBING )'l MECHANICAL
El DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
q a S 40 64 41...)rn4C vr9 e 0147
PROJECT NAME(Name of Business or Owner Last Name) G Q r.Le r / 6a los
• • • M PEOPLE INFORMATION .
PROPERTY NAME / PRIMARY PH NE
OWNER Lee_ EC'G[.r4r / `/��-OnQre) Lha/v.S (`13)V3/ -3 co t
MARINO')0`0C!ADDRESS ' �1 4e� j 7 dE.ZIP CAA Qin 2.3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
wlq-f H £ 'yll 442-v1/
lt—f ilte� (�X17
- - �
MAIUNG
`rh ,STATE. (ELL PHONE
Z0Vi 01�nd���/ e. c J !'�a (444 gill
)
CITY O�E> WAY BUL�SUMBE EXPIRATION DATE FAX NUMBER
C// � i� Lf/ � �-B / / f / DT ( -
CONTRACTOR'S REGISTRATION NUMBER icoP7 of card required with each application) EXPIRATION DATE
WA- yciq ! c.S g-7 / 0 q/ -Z /Ce-1
• i
APPLICANT COMPANY)AME APPLICANT NAME OFFICE PHONE •
( ) -
MAILING ADDRESS CITY,STATE,ZIP CEL.PHONE
( ) -
RELATIONSHIP TO PROJECT • PAX NUMBER
O Architect 0 Tenant O Agent O Other(Describe) ( ) -
CONTACT NAME P RY PHONE EMAIL ADDRESS
Lr a- 'leyni,� jut (?fl 770 - 3 an....
LENDER .,i,PerRC,W 19,27.095:'.-Lenderii{fonnation is - NAME
_requi_ret;(f pr'oJect'yalire iicceeds$5,006 .
MAILING ADDRESS CITY,STATE,ZIP
• • DETAILED BUILDING INFORMATION '
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? O YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? O YES O NO
WATER SERVICE PROVIDER O LAKEHAVEN O BIGHLINE 0 TACOMA V1 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN O HIGHLINE 0 PRIVATE(SEPTIC)
•
OCT-27-2004 11:15 FROM: TO:12538352609 P.4
._ PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ FT. PROPOSED SQ.PT. TOTAL
BASEMENT -
FIRST
SECOND
THIRD
FOURTH
—
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?) -
RAGE/CARPORT __GA
HOW MANY FLOORS? TOTALeOasruo TOTAL PROPOS= TOTAL=WINO AADneoroaca
"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.
MECIfANICAL
Value of Mechanical Work $ 69/12 t ---
AIR HANDLING UNITS EVAPORATIVE COOLERS OAS LOGS REFRIG.SYSTEMS
BBQS FANS _ HOODS u,o,raA) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS if FURNACESGAS WATER HEATERS
DUCTS GAS PIPE OUTLETS _____7_
PLUMBING
BATHTUBS(or Tub/Sh.uerCom,,1 SHOWERS _--6,_ WATER CLOSETS Qoso MISC(Describe)
DISHWASHERS SINKS - DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS __ _ RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bwu..msl si VACUUM BREAKERS _+t_ ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I I
I 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 fllc4 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¢ccuracy of the information supplied to the cityas a j
this application. part of I
NAME/TITLE / l LY(d 0Y1 a iii 15 1[ DATE /°/4a7/65/
VVV/ JJ
(Signature) I
i, (Title)
RELATIONSHIP TO PROJECT ❑ Owner gent 0 Contractor 0 Achitect O Other
I
FOR OFFICE USE ONLY
l
o NEW o ADDITION a ALTERATION o REPAIR .y a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES o NO BASIC,'LAN? a YES a NO
ZONING DESIGNATION I i
CHANCE OF USE? o YES a NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEO'A/SU? o YES a NO
PLATTED LOT? a YES a NO _ DEMO M
ERIT REQUIRED? 0 YES o NO
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Bulletin#100-March 30,2004 Page 2 o14 q k\Handouts-Revised\Pcrnlil Application
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