01-102206 City of Federal Way
Community Development Services Mechanical Permit #:01 - 102206 - 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: PERRY
Project Address: 233 SW 325TH Pi Parcel Number: 926490 1930
Project Description: MEC-Replace 60,000 BTU gas furnace and gas water heater
Owner Applicant Contractor
GEORGE A PERRY NONE WASHINGTON ENERGY SERVICES CO
233 SW 325TH 2800 THORNDYKE AVE W
FEDERAL WAY WA 98023 SEATTLE,WA
NONE (206)282-4700
Mechanical Valuation 3000 Over the Counter Permit Yes
Mechanical Fixtures
,: escripiion, 06a inti "Descrlptl04446a344uantity , ~ ,' 3e o:171 on K 1Q aar tity)
[—Furnaces 1
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: ei 4''\ _.„, r Date: (17/(-9/6 (
J1404-01 10:04 FROM-NORTHWEST-CASS1MAR 206-374-0834 T-508 P.04/05 F-986
(�� \Ir'at— f'.(vrr APPLICATION NUMBER: „g ,/�E
w APPLICATION NUMBER: _ -
\APPLICATION NUMBER:. ...„.._.:.L..,_,:=_ L___..._° -
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Wme following is required information—Please print(in ink)or type**
Please note: 'Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
IN PROPERTY INFORMATION
SITE ADDRESS: 5L° a7v -pi ASSESSOR'S TAX/PARCEL#:9? (0490. _ 19 30
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
- - - . ■ PRO3ECTINFORMATION . . .• -
-
TYPE OF PROJECT(This application): - ❑ BUILDING L)1BIN ECHANICAL DEMOLITION
• 0 ELECTRICAL LJ ENGINEE
/ NTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): Q/�Q ( fr)l t`7/L 45141 aejC)--
310 c,atte_le.
-
Y 1\a -er• —
•
PROSECT NAME:c24,001
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A
IN PEOPLE INFORMATION
PROPERTY OWNER: _`A / Y
MAILD IG ADDRESS GSTR DORES5:CITY.STATE. P)
giso
CONTRACTOR: twie
CAD
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CM Cf FEDERAL WAY BUSINNE' MAILING ADDRESS(SII,ET S U �I N ► )LkIBER: FAX NUMBER:
(---- --- -- - - -- — —AC ORS REGITRATION TION DATE.
.— (A4.4 r9 c.., /I (., / 0)-
APPLICANT:
0)-
APPLICANT: NATE •
LCw 1 X1 DAYISME PHONE:
HALM ADDRBSs(SEREST ADDRESS;QTY.STATE,u#): EVENING PHONE:
RELAT1 ONSHIP YO PROJECT: AX -
0 ARCHITECT 0 TENANT 0 OTHER(DESCRIBE): — ( ) -
IEMAIL ADDR :
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑APPLICANT a CONTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE; PROPOSED VALUATION FOR IMPROVEMENTS: # -.
SPRINKLERS)BUILDING? 0 YES Q NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES ❑ NO
WATER SERVICE PROVIDER: Q LAKEHAVEN 0 HIGHLINE 0 TACOMA Q PRIVATE(WELL)
SEWER SERVICE PROVIDELI: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
JUI4-04-01 10:04 FROM-NORTHWEST-CASS'IMAR 206-374-0834 T-508 P.05/05 F-986
l•
' NUMBER OF BEDROOMS: _ ESTIMATED SELLING PRICE: $ •
•
• PROJECT FLOOR AREAS
FLOOR EaQSTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST •
SECOND -
THIRD
-
FOURTH -
OTHER FLOODS(DESCRIBE)
DECK
•
GARAGE . .
HOW MANY FLOORS?_
TOTAL:
■. FIXTURES
Indicate number of each type of fixture
MECHANICAL
AIR HANDLIN's UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVF(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.
_ COMPRESSOR(S) j FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: 0 ELECCRTC
PLUMBING t
BATHiUB(S). LAVATORY(S) URINAL(S) WATTER(S)
DLSHWASHER(S) _ RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC E�'•HAS
DRINKING EGUNTAIN(S) - SHOWER(S) WASH MACHINE OUTLET
GAS PIPE 0U1T-ET(S) SINK(S) WATER CLOSET(S) MISC.(
I . INTERCEPE'OEt(S) 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,and
further,that I am authorized by the owner of the above premises tlo perform the work for which the permit application is made. I
further agree to hold harmless the city of Federal Way as to any dein:(including costs,expenses,and attorneys'fees incurred in the
investigation and defense of suds daim),which may be made by any person,including the undersigned,and filed 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.
NahiE/mLE: ;� . �Y� t`�� � DATE:
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0 PROPERTY OWNER Q APPLICANT .."‘1.0►- •NTRACTOR
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OOM*JrlrrY neyHAPMENT SStVCCES•33530 RAST WAY SOUTH•P.O.SOX 9718•FECAL WAY,WA 900631718.253-661-4000•FAX:253-6611129