01-103517 City of Federal Way
Conununity Development Services Mechanical Permit #:01 - 103517 - 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: SLATON Q\
Project Address: 31823 32ND/SW Unit25 Parcel Number: 698000 0250
Project Description: MEC-Install gas fireplace insert and gas piping.
Owner Applicant Contractor
Terence R&Leigh L Slaton WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO
31823 32ND PL SW#25 2800 THORNDYKE AVE W 2800 THORNDYKE AVE W
FEDERAL WAY WA SEATTLE WA 98199 SEATTLE WA 98199
98023-2233 (206)282-4700
Mechanical Valuation 2800 Over the Counter Permit Yes
Mechanical Fixtures
,;„ Description - IQuantityl Description !Quantity Description !Quantity
Fireplace Inserts 1 Number of Gas Outlets 1
PERMIT EXPIRES March 18,2002,IF NO WORK IS STARTED.
Permit issued on September 19,2001
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.
I
Owner or agent: G...31_3:::C..- .. Lam—
Date: (910
,SEP-1011 08:52 FROM-NORTHWEST-CASS I MAR 206-374-0834 T-176 P.03/06 F-021
APPLICATION NUMBER: S2 L _ ! G.2 3 5 L?
APPLICATION NUMBER: _ _ - _
APPLICATION NUMBER: _ — - ^ - �,,,,.,
**The following Ls required information—Please print(in ink)or type** fit5 I(SID-
NO-on
-
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.'
■ •PROPERTY INFORMATION
SITE ADDRESS:3'f)11 51.13 nio PI ASSESSOR'S TAX/PARCEL #:(Q 0v O - 1::a
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■: PROJECT INFORMATION ' " . .
TYPE OF PROJECT(This application): ❑ BUILDING 0 PLUMBING MECHANICAL 0 DEMOLITION
Q ELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM��
PROJECT DESCRIPTION(`Provide detailed description): 1 7 3 ) til rL i t14-
340
r J
•
PROJECT NAME:
■: PEOPLE INFORMATION
PROPERTY OWNER: - 5Jr� D ..-ffi� Px
MA JUNG ••REBS ET ADDRESS�CITY$TA7E,ZIP): nof
•--
CONTRACTOR;
ttff'�ll1l'' .3.7
l �
CONTRACTOR; NorIE: Da E INiO L:
111 s\ics
MI N S;CITY,STATE,ZIP): it da �jJ� ( G(PPHONE: Ly/
CITY 3' FEDERAL WAY BUSINESS IS f SE NUMBER: FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBEIL (__ _ WHIM- /DAI.Ir/ /
DAYTIME PHONE:
APPLICANT: x�:
MAILING RCET ADDRESS;QTY.STATE,UP): EVENING PHONE:
liKATIONSHIP TO PROJECT: FAX NUMBER:
0 ARCHITECT ❑ TENANT 0 OTHER(DESCRIBE):
EMAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER 0 APPLICANT 'ONTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING USE: 1L'F.XISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: 1 a PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? Q YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES 0 N<
WATER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE ❑TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
.-viP-1101 08:52 FROM-NORTHWEST-CASSIMAR 206-374-0834 T-176 P.04/06 F-021
efN W RESIDENTIAL CO NSTRUCI dun urn.e--
NUMBER OF BECrROOMS: . ESTIMATED SELLING PRICE: $ —
" 11111111111111111 ■ PROJECT FLOOR AREAS
FLOOR
EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
-THIRD -
FOURTH �--.1
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
_0. FIXTURES • . Q.• < •
f
•
Indicate number of each type of fixture P� c).?y u(""
,.
MECHANICAL
AIR HANDLING UNITEVAPORATIVE S) COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S
HOODS) WOODSCOVE(S)
BBQ(S) FAN(5) MISC.t* BOILERS) f FIREPLACE INSERT(S) RANrsE(S)
COMPRESSORS) FURNACES)
DUCT(S) / GAS PIPE OUTLET(S) HEAT SOURCE: 0 ELECTRIC 0 GAS
' PLUMBING
BATHTUB(S} LAVATORY(S) URINAL(S) _ WATER HEATER(S
DISHWASHE:R(S) RAIN WATER SYS. VACUUM BREAKER(S) [] ELECTRIC 0 GAS
DRINKING IzOUNTAIN(S) SHOWERS) WASH MACHINE OUTLET
GAS PIPE OUTLETS) , SINK(S) WATER CLOSET(S) MISC.
. INTERCEPTOR(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,at
• 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 daim(induding costs,expenses,and attorneys'fees Incurred In U
investigation and defense of such daim),which may be made by any person,including the undersigned,and filed against the City r
Federal Way,but only where such claim arises out of the reliance of the city,including its officers and employees,upon the accura.
• of the Information supplied to the city as a part of this application.
{r• � C� DATE: 9''66f
NAME/Mil:
O PROPERTY OWNER 0 APPLICANT CONTRACTOR
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OOhmmuNnY DE/mormetir SERycces.33530 FIRST WAY SOUTH•P.O.PDX 9718•FEDERAL WAY,WA 980639718.253-6614000-FAX:253.661-4129