01-103842 City of Federal Way
Community Development Services Mechanical Permit #:01 - 103842 - 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: SEXTON 3 4 23 3 I 1444. a j
-S
Project Address: 3tt52 Parcel Number: 698000 0520
Project Description: HVAC-Installing new gas fireplace insert w/25' gas pipe
Owner Applicant Contractor
David B Maulden WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO
3223 SW 319TH ST#52 2800 THORNDYKE AVE W 2800 THORNDYKE AVE W
FEDERAL WAY WA SEATTLE WA 98199 SEATTLE WA 98199
98023-2246 (206)282-4700
Mechanical Valuation 3000 Over the Counter Permit Yes
Mechanical Fixtures
Description 'Quantity Description Quantity Description Quantity
Fireplace Inserts 1
PERMIT EXPIRES April 6,2002,IF NO WORK IS STARTED.
Permit issued on October 8,2001
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: _ / • t dr Date: 181 X(
416
e , ( 0 / / 0 • • 0 (
OCT-01-01 13:02 FROM-NORTHET-CASSI R 206-374-0834 T-35&,1P.01/ F-2
Mii-j'ru-st7-''o'p'IYYEAD PO •PLICATION NUMBER: - j�cook mp �L .' CATION NUMBER: �; _
k � CATION NUMBER: Y_ •
**The following is required information-Please print(in ink)or type** freAi ,SrEarr•
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separa a on.
■ PROPERTY INFORMATION
SITE ADDRESS:t ^� v !� �. ASSESSOR'S TAX/PA CEL 0:1 /�,�I/,1,16 74_9(_ 06
- Q
LEGAL RIFT;ON '' ( �cEc�l►��5� Com` )-' ��
SUBJECT ROPERTY ATTACH SEPARATE DESCRIPTION IF LEN y): 42ggO7.'0
M PRO]ECT INFORMATION
TYPES OF PROJECT(This application): - 0 BUILDING 0 PLUMBINGECHANICAL 0 DEMOLITION
• 0 ELECTRICAL LI ENGINEERINGLJ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): I QtO 5xo1( ( ar+
CPE
.^_PROJECT,NAME:, I /0 1 _ _ 0
• 1111/111.1111111 ■ PEOPLE INFORMATION
PROPERTY OWNER: HAKE 1 o�=r:� C
S_ -0°73'3
• MARIINNfi AOORESS(S —ICAOORESS Cnv. A Q, ^� '
CONTRACTOR:. NMAINI o`aD •
s A �pifIONI:
wro• r-LLo3t
`, • orTrlEfrADDitessarrZIZT I qS"0-141
CNrI OF Nle WAY OUSOMSS FAX NMNMOIM
)
CON maws Ria 1PATION west r X
01) Pe" 1--F5C111105LI"5-
- r
APPLICANT: NAMs: ' DAYTIME MOM
AA : ( )•
NAMING AOOKESS(STREET ,• •-•---- CITY.STATE,ZIP); EVFaONG PIgNE:
( `
ABIATIONSHIP TO PRO36cr; FAX NUMBER:
D ARCHITECT 0 TENANT 0 OTHER(DESCRIBE): ( )
E4441.ADORES:
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER 0 APPLICANT Z 2'OONTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ •
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES, 0 NO
WATER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: [] LAKEHAVEN ❑ HIGHLINE Gl PRIVATE(SEPTIC)
OCT-01-01 13:03 FROM-NORTHWEST-CASSIMAR 206-374-0834 T-352 P.02/02 F-280
KEW DENTIA1.COOIS[RUCiiunum.'-- 1 U'-
NUMBER OF BEDROOMS: FsTIMATED SEIZING PRICE: $_.--_
.11111111111111111 • FIlO7ECT FLOOR AREAS
• EXISTING SQ FT. PROPOSED SQ•FT. 7!OTAL
t�00F:
BASEMENT
F/RST
SECOND
THIRD
FOURTH —
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY Moo RS?
TOTAL:
6 Indicate number of each type of fixture
1 MECHANICAL
i EVAPORATIVE COOLER(S) -- GAS LOG(S) REFRIG.SYSTEM(S)
AIR HANDLING UNIT(S) WFRIG. VE(S)
- NoOD(S)
k' - -- 1113Q10(S) FIREPLACE INSERTS) RANGE(S) . + MISC.
l COMPRI'SSOit(S) FURNACES) .
..�— Ducr(S)
GAS PIPE OUTLE'T(S) HEAT SOURCE: 0 ELECTRIC , I7 GAs
PLUMBING
•
BATHTUB(S) LAVATORY(S) �� URINAL(S) _ WATER HEATERS)
DISHWASHERS) RAIN WATER SYS. VACUUM BREAKER(S) 0 ELECTRIC 0 GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) —�. SINK(S) WATER CLOSET(S) MISC.f
INTERCEPTOR(S) SUMP(S)
• 10110111111111 ■ DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the Information furnished by me is true and correct to the best of S�kn n� �aIn
further,that I am authorized ized by the owner of the above premises to perform the work for which the permitpP
further agree to hold harmless the City of Federal Way as to any daim(induding costs,expenses,and attorneys'fees Incurred in 6
Investigation and defense of such dais►),which may be made by any person,Indudding the undersigned,and filed against the City 4
a
Federal Way,but only where such daim arises out of the reliance of the dty,including its officers and employees,upon
of the information supplied to the dty as a part of this application.
MAI4EC DAVE: !0(o /9 _ _.--
/TZTLEe
0 PROPERTY OWNEI Q APPLICANT CONTRACTOR
11',1131,.1Y {e ltr•Y:��'� '�
�1!io',!l 'It ”5C)3C.�S�l�i��. r-,��.i. w�...'�}SLIi�_ � � - ;�i�it�x�V �r�:,i-.,( r to �',lair '
E I_i i ir,. .:,7.- 9�trAT'A/Xi ,ICS II',IrEit41.O.V..A !3f .ff+ Jr r r.1 /.-i � 1!(!)„ -7, ',�!r.
[ �r . _,r�....` t i �
C�wu?7-}F7,....-;.,_4":11:WIT, ' i,' iLiit 1,1-.‘ 0'- ' 'A:::-a., 1 >;*1 c
r6 t� .it.yr .r 4i.J.�4 ; r .`i `, ,)ati'1 tab,'.S.ey ;>f I 1
�.1�°. � „ + �`��ti1�� �F+c1 Fr .,.�lysr ..�lTt; _rk x.13 - -
�. , °E r . tut \'L r . :%"; .i0..!, 3E3�,.. v , if 1-)74'-i 1_ILI;(0
CoMiuRITOEVWX1431T Salvia:5.33530 FIRST WAY Souitr•P.O.BOX 9716•FEDERAL WAY,WA 96063-9718.733461-4000•FAX 253.6614129