01-102736 City on DeWay
Community
Development Services Mechanical Permit #:01 - 102736 - 00 - ME
ty
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: MEADOWS
Project Address: 416 S 306TH 54" Parcel Number: 241330 0430
Project Description: HVAC-Gas to gas furnace changeout
Owner Applicant Contractor
Charles E Meadows WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO
416 S 306TH ST 2800 THORNDYKE AVE W 2800 THORNDYKE AVE W
FEDERAL WAY WA SEATTLE,WA SEATTLE,WA
98003-4067 98199 (206)282-4700
Mechanical Valuation 2300 Over the Counter Permit Yes
Mechanical Fixtures
Description (Quantity ,u;tDescription ' IQuantitIA 'Description .,iQuantity
Furnaces 1
•
PERMIT EXPIRES January 13,2002,IF NO WORK IS STARTED.
_Permit issued on July 17,2001
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: Q [� Q( 1 1 c� Date: 1 ( 1 (0 t
ti 0
Y'\ )
rid ( �
JUi.-10-01 17:34 FROM-NORTHWEST-CASSIMAR 206-374-0834 T-74( P.01/02 Fr-355
'"` ► �FJZf�L_ APPLICATION NUMBER: i - _ 02 - �
VV fIY APPLICATION NUMBER: - •
APPLICATION NUMBER: _ - -
**The following is required information—Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
■ •PROPERTY INFORMATION
SITE ADDRESS: q/6 S 366 ' ci ASSESSOR'S TAX/PARCEL tt: a LI 133o - 0 (-I 30
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
. - . . ...'::::-',.7.:,--:;:.'.;_';''''. N, PROJECT INFORMATION • : .
TYPE OF PROJECT(This application): - 0 BUILDING 0 PLUMBING PPMECHANICAL 0 DEMOLITION
• 0 ELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): ' C41_ave o LJ2 • 5 o , co 0 -.E-k.4
I - C:c A bl C.D
PROJECT NAME: C �5 (0 P CLO!D LIOS
. I,PEOPLE;INFORMATION
PROPERTY OWNER; NAME: DAYTIME PI SONE:
�lil .i Mt 01 cg5 >g,3 a t
`_JUNG 'SS(SI RS ADDRESS;3aiQTY,-SIAlL-,ZI ` Li ?,0o3
(v 3 TM S
CONTRACTOR: NAME: DAYTIME PRONE:
(Ai �,SC9 _ (?rib ) 0284- - 1 °
• M,UuNG ADDRESSET ADDRESS;QTY,STATE,ZIP): EVENING PHONE:
. „ TP 9ifv ( ) -
,�a car 1GQ e �� , �'
CITY O(FEDERAL WAY BUSINESS I.ICEN -NUMBER: FAX NUMBER:
- _ _ _ - _ ( )
Ci)NTRACTORS REGISTRATION NUMDCR; OCPIRATION DATE:
WISH ES7Y0CW a, / lb / 01
APPLICANT: NZM6: DAYTIME PIIONE:( )
NAN.ING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( ) -
RELATIONSISIP TO PROJECT: FAX NUMBER:
0 ARCHITECT ❑ TENANT in OTHER(DESCRIBE): ( )
MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT o CONTRACTOR
I DETAILED•UUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: „ PROPOSED VALUATION FOR IMPROVEMENTS: $ -
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES 0 N
WATER SERVICE PROVIDER: 0 LAKEIIAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHLXNC 0 PRIVATE(SEPTIC)
JUL-10-01 17:34 FROM-NORTHWEST-CASSIIMAR 206-374-0834 1-744 P.02/02 F-355
_.---
T---------
J CE: $
ONl-`f'• PRI •
f SIOE-KnALa1N'TRu ON E MATED SL_U1NC'
/ as MEMS: AREAS TOTAL
r1UMQEROF EL:DR pR0:CT. FLOOR
PROPOSED 5'.Fr.
EXISTING •.
FL(►OR
•
QASEMENT
_ FIRST __—_-
SECOND
_—_.—�
—� _ —
' SEQDND �^ �� ____
t f 1tIR0 —
pOU
(DESCRIBE) ��
5
OCHER FL.00IRS( �,—
4.
F • • DECK
4 GE
GARAGE
MANY FLOORS?
; 11111 .11
TOTAL: _
-.S110111111, - a of full,• - Indicate number of eadt tYP
MECHANICAL REFRIG.
GAS LOGS) —� WQpSTO'
VAPORATiVE COQL[R(S) HOOD(S) MISC•(��
AIR HANDLING NIT( FANS) � AtiG (S)3, uu cs) FIREPCEINSERTS)fsOiLER(S) FURNACES) MTSOURCE: ❑ ELERICiOMPI SOR(:us)
GPIPEOUTL (S)PLUMRINGWATERHVATORY(S) UNAL(S)pI , [S(5) VAUM 6RKER(S) ❑ ELECPIc HWHER ) RAIN WAVER SYS. WASH MACHINE OUTLET MISC.
SNOWER(S) �� \AlATER CL•OSET(S)
DR[1'PIPE pOUEr(s) 5) SINKS)
GA5 PIPE OU'(LEi'(5) � SUMP(S)
IN'rERCEPTOR(S)
■ DISCLAIMER/SIGNATURE BLOCK
that the inform misfu toi heed bm the work ton COLT a the PPlicadon is
i ce rtitY under penalty of perjury ex eld' and attorneys`fees fnc
further,mat I o autharutld by the owner of a ra Wayc p person,including the undersigned,,and and tiled againc
tvctiter agree to hold fharntless me City of Federal Way as to any daim(induding costs, P
(nvesligatiol and defense of such daim),which may be made by any
Federal Waif,but only where such daim arisesout
of
the
r li ance of the city,including its officers and employees,upon
of the infonnation supplied to the city as a part /0
DATE:
NAME/TME:� - —`
❑ PROPER*V wNER ❑ APPLICANT '4 CONTRACTOR
; RiOFFXCEIUSEiONLY:.,. �, U '' r,iQr - NATl3{'IIF+IPRaVEMEN7#i' tl
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