01-103677 4
City of Federal Way
Community Development Services Mechanical Permit #:01 - 103677 - 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: TAYLOR PJe
Project Address: 31634 42ND/SW Parcel Number: 873198 2740
Project Description: MEC-Install gas fireplace insert,gas water heater and gas piping.
Owner Applicant Contractor
Frank&Davis Willi Taylor Jr. NORTHWEST PERMIT WASHINGTON ENERGY SERVICES CO
31634 42ND AVE SW 2320 1ST AVE SUITE 250 2800 THORNDYKE AVE W
FEDERAL WAY WA SEATTLE WA 98121 SEATTLE WA 98199
98023-2121 (206)282-4700
p / / / / /i, /kr_
Mechanical Valuation 3350 Over the Counter Permit Yes
Mechanical Fixtures
Description Quantity wDescription Quantity Description ' Quantity!
Fireplace Inserts
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: C9, Q ✓ �`" Date: lan
1
O. SEP-19-01 17:40 FROM-NORTHWEST-CASSIMAR 206-374-0834 T-247 P.05/08 F-137
APPLICATION NUMBER: Al r:,LO.3.10 ,_!1
APPLLCAIION NUMBER: '+.
APPLICAT4ON**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.
I
5 � f ■ PROPERTY INFORMATION p
SITE ADDRESS: I] �2►1/A five .S� j ASSESSOR'S TAX/PARCEL#: E 3 1,. .2 d " a(
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): •
R PROJECT INFORMATION •
TYPE OF PROJECT(This application): 0 BUILDING 4 PLUMBING ;eMECHANICA+ Q DEMOLITION
. 0 ELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): . A 4 ki.1 • S !k.4
.i
PROJECT NAME:
1111.111.111.11 • PEOPLE INFORMATION '
PROPERTY OWNERDAYTIME: HAM . FT-co41� �� olr 053 N - 1Zz5
• tux UN ADottE�(SIRE T ADo ESS; STA AP):
.316'3 q tad /'ve St.$) Fccl wecy� Qua c7
CONTRACTOR: "A" o cCIU �Sc a�PHONE:
a - qi-
vd
nATIThG ADDRESS ADOREss;CITY,SUFE,ZW): EVENING PHONE:
eco `-` bn tvk' j Est . 36,41/4, 9ii,S ( ) -
anOf FEDERAL WAY BUSINESS NUMBER: - FAX NUMBEID
_ )
CON TRACTORS REG RA110N NU11oER: EXPIRATION 041E:
. s ' ,, . 16 / T, 2
APPLICANT: NAMh. DAYTIME PHO
�• ( . )• -
,4AIISNG •• (STREET ADDRESS;RAY.SAATE.may. maim PHONE:
) •
REW7IONSHIP TO PROJECT: FAX NUMBER:
0 ARCHITECT 0 TENANT 0 OTHER(DESCRIBE): ( )
E-IM1LADDRESS:
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER 0 APPLICANT P-#••NTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING USE: _57N' EXISTING BUILDING ASSESSEDJAPPRAISED VALUATION $ •
4 ✓� /
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ C- ✓
SPRINId.ERED BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES, ❑ NO
WATER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWS SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
e SEP-19-01 17:40 FROM-NORTHWEST-CASSIIiAR 206-374-0834 T-247 P.06/08 F-137
00NE RESIDENUAL CONSTRUC{zon am •
NUMBER of BEDELOOMS: ESTIMATED SELLING PRICE
11111.111.1111. ■ PRO ECT FLOOR AREAS
FLOOR EXISTING •
_FT. PROPOSED SQ FY. I TOTAL
BASEMENT
FIRST
SECOND
• THIRD
FOURTH
OTHER FLOORS(DESCRIBE) 111111
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLER(S) _ _ GAS LOG(S) REFRIG.SYSTEMS)
AIR HANDLING UNIT(5) FANS) HOOD(S) WOODSTOVE(S)
BBQ(S) RANGE(S) MISC.(_-
BOILER(S) FIREPLACE INSERTS)
{� FURNACE(S)
DUCT(S)
_ COOIZ(S) I GAS PIPE OUTLETS) HEAT SOURCE: O ELECTRIC GAS
r(s)
PLUMBING
BATHTUBS) LAVATORY(S) URINAL(S) IT , WATER H TER(S)
-
,,DISHWASHER(S) RAIN WATER SYS. , VACUUM BREAKER(S) 0 ELECTRIC AS
0. DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OtM T(S) WATER CLOSET(S) MSC(.---
—.—
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 knovdedge.an
further,that I am authorized by the owner of the above premises to perform the work for which a pp�ttto neysapplication
Mowmad de.
Iig
tuttker agree to hold harmless the City of Federal Way as to any claim(Including costs,expenses,
Investigation and defuse of such claim),which may be made by any person,including the undersigned,and Bled against
the ClITcFc
Fthe infoderal rmation but supplied where the dai as a m arises
s oUt o n
of the reliance of the city,including its officers and employees,upon the
• � DATE: I�r��
N�� :fr: it ��_
a PROPE OWNER 4 APPLICANT 0 CONTRACTOR
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OOMttUNRY OEVI3J3PMENT SERVICES•33530 FIRST WAY SOUTH•P.O.Emma•Fes-WAY,WA 980631971a•253461-4000•FA*253-6614129