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08-101687I ' -' a• .... City of Federal Way 0 Mechanical Permit 48-101687-00-ME E Community Development Services P.O.Box 9718 Federal Way,WA 98063-9718 Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request 35-3050 Project Name: CARLSON F Project Address: 33805 35TH PL SW ' „r ' rcel N\ : 921150 I '0 Project Description: Replace gas to gas 50 gallon water heater Owner Applicant Contr. -tor , CHARLES B CARLSON NAIDA KHAN GTON ' GY SERVICES CO 33805 35TH PL SW NORTHWEST PERMIT INC • 0)-G eral FEDERAL WAY WA 98023-2970 1345 GULF RD 1 HIES9710 09 POINT ROBERTS WA 98281 0 THO VC W SEA E 199 Ad •nal Perm ormatio Mechanical Valuation 950 nt Yes Mech Fi Hot WateT -ES Saturday, April 10, 2010 , i I her ert e infC3r nation cod ec* ;fit*i.e c��nst ctio orb ve de ed e � it ccu cy d, \e ill IT-- - . farce with the"°1-w5;rules and re a'tionS i f the Sf a of hin•' •` -nd the •ity,o. F deral Way. 44 -- IU - C? Ow r agent: � . A.A. ' �I M. � Date: - ` • THIS CARD IS T EMAIN ON-SITE CITY OF Community Develop ent Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 08-101687-00-ME Owner: CHARLES B CARLSON Address: 33805 35TH PL SW FEDERAL WAY, WA 98023-2970 This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. p0 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) Gas Piping(4125) Ei Final-Mechanical(4065) Approved Approved to release test Approved By Date By Date By .. Dates• 7 - e7e3 • • _ For inspector reference only ❑ Rough Electrical ❑ FINAL-Electrical Approved Approved By Date By Date 04-08-'08 14:25 FROM- T-450 P002/004 F-780 • crrvo>: _ vf 'r Federal Way APR 0 9 2008 PERMIT COMMUNITY DEVELOPMENT SERVICES SF PL CO ME EL P DE EN FP 33325 5111 AVENUE DO BOX 97CITY 7 [� � �T��mTO�T FEAERA 607..FAX 93-M5.26 3 OF FE 1 11 �,V 25)•836.2607•FAX 2D+155.2609 www.crlllp(rrdcmrwnurnre CDS The ofowin is re,wired i orrnation-an IflCOm Leto a::lication will not be acre ted. Please •rint le!ibl_ (in in or q_ •=. • PROPERTY INFORMATION • SITE ADDRESS 33805 35 PL SW SUITE/UNIT# ASSESSOR'S TAX/PARCEL# 9 2 1 1 5 0 - 0 0 7 0 LOT SIZE(V) LEGAL DESCRIPTION(e.g,Acme Estates,Lot 1), IA omit cepuale papCJor Ic'i7WI owl clecc'paoN I. PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING ❑ PLUMBING /MECHANICAL ❑DEMOLITION C ELECTRICAL C ENGINEERING C FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(provide detailed descrtotton of work tnciuded on this oerrnit onlul REPLACE GAS TO GAS 50 GALLON WATER HEATER PROJECT NAME(Name of Business or Owner Last Name) • PEOPLE INFORMATION PROPERTY NAMfE PRIMARY PHONE OWNER C B CARLSON (253 )927-7052 MAIUNO ADDRESS CITY.STATE.ZIP 33805 35 PL SW Federal Way,WA 98023 CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE WESCO (206 ) 378 - 6608 MAILING ADDRESS CITY,STATE,ZIP CELL.PHONE 2800 Thorndyke Ave W Seattle WA 98199 ( ) - CITY OF FEDERAL WAY BUSINESS LFM/$5 NUMBER EXPIRATION DATE FAX NUINBER D-Q -_1 0 4 2. 3 4- B, L 12 / 31 /08 ( ) , - CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE W A S H I E S 9 7 10 B 09 / 02 /09 APPLICANT COMPANY NAME APPLICANNT NAME OFFIC£PHONE Northwest Permit Inc Naida Khan (360 ) 945 -2787 MAILING ADDRESS CITY.STATE,ZIP CELL PHONE 1345 Gulf Road Point Roberts, WA 98281 RELATIONSHIP TO PROJECT FAX NUMBER 0.Architect 0 Tenant /Agent O Other(Describe) ( ) - CONTACT NAME PRIMARX PHONL` EMAIL(360 Khan (3B0 ) 945 2787 natda©nwpermit,com LENDER Sr*OF;is.27.ogst.under htfo nation.is.': maize required tfproject;oaltie•ezceeds$5,000 MAILING ADDRESS CITY.STATE,ZIP PHONF. • DETAILED BUILDING INFORMATION EXISTING USE SFR PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? ❑YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? O YES O NO WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑HIGIILINE 0 PRIVATE(SEPTIC) • 04-08-' 08 14:25 FROM- T-450 P003/004 F-780 • \1\tlf17\ • PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOTAL Ste.FT. S((I./M., BASEMENT FIRST SECOND THIRD FOURTH ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) GARAGE ❑ CARPORT❑ NUMBER OF FLOORS I waarao I Moroni, I TOM rar,U.loru:sru+o SP. 7014,.rnoymP0M' KmmAsP "NEW HOMES ONLY" NUMBER OF BEDROOMS .---- ESTIMATED SELLING PRICE $_._. . FIXTURES Indicate number of each type offtdtire to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECHANICAL 950.00 Value of Mechanical Work $ AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS RL*I'BIG.SYSTEMS SBQS , FANS HOODS(p,m,nem.a1) WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC(Describe) COMPRESSORS FURNACES 1 GAS WATER HEATERS DUCTS GAS PIPE OUTLETS rPLUMBLVG BATHTUBS for rewsnonercombo) SHOWERS WATER CLOSETS mass MISC(DCBCribe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS I.AVS IBAIilmcpas1Yi,j VACUUM BREAKERS ELECTRIC WATER HEATERS DISCLAIMER/SIGNATURE BLOCK I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge. and further,that am authorized by the owner of the above premises to perform the work for which the permit application is made. I farther 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 flied against the City of Federal way,but only where such clglm arises out of the reliance of the city,inciudiiA its officers and employees,upon the accuracy of the information supplied to the city as a par£of this application. r f`n! ^/� NAME/TITLE I / •/ ' " ' " ?2A • "" I Q O g' PATE I ipJnaturc) (TtlS RELATIONSHIP TO PROJECT 0 Owner 15 Agent ❑ Contractor o Architect o Other o NEW o ADDITION o ALTERATION D REPAIR o TENANT IMPROVEMENT BUILDING SHELL ONLY? a YES D NO BASIC PLAN? u YES o NO • I t P CHANGE OF USE? o YES 0 NO NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? n YES 0 NO PLATTED LOT? D YES o NO DEMO PERMIT REQUIRED? o YES 0 NO Bulletin#100-January 1,2006 Page 2 of 4 kWandouts\Pertnit Application