08-102257City of Federal pment y Mechanical Permit #4U8- 102257 -00 -ME
Community Development Services ,
P.O. Box 9718 `
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609 Inspeefiw Request Line: (253) 835 -3050
Project Name: KROKER
Project Address: 806 S 306TH ST nNum 091 800 0040
Project Description: Replace hot water tank
Ad(
Mechanical Valuation ................ ............................480
Hot Water Tank ............................. 1
Novel 3, 2008
�41
1
................ Yes
THIS CARD IS TO MAIN ON -SITE
CITY OF Community Develop nt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 08- 102257 -00 -ME
Owner: KIT KROKER
Address: 806 S 306TH ST
FEDERAL WAY, WA 98003 -4139
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 CA
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.
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
Mechanical Rough -in (4165)
Gas Piping (4125)
0
Final - Mechanical (4065)
Approved
Approved to release test
Approved
By
Date
By
Date
By
Date 5_4C,,
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
�ECEIV�D
PERMIT
333Z53mWWA,WA 9•63BOX9 �y O 2008 ICATION
PBDSRAL WAY, FAX 93063 -260 T - / /
Z53. 835 -2607• FAX Z53. 335 -2609 fir•• ��`) (� yYf/ :::]
The following is requiredrNon - an incomplete application will not be accepted. Please print legibly (in ink) or type.
PROPERTY •• •
SITE ADDRESS Cx �% ` %�1' -`j IUITE /UNIT 9
CS
SF MF
- 1a"'?a V
CO A EL&)DE EN FP
COYbA/R17YDEVBLOPA03RT SERV>Ct n Q
ASSESSOR'S TAX /PARCEL # _ _ _ _ _ _ _ _ LOT SIZE (sf
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Aaaen,.pr- rW1br +mWdw moot deswWoN
PROJECT •• -
TYPE OF PERMIT ❑ BUILDING —ING OWHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this hermit onlul
PROJECT NAME (Name of Business or Owner Last Name)
PEOPLE •- •
PROPERTY
OWNER
NAME
r7—
PRIMARY PHONE
(7s3) 33 -
MAILING ADDRESS
MAILING ADDRES_S{/
STATE, ZIP �+
E -MAIL ADDRESS
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
FAX NUMBER
CONTRACTOR'S REOISTRATION NWIBER ZXPIRATiON DATE
E-MAIL ADDRESS
COMPANY NAME // _
APPLICANT NAME
OFFICE PHONE
/`1
PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other
NAME 7 PRIMARY PHONE - E- MAILADDRES$
NAME
Per RCW 19.27.095.
Lender ir4fornui ton is required a{f project value exceeds $5,000
MAILING ADDRESS
CITY. STATE, ZIP
PHONE
PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINIMERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUERED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
f PROJECT FLOOR AREAS
AREA DESCRIPTION
EXISTING
S . FT.
PROPOSED
S . FT.
TOTAL
S . FT.
BASEMENT
SHOWERS
ELECTRIC WATER HEATERS
SINKS
FIRST
SUMPS
ZONING DESIGNATION
SECOND
CHANGE OF USE?
a YES
o NO
THIRD
a YES a NO
UP /SEPA /SU?
ADDITIONAL FLOORS (DESCRIBE)
a NO
PLATTED LOT?
o YES a NO
DECK (❑ COVERED OR ❑ UNCOVERED ?)
DEMO PERMIT REQUIRED?
o YES
a NO
GARAGE O CARPORT ❑
NUMBER OF FLOORS
nasrnro
reoroeso
borer.
2W.4LxxM"Msr
rorecrxoroesnsr
mrwer
* *NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
Value of Mechanical Work
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
�. (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITHAPPLICATION)
EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
FANS _� GAS WATER HEATERS MISC (Describe)
FIREPLACE INSERTS HOODSIcom...f q
FURNACES RANGES
GAS LOG SETS •REFRIG. SYSTEMS
BATHTUBS (wTub /Sho— Combo)
LAVS (B.&. Skk*
DISHWASHERS
RAINWATER SYST
DRINKING FOUNTAINS
SHOWERS
ELECTRIC WATER HEATERS
SINKS
HOSE BIBBS
SUMPS
URINALS MISC (Describe)
VACUUM BREAKERS
WATER CLOSETS Iro&q
WASHING MACHINES
I certVy under penalty of perjury that I am the property owner or authorised agent of the property owner. I certify that to the best of my
knowledge, the h%jormation submitted in support of this permit application is true and correct. I certjfy 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 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 apart of this application.
SIGNATURE.
Owner and /or Authorized
o NEW a ADDITION
o ALTERATION
o REPAIR a. TENANT IMPROVEMENT
BUILDING SHELL ONLY?
a YES a NO
BASIC PLAN?
a. YES
o 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?
o YES a NO
DEMO PERMIT REQUIRED?
o YES
a NO
Bulletin #100 — January 1, 2008 Page 2 of 4 k\Handouts\Permit Application