HomeMy WebLinkAbout15-103033 •
• Mechanical
Community&Econ.ky of nDevn
.Services ay ILEPermit #: 15-103033-00-M E
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 � �l
Project Name: VAN PAY
Project Address: 1095 SW 332ND PL Parcel Number: 926495 0690
Project Description: 50 gallon gas water heater replacement
•
ner Applicant Contractor
LISA VAN PAY RESCUE ROOTER DBA AMERICAN RESCUE ROOTER DBA AMERICAN
1095 SW 332ND PL RESIDENTIAL SERVICES LLC RESIDENTIAL SERVICES LLC
FEDERAL WAY WA 175 A ROY RD SW SUITE 101 RESCUR*007Q7(1/1/16)
98023 PACIFIC WA 98047 175 A ROY RD SW SUITE 101
PACIFIC WA 98047
Additional Permit Information
Is this an Online or O.T.C.application? Yes
Mechanical Fixtures
Hot Water Tanks. 1
PERMIT EXPIRES Sunday, December 20, 2015
Permit Issued on Tuesday,June 23,2015
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.
3
Owner or agent a (� / 1 Date: -Jr
- lam/
N1°. °
• THIS CARD IST MAIN ON-SITE
CITY°� Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 15-103033-00-ME Address: 1095 SW 332ND PL
Project: LISA VAN PAY FEDERAL WAY, WA 98023-5351
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) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By Date l l 13 (i cs—
El Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
,rte
8 •
CITY OF PERMI APPL ION
Federal Way 0)g(t
PERMIT NUMBER
JUN 2 3 2015 3
I 5- � 0 30 3 _ 4{ CITY OF FEDEPJ L
WAV
- _ _ TARGET DATE CDS
SITE ADDRESS SUITE/UNIT#
i
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ j 2 y 1 S" - �, �i 0
TYPE OF PERMIT 0 BUILDING 0 PLUMBING,ECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT L S ct L! 4 /",--,-, 7.
PROJECT DESCRIPTION
Detailed description of work to �`-�/7 Ci-� C `Ytf_ S U 67,../ if q a-5 t.4.../<--;_A-1_ „ GC., {.,
be included on this permit only / / S G[/vt-i-e—,
NAME L I / ---- PRIMARY PHONE ..
PROPERTY OWNER t S Q f/a. ,L/2 r� ,2-5” 3k— CJ oZ U cI
MAILING ADDRESS E-MAIL
/ b95" 5'V ) S ,k `''-61 ,L
CITY n STATE ZIP
NAME n(2 ( c V i'k.,CJ f't_'_ d PHONE 3 r7-t_ - ivf[,7(e
MAILING ADDRESS E-MAIL
CONTRACTOR " /S /9 frrL7 'CI ..c 4/ C ill{ >I i c+,, L %'S.0 '--..---
CITY (
N
CITY / STATE ZikFAX
r Ct_c f. C --Li YJ `L 1 Zi .
A STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
.iLJk 0v ) O. -) 1 / / 0 (70-o -/,.)o 96y- ou-SZ
NAME .- . PRIMARIli. L2S �YP(-fgt.,- JtiY
ONE
Ccv��-Z.,.e .-1 �lA;� ��l�c�.r
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
i Lk L,. (- , L iii)LP '1 g a '41
NAME . J PRIMARY PHONE
PROJECT CONTACT -/SSC` G/4-t._e, ,!ul J
S J f -? ` ((
(The individual to receive and MAILING ADDRESS I E-MAIL
respond to all correspondence // If ,S "i/ S 3 ,C
concerning this application) CITY STATE ZIP FAX
)_ 2g- � / 1/7, /20 '- 3
NAME
PROJECT FINANCING 0 OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal Iaws regulating
construction or environmental laws.
I 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,
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. /
SIGNATURE: 6 Uk--\---L, DATE L� • 0.7 —7S
�`���\, 1
PRINT NAME: ell `\`-'2 J2 v -- rV l CI yr t /( 471,_
Bulletin#100-January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
I •
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT ,L
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain..
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commeremi)
BOILERS FURNACES / HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo) LAVS(Hand Smks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Uwity) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes ❑ No ❑Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT •
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT 0
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application