01-103990 City of Federal Way Mechanical Permit #:01 - 103990 - 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: 253.0O
35.3050
Project Name: BEMIS
Project Address: 30801 28TH�S Parcel Number: 092104 9230
Project Description: HVAC-Installing new gas fireplace insert with associated gas piping
Owner Applicant Contractor
Jeanette L Barns WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO
30801 28TH AVE S 2800 THORNDYKE AVE W 2800 THORNDYKE AVE W
FEDERAL WAY WA SEATTLE WA 98199 SEATTLE WA 98199
98003-5104 (206)282-4700
Mechanical Valuation 2000 Over the Counter Permit Yes
Mechanical Fixtures
Deacription ' Quantity Description Qui tit Description ; IQuantity
Fireplace Inserts 1 Gas Piping 25
PERMIT EXPIRES April 15,2002,IF NO WORK IS STARTED. •
Permit issued on October 17,2001
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: 0--- aSj Date: (q1'j (, (
�. OC�11—01 08,4, ST-CASSINIAR 206-374-0834 T-416 P.01 F-382
--co -.-`+1 —.L APPLICATION NUMBER: I - ' •
�0�� APPLICATION uMsaz: . •
-
� '•
• I I S OPLICATI.ON NUMO t: ,' -
*=The following Is required Information..Please print(in Ink)or types*
V:. ,Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate appliattion.
IMIIMIIIIMII ■ PROPERTY INFORMATION
SITE ADDRESS: 60 t --e AVSL3 ASSESSOR'S TAX/PARCEL#:0 9.<2.I 0 -9„
• LEGAL DESCRIPTION Or SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): •
y
•
. IN PROJECT INFORMATION '
TYPE OF PROJECT(This application): - 0 BUILDING 0 PLUMBINGECHANIGL 0 DEMOLITION
• 0 ELECI•RICAL 0 ENGINEERIN ❑ FIRE PREVENTION SYSTEM
' •PROJECT DESCRIPTION(Pinvlde:detailed description):,----. ."-la 14 YEA) tC) 9;$1 ' vi1•
!' :•,. .•...i. ._
PROJECT NAME: \ 4 . !Aik _
A I ' A•
■ PEOPLE INFORMATION
• PROPERTYOWNER: e 4 r I , U/- (al tel
• mus,-..—
LtrgtS+(S7AEEr •4.�CM,STATE,ZIP): CO3
CONTRACTOR; NAME ��//����_I, { . .
. ,, yl• 'TUI \ t .MilI ._ (.� ,)...,,,t-
+� -
70
` HAILING*CORM ° •,.r We 11�, /J q�
<a 11 dil1AI� ':.M _ ' • •�4(40— 1'b{ 1• (pi-2Q)' • • LQLQ2
•
Ir FEDERAL WAY . �� a'• �. FM ttTRlaft:
W
)
COMPACTOR'S REGZSTRATtON TIIfMeEil• S C74)*
�* \' /D
APpLICANT: NAM:: DAYTIME FMK:
MAIL PTO ADDRESS(STREET ADDRESS:CITY,STATE,ZIP): evonau PHONET
( ) •
• R A MONS OP 7a PROTECT: FAX west
❑,ARCHITECT 0 TENANT 0 OTHER(DESCRIBE):, ( ) _
E44/11.ADORESS:
CONTACT PERSON FOR 1 HIS PROJECT: 0 PROPERTY OWNER 0 APPLICANT ►•'••NTRACTOR _
■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRALSED VALUATION $_ ..__.—
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ x).,
• SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES. 0 NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN .0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
0 1-01 08:50 FROM-NORTHWEST-CASSIMAR 206-374-0834 T-416 P.02/10 F-382
MpER OF BEDROOMS:
ESTIMATED SELLING 1G PRICE: $ Ia.-r - 111P-L1
1111111111111111. ■ PROJECT FLOOR AREAS
. "ter FLOOR EXISTrMG SQ.FT. ' • ' • ' . TOTAL
iiiiFmsr -
"SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE) —
DECK
11111111 :
•
-GARAGE
HOW MANY FUOOFLS?
TOTAL:
■ FIXTURES
• Indicate number of each type of fixture
MECHANICAL
. , AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) . GAS LOG(S) REFRIG.SYSTF.M(S)
BBQ(S) --T-",
- FAN(S) HOOD(S) WOODSTOVE(S)
ILOI�S) ! , FIREPLACE INSERT(S) RANGE(S) MISC.(_____.—
COMPRESSOR
—
DUCT(S?SSOIi(S) .. , FURGAS PIPE O HEAT SOURCE: 0 ELECTRIC
~� DUCT(S) . GAS PIPE OUTLETS) .‘rasAS
PLUMBING
BATHTUB(S) _ LAVATORY(S) URINAL(S) WATER HEATERS)
.DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) Cl ELECTRIC 0 GAS
DRINKING FOUNTAIN(S) SHOWER(S) �» WAWASHR CLOSET(S)MACHINE �T
MISC.(
GAS PIPE OU ItEY(S) SINK(S)'
INTERCEPTORS) , - SUMP(S)
•
■ DISCLAIMER/SIGNATURE BLOCK
I certify y under penalty of perjury that the information furnished by me is true and correct to the best of my losowtedge and
(tither,that I am authorized by the owner of the above premises to perform the work for whidt the permit application Its made. I
father agree to hold harmless the City of Federal Way as to any daim(including costs,expenses,and attorneys'fees insured in tilt
investigation and defame of such claim),which may be made by any person,including the undersigned,and filed against the Clly of
Federal Way,but only where such claim arises out of the reliance of the dty,Including its officers and employees,upon the ace*aq
of the Information sups lied to the dty a part of this application.
v %. L�� ' DATE: iriii ® l
NAME/TITLE:
0 PROPERTY OWNER 0 APPLICANT \plICONT'RACTOR
E.C. .;,0!,:i.3"� ^' -..7-...' 'i li 1).51,14 �' �, 1-5,3.lSIA 1- 71. 7)s ',.`'Ir1aii YJP1 'i(.i T;;) hl.?;*P T 7
tL Ir'• • .. '14: j,.n;11' �.,(FLi 'tr •�12y'4'�' _ -`
•7;:,tt L )j 5 t aYSTSir411 3 "3,: 1 h �f 1. !t)lici_�;Ilf•r1}tfj • r.1 f.l E 1 ;;ii''''
,
-
• NU- ff1,.15. ��1 _.-i { Yi l-,Q :1..',z0- r.I A:. I i ;(.s
P.I • re. r • W1,- 1( )4 }T{'( ., r / 11;t 1 �1 •/:[4:,91,:l.'till i I -s I I , .1
` P �+ P `�+1� Nay '' r1J� L � ..fir
F: 1 f 1.! r f-Ir I.F 1E.j r, `3 �•,5Y,gg. I C.. 1• E 41 1i.` i ' '''.4'',. I I I I „t 1
t GOffffUNI Y OEVEU T SEIWKEs•33530 FIRST WAY SOUTH•PA.VOX 9718•rEINRAL WAY,WA 980631715.2536614000•FNC 25461-1129