04-104286 City of Federal Way Mechanical Permit #: 04 - 104286 - 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: MANN
Project Address: 30229 25TH$91 S Parcel Number: 365500 0200
Project Description: Remove and replace gas furnace.
Owner Applicant Contractor
Patricia Mann WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO
30229 25TH PL S 2800 THORNDYKE AVE W 2800 THORNDYKE AVE W
FEDERAL WAY WA 98003 SEATTLE WA 98199 SEATTLE WA 98199
(206)282-4700
Mechanical Valuation. 1900 Over the Counter Permit Yes
Mechanical Fixtures
Description Quantity Description Quantity Description Quantity
Furnaces 1
PERMIT EXPIRES April 26,2005.
Permit issued on October 28,2004
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 /a
/
Owner ora agent: < 6�` Date: [ ! 2-- /G L
g �/
1 /0s
THIS CARD IS TO REMATN,.ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-104286-00-ME
Owner: PATRICIA MANN
Address: 30229 25TH PL S
FEDERAL WAY, WA 98003-4205
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) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By Date 'By Date By<L.4,1/4)
Date/• /2• "—
OCT-19-2004 07:48 FROM: TO:12538352609 P.2
RECEIVED
CffYtM _6 4- - ]iL
Federal Way nrr `" PERMIT
SF MF CO ME EL PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES .,
333254TAVENUE SOUtff•POBOX 9718
253 SL60A•WAY,
WAPAX93-435-360106397111 CITY' APPLICATION —To
p wwailwIfederalwau.eonl • • l /
The ollowin• is required information-an ineom•Tete ap•Tication will not be acce•ted. Please •rint legibly(in in or type.
• PROPERTY INFORMATION
SITE ADDRESS JD 212-gli Zc p 1 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# S 4, 0 �i- Q Z U Q LOT SIZE(sf)
LEGAL DESCRIPTION (e.g.Acme Estate$,Lot 1)
' IAtted separate page Or lengthy kkddeaaYdon)
- . ' • • .- , ■ PROJECT INFORMATION '
TYPE OF PERMIT 0 BUILDING 0 PLUMBING tMECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
las to of as -t r n ace C
-7 t , Octell�k �S 0
1
PROJECT NAME(Name of Business or Owner Last Name) `d(.4h' i
• PEOPLE INFORMATION
PROPERTY NAM PRIMARY PHONE
OWNER QTr1‘.CQ NIa-n ri ( )
MAIUNO ADDRESS CITY,STATE,ZIP
3102_2't ZS' p L S .F.Qe) (1 .44t wil- q f003 .
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
W {'{R 1{r, a1 I/ Lcnc1c, f )2 -f?C0 _
MAS
CELL PHONE
� t�^Tr�-..fj� �BER 'ZIP EXPIRATIONDATE FAX NUMBER
(�W I YG Viiy -
CITY OF FEDERAL WAY BUSIN ICENSE NU
?Z) -0 -5 -/0(.1' 21 `L _-B �. / / <r / os" ( ) -
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application( EXPIRATION DATE
Loll S f-[ Lcf q? los ^ et / z /CV--
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
. tS -, ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
REIATIONSHIP TO PROJECT • FAX NUMBER
0 Architect 0 Tenant 0 Agent O Other(Describe) ( ) -
CONTACT NAME S PRIMARY PHONE E-MAIL ADDRESS
( u') X70- 3 2-1-k
LENDER ':',`-IierR•W i9.;27:09SiILende;4nformation is, NAME
• ,',reg „red if project_value ezceecys$5,000.-,
MAIUNO ADDRESS CITY,STATE,ZIP
.■ DETAILED BUILDING INFORMATION • •
EXISTING USE PROPOSED USE
• EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES O NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? O YES O NO
1WATER SERVICE PROVIDER 0 LAtCERAVEN a HIGHLINE O TACOMA Q PRIVATE(WELL)
1
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 BIGHLINE 0 PRIVATE(SEPTIC)
OCT-19-a304 07:48 FROM: TO:12538352609 P.3
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 rwJTaro TOTAL►ROPO CD TOTAL 7-10.1Paa AND TROrosCD -
**NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $ 1—I CJI •
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(c.mmerei.II WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS / FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Showerc.mwl SHOWERS WATER CLOSETS crams MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS In rnr..osjti.l VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
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 flied 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 4 O/Yl C41J tS� DATE ` /q/(3 /
(Signature) (Title)
RELATIONSHIP TO PROJECT O Owner Agent D Contractor D Architect 17 Other
FORZOFFICE USE ONLY
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 OF USE? a YES o NO
NEW ADDRESS REQUIRED? a YES o NO UP/SEPA/SU? a YES o NO
PLATTED LOT? a YES o NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100—March 30,2004 Page 2 of 4 ' k\liundouts—Rcviscd\Pcnuit Application