01-103991 City of Federal Way Mechanical Permit #:01 - 103991 - 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: HOOD
Project Address: 2912 SW 339TH 5-fr Parcel Number: 010920 0030
Project Description: HVAC-Replacing gas furnace
Owner Applicant Contractor
Bryce K&Cheryl A Hood WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO
2912 SW 339TH ST 2800 THORNDYKE AVE W 2800 THORNDYKE AVE W
FEDERAL WAY WA SEATTLE WA 98199 SEATTLE WA 98199
98023-7732 (206)282-4700
Mechanical Valuation 3600 Over the Counter Permit Yes
Mechanical Fixtures
Description 1Quanti DescriptionQuantlty Description Quantity
Furnaces 1
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: (7 V aQ d L.— Date: t1ri I a
' 1 O11-01 08:50 FROM-NORTHWEST-CASSIMAR 206-374-0834 T-416 P.0 /10 ,,F-82
• t -'' de OP 7N
I _ ' J L'. DEPARTMENT APPLICATION NUMBER: . - _ _ .. _ _
APPLICATION NUMBER: 'i...' ...:..4-. -
)CTl`'o' ` APPLICATION NUMBER:. _ .. .!. ......:*"...1'.;;:',L.;.-1 ' , ..
•*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,
IIIIIIIIIIIMII,�` ■ PROPERTY INFORMATION
`a'
SITE ADDRESS: !( aL 3C) ASSESSOR'S TAX/PARCEL#:O Q 9,40
• LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
. . - ■ PROTECT INFORMATION - ,
TYPE OF PROJECT(This application): 0 BUILDING 0 PLUMBING MECHANICAL 0 DEMOLITION
❑ ELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM
R.' PROJECT DESCRIPTION(Provide detailed description): I . .,d•C.P..-4 ab .i ,A,I, -'--1&L
1
.,
.^_
PROJECT NAME:, Brr 1 MVO"4111
1M PEOPLE INFORMATION ,
PROPERTY OWNER: NANeI13 14r5tri - YTIME
49-114 i _ 131
• NAILING AUOAESS-- ( L�RE.Sra:CRYO STATE.ZIP): � .�
OONTRACTOR; NAM �[ • -"—^o+► vIaNE
• 40 4 �V, , ;CSD ( 31°r_(4t a
MAILING AODkESS(STREET QTY STA -4 ha (JO 9Sn , EVENING WKS
FEDERAL WAY BUSYNESS LICENSE NUM,.,'. FAx NUMBED
.r _ — s (EXP1RATICN DAZE;
GOeI fRALTORS REGtTMTIAN NUNAER: \ + n J� `_ 1
(IO -1l�j CJ- l I r
•
APPLICANT:
DAYTIME MOM;
LIT- -
ISAIN
MAILING NORMS(SfREETADORFSS:x711,SCATS ZIP): EVENING PFIONE:
- _ ( ) ,
• Minotaur TO PI%O ECT: PNC NUMBFit
❑ ARCHITECT 0 TENANT Ci OTHER(DESCRIBE) ( ) •
�-- E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER 0 APPLICANT ZrCONTRACTOR
■ ■ DETAILED BUILDING INFORMATION
EXISTING use EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ •
PROPOSED USE; PROPOSED VALUATION FOR IMPROVEMENTS: $--- 51."0
SPRINKLERED BUILDING? ❑YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:O YES. 9 NO
WATER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHLINE 0TACOMA ❑ PRIVATE(WELL) /
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) -
d OCi 1-01 08:50 FROM-NORTHWEST-CASSIMAR 206-374-0834 T-416 P.04/10 F-382
' NUMBER OF BEDROOMS: E STI toAp
SELAENG PRICE: $ —
111.111111.1111
r PROSECT FLOOR AREAS
•
FLOOR; EX STING SIFT. PROPOSED SQ FT. TOTAL_
"BASEMENT
FIRST
SECOND
-THIRD
•
FOURTH
OTHER FLOORS(DESCRIBE) - -
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
■ FIXTURES
. Indicate number of each type of fixture
MECHANICAL
MR HANDLING UNIT(S) EVAPORATIVE COOLER(S) _ GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) , FAN(S) HOOD(S) WOODSTOVE(s)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) M ( —
COMPRESsOP:(S) / FURNACE(S) HEAT SOURCE: 0 ELECTRIC • GAS
DUCT(S) GAS PIPE OUTLET(S)
PLUMBING
IAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHBIt(S)
BATHTUB(S) RAIN WATER SYS. VACUUM BREAKER(S) 0 ELECTRIC 0 GAS
IS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUITET(S) SINK(S) WATER CLOSET(S) . MISC.
. INTERCEPTOR(S) SUMP(S)
■ DISCLAIMER/SIGNATURE BLOCK
I cedify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and
further,that I am authorized by the owner of the above premises to perform the work for which the permit application Is made. I
fu Cher agree to hold h irmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees Incurred in the
Investigation and defense of such claim),which may be made by any person,including the undersigned,and filed against the City of
Federal Way,but only where such claim arises out of the reliance of the city,including its officers and employees,upon the accuracy
of the information supplied to the city as a p of this plication.
NAME/TITLE: v\ Com— DATE: //01
45
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oommuhnY OeVELO T SERVICES•33530 FIRST WAY SOU1ti•P.O.sox 9na• riout I.WAY,WA 960634718 6 2534614000•FAX:2534614129