12-104917I
Project Name: VAN ZEE
Project Address: 325 S 309TH ST
Project Description: Replace gas hot water tank.
Mechanical
Permit #: 12- 104917 -00 -ME
Inspection Request Line: (253) 835 -3050
Parcel Number: 667265 0190
Owner
ARRIlican
City of Federal Way
Community & Econ. Dev. Services
a
33325 8th Ave S
P
l�
Federal Way, WA 98003
2401 SW ALASKA ST
(253) 835 -2607 Fax: (253) 835 -2609
FEDERAL WAY WA 980034083
Project Name: VAN ZEE
Project Address: 325 S 309TH ST
Project Description: Replace gas hot water tank.
Mechanical
Permit #: 12- 104917 -00 -ME
Inspection Request Line: (253) 835 -3050
Parcel Number: 667265 0190
Owner
ARRIlican
Contractor
BRET W VAN ZEE
SOUTH WEST PLUMBING
SOUTH WEST PLUMBING
325 S 309TH ST
2401 SW ALASKA ST
SOUTHWP07IC6 (4/1/13)
FEDERAL WAY WA 980034083
SEATTLE WA 98106 -1445
2401 SW ALASKA ST
SEATTLE WA 98106 -1445
Mechanical Valuation ................. ...........................1400
Hot Water Tanks ............................ 1
Is this an Online or O.T.C. application ? .................Yes
PERMIT EXPIRES Saturday, April 27, 2013
Permit Issued on Monday, October 29, 2012
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. /0/21 Az
Owner or agent: �Dn2l .f�Q/a 0 Date:
-�- 3.;� 11 /(*/1&
CITY OF V;&�
y
Federal Way
PERMIT #:
Project:
THIS CARD IS TO 7ection ON -SITE
Construction In Record
INSP ECTION REQUE 3) 835 -3050
12- 104917 -00 -ME Address: 325 S 309TH ST
BRET W VAN ZEE FEDERAL WAY, WA 98003 -4083
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)
Approved
Gas Piping (4125)
Approved to release test
Final Electrical
Approved
Final - Mechanical (4065)
Approved
BY
Date
By
Date
By
v Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way -�
Approved
By
Date
By
Date
By
Date
OPERMIT
Federal CEIVED
COMMU3 VELOPME _ S ERVICES
253 -85 -260 7• FAX 253-835-2609
APPLICATION
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_ MCDm WAY
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MF CO ME PL DE EN FP
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SITE ADDRESS �,�� _ _%�
CDS0 �iC
SUITE /UNIT #
,3015 0 lzs I �-C'�/
PROJECT VALUATION
ZONING
ASSESSOR'S TAX /PARCEL M
--b —6a —7- -(,a- � ! - V [ ! D
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❑ BUILDING ❑ PLUMBING H MECHANICAL
TYPE OF PERMIT
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name /Homeoumer Last Name)
tVg-fe'r Kerkf r erne
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME �
� � V oAz e a
PRIMARY PHONE
-296 31/5159
MAILING ADDRESS
3z5 l7 9' -An
E-MAIL
C e4ftl UM y
Vvfl
�P 3
NAME
PHONE 93Z 177
ADDRESS MAILING
'. '" 2401 S'" LQts/fct
E -MAIL
CONTRACTOR
CITY _ j
S��
ZIP
F� ZO 6 37/�
491"
J
WA STATE CONTRACTOR'S LICENSE 0
So Pei I C 6
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE M
NAME
PHONE
APPLICANT
MAILING ADDRESS
E -MAIL
CITY
3TATE
ZIP
FAX
PROJECT CONTACT
NAME
PHONE
(The individual to receive and
MAILING ADDRESS
E -MAIL
respond to all correspondence
concerning this application)
CITY
STATE
ZIP
FAX
ALTERNATE CONTACT NAME.
PHONE
E -MAIL
PROJECT FINANCING
NAME
El OWNER- ANCED
Required value of $5,000 or more
IRCW 79.27.095)
LING ADDRESS, CITY, STATE, ZIP
ONE
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 laws 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
�appplication.
AGEla DATE 14,E 29 i12
SIGNATURE- [�p.�e, YV
PRINT NAME:
Bulletin #100 - January 1, 2011 Page l of 3 k:\Handouts\Permit Application
VALUE OF MECHANICAL W01ZK 6 0 to copy of bid or estimate must be provided)
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 Commercial)
BOILERS FURNACES HOT WATER TANKS fcas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
Bulletin #100 -January 1, 2011 Page 2 of k:\Handouts\Permit Application