01-102200 City of Federal Way
Community Development Services Mechanical Permit #:01 - 102200 - 00 - ME
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: SODERGREN
Project Address: 143 S 295TH P1 Parcel Number: 543721 0060
Project Description: MEC-New 85,000 BTU gas furnace w/65'gas piping,new gas water heater w/15'gas piping.
Owner Applicant Contractor
Robert C&Louise C Sodergren NONE WASHINGTON ENERGY SERVICES CO
143 S 295TH PL 2800 THORNDYKE AVE W
FEDERAL WAY WA SEATTLE,WA
98003-3659 NONE Pvl'A
(206)282-4700
S Qc1V O. : , "- �/ /i S 5
Mechanical Valuation 5000 Over the Counter Permit Yes
Mechanical Fixtures
.' Descri•bion .=' Quarles_, u' D scup!�►? y.1Quantity Descript on 1Qtiantit.
Furnaces 1 Gas Piping 80
PERMIT EXPIRES December 3,2001,IF NO WORK IS STARTED.
Permit issued on June 6,2001
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.
Owner or agent: C — aSLA V / C Date: (_0((0 o ,
JUN-04-01 09:59 FROM-NORTHWEST-CASSIMAR ' i 206-374-0834 T-508 P.01/05 F-985
t El� .II"<iRI— APPLICATION NUMBER: 0 L ` 0 Z 2O -
t APPLICATION NUMS�R: Q,L - 2:. L
APPUCATION NUM6FR: '. :%
**The following is required information–Please print(in ink)or type**
Please note: Metrical,Fire Prevention Systems and Engineering permits may require a separate application. '
N PROPERTY INFORMATION
I 2
SITE ADDRESS: } i'l r.:5111"-- p( ASSESSOR'S TAX/PARCEL 45. 4 3-ia L _ 00 (., 0
LEGAL DESCRIPTION OF SUB3ECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
- ■ PROSECT INFORMATION •
-
TYPE OF PROJECT(This application): 0 BNG tECHANICAC 0 DEMOLITION
aao ` (0 ENGINEERING❑ FIRE PREVENTION SYSTEM
• PROSECT DESCRIPTION(Provide detailed descYtptlon).
. '5 405/
1
pipit A-11# - :�
• ' , , f )•�_ , _ _ . -•:. .>. .11
P, 1 0"Ahs / I D-D •Z 6 1/11E111MXIM . ,e_ ‘ .
.. A I /
PROJECT NAME: ��1` '
PR3Cf • Ca
• . ■ PEOPLE INFORMATION •
PROPERTY OWNER: NAN DAYTIME r- �y
s maLING ADDRESS(STR>ET ADDRESS;CITY,STATE,T!
c0NTRACTOR: Nm° DA.Iy
(daskn V3X^ GC . (iZ i�
� _cn6D
MAILING ADDRESS(STMT .CITY SCAYE.�L EVENING PHOPIE
rr "Thor (s A�c�t c_,L 3-Co i`� ) -
RAL WAY BUSINESS LICCMSEr 1 FAX NUM=
COII1RAC ONS REGISTRATION HUMOR: ON DATE:
(EDA-5 ‘14-- E._549 9 c , / l(� �a—
APPLICANT: ' DAYTIME E:
MA B.ING ADDREW(STREET ADDRESS:QTY.STATE.ZIP): EVENING PHONE:
( ) -
REI ATIONSHIP TO PRflIEZT: FAX NUMBER:
IQ ARCHITECT 0 TENANT ❑OTHER(DESCRIBE): ( ) -
`— EMAIL ADDRESS'
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER 0 APPLICANT 'ONTRACTOR
• DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $515IX) -.
SPRINKLERED BUILDINiSI? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES 0 NO
WATER SERVICE PROVIDER: 0 LAKEHAVEN In HIGHLINE 0 TACOMA El PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
JUN-04-01 09:59 FROM-NORTHWEST-CASSIMAR ' • 206-374-0834 T-508 P.02/05 F-985
ON ONLY.' V Y 1 I v
' - **NEW�core TRItCTI
• [BER OF BEDROOMS: ESTIMATED SELLING PRICE: $
10111111111.11 ■ PROJECT FLOOR AREAS •
t O4R EXISTING SQ.Fr. PROPOSED S•.Ff.
