11-102519City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: DAVIS
Project Address: 32402 7TH PL S
Project Description: Replace gas water heater.
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e
Mechanical
Permit #: 11 -102519 -00 -ME
Inspection Request Line: (253) 835-3050
Parcel Number: 150241 0250
Owner
Applicant
Contractor
MICHELLE CHARLES
WASHINGTON CORROSION SRVC INC
WASHINGTON CORROSION SRVC INC
32402 7TH PL S
1425 BLAINE AVE NE
WASHICS055KC (5/4/12)
FEDERAL WAY WA 98003-5912
RENTON WA 98056-2774
1425 BLAINE AVE NE
RENTON WA 98056-2774
Mechanical Valuation............................................1107 Is this an Online or O.T.C. application? ................. Yes
Hot Water Tanks ............................ 1
PERMIT EXPIRES Saturday, December 24, 2011
Permit Issued on Monday, June 27, 2011
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use wi be in accordance with the laws, rules and regulations of the State of Washington
e City of Federal Way.
Owner or agent: ✓l''Z— Date: C Z '7 — l
Ciro OF
Federal Way
I
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQU TS: (253) 835-3050
PERMIT #: 11 -102519 -00 -ME Address: 32402 7TH PL S
Project: MICHELLE CHARLES FEDERAL WAY, WA 98003-5912
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)11
Gas Piping (4125)
Final Electrical
Approved
Final - Mechanical (4065)
Approved
By
Approved to release test
Approved
By
Date
By
Date
By
Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
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`CITY OF
Federal Way
Building Division
33325 Eighth Avenue South
PO Box 9718
Federal Way, WA 98063-9718
Phone 253-835-2607
Fax 253-835-2609
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If YOU HAVE ANY QUESTIONS CALL J�� li%1.�0 253-835- 2i 0j
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INSPECTOR Page of/
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CITY Of
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COMMUNITY FAX 253-835-2609 60 APPLICATION
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PROJECT VALUATION
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TYPE OF PERMIT
/❑ `FIRE
[I DEMOLITION ❑ ENGINEERING PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
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MAILING ADDRESS
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E-MAIL
CITY
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E-MAIL
CONTRACTOR
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CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE 9
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE N
NAME
PHONE
MAILING ADDRESS
E-MAIL
APPLICANT
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAME
PHONE
(The individual to receive and
MAILING ADDRESS
E-MAIL
respond to all correspondence
concerning this application)
CITY
STATE
ZIP
FAX
ALTERNATE CONTACT NAME:
PHONE
E-MAIL
PROJECT FINANCING
NAME
❑ OWNER -FINANCED
Reg7ared value of $5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27095)
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 apart o this application.
l
SIGNATURE: G�L� � '� DATE
PRINT NAME:
Bulletin #100— Januar kl, Z I Page] of 3 k:AHandouts\Permit Application
VALUE OF MECHANICAL WORK $ 11 d (a copy of bid or estimate must be provided)
Indicate how many of each type offixture xture 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 (cummerciw)
BOILERS FURNACES HOT WATER TANKS (cas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing futures to remain.
BATHTUBS (or Tub/sho. Combo)
LAVS (Hand sinks)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Kirch_/uwity)
WATER HEATERS (Eiewir)
HOSE BIBBS
SUMPS
WASHING MACHINES
CRITICAL AREAS ON PROPERTY?
EXISTING/PREVIOUS USE
WATER PURVEYOR
LOT SIZE (In Square Fee[)
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
FIRE SPRINKLER SYSTEM? I PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No ❑ Yes ❑ No
Bulletin #100 -January 1, 2011 Page 2 of 3 k:\Handouts\Permit Application