01-103520 City unily Development Services Federal Way
mrun
ConMechanical Permit #:01 - 103520 - 00 - ME
33530 1st Way S
Federal Way,WA 98003-6210 1
Ph:253 661 4000 Fax 253.661.4129 Inspection request line: 253.835.3050
Project Name: RHOADS
Project Address: 503 S 309TH C4- Parcel Number: 241330 0990
Project Description: MEC-Replace 80,000 btu gas furnace.
Owner Applicant Contractor
Jerry L&Carolyn L Rhoads WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO
503 S 309TH CT 2800 THORNDYKE AVE W 2800 THORNDYKE AVE W
FEDERAL WAY WA SEATTLE WA 98199 SEATTLE WA 98199
98003-4068 (206)282-4700
Mechanical Valuation 3000 Over the Counter Permit Yes
Mechanical Fixtures
Description AQuanW Description !Quantity Description (Quantity
Furnaces 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. q
Owner or agent: a...9_1, C___---, Date: 9'1 f(O
W. c."1/\„ . .P.--; ,,,,,,, 6„, ( 0 1,44.
G c.tJ
SEP-1-01 08:52 FROM-NORTHWEST-CASSIMAR 206-374-0834 T-176 P.01/06 F-021
VFsA:r t_. APPLICATION NUMBER: L)J - 1 0 3 0- E.
\.9 APPLICATION NUMBER: •
APPLICATION NUMBER: _ _ - . • -i
•*The following is required Information—Please print(in ink)or type* els1 . 12a00fd s
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
' IN PROPERTY INFORMATION
SITE ADDRESS: �5 ASSESSOR'S TAX/PARCH. V>� c)(4 t 33 - O°9
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
. - .;,;..::::.;:.";-:::.-',.;-..,:i'-_ '. ■: PRO]ECT INFORMATION . • • - - .
TYPE OF PROJECT(This application): 0 BUILDING ❑ PLUMBING ,AECHANICAL 0 DEMOLITION
- 0 ELECTRICAL 0 ENGINEERING(❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): B'DI •b $ 0" ;
•t WI
PROJECT NAME: , ZNACLS �+ M
MII
:a•::'pEOP1.EINFORt4ATION
PROPERTY OWNER: N.1ML: -- DA MEPP/ONE:
MAKING AOOQESS(S.E RE• 'CL1Y.STATE,ZIP):
CONTRACTOR: NAn6: DAP.. —
)t C5 /.,A.
IP): a LVE +G PI f^
TAILING AnREs tl ADDRESS;y I 1 i AV n A, 1. I ie
:`M11 • Irl A ( `t . _ .I I�yL I 5.5141
Il��l.{' �f+ '4•-
CITY OF FEDERAL WAY BUSING A N N MBCR; FAX NUMBER:
4ONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
_t� 5 Ci lb C.c.s. D-/ It (f /6 .)--
APPLICANT: -TAME: f`..�-1�■Y1�^��✓/ DAYTIME PHONE:
11AILING ADDRESS(Sl RL't:l Aoh1:ss;alY,STATE,ZIP): -�'- LYCNLNG PHONC:
(
l:CLATIONSHIP 10 PRO)CCI; FAX NUMBER:
0 ARCHITECT 0 TENANT 0 OTHER(DESCRIBE):_, ( ) -
�'�
E-MAIL ADORES:
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER 0 APPLICANT CONTRACTOR
'MOM X DETAILED,BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: 11
PROPOSED VALUATION FOR IMPROVEMENTS: $ 15V
SPRINKLERED BUILDING? ❑ YES , 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES 0 N
WATER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HHIGIILINE 0 PRIVATE(SEPTIC) 1
, SEP-1'9-01 08:52 FROM-NORTHWEST-CASS I MAR 206-374-0834 T-176 P-02/06 F-021
L- •. NUMBER(*BEDROOMS: ESTIMATED SELLING PRICE: $„ T.- -
' vilimini
■ PRO3ECT FLOOR AREAS • I
FLOC R . EXISTING Sq,FT. PROPOSED S .FT. TOTAL
BASEMENT
FIRST
SEND ��
TIIIRD
FOURTH
OTHER FLOORS I DESCRIBE)
• DECK
`
GARAGE
HOW MANY FLOORS? ,.,,,,.,
TOTAL: -
r - ' -. . I_ .r ,- -ii. FIXTURES - , - , _.
ra �, ZhOO.dS
Indicate number of each type of fixture
MECHANICAL
AIR HANDL-1;4G UNITS) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEMS
BBQ(S) HOODS) WOODSTOVE(S)
~� BOILER(S) FIREPLACE INSERT(S) RANGES) MTSC.
COMPRESSaR(S) l _ FURNACE(S)
DUCTS) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC 0 GAS
PLUMBING
< RATHTUB(S;, LAVATORY(S) URINAL(S) WATER HEATERS
DISHWASHER(S) RAIN WATER SYS. VACUUM RREAKER(S) 0 ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OJTLET(S) SINKS) WATER CLOSEf(S) MISE.L_
INTERCEPTORS) SUMP(S)
- ' • -` ■ `DISCLAIMER/SIGNATURE BLOCK • -
I certify apde:r penalty of perjury that the Information furnished by me is true and correct to the best of my knowledge,al
• further,that I am authorized by the owner of the above premise to perform the work for whid-the permit application is made. I
_ further agree to hold harmless the City of Federal Way as to any daim(including costs,expenses,and attorneys'fees Incurred in ti
Investigation and defense of such claim),which may be made by any person,Including the undersigned,and filed against the City 1
Federal Way,but only where such daim arises out of the reliance of the city,including Its officers and employees,upon the aecura,
•
of the Information supplied to the city as a part of this application.
v 1 `-!` DATE: /if bill 1
NAME/TITLE: e_..,
❑ PROPERTY OWNER 0 APPLICANT NSIXONTRACTOR
;FO RaOFF ICqJSE;ON LY:.1
I❑+" ammo oc
, bbITibN C;'ir..NYJ'ATERATION ' ; EPAIR.:`;I.'
i 0 EfiVeiY600EENT4gt
5.CENSUS•iODE :il ' �+;i, 'ili'; '�� I' . sLRaIZEA+y tc:c��•. k:3: ,'.:i: i:Va aakG._.:"' .1: ,;1,c
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1' 1...-�., `itif5�l� '. ni.. rel ,:I: tly' `r':'„.' 'till I•'- 4
Mex F,Yr',:�:ti � NASI �''.'147::f� Q"+YES N.6 MM.' ,��.;.� �:; '.
*K. M9R iVni! oitvilsiiik:gdF'PANGg '$40 liEE 71►DDRESS'1[LE1tiRED7,.,: •,rAt,.11 .,," i'i tiiO::;k
: 'irT I O .'i, l irs''r,�U ilio'° ' •IV!:100 Of/gat'if iJS .- . .'0,i7EsIMI tva.4 I'4eA�
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COMMUNrrY ONCLOPHEtrr SCrrVYCES•33530 FIRST WAY SO(.ml-P.O.BOX 9718•FEDERAL WAY,WA 98063-9718•2S3-641-4000•FAX:253-661-4129