TOTAL
BASEMENT
FIRST •
SECOND
THIRD -
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE;
HOW MANY MOORS'?
TOTAL:
Indicate number of each type of fixture
MECHANICAL
_ EVAPORATIVE COOLER(S) , GAS LOG(S) REFRIG.SYSTEM(S)
AIR HANDLINGUNIT(S)BOIt�t(S) FAN(S) HOOD(S) WOODSTOVE(S)
BILE FIREPLACE INSERT(S) + RANGE(S) MISC.
'�—
�� UC SOIL(S) _ .•.7 GAS PIPE OUTLET(S) HEAT SOURCE: 1] ELECTRIC GAS
PLUMBING
BATHTUB(S) LAVATORY(S)
URINAL(S) I_ WATER HEATER(S)
DISHWASHERS) RAIN WATER SYS. VACUUM BREAKER(S) 0 ELECTRIC ja GAS
SHOWER(S) —
WASH MACHINE OUTLET
• �- GAS PIPE FOUNTAIN(S) WATER CLOSET(S) ____� MISC.(--__—
GAS OIITLET(S) SINK(S)
�!' xNT R Cr SUMP(S) .
• 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,an
the work for which the permit application is made. I
further,that I am authorized by the owner of the above premises co perform and attorneys'fees Incurred In th
further agree to hold harmless the City of Federal Way be made byim(inclperson,
ing including Costs,expenses,
undersigned,aned,and Bled against City c
Investigation and defense of such claim),which mayany pew • g the the City c
Federal Way,but only where such claim arises out of the reliance of the dty,including its officers and employ ,upon
of the information supplied to the dty as a part of this1application. r(r�r '
OA. ` , 1' / 1 ' DATE: r/f�1AME/i1TlJE:
0 PROPERTY OWNER '0 APPLICANT AIXONTRACTOR
i Y, r '9.r`5''5 �X131 —. cr ! i a. ,tix ` ��,� r,�.-';Y ti.�a.�,, . .iLIT. ,
�' Y - •.•� ITT.,-"r-77-7,4. ,�1'pp _"_'T 4�.'�.I� w '�?TT-T.k r Ltd. ��� .`,�I,+,.Iy�i�iy1�iL h jL�iT.�.�..� � I r r lc,y i "y , 1 j'.
I
..-: :,17!'::(• I • •. r`. • I1 i I'I r` ,g4 y a L iln.�Tl �{��'•7��1.` rg.i` 'LE".••'ear lr.� i7.074---.5j ririld�'j'; e ij,, �kk
6..� ., � �S^ L'� 46.ry��• f i � �'a �•� I ��i ����Ih V i
,"1- r ri iFFI �N,.. . r a rJ • I Id 1 1�1 iliN w
E ' +I � `l �`� Y 6 •'r 1�A{ d ;• 1.� c' rj '�u,, ,:, .u. �..a� 1 I��. � i� IT r i.
;'G�.�� s �� �V>�� rv���i�tl l'�.J���`d��'L ..i ki y �^�I t rP i l ri ry c 7 �*-+
r{-. r r'12T ,5 ` ' ..4u IF rii�lr/i.. 7�5,1 ��� :�'l g, PSI I;rl l l Ate' Cf
�,�_�"�l�`. �I � N_i'_:rq� '����7ai�. Y'� c��F I �l� :• • �'�`�'' �. :�.� � �r �s � I� '
Fri Xft -a .1[� :14 ' . 4C�J� I:a"r, ""11E1i '1_ 0 � ylril i, �1,� ,'.i..� �l.�Wi!,Ir�9.
COFIt4UNITY DP_YrIDPMENT SEMIS•33530 FIRST WAY SOUTH•P.O.00K 971.8•FEDERAL WAY,WA 980634718.253461-4000•FAX:253461.4129