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07-102552 r • a City of Federal Way Plumbing Permit #: 07-102552-00-PL Community Development Services P.O.Box 9718 Federal Way,WA 98063-9718 Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050 pax , ir" Project Name: COURTNEY Project Address: 34514 30TH AVE SW '.rcel i mber: 797200 0160 Project Description: Replace electric hot water tank. • Owner Applic tr c or BARBARA COURTNEY BARBARA EY (1C°1.°11"BA COURTNEY 34514 30TH AVE SW 34514 30TH A W 34 30TH AVE SW FEDERAL WAY WA EDERAL WAFE ERAL WAY WA 98023-3020 98023-3020 98023-3020 Plumbin s 41Q• t Water Heaters <0 E IT EXPIRES Friday, May 8, 2009 Issued,on Wednesday, May 9, 2007 14 I here, •-rtify t the e information is correct and that the construction on the above described property and -ncy the will be in •accordance with the laws, rules and regulations of the State of Washington and the City of Federal Way. O •r agent: t4.4- Date: I -- 07 6, 00,Dy%/b3 THIS CARD IS TO REMAIN ON-SITE• •- CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 07-102552-00-P L Owner: BARBARA COURTNEY Address: 34514 30TH AVE SW FEDERAL WAY, WA 98023-3020 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 Plumbing Groundwork(4190) ❑ Rough Plumbing(4230) ❑ Gas Piping(4125) Approved to cover Approved Approved to release test By Date By Date By Date ❑ Final-Plumbing(4075) Approved By 0/./ Date (i (01-' For inspector reference only ❑ Rough Electrical ❑ FINAL-Electrical Approved Approved By Date By Date . 3 • c.c.A RECEt D - j �. 2 Sc 2-- Federal Way PERMIT °�33 COMMUNITY DEVELOPMENT SERVICE%p AY 0 9 APPLICATION 7 SF MF CO ME EL®DE EN FP 33325 13P,AVENUE SOUI'H•1'O BOX 971111 FEDERAL WAY,WA 98063-9718 ro ..--._ _—_. " 253-835-2607•FAX 253-835-2609 '"'-_ — - — tll',;L=41L_0,e,a,P.ILLoi (TY QF FEDERALnWAY The followingis r uit'��( �or�ma�taEn-ran incomplete application will not be accepted. Pleaseprint legibly(in ink)or type. e4 mP PP P 9 J • PROPERTY INFORMATION SITE ADDRESS_ S7 y '� n , t,1 3 (. '.Li)h SUITE/UNIT# �} 3 / ASSESSOR'S TAX/PARCEL# .7 q 7 2 0 © - Q ( 6 j0 y� LOT SIZE(sfi /°/ 6 to LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)Ih .$-kg it 1,0 We-1 ,{3( v 1,J 1 L.)r� " - (Attach separate page for Seigt g legal descriptioe 111 • PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING IAJLUMBING 0 MECHANICAL 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work incluripd on this permit only) rpt& c_ix7 r,1-r-ic, th6)64.4-e -- 7-;,,„k v PROJECT NAME(Name of Business or Owner Last Name) C V Lk c')'1 e • PEOPLE INFORMATION PROPERTY NAME PRIMARY PHONE OWNER MAamtGADGRF�ssr' !�-4 'a,1/', ` 'tt y' 4- - (253) '7V - 127 CITY,shim, E-MAIL ADDRESS 3VSAY 3c/-h � 0e 5c) &Z —i 11147 CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE MAILING ADDRESS CITY,STATE.ZIP CELL PHONE ( ) - CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER ( ) - COPY card ro�md CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS �Ith eh spptleatlaa APPLICANT COMPANY NAME y�y�t� APPLICANT NAME OFFICE PHONE 0 6�^nti2 ( ) - MAILING ADDRESS CITY,STATE,ZIP CELL PHONE ( ) RELATIONSHIP TO PROJECT FAX NUMBER 0 Architect ❑Tenant ❑Agent o Other ( ) - PROJECT NAME ,p PRIMARY PHONE E-MAIL ADDRESS CONTACT CI Vv 11ere-- ( ) - LENDER NAME Per RCW 19.27.095: Y." inform, irinui uired ifproject_ , -$5.'.'�r I I G ADD CITY, ' 4 'A" •HONE ( ) • DETAILED BUILDING INFORMATION EXISTING USE S t yt q 1!- / -14o yk.L PROPOSED USE 54. yy) e • EXISTING ASSESSED/APPRAISED VALUE$a 3/ / )DO VALUE OF PROPOSED WORK 8 SPRINKLERED BUILDING? o YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES o NO WATER SERVICE PROVIDER 0 LAKEHAVEN o HIGHLINE o TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER o LAKEHAVEN o HIGHLINE PRIVATE(SEPTIC) • PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOTAL SQ.FT. SQ.FT. SQ.FT- . BASEMENT • FIRST \\ SECOND `\ i THIRD .� / \ �. ADDITIONAL FLOORS(DESCRIBE) \\ - DECK(0 COVERED OR 0 UNCOVERED?) GARAGE 0 CARPORT 0 NUMBER OF FLOORS o TOTAL \Torso®revs TOTAL rsoeos=a TOTAL 52P **NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATEELLING PRICE $ • FIXTURES Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECHANICAL Vnh,P of Mec +, al Wor',•,$ (A COPY OF BID OR I . BE INCLUDED WITH AP• CATION) • •HANDLING EVAPO; T1VE COOLS',. A GAS PIPE OUTL '` . \ WOODSTOVES %BQS FANS GAS WA i •TERS t SC(Describe) BOILERS FIREPLAC> NSE' e••:(Commercial) COMPRESSORS FURNACES RANGES DUCTS GAS LOG SETS REFRIG.SYSTEMS PLUMBING BATHTUBS torTub/Shower Combo) LAVS(Bathroom Bioko) URINALS MISC(Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS / DRINKING FOUNTAINS SHOWERS WATER CLOSETS lrmiet) ELECTRIC WATER HEATERS SINKS WASHING MACHINES HOSE BIBBS SUMPS SIGNATURE I cert(fy 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. !further agree to hold harmless 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 part of this application. NAME/TITLE DATE $ 7-4 7 (signature) (Title) RELATIONSHIP TO PROJECT XOwner 0 Agent ❑ Contractor 0 Architect 0 Other FOR OFFICE USE ONLY o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT BUILDING SHELL ONLY? ❑YES 0 NO BASIC PLAN? o YES o NO ZONING DESIGNATION CHANGE OF USE? o YES o NO NEW ADDRESS REQUIRED? ❑YES a NO UP/SEPA/SU? ❑YES o NO PLATTED LOT? ❑YES ❑NO DEMO PERMIT REQUIRED? ❑YES o NO Bulletin#100—April 2,2007 Page 2 of 4 k\Handouts\Pennit Application