09-102595 City of Federal Way • • Mechftnical
Community Development Services Permit #: 09-102595-00-ME
P.O.Box 9718
Federal Way,WA 98063-9718
Ph (253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
Project Name: LAWRENCE
Project Address: 31925 14TH WAY SW Parcel Number: 416795 0050
Project Description: Install hot water tank
•
Owner Applicant Contractor
ROBERT P LAWRENCE ROBERT P LAWRENCE ROBERT P LAWRENCE
PATRICIA A LAWRENCE 31926 14TH WAY SW 31926 14TH WAY SW
FEDERAL WAY WA 98023
FEDERAL WAY WA 98023
Information
Mechanical Valuation 739.00 Is this an Online or O.T.C.application? Yes
ffr •;I: *.*44; *-*
tires
Hot Water Tanks
PERMIT EXPIRES Tuesday, January 5, 2010
Permit Issued on Thursday, July 9, 2009
I hereby certify that the above inform. ation is correct and that the construction on the above deecritAl., opt
the occupancy and the use will be in accordance with the laws, rules and regulations of the State vr• ai 11:1411;;;'Nf
and the City of Federal Way.
Owner or agent: Date:
FINALtet) *//4ioff
AIL THIS CARD IS TO REMAIN ON-SITE
crn°f Construction I ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT #: 09-102595-00-ME Address: 31925 14TH WAY SW
Owner: ROBERT P LAWRENCE FEDERAL WAY, WA 98023-4727
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) 0 Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By Z..../Date
,�Q
•
For inspector reference only
' ❑ Rough Electrical ❑ FINAL-Electrical
Approved Approved
By Date By Date
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09 / 0 2 5- '1 5-
4CEIVEPERMIT �S F CO EL PL DE EN FP
COMMUNI �
p �L 0 9 2oAPPLICATION /
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1't i 14 fl,'ct- 6'Ct, _ 1..1C'I i tie�(� C.,Lu Ii'11
SIIMTE/VNIT• ZONUMd /A'8ATAX/PARCEL! —+/— _ � Q ��
(Tenant or Homeownezer r NName) .1117 s'1 / 1 k(, c t I /'t-1_, L—''7 vt f 'L.f—
❑BUILDING ❑ PLUMBING lif MECHANICAL
I TYPE OP 11lIT ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION
PROJECT Detailed scrip'description of work to 4'' .. L�;'. ec`,a L:
be included on this permit only
NAME / � 7 PRIMARY PHONE
TT OWNER / /, V LACCri'110.-- (.;6 ) Lit - 0 [
MAILING ADDRESS.c I Y,S ATE,ZIP E-MAR.
OWNER IS ALSO 0 CONTRACTOR p APPLICANT p PROJECT CONTACT
/� RABID PRIMARY PHONE
�/ / �a� MAILING ADDRESS,CITY,STATE,ZIP
CCC/// WA STATE CONTRACTOR'S LICENSE M EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE I
/ /
NAME A PRIMARY PHONE
APPLICAIR /t1 G// y. C. Z — `
MAILING ADDRESS,CITY,STATE,ZIP =Ilia=
PROJECT CONTACT RAKE PRIMARY PHONE
(The individual to receive and
respond to all correspondence MAILING ADDRESS,CITY,STATE,ZIP
concerning this application) filifiliiiiiMil
ALTERNATE CONTACT NAME PRIMARY PHONE E-MAIL
PROJECT FINANCING NAME
OWNER-FINANCED
Required for projects with
Value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PRIMARY PHONE
(RCW 19.27.0957 _
I wider penalty of perjury that I am the property owner or authorised agent of the property owner.I certify that to the
best of my knowledge,the information submitted in support of this permit application is true and correct.I cert .that I will comply
with all applicable City of Federal Way regulations pertaining to the work authorised by the Issuance of a permit.I understand that
the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or envlronmen law .
I further agree to hold tai harmsless the City of Federal Way as to any claim(including costs,eacpe ses,and attorneys'fees incurred
in the investigation and defense of such claim), which may be made by any person,including the underatgned,and filed against the
city, but only where such lain.arises out of the reliance of the city, including Its offices and employees,upon the accuracy of the '
information supplied city as a part of this licatlon.
SIGNATURE: .F 1i l tt Ltrlt:.free- DATE 9 a 7
PRINT NAME: c h Y-t" P LC k-c i) CE
Bulletin#100—4/17/2009 Page 1 of 4 k:\Handouts\Pennit Application
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Value of Mechanical Work$_, (A COPY OF BID OR ESTIMATE MUST BE PROVIDED)
Indicate number 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(com....ap
BOILERS FURNACES '›e` HOT WATER TANKS(o
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
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3 t l.a` Ea d 1 ` `
i``� � 435,a ....
Indicate number 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 Coobol LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Ritcben/utiii WATER HEATERS(Ei
HOSE BIBBS • SUMPS WASHING MACHINES A1I r LR ,
-
PROJCT t VALUATION
WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Peet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes❑ No ❑Yes ❑ No
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
tiff0e,2, ,�ter: �' � frnve#
re r e x ti 116.1PRP.45PSONikdia
FIRST FLOOR(or Mobile Home)
COVERED ENTRY
411)Eu;. 'v§ oldt'i n
GARAGE ❑ CARPORT ❑
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Area Totals
ESTIMATED SELLING PRICE$ _ #OF BEDROOMS
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AREA DESCRIPTION Area #of
is care Feet Occupancy Group(s) � . Stories Additional Information
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ADDITION
AREA DESCRIPTION Construction #of
Occupancy Group(s) e Stories yy Additional Information
P .P�33 - 3 �3 Ida 'eF -zr, 3;.33 ., b 0301FIN ,
e B 3 �: 3 m. Y � 3iY 3t �, . 3 e"+Y'e 0 041 z�1 3��, € 3 . 46:
� a »3.,.:...,33'' €' ', �,,�, ,.� ,a.a ' '.,33;
., .TENANT AREA ONLY
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Bulletin#100—4/17/2009 Page 2 of 4 k:\Handouts\Permit Application
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