01-103674 City of Federal Way Mechanical Permit #:01 - 103674 - 00 - ME
Community Development Services
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: WILLIAMS ,1-x4 Q/
Project Address: 31318 12THISW Parcel Number: 416810 0210
Project Description: MEC-Replace 60,000 btu gas furnace.
Owner Applicant Contractor
Peter M&Christine Williams NORTHWEST PERMIT WASHINGTON ENERGY SERVICES CO
31318 12TH AVE SW 2320 1ST AVE SUITE 250 2800 THORNDYKE AVE W
FEDERAL WAY WA SEATTLE WA 98121 SEATTLE WA 98199
98023-4504 (206)282-4700
Mechanical Valuation 2700 Over the Counter Permit Yes
Mechanical Fixtures
Description ,;::,.-,„,:i'=Qi aritity '.: Description ,,-,-,,,i,i,Quantity .4. 'Description `' " Quantity)
Furnaces I
PERMIT EXPIRES March 24,2002,IF NO WORK IS STARTED.
Permit issued on September 25,2001
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: ll C�/\ Date: /r3 Jo 1
117:19'
• 01 17:40 FROM-NORTHWEST-CASSIMAR 206-374-0834 T-247 P.07/08 F-137 s
-_ ZFI _ APP'UCAYIQN NUMBER: .?1 - 10 4:4 3,i " ii
t . - AY vWpuCATiON NUMBER - �y- _` "
APPLICATON NUM
**The following is required information—Please print(in ink)or type=s
Please note: EI ectrical, •!-'•ire Prevention Systems and Engineering permits may require a separate Application.
y ■ PROPERTY INFORMATION
SITE ADDRESS: 313 10 I( Ph 1Ve . ASSESSOR'S'FAX/PARCEL as 51 i lei.Q- 0 ,91 .0
LEGAL DESCRIPTION OF SIJB]ECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): _ . - •
• PROJECT INFORMATION
TYPE OF PROJECT(This application): M 0 BUILDING Cl PLUMBING 0MECHANICAL U DEMOLITION
0 ELECTRICAL 0 ENGINEERING0 FIRE PREVENTION SYSTEM
PROTECT DESCRIPTION(Provide detailed description): •` ./ . t . I • 0 00 ►'T ; US
Ii /
.ti
r °� 1PRONCT NAME: • re "`11 i mkt t t �•
• PEOPLE INFORMATION
PROPERTY OWNER: "^he: --e `i awlsDAYTIME6?93 ) YY) - 9533-
t.w iw ADDRESS(VOW OR C[ir.STATE,71P): (�C, Po Z.J
coNTRAcroR: NAME: •
DAYFIME PHONE:
CrJ c c G O _ (Ju&)BUJ -
49-Go
' MAI MG ADDRESS •aTr,STATE.2LP): E'eW4 mime -
a too a;� Ave _1 • a 9$7 k )NUMBERFAX
dT Y Of FER MAL Y BUSINESS N�MIBEIt: _ - ( )
-
COTRACTORS REGISIRATICN ROMER EXPIRATION DATE:
t w 9, 116,!0_1_
/ 02
APPLICANT: NAME: DAYTIME PHONE:
rl ( -
MA LUNG ADDRESS A006:110)CCM STATE.MP): EVENING PHONE:
RELAj10tt5tt To PRO]ECI: FAN KAM:
( )
Cl ARCHITECT 0 TENANT 0 OTHER(DESCRIBE):
E44AJL ADOREZ:
CONTACT PERSON FOP:THIS PROJECT: 0 PROPERTY OWNER 0 APPLICANT CONTRACTOR
• DETAILED BUILDING INFORMATION
EXISTING USE: -! EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: _ PROPOSED VALUATION FOR IMPROVEMENTS:
SPRINKLERED BUIWIN G? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES. bi NC
WATER SERVICE PROVIDER: 0 LAKEHAVEN •0 HIGHLINE 13 TACOMA 0 PRIVATE(WELL)
SEINER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
SEP-24-01 10:29 FROIA-NORTHWEST-CASSIMAR 206-374-0834 T-283 P.02/03 F-185
i5'N1=w ItC w .....M`.w....-�.____ ___ . TINY 1 3JI 1 �MN �.
K ,. Nt1MBER OF BEDROOMS: EST= ATEP SELLZPRICE: $
■ PR07EC'l'FLOOR AREAS
ROQ R EXISTING SQ.FT. PROPOSED SQ FT. TOTAL
BASEMENT �-
FIRST
SECOND
/BIRD
FOURTH .
; OTHER.FLOORS(DESCRIBE)
1
4 - DECK
} .
GARAGE
HOW MANY FLOORS? _
TOTAL:
'o-
■ FIXTURES
Indicate number of each type of fixture
MECHANICAL
AIR HANDLIIte UNIT(S) EVAPORATIVE COOLER(S) GAS LOGS) REFRIG.SYsTEM(S;
• BBQ(S) , FAN(S) HOOD(S) WOODSTOVE(S)
FIREPLACE INSERT(S) RANGE(S) _— MISC.MISC.( -
• _ COM�PRESSOR(s) O FuturACE:(s)
Duc (s) GAS PIPE OUTLET(S) HEAT SOURCE: 0 ELECTRIC GAS
PLUMBING
• LAVATORY(S) URINAL(S) WATER HEATERS;
•DISHWASHE RAIN WATER SYS. �. VACUUM BREAKER(S) 0 ELECTRIC 0 GAS
DRINKING IOUNTAIN(S) SHOWER(S) _� WASH MACHINE OUTLET
GAS PIPE OlITLE:T(S) SINK(S) WATER CLOSET(S) MISC.t ,
• INTERCEPTORS) SUMP(S)
•
■ DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of Pe:3my that the Information furnished by me is true and correct to the best of my knowledge,an
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 claim(induding costs,expenses,and attorneys'fees incurred In til
investigation and defense of such claim),which may be made by any person,Including the undersigned,and filed against the City c
Federal Way,but only where mutt claim arises out of the reliance of the dty,Including Its officers and employees,upon the aaaurac
of the information supplied to the city as f this application. D'
Ems• .;G4 _ DATE: ..—< /Lt'
0 PRO OWNER ,®APPLICANT 0 CONTRACTOR
I'7.111 ,-;Sr ry hK-�5-�-�, ~f1'�� _ _�— _ ;�yrr
�..I -;• �fi • r' 1.1wM 6H4d► 7 ,17.17llt '��.1'_(�u�: k..l ;; .,71: �{f',L'r I Y 7TICTVrt .,4Yd MUS! �' 1
_ C ,- c.1- -, , '�r ,,,,,,,L, rr i, w,v,� + ufi . R�vIN Nr �� yin^.— .7..,� 7u
rr�• r���� '?`�i���,'�C�`ti,X� ���',R�k,..};. t;'?IP t•?? CC1� I"�11'4►1..�.R4�� t� 71' M :�1 '° ' M
I, -
FF r p r -ti ^-r � � y ' 1 i � L l i ,;J,;,,.
� r
E.4zi P(4) { r>y I-41 P,Y,‘V. T;1 . 7;___ ___. .;,: [ ;1?!.d," al
,"'Iii a$'Ili. aPFiYC t 1 —.171-7(,) t+
_
O NNUNnY oere.orreatr seRvlcES•33530 FIRST WAY SOurn•P.O.BOX 9718•FI oo&WAY,WA 9106.9711•=WHOM•FAX M461.4129