01-104294 City of Federal Way
Community Development Services Mechanical Permit #:01 - 104294 - 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: MITCHELL
Project Address: 2328 S 302ND 5-1-- Parcel Number: 042104 9139
Project Description: MECH-Changeout gas furnace for existing residence.
Owner Applicant Contractor
John T&Barbara K Mitchell WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO
36923 33RD AVE S 2800 THORNDYKE AVE W 2800 THORNDYKE AVE W
AUBURN WA 98001-8801 SEATTLE WA 98199 SEATTLE WA 98199
(206)282-4700
Mechanical Valuation 2000 Over the Counter Permit Yes
Mechanical Fixtures
Descripktion ,. Quantity Description ' y 5`° a ,t antltyiPgig,;; ,. ;,Description :,d. (Quantity
Furnaces 1
•
PERMIT EXPIRES May 6,2002,IF NO WORK IS STARTED.
Permit issued on November 7,2001
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: C_. l \ Q — ��.� Date: i I( lb I
$18c..h tA Ge. 1 c9 k ! /- 2 8 cl) / G-tN
N0V-0`-01 21:23 FROM-NORTHWEST-CASSIMAR 206-374-0834 T-629 P.10/11 F-707
\ ate-' pertAk {I LUPE NUM IDI IS•
: APPLICATION UMBER: i#4e12'.� •.;r -
r \APPLICATION NUMBER: - I.,
L: L`_• v * •fofowing is required information—Please print(in ink)or type**
:�K i ::,Pbas i i y Fire Pe'evention Systems and Engineering permits may require a separate application. •
a PROPERTY INFORMATION
SITE ADDRESS: D"-e)-(31, 3DB ASSESSOR'S TAX/PARCEL V: 0.4a. / o - ! ( �9
• LEGAL DESCRIPTION OF SURTECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): •
.;,/K
-
111111111 • ■ PROJECT INFORMATION '
TYPE OF PROJECT(This application): - 0 BUILDING 0 PLUMBING CNANICAL ❑ DEMOLITION
0 ELECTRICAL 0 ENGINEERING FIRE PREVENTION SYSTEM
P*ECT•DesauPTION(Pnwide debited desaiption): ���, :` ` ' . /lj1 %., -/
p.
•
•
■ PEOPLE INFORMATION
PROPERTY OWNER: : � DAYRMEDHONE:
i1)bi'N t&A I .. ( �32
UIF (STREET
HAI :ADORI'•�^ ADORP : �� : ��v 3
CONTRACTOR:
�`, , DAYTIMEPHONE;d'�W l CPQ (M2 2 '{-10
•'r llAilaM:ADDRESS C� •CITY.STA EVENING PHONES
S150 -ice,., . _ , Ct ► g; ( )
arYOP rTonaAL wAY ;-•LICENSE NUMBER: - FAX Neem:
�,,. 'i' •• - ) •
CORM GOR5 ItaRSIVATSON NIRAotkGIA) TION DATE:
Olaf . �r� .. ,r •
APPLICANT: NAM ` DAYTIME PHONE:
� Gt.[J (ate)'a$a -thlip
HA iEN mumps CE IC�r cm.STATE,7� EVENING PHONE:
( )
IIdAl1:ILSbY.TO/Itsll3f.T: FAx MAIM
CI ARCHITECT 0 TENANT : "OTHER(DESCRIBE):1:c ( )
E4441..Aooe1'SS:
CONarAOTPERSON FOR.THISPROJECT: Cl PROPERTY OWNER ❑APPLICANT 4NTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: ; .2-0-2)D
• SPRINKLERED BUILDING? Cl YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES 0 NO
WATER SOMME PROVIDER: CI LAKEHAVEN ❑ HIGHLINE 0 TACOMA CI PRIVATE(WELL)
SEWER SERV=CU PROVIDE ❑ LAKEHAVEN ❑HIGHLINE ❑PRIVATE(SEPTIC)
r
NOV-0'-01 21:23 FROM—NORTHWEST—CASSIMAR 206-374-0834 T-629 P.10/11 F-707
A. . : °w' �•: HYYLj , i WI% IYUVIDC.s - •
• , , APPLICATION MBE;R: 41: •.;r 415
1 ; vdt► , j . . \APPLICATION NUMBER:. - �:'
. • L� Y 1* yfoliowing is required Information—Please print(in k:k)or typos*
�1 '` i Fire
.. ,� ,..^K;;:„ , Prevention Systems and Engineering permits may require a separate application. •
•
M PROPERTY INFORMATION
D tet-
SITE ADDRESS: �a" � ASSESSOR'S TAX/PARCEL u: 0•ya 1 0 - 39
• LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): •
• ■ PRO]ECT INFORMATION - -
TYPE OF PROJECT(This application): - 0 BUILDING 0 PLUMBING CHANICAL 0 DEMOLITION
• 0 ELECTRICAL 0 ENGINEERING FIRE PREVENTION SYSTEM
•
ECT•DESCRLPTiON(Pnwide detailed desaiption): 40
•
.rc
r r177
--
■ PEOPLE INFORMATION
PROPERTY OWNER: NAS: OAYiIMEDHONE:
' `cam m1�•� ( s3g
HAM I MOMS(STADE(ADDAMS; : ��v 3
CONTRACTOR: - °►rum MOM
•r J(/ CP� (ai(o )�-E4&- -
r•• t a .. MAIL7INiADDRESS - 47Y.STATE. EVENINGPMOND
•1 ' ' •
♦aY -•
7011MOEDAWAY • t MIME • ���� •
FAX NUMMI
)
r • CONTRACORst r-N DCIM77oNDATE:
VAS 14-I o/17?(CV)
r
APPLICANT: NAML ` DAYTIME WKRIE:
Cir :5C1-4.211C1-4-') ( )'a-�a -'tiw
MAY11 i A40AP$C(FTI�T :• Q1Yi War,ZIP: • / r.MEWUIG PHONE:
)
IRIMATENSHWTO PR01BL7:- - � Kauai:
0 ARCHITECT 0 FA1I TENANT (DESCRIBE): y '— ( ) -
E•MAiLmatins:
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER Cl APPLICANT .4 NTRACTO R
■ DETAILED BUILDING INFORMATION
EXISTING USE EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE PROPOSED VALUATION FOR IMPROVEMENTS: $ .2-6-2)0 • C•n)
▪ SPRING BUILDING? Cl YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES 0 NO
WATER SERVICE PROVIDER;: El LAKEHAVEN 0 KIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDEiI: 0 LAKSHAVEN 0 HIGHLUNE 0 PRIVATE(SEPTIC)
NOV-I,04,10_21:24 FROM-NORTHWEST-CASSIMAR 206-374-0834 T-629 P.11/11 F-707
. OF liEp KOQ ESTIMATED SELLING PRICE: l______ ",-----ga. `
■ PROJECT FLOOR AREAS •
•
• . FLOOR. EXISTING SQ Fr. PROPOSED SQ.FT. TOTAL
L
DASkENT 1
MST .
i4 • SID
•
'', )r'.1•
R.
•
.r..i
,.k,.>,c`4
v‘",A.,
;`• 7 •1. OTHER FLOORS(DESCRIBE)
^Yr,
•
!' . ', c •• MANY FLOORS?
„5.• i. ,:).t;.u,-. TOTAL: '
i1A FIXTURES
30i-k-M (AA ITC4-1-S1-L--- Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS 1.OG(S) REFRIG.SYSTEM(S)
BBQ(S) ' , FAN(S) HOOD(s) WOODSTOVE(S)
BOILERS) FIREPLACE INSERTS) RANGE(S) MISC.
; COMPRESSORS) FURNACE(S)
DUCT(S) GAS PIPE OUTLETS) HEAT SOURCE: 0 ELECTRIC
• :•?4 PLUMBING
'''.• ATKI
BUB(S).•, • LAVATORY(S) URINAL(S) WATERHEATER(S)
•:r .DISHWASHERIM RAIN WATER SYS. VACUUM BREAKER(S) 0 ELECTRIC CI OAS
• DRINKING IaOCJNTAXN(S) SHOWERS) WASH MACHINE OUTLET •
PIPE OUi'LET(S) SINK(S)' WATER CLOSET(S) MLSC.
• • INTER ProR(S) -- SUMP(S) •
IIIIIIIIIIIIIIIIII
•
IIDISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and
lkadter,that I am author lzed by the owner of the above premises to perform the work for whidt the permit application is made. I
further agree to hold harmless the City of Federal W• as to any Balm(inducting costs,expenses,and attorneys'fees Incurred In the
Investigation and def , ,• claim),whi. • .y •- ade by any person,indud"ing the undersigned,and filed against the City of
tedetal Way,but gnhIWlere • daim arises out o • reliance of the dty,Including its officers and employees,upon the accuracy
of the Informal suppred to the • ty . 4 part . • is application.
� f
4`:, _%1009DATE: _ t_` -17- /
fD PROPERTY* 5 APPLICANT CONTRACTOR
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• Ally OEvaOPlt n s m3E5.33530 FIRST WAY 90(1111•P.O.BOX 9718•MEAL WAY,WA 980634718•2534614000•FM 253661.1129