07-106177City of Federal Way
Cpmmunity Lie velopment Services + Plumbing Permit #: 07- 106177 -00 -PL
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (2.53) 835 -2607 Fax- (253) 835 -2609 Inspection Request Line: (253) 835 -3050
Project Name: HINTON
Project Address: 32824 22ND AVE S "'' Parcel Number: 103570 0080
Project Description: Replace electric hot water tank. u
Owner
Applicant
Contractor
DOUGLAS & LAURIE HINTON
WASHINGTON CORROSION SRVC INC
WASHINGTON CORROSION SRVC INC
PO BOX 3211
1425 BLAINE AVE NE
WASHICS055KC 5/4/08
FEDERAL WAY WA 98063 -3211
RENTON WA 98056 -2774
1425 BLAINE AVE NE
RENTON WA 98056 -2774
Plum
Fixtures m'..
Water Heaters . ............................... 1
I here
Owner or
PERMIT EXPIRES Thursday, November 12, 2009
Permit Issued on Tuesday, November 13, 2007
the above information is correct and that the construction on the above described property and
I the us twill be in accordance with the laws, rules and regulations of the State of Washington
`` and the City of Federal Way.
Date.
R�
THIS CARD IS TO REMAIN ON -SITE
CITY OF Community Development Inspection Record.
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 106177 -00 -PL
Owner: DOUGLAS & LAURIE HINTON
Address: 32824 22ND AVE S
FEDERAL WAY, WA 98003 -6846
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.
❑ Plumbing Groundwork (4190)
Approved to cover
By Date
❑ Final - Plumbing (4075)
Approved
By Date — p fb
❑ Rough Plumbing (4230)
Approved
By Date
❑ Gas Piping (4125)
Approved to release test
By Date
For inspector reference only
❑ Rough Electrical FINAL - Electrical
Approved Approved
By Date By Date
DECEIVE
a".
Faftralw, by I + PERM T
. OOAIWNI7Y DEVELOPABNT
sa'@ V 13 2007 i `i SF MF CO ME E PL E EN FP
93925 tw AVENUE SOUW • PO BOX 9718
FAMAL
35.207 -, V 90069.9710 P P L I C AT I O N °
359d3S ?607•FAX ?53-q rOF FEDERAL
wv BUILDING DEPT.
The following is required LVormation - an incomplete application will not be accepted Please print. legibly (in" or type.
SITE ADDRESS _ ✓�`t �' '� V =�
ASSESSOR'S TAX /PARCEL i 3- -5 2 V- Q Q
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
PROJECT •• •
TYPE OF PERMIT a BUILDING ❑ PLUMBING. . ❑ MECHANICAL
SUITE /UNIT #
LOT SIZE (sj7
❑ DEMOLITION O ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DWPRIPTION (Provide detailed description of work included on this pen
PROJECT- NAME (Name of Business or Owner Las Name
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
N PEOPLE INFORMATION
AME
APPLICANT NAME
MARY DSO PHONE
6 ADDRESS
7Z`() 2 22 Ica e S
9;Y, STATE, ZIP
- l(
E -MAIL ADDRESS
q g ANY NAME
tl� �1Jr
APPLICANT NAME
OFFICE PHONE
OF CE PHONE
MMLINO ADDUS$
, STATE, Zip
RELATIONSHIP TO PROJECT
C PHONE
❑ Architect ❑ Tenant ❑ Agent ❑ Other
( _
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
NTRAOTOR'B REGISTRATION NUMBER
ZKP
TION DATE
E-MAIL ADDRESS
r VV OAJ 1A �-- <:-
v
) .C>4 I Z��b
XOX)PANY NAME
APPLICANT NAME
OFFICE PHONE
AILINO ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other
( _
INAME PRIMARY PHONE E-MAIL ADDRESS
NAME
Per RCW 19.27.098:
Lender information is required if project value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE ISEPTICI
PROJECT ••
AREA DESCRIPTION EXISTING
8 . FT.
BASEMENT
PROPOSED
80. FT,
TOTAL
80. FT.
FIRST
FANS
GAS WATER HEATERS _T M1SC (Describe)
BOILERS
SECOND
HOODS (c
COMPRESSORS
FURNACES
THIRD .
DUCTS
GAS LOG SETS
REFRIG. SYSTEMS
ADDITIONAL FLOORS (DESCRIBE)
NEW ADDRESS REQUIRED?
o YES o NO
DECK (❑ COVERED OR ❑ UNCOVERED ?)
OYES
a NO
PLATTED LOT?
GARAGE ❑ CARPORT ❑
DEMO PERMIT REQUIRED?
a YES
NUMBER OF FLOORS
mrrae
rso
Tori°'
Mr." r
��rs�•� +r
rarncu
••NEW HOMES ONLY**.. NUMBER OF BEDROOMS ESTIMATED SELLING E $
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing factures to remain.
Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATIOI7
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS PIPE OUTLETS WOODSTOVES
BBQS
FANS
GAS WATER HEATERS _T M1SC (Describe)
BOILERS
FIREPLACE INSERTS
HOODS (c
COMPRESSORS
FURNACES
RANGES
DUCTS
GAS LOG SETS
REFRIG. SYSTEMS
BATHTUBS (or'Nb /Show C—be) LAVS (Bad. =SW4 URINALS MISC (Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS (ron.q
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
1 certify under penalty of perjury that 1 am the property owner or authorised agent of the property owner. 1 cerft that to the best of my
knowledge, the igformation submitted in support of this permit application is true and correct 1 esrt(* that 1 will compig with all applicable
City of Federal . Way regulations pertaining to the work authorised by the issuance of a permit. 1 understand that the issuance of this permit
does not remove the owner's responsibility for compliance with local, state, or federal laws regulati4 construction or environmental laws.
1 further agree to hold harmless the City of Federal Way as to any claim ( including costs, sVanses, and attorneys' fees incurred in the
investigation and defense of clatmh which may be made by any person, including the undersigned, and filed against the city, but only
where such claim arises out o reliance of the city, including its officers and employees, upon•the accuracy of the information supplied to
the city as apart of this applie on.
SIGNATURE: l DATE I I
Property Owner an r Authorized Agent
o NEW o ADDITION
o ALTERATION
a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o YES. o NO
BASIC PLAN?
a YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
a YES
a NO
NEW ADDRESS REQUIRED?
o YES o NO
UP /SEPA /SU?
OYES
a NO
PLATTED LOT?
a YES a NO
DEMO PERMIT REQUIRED?
a YES
a NO.
Bulletin #100 - August 16, 2007 Page 2 of 4 . k\Handouts\Permit Application .