02-100786 • •
CommunityeDevelop City of Fderal an services Building - Single Family Permit #:02 - 100786 - 00 - SF
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: FURRENES /j5
Q2
Project Address: 1225 SW 304TH ST Parcel Number: 515320 0601
Project Description: MECH/PL-Changeout of gas furnace,change out of gas water heater,install fireplace insert for gas
piping.
Owner I Applicant Contractor Lender
Ivar A Furrenes WASHINGTON ENERGY SERVICE! WASHINGTON ENERGY SERVICE: NONE
1225 SW 304TH ST 2800 THORNDYKE AVE W WASHIFS990CW 2/16/02
FEDERAL WAY WA SEATTLE WA 98199 2800 THORNDYKE AVE W
98023-3417 SEATTLE WA 98199 NONE
Includes:
Census category: 434-Reside #1 #2 #3 #4
Occupancy Group: R-3
• Construction Type: Type III-N
Occupancy Load:
Floor Area(Sq.Ft.):
Census Category 434-Residential alt/add-no Mechanical Yes
Occupancy Group#1 R-3 Plumbing Yes
Plumbing Fixtures
Description Quantity Description Quantity Description Quantity
Gas Pipe Outlets 1 Water Heaters 1
Mechanical Fixtures
Description Quantity Description Quantity Description Quantity
Fireplace Inserts 1 Furnaces 1
PERMIT EXPIRES August 21,2002,IF NO WORK IS STARTED.
Permit issued on February 22,2002
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use ill be in accordance with he laws,rules and regulations of the State of Washington and
the City of Federal Way. ^�
Owner or agent: CI./l i a Date:
Re C14 ,'►•,, C•. 3 - a 0 - o z �.
FEB-21-02 12:05 FROM-NORTHWEST-CASS I MAR 7•Th 206-374-0834 T-398 P.01/02 F-011 r..",
'r . �•.'a ,,°: VV IN 4... 1 I VV'...IA JIt 1 L-'•.1 I+ I IU I I' 4 I +vI•
Fn,'jr1(EEri91_ APPLICATION NUMBER: ` Z_ I 07 ZL- ,b
/ APPLICATION NUMBER: _,• _ _ _ _
APPLICATION NUMB -R: _
**The following is required information—Please print(in Ink)or typew*
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application. (
• . . PROPEim INFORMATION . •
SITE ADDRESS: ! P`� ) ✓ W Wq S+ _ ASSESSOR'S TAX/PARCEL YF; J I 3c -D - DoQ j
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
'• . . . . '.• .. , - C•,` .. 1N: PROJECT INFORMATION . •. ' .
TYPE OF PROJECT(This apIlication): ❑ BUILDING GING CHANICAL ❑ DEMOLITION
- Cl ELECTRICAL ❑ ENGINEERING El FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provid detailed description : �/ IUB _
f ., Vii .
/ 'a{ _yt-76-e,,0 le--C-P--e-- .d-e-c-71-
A it P..Ai _
PROJECT NAME:
.:`pEOPLE.INFORMA'rtION •• .
PROPERTY OWNER: NAME oAYTIME PHONE:
MAILING ADDRp5(STREET ADDRESS; ,,1grATE, IP):Q
—C21'46 S/ (/(-44_____________a________________________:
CONTRACTOR: NAME DAYTIME PHONE:
���� �! (• )CTp'c� - L1 L
MAILING ADDRESS(STREET
ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
CITY5NGDDL` NNi ES ? R.'W-(- 'i OI GGE ))F FEDERAL BUSINESS UNE NUMBER: FANUMISR:
_ ( ) -
ODNTRAGTORS REGISTRATION NUMBER: IX
I PIFiA�tJ DATE,�
W 6 / D
M
APPLICANT: NAME: DAYTIME IA I e S� / 0 c- vi DAME PHONE:I/
IA) FS 6-0 ( ) -
MAID NG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): - EVENING PI IONE:
( )
RELA'rIONS-UP TO PROJECT: FAX NUMBER:
❑ ARCHITECT' 0 TENANT 0 OTHER(DESCRIBE): ( ) -
E•MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER Q APPLICANT is ONTRACTOR
X DETAILED BUILDING INFORMATION •
EXISTING USE: - EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ !/.3.:V/3�d UU
SPRINKLER BUILDING;' ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO
WATER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN El HIGHLUNE Cl PRIVATE(SEPTIC)
9196 9Y/02/
FEB-21-02 12:05 FROM-NORTHWEST-CASSIMAR 206-374-0834 T-398 P.02/02 F-011
- 1IENEw KraLW I ----•- -..
1 NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: _
■ PROJECT FLOOR AREAS •
OFLOFL OR—' EXISTING SQ FT. • PROPOSED SQ.Fr.T TOTAL
BASEMENT
_FIRST •
y
SECOND
I
THIRD
• .
1
FOURTH
1 OTHER FLOORS(tESCRIBE)
I
I DECK
GARAGE
HOW MANY FLOORS? .
TOTAL:
Indicate number of each type of fixture
1 MECHANICAL
AIR.HANDLING UNITS) EVAPORATIVE COOLER(S) GAS LOG(S) _- -REFRYG.SYsTEM(S,
BBQ(S) FAN(S) —
HOOD(S) WOODSTOVE(S)
BOILER(S) 7 FIREPLACE INSERT(S) RANGE(S) MISC.
1 COMPRESSOF.(S) I FURNACE(S)
I DUCT(S) / GAS PIPE OUTLET(S) HEAT SOURCE: p ELECTRIC (GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) / WATER H TER(S;
E •PISHWASKEIL(S) RAIN WATER Sys. VACUUM BREAKER(S) ❑ ELECTRIC A5
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET //
GAS PIPE OUTLETS) SINK(S)
WATER.CLOSET(S) MISC.(
.� INTERCEPTOR(S) SUMP(S)
' • • '• ■ `DISCLAIMER/SIGNATURE CLOCK " ' • '
I certify under penalty of perjury that the information furnished by me Is true and correct to the best of my knowledge,ar
I further,that I am auth,frized by the owner of the above premises to perform the work for which the permit application Is made. I
further agree to hold h,umless the City of Federal Way as to any daim(Induding costs,expenses,and attorneys'fees Incurred In U
• ; Investigation and defense-of-su• r.Im),which •• be made by arty person,Induding the undersigned,and filed against the City i
. Federal Way,but only-were Such d-' ari)es o 'of the reliance of the city,Induding Its officers and employees,upon the accurai
• of the information supplied to the dd ,,aaaa pa .f this application.
NAME/TITLE: _� .!/ / DATE: �7; i4 Z
0 PROPERTY OWNER 4 APPLICANT '1 •NTRACTOR ((l
•
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c*FtMUNTIy DEVEU XIIENT sERvrds•33530 FIRST WAY SOlrrn-P.O.co):9718•FEDERAL-WAY,WA 98069.9718.253-6Q-4000•FAX 7S3-6G1-1129