01-103518 City of Federal Way
Community Development Services Mechanical Permit #:01 - 103518 - 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: LAI r��
Project Address: 31828 25TH'SW Parcel Number: 193840 0580
Project Description: MEC-Install gas fireplace insert and gas piping.
Owner Applicant Contractor
WAI LAI WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO
31828 25TH AVE SW 2800 THORNDYKE AVE W 2800 THORNDYKE AVE W
FEDERAL WAY WA 98023 SEATTLE WA 98199 SEATTLE WA 98199
(206)282-4700
Mechanical Valuation 2600 Over the Counter Permit Yes
Mechanical Fixtures
_Description !Quantity{ :`, Description Quantity Description IQuantitjl
Fireplace Inserts 1 Number of Gas Outlets I
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.
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Owner or agent: r� ci ..__.3 1/t ` Date: CI 11 q 10
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F6 t9' //V) 4f'c4
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SEP-10-01 08:53 FROM-NORTHWEST-CASSIMAR 206-374-0834 T-176 P.05/06 F-021
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• '- SFJ-1�L— APPLICATION NUMBER: 01 - I Q 3 R 'M
' APPLICATION NUMBER: — - _ _ _ _ - _
APPLICATION NUMBER: — - _ _ - _
.*The following is required information—Please print(in ink)or typef* i
I l
Please note: Electrical, Fire Prevention Systems and Engineering permits may re.=a sep to appIi"cation.
• PROPERTY INFORMATION
SITE ADDRESS: 3) C -� A(5 ASSESSOR'S TAX/PARCEL#: ( 9 3 IN N O -05SZ)_
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
-. -: ' ■, PROSECT INFORMATION • • . •
TYPE OF PROJECT(This application): ❑ BUILDING 0 PLUMBING MECHANICAL 0 DEMOLITION
. 0 ELECTRICAL 0 ENGINEERIN ❑ FIRE PREVENTION SYSTEM
PRO ECT DESCRIPTION(Provide detailed description):- �l` n y (arifa 0 pts
Ptej_..r.. . .
t
PROJECT NAME: , V1 1 I nt 1
=:`r:'PEOPLE INFORMATION .
PROPERTY OWNER: NAME: DAYTIME Pt
�4.1 (063) -_
h AMIN ADDRESS(STRP ADDRESS:CITY,STATE,ZIP):
44440
CONTRACTOR: I,AME: UM1YT]MC PI ONE:
FIAIi3NCi ADDRESS( ItICT ADDRESS:C I Rift ZIP): EVENING PIIONE:
_ -. 00 T 4t.1I 4111.0 ( 1� -'')b
(CITY Of FEDERAL WAY BUSINESS LICE .NUMBER: FAX NUMBER;
- (
—CONTRACTORS REGISTRATION NUMBER: r EXPIRATION T; / ey,,,1
APPLICANT: TAME: +- DAYTIME PHONE:
(
NAI GADDRI.SS SMUT ADORLSS;env,STAT I,ZIP): ---� EVENING PIIONE:
(
^REIAT1ONSHHIP TO PRWEC1: fAX NUMBER:
❑ ARCHITECT Cl TENANT ❑ OTHER(DESCRIUE): (
EMAIL ADDRCSs:
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER Cl APPLICANT - CONTRACTOR ,_,
■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $.
-----
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ t) •
t(�
SPRINKLERED BUILD)NG? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES ❑ I
WATER SERVICE PROVIDER: 0 LAKEHAVEN Q HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PRO 11OCR: 0 LAKEHAVEN 0 HIGI(L INE 0 PRIVATE(SEPTIC)
SEP-10-01 08:53 FROM-NORTHWEST-CASS I MAR 206-374-0834 T-176 P.06/06 F-021
• -- itsfiCWIRESIDENTIAL Co N51 Ku...I WIN
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
IIIIIIIIIIMill • PROIECY FLOOR AREAS
FLOOR EXISTING SQ.Ff. PROPOSED SQ.FT. _ TOTAL.
BASEMENT
FIRST
SECOND
.THIRD
FOURTH
OTHER FLOORS 1,DESCRIQC) T
DECK
GARAGE
HOW MANY FLOORS? • _
TOTAL: -
` :• -L,.:',:••:.‘",:..;:',,-2;; -:, ..::.>'rr All_,FIXTURES .. '
Indicate number of each type of fixture 4• D- 1..
v
MECHANICAL
3 AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOGS) —REFRIG.SYSTEM(:
k{OOD(S) WOOOSTOVE(S)
_. BOILE) FAN(S)IREDMISC.c_,.
� C10ILER(S) / FIREPLACE INSERT(S) RANGE(S)
COMPRESSOR(S) FURNACE(S) HEAT SOURCE;: ❑ ELEG7RIC ❑ GAS
, Duals) 1 GAS PIPE OUTLETS)
PLUMBING
` BATHTUQ(S) LAVATORY(S) URINALS) WATER HEATE;R(�
DIS1IWASH[R(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC r.:3 GAS
DRINKING FOUNTAIN(S) SHOWER(S) OUTLET
1
GAS PIPE CUTLET(S) SINK(S) WATER CLOSET(S) MISC.
INTERCEPTOR(S) SUMPS) WASH MACHINE OVT
• ■ '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,a
further,that I am authorized by the owner of the above premise-Ito 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 1
Investigation and defense of such claim),which may be made by any person,induding the undersigned,and filed against the City
Federal Way,but only where such daim arises out of the reliance of the city,including Its officers and employees,upon the aecurt
of the information supplied to the city as a part of this application.
NAME/TITLE: t • ' - 1 A., h' DATE:
ElPROPERTY OWNUt ❑ APPLICANT )9CONTRACTOR
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OOMMUN[TY LonaD+t-ier sowic s•33530 FIRST WAY sou-ni•P.O,BOX 9715•(CO ML wAY,WA 98263.9718•253l,G14000•FAX-253•,614129