01-104154 City of Federal Way Mechanical Permit #:01 - 104154 - 00 - ME
Community Development Services
33530 1st Way S
6;/O �S�' <�c7
Federal Way,WA 98003-6210
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Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: FIELDER
Project Address: 2714 SW 343RD PI Parcel Number: 294450 0550
Project Description: MECH-Install(1)fireplace insert and associated gas piping for existing residence.
Owner Applicant Contractor
Arthur H&Kathleen P Fiedler WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO
2714 SW 343RD PL 2800 THORNDYKE AVE W 2800 THORNDYKE AVE W
FEDERAL WAY WA 98023-7627 SEATTLE WA 98199 SEATTLE WA 98199
(206)282-4700
Mechanical Valuation 1000 Over the Counter Permit Yes
Mechanical Fixtures
M' S Description Quantity ._ T^. , -:;DescriptionFQi'ant1 jr :fiulm description - JQuantity
Fireplace Inserts 1 Gas Piping 1
PERMIT EXPIRES April 29,2002,IF NO WORK IS STARTED.
Permit issued on October 31,2001
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: CISLd. ��� Date: usis,/,,
Aec--- 1^ % CQ /c / 2 - 13 ' G�
0C 30-01 08:43 FROM-NORTHWEST-CASSIMAR 206-374-0834 T-569 P.01/04 F-607
.---.---.1L APPLICATION NUMBER: Q�L -.1. Q :J DO—
RY APPLICATION NUMBER: • - _
APPUCATI ON NUf1B�f__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. '
•
■ PROPERTY INFORMATION
SITE ADDRESS: 2."-1 L4 S�"') ?\-15 ' P ASSESSOR'S TAX/PARCEL #: O". GI 1 .9 S' o - ()SS o
• LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): •
1111.1111111111111111 , - _ ■ PROJECT INFORMATION ' . • .
TYP<r OF PROJECT(This application): - ❑ BUILDING 0 PLUMBING *MECHANICAL 0 DEMOLITION
0 ELECTRICAL ❑ ENlGINEERING❑ FIRE PREVENTION SYSTEM
kA3 1t-`k ��\ ve ,G�C2 ��Ser� 1
7
g, _rPRONCr DESCRIPTION(Provide detailed description): c
■ PEOPLE INFORMATION -
PROPERTY OWNER: NAMEDAYTIME PHONE:
1w se-
• MAIM; ••• •w_(Sum ADORESS;CITY,STATE,ZIP): I
. •L'�\� s ) 13"" V
CONTRACTOR: rose . DAYTIME PHONE:
c-i CS CO ( -06) )-acct- - )-V0
MAILING ADDRESS(STREET ADDRESS:CTI.STATE,ZIP): EVENING PHONE:
a. roo � ' c - kr-. 1R•o - ce. g'-cs (2? ) -
CI Y Q r FEDERAL WAY RUMNESS LICENSE ,MBER: - FAX WIDER;
. 1 - - ..._ ( ) -
GpITIR'MRS REGISTRATION RUMBfA
••• •� EXPIRATION DATE:
APPLICANT: awe: •
DAYTIME PHONE �—
�'( � ( ) -
moan*AMISS(STREET/DORMS;CTI,STATE,ZIP): 'EVENING PHONE:
( ) -
REIA'1cNSTIIP,W PRC)ECII FAX W!48
❑ARCHITECT ❑TENANT ❑OTHER(DESCRIBE):, ( ) •
E•HAn.ADDRESS:
CONTACT PERSON FOR THIS PROJECT: CI PROPERTY OWNER 0 APPLICANT ONTRACTOR -
IIIMIIIIIINIIII ■ DETAILED BUILDING INFORMATION
EXISTING USE: -,--r 0 EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE PROPOSED VALUATION FOR IMPROVEMENTS: $ / d 00"
SPRINKLERS/BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES 0 NO
WATER SERVICE PROVIDER: 0 LAKENAVEN 13 HIGHLINE 0 TACOMA Q PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVFN 0 HIGHLINE 0 PRIVATE(SEPTIC)
.,y",...
OCT 30-01 08:43 FROM-NORTHWEST-CASSIIAAR 206-374-0834 T-569 P.02/04 F-607
+-` • •NUNSRR OF BEli o0MS: ESTIMATED SELLING PRICE: $
• PROSECT FLOOR AREAS
11111111111111111111
FLOOR EXISTING SQ.FT. PROPOSED SQ FT. TOTAL•
DASEMENT
F- utsr
SiCOND
•
-THIRD
•
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
•
GARAGE
• • HOW MANY Fi.00857
TOTAL:
r FIXTURES •
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNITS) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEMS)
FAN(S) HOODS) WOODST'OVE(S)
MRCS)
ER(S) FIREPLACE INSERTS) RANGE(S) MISC.(,
COMPitESSORI:S) �_ FURNACE(S) HEAP SOURCE: d ELECTRIC ,gyp GAS
DUCT(S) I GAS PIPE OVTL T(S) 'I
P W MBING
BNTUB(S)•`r
LAVATORY(S) URINAL(S) WATER HEATER(S)
A�'
,DISHWASHER(S) RAIN WATER SYS. VACUUM I3REAKER(S) 0 ELECTRIC 0 GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH WATER MACHINE
ES)OUTLET MISC.
GAS PIPE OUTLETS) SINK(S)
INTERCi Ot.(S) _. SUMP(S)
• DISCLAIMER/SIGNATURE BLOCK
i certify Under'penalty of perjury that the information furnished by me Is true and onhrect 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
further agree to hold harmless the City of Federal Way as to any daim(including costs,expenses,and attorneys'fees Inured in the
Investigation and defen;ae of such damn),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 dty,including its officers and employees,upon the accuracy
of the Information supplied to the dty as a part of this application.
NAMErTITLE DATE; r-7/3 /'i
PROPER OWNER 0 APPLICANT IgPCONTRACTOR
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COrq+UtUTY oEVHOPMERT SetviC E•33536 MST WAY SOUTH•P.O.BOX 9718•SAL WAY,WA 98063.9716.253.661-4000•FAX 253661.4129