15-100493 Mechanical
Community&Econ.of Econ.on.D ev.S ervices Permit #: 15-100493-00-M E
Services
33325 8th Ave S
Federal Way,WA Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)53)8 835-2809 p q
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Project Name: LAKEHAVEN UT IT - FFICE
Project Address: 3203 SW DASH POINT RD Parcel Number: 122103 9105
Project Description: Replace existing 100 gallon gas water heater like for like
Owner Applicant Contractor
PHIL STRYKER BOB LARSON BOB LARSON PLUMBING LLC
LAKEHAVEN UTILITY DISTRICT BOB LARSON PLUMBING LLC BOBLALP957NK(8/12/15)
PO BOX 4249 4320 128TH ST E 4320 128TH ST E
FEDERAL WAY WA 98063 TACOMA WA 98446 TACOMA WA 98446
Additional Permit information
Is this an Online or O.T.C.application? Yes
Mechanical Fixtures
Hot Water Tanks 1
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PERMIT EXPIRES Saturday, August 1, 2015
Permit Issued on Monday, February 2, 2015
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
nd the City of Federal Way.
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Owner or agent: Date: s
Trolo■4:111•••
` ♦ ,
';! • THIS CARD IS TO ' IN ON-SITE
CITY OF 41 Construction In ection Record
Federal Way
INSPECTION REQU TS: (253)835-3050
PERMIT#: 15-100493-00-ME Address: 3203 SW DASH POINT RD
Project: PHIL STRYKER FEDERAL WAY, WA 98023-2340
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.
0 Mechanical Rough-in(4165) - Ei Gas Piping(4125) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By V49 Date 1. I 3 I (%---
•El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
CITY OF
RirveD
•
I FEB 02 2015 PERMIT APPLICA'T'ION
Federal Way
CITY OF FEDERAL WAY
CITY OF FESEF�AL WAY
PERMIT NUMBER J V L D .D �/J Y q 3 - p ( TARGET DATE A) //.9--
SITE ADDRESS SUITE/UNIT N
32 .2 Sv. , s4 ,/ kr/
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL N
$ ?, , acv l .2. / 03 - 9 l DS
TYPE OF PERMIT ❑ BUILDING PLLUMBINGG,MECHANICAL ❑DEMOLITION ❑ENGINEERING ❑FIRE PREVENTION
4
NAME OF PROJECT /, eV' /4/,l',,
PROJECT DESCRIPTION // ',q 5 I� 1�Detailed description of work to /el?4 .e /S/% c �U 2;f//4 j`1 4, �/�
be included on this permit only �� ,
/,e 2S, //"
PRIMARY PHONE .
PROPERTY OWNER NAME La //^G,„7 h7 ///e$ V 7‘-J e k
MAILING ADDRESS
E-MAIL
CITY F 7 STATE ZI
(�/ �.� ��'�3 a3Yo
NAME PHONE
II /lk/m /is l2 G s3- 03-- 8' 'Ye
MAILING ADDRESS Q� E- L
CONTRACTOR //3.� /.<251
.<2 1 /�? ,�/fGl ifii&,40,,,,
CITY 7Z-e 69.-n C FAX
LA "sL<�,I j J-336 5-O /a__.
WA STA TtCJ O RACTOR'S LICENSE EXPIRATION DATE FEDERAL WAY BUSINESS LICE
NSE
A
/G/ P 9
NAME
Al PRIMARY PRIMARY PHONE
APPLICANT MAILING ADDRESS / E-MAIL
CITY I STATE I ZIP FAX
NAME /,)V / n�/ I PRIMARY PHONE
PROJECT CONTACT /C/.6�' G/e/..Cili //� 14 /�1 ry
(The individual to receive and MAILING ADDRESS / E-MAIL
respond to all correspondence
concerning this application) CITY I STATE I ZIP FAX
NAME ` /L1 1 64144 OS
OWNER-FINANCED
PROJECT FINANCING (�� /J(1
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
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 application.
SIGNATURE: gL i! '1��_ i DATE '/�-C-
PI/
PRINT NAME: & I-47- 90/
l
Bulletin#100—January 1,2013 Page 1 of 3 k:.I-Iandouts\Permit Application