05-104794 �r lb
City of Federal Way ' Mechanical Permit#: 05 - 104794 - 00 - ME
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(2)3)835-2609 Inspection request line: (253) 835-3050
Project Name: BAGLEY
Project Address: 819 SW 344TH f'l Parcel Number: 132170 0540
Project Description: Replace gas furnace.
Owner Applicant Contractor
David B Bagley &Carol 0 Bagley WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO
819 SW 344TH PL 2800 THORNDYKE AVE W 2800 THORNDYKE AVE W
FEDERAL WAY WA SEATTLE WA 98199 SEATTLE WA 98199
98023-8417 (206)282-4700
Mechanical Valuation 4072 Over the Counter Permit Yes
Mechanical Fixtures
Description (Quantity Description Quantity Description Quantity
Furnaces 1
PERMIT EXPIRE
March 21,2006.
permit issued on September 22,200
I hereby certify`that the above information is erect and that the construction on th*e abo rti B ribed property �l
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
Wa .
€7/:
Owner or agent: t("L Date: 2yC7`
THIS CARD IS TO REMAIN ON-SITE
CITY OF Communityl)evelopment Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-104794-00-ME
Owner: DAVID B BAGLEY
Address: 819 SW 344TH PL
FEDERAL WAY, WA 98023-8417
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD.
Inspections are listed as close to sequential order as possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not
be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections
are logged on the back of this card.
0 Mechanical Rough-in (4165) ❑ Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By G Dateey'/ C./4
SEP-1,9-2005 10:50 FROM:PERMIT 4257756315 TO:12538352609 P.9
w.410 . RECEIVED
0 ..7iy
Federal Way -
ooNNUMJYDEYEfpPAQ?NTSEJmCes PERMIT SF MF C ME LPL DE EN FP
335.53461T113.FAl1N.�J4179 EP 19 2APPLICATION
53461-L WAY,WA 53-614 7A {gip / /
ZSJ-6611 JS•FAX 253661-f 129
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CITY OF FEDERAL WAY
The ollowin• is re.u 4'1„, r, : ,o$- -an Inco .lete a• .Neation will not be acce•ted. Please •"-int •WI in tnkJ or
PROPERTY INFORMATION
SITE ADDRESS S--/q Cr co 7 l cfil / / �l SUITE/UNIT#
#
ASSESSOR'S TAX/PARCEL / 3 Z C)1 7 _ J0 .r/d LOT SIZE(s,J)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal desaipOwy
PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL a ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
/ 71- - n ..,�I ,-e L' er�yo 7cil etc f
PROJECT NAME(Name of Business or Owner Last Name) -6eL, le
PEOPLE INFORMATION
PROPERTY NAME t�1 HONE
OWNER I,J UI 0 7Gt.. [ y F PiG �„v5 $
me NO'REBS3wjez / G') �1)ATE ZILP 66
4c.
gapli
a
ite,
CONTRACTOR COMPANY NAME � APPLICANT NAME OFFICE PHONE
� (/
MAILINGADDRESS
Ke 74ve S' 1c-l-llz Cc/HSmg9 ( )
CITY,STATE ZIP CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBERB L 7EXPIRATION DATE FAX NUMBER
' - U 3 - /0 4 `23 se- / / ( ) -
�
CONTRACTORS REGISTRATION NUMBER tcopy of card requited with eaeh applicatioup EXPIRATION DATE
Lt)f�J'ti iC.=S 94'71 O e q / 2 les"
APPLICANT COMPANY NAME G..0, -�f AP.PLICA ME OFFICE PHONE,
7-arn,;L E' t C.[wet_ ul r6 ( )
MAIUNG'ADDRESS CITY,STATE,ZIP CE PHONE
?4O� ROC 203q L WA 'd-? ( �)
RELATIONSHIP TO PROJECT FAX NUMBER.-a7 r G1 Qvs-7_
❑ Architect ❑Tenant ❑Agent ❑ Other(Describe) ( ) T✓ T
CONTACT NAME PRI RY PHONE E-MAIL ADDRESS
�' l .-� Lthd� 7 c' nc� ( -S-
LEND"
Per RCW 39 i:095: Icoaer ihti rat4:04 t NAME (9.1r7 3—g
_c_7re utredtProfect`valrie ezceeds� Q :.
MAILING ADDRESS CITY,STATE,ZIP
DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO. FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES Cl NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
SEP-13-2005 10:50 FROM:PERMIT 4257756315 TO:12538352609 P. 10
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED - • TOTAL
BASEMENT
FIRST
SECOND
•
THIRD .
FOURTH )
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?) _
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL OXLTTIAO TOTAL/ROToA D TOTAL CRLTT A0 Ago rROrosro
**NEW HOMES ONLY" NUMBER OF BEDROOMS _ ESTIMATED SELLING PRICE $ --—
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
A EC&AIVICAL2 f
Value of Mechanical Work $ ?Z / �•r
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIO.SYSTEMS
BBQS FANS HOODS(commereian WOODSTOVES
BOILERS / FIREPLACE INSERTS RANGES !MSC(Describe)
!
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
•
PLUMBING
BATHTUBS(or Tub/ShoVerCombo) SHOWERSWATER CLOSETS mulct) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYS(Bathroom Shaka VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/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 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 claim(including costs, expenses, and attorneys'fees ineurred in the investigation and defense of
such claim),which may be made by any •erson,including the undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the reliance of the city,i, .•ing its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE �tat-- DATE 47/21.7:7,----` L:+ ,—
(Signature) (Tithe)
RELATIONS TO PROJECT 0 Owner )(Age u Contractor 0 Architect 0 Other
FOIc Q FFICE.USEO}`TL'Y
o NEW. a ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES a NO BASIC PLAN? a YES 0 NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU?: o YES o NO
PLATTED LOT? a YES o NO DEMO PERMIT REQUIRED? o YES o NO
?4.(fet.
Bulletin#100—March 30,2004 Page 2 of 4 k\Handouts—Revised\Permit Application