08-101603ctt,,0 Federal ay 1 Permit 08- 101603 -00 -ME
Comm, unity Development Services Mechanics
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609 23� Inspection Request Line: (253) 835 -3050
Project Name: STEPHENSON
Project Address: 1015 S 317TH ST
Project Description: Install, 40 gallon gas water heater
Parcel Number: 358400 0290
Owner
Applicant
Contractor
ELIZABETH STEPHENSON
LEE'S PLUMBING INC
LEE'S PLUMBING INC
1015 S 317TH ST
626 W MAIN ST
LEESPI *040K4 (12/03!08)
FEDERAL WAY WA 98003
SUMNER WA 98390
626 W MAIN ST
SUMNER WA 98390
Additional Permit Information
Mechanical Valuation ................. ...........................1300 Over the Counter Permit? ..... ................................ Yes .
` - � . THIS CARD IS T `MAIN ON -SITE '
C17T of Community Develop ent Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050.
PERMIT #: 08- 101603 -00 -ME
Owner: ELIZABETH STEPHENSON
Address: 1015 S 317TH ST
FEDERAL WAY, WA 98003 -5334
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.
❑ Mechanical Rough -in (4165) ❑ Gas Piping (4125) ❑ Final - Mechanical (4065)
Approved Approved to release test Approved
By Date By Date By j�� Date vV/'a
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
cmror A E C E IV
av PERMIT
3C3O7M5 MS UssIT� 76DaE�EY. P Oz X3o 5 E.7 ovxl%
f8R U 3 2008
9 ENUPENSB
PEDERL WAY, WA 9 8063.9718
2s" A
I C AT I O N
FE DERAL W
0<9'- - /0 / � (93
SF MF CO otL PL DE EN FP
D
The following is requireCi@Gnation -an incomplete application will not be accepted. Please print legibly (in inN or type.
PROPERTY •• •
SITE ADDRESS _ /� % J A % 7 S ?� SUITE /UNIT #
ASSESSOR'S TAX /PARCEL 9 j—'_ Li ,� - (9 LOT SIZE (sf)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Agmh 1Wjbr I.•«d -PW. y
PROJECT •• •
TYPE OF PERMIT ❑ BUILDING KPLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit Onlul
PROJECT NAME (Name of Business or Owner Last Name) _ J J P�ill°i�l Son
PEOPLE •• •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
NAME
E ),' Z c S% Son
PRIMARY PHONE
(253) 9 �f I- ,9 7
MAILING ADDRESS
015 S -` 5T
CITY, STATE, ZIP
E-MAIL ADDRESS
COMPANY NAME
APPLICANT NA/M
PHONE
MAILING AD RE33
/�E
/OFFICE
-
`ELL
LINO ADDRESS
CITY, 3TA E, ZIP
PHONE
W PA-. 41 < L..% S 7--
Sy u a 4 "pP
-
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
CONTRACTOR'S RSOISTRATION NUMBER
EXPIRATION VATS
E-MAIL ADDRESS
-�
COMPANtNAME
APPLICANT NAME
CITY, STATE, ZIP
rOFFICE PHONE
CELL PHONE
MAILING AD RE33
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other
( -
NAME L _ PRIMARY PHONE EMAIL ADDRESS
NAME
CW 19.27.095.
Lender information is required if project value exceeds 05,000
MAILING ADDRESS
CITY, STATE, ZIP
/PHONE
t � -
EXISTING USE PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE VALUE OF PROPOSED WORK
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIREDP ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
AREA DESCRIPTION
EXISTING
S . FT.
PROPOSED
S . FT.
TOTAL
S . FT.
BASEMENT
FANS
GAS WATER HEATERS
MISC (Describe)
FIRST
FIREPLACE INSERTS
HOODS (commrdq
BASIC PLAN?
SECOND
FURNACES
RANGES
THIRD
OAS LOG SETS
REFRIG. SYSTEMS
o NO
ADDITIONAL FLOORS (DESCRIBE)
a YES a NO
UP /SEPA /SU?
DECK (❑ COVERED OR ❑ UNCOVERED?)
LAVS (Bab room slob)
URINALS
MISC (Describe)
GARAGE ❑ CARPORT ❑
RAINWATER SYST
VACUUM BREAKERS
a NO
NUMBER OF FLOORS
abusrsro
MOtO XD
1:'07AL
MALLuaMMST
TCrA&MWPORMar
mincer
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
..uau ueeFef eacct type of �uaure to oe uasrauea or reweatea
existing fixtures to remain.
sync[ saaN(C$L ... --
Value of Mechanical Works d d C (A jQQPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS PIPE OUTLETS
WOODSTOVES
BBQS
FANS
GAS WATER HEATERS
MISC (Describe)
BOILERS
FIREPLACE INSERTS
HOODS (commrdq
BASIC PLAN?
COMPRESSORS
FURNACES
RANGES
DUCTS.
OAS LOG SETS
REFRIG. SYSTEMS
o NO
PLETALU (3
a YES a NO
UP /SEPA /SU?
BATHTUBS lornsb /shower combol
LAVS (Bab room slob)
URINALS
MISC (Describe)
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
a NO
DRINKING FOUNTAINS
SHOWERS
WATER CLOSETS (roseq
ELECTRIC WATER HEATERS
SINKS
WASHING MACHINES
HOSE BIBBS
SUMPS
! cerft under penalty of psrjury that I am the properly owner or authorised agent of the property owner. I certo that to the best of my
knowl edge, the bVormation submitted in support W this permit application is true and correct. r eertyk that I will comply with all applicable
City of Federal Way regulations pertaining to the work authorised by the issuance of a permit. I understand that the issuance of this permit
does not remove the owner's responsibiltly for compliance with local, state, or federal laws regulating construction or environmental laws.
! 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 eia&N, which may be made by any person, including the undersigned, and filed against the city, but only
when such claim arises out of reliance of the city, including its officers and employees, upon the accuracy of the information supplied to
the city as a part of this applica#on. ,�, f%
SIGNATURE:
DATE
Property Owner and /or Authorized Agent
2--
t_
a NEW a ADDITION
a ALTERATION
o REPAIR a. TENANT IMPROVEMENT
BUILDINQ SHELL ONLY?
a YES a NO
BASIC PLAN?
o.YES
n NO
ZONING DESIGNATION
CHANGE OF USE?
a YES
o NO
NEW ADDRESS REQUIRED?
a YES a NO
UP /SEPA /SU?
o YES
a NO
PLATTED LOT?
a YES a NO
DEMO PERMIT REQUIRED?
a YES
a NO
Bulletin #100 —January 1, 2008 Page 2 of 4 MandoutsTermit Application