09-104246 ` w • Mechanical
City of Federal Way
Community Development Services Permit #: 09-104246-00-ME
P.O.Box 9718
Federal Way,WA 98063-9718 F ILE
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: LA ROCCA
Project Address: 1721 SW 307TH ST Parcel Number: 770380 0050
Project Description: Replace gas hot water tank.
Owner Applicant Contractor
GAIL LA ROCCA NW BLUE DIAMOND CONST INC NW BLUE DIAMOND CONST INC
1721 SW 307TH ST 34618 8TH AVE SW NWBLUEBD920R2(12/22/10)
FEDERAL WAY WA 98023 FEDERAL WAY WA 98023 34618 8TH AVE SW
FEDERAL WAY WA 98023
Additional Permit Information 5 `°
Mechanical Valuation 1000 Is this an Online or O.T.C.application? Yes
Mechanical Fixtures
Hot Water Tanks 1
PERMIT EXPIRES Wednesday, April 28, 2010
Permit Issued on Friday, October 30, 2009
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
�fi ''�� and the City of Federal Way.
Owner or agent: /��✓! Date: A..9 2,/ 2 �i
l
D / /4941
THIS CARD IS TO MAIN ON-SITE
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`"' Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 09-104246-00-ME Address: 1721 SW 307TH ST
Owner: GAIL LA ROCCA FEDERAL WAY, WA 98023
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) El Gas Piping(4125) 0 Final-Mechanical (4065)
Approved Approved to release test Approved
By DateBy Date By 5 S Date ) \ �-
• '
•
❑ Rough Electrical CI Final Electrical111 Right of Way
Approved Approved Approved
By Date By Date By Date
4 [in OF I♦
f Federal Wa EC k �` b R M I T MF CO ME EL PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES A P • I C A T I O N
253-835-2607•FAX 253-835-2609 U C T 3 1/?�io 9
www.atuoffederalwau.mm tll.
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SITE ADDRESS - - I
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SUITE/UNIT# ZONING ASSESSOR'S TAX/PARCEL#
dy''y ✓lr' PROJF
NAME OF PROJECT
(Tenant or Homeowner Name) -'-'ti�.,,� / 41 ' ,<
r
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
TYPE OF PERMIT
0 DEMOLITION ❑ ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION
(om. 4)�: C iZ ch
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
a, « E s te r t-t '< � i•
NAME ^� PRIMARY PHONE..;.
PROPERTY OWNER . / '' !, ,�% ee� ( ) _
MAILING ADDRESS,CITY,STATE,ZIP E-MAIL
OWNER IS ALSO: 0 CONTRACTOR 0 APPLICANT 0 PROJECT CONTACT
NAME
`,/ ?�' �� PRIMARY PHONE
/?/•Lam/, 'cU��`S /9/OJ i f1 C�t//5 ��(� � ���� ✓ l
CONTRACTOR MAILING ADDRESS,CITY,STATE,ZIP
( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME PRIMARY PHONE
APPLICANT 1,L'h ' -• ( ) -
MAILING ADDRESS,CITY,STATE,ZIP FAX
PROJECT CONTACT NAME PRIMARY PHONE _
(The individual to receive and �E (/✓, /�� /C/e 6 ' / -::: _) y/
respond to all correspondence MAILING ADDRESS,ciTY,STATA,ZIP FAX
concerning this application) C./I< -2 x f/,e, ,Cl-4/ ( ) _
ALTERNATE CONTACT NAME: PRIMARY PHONE E-MAIL
(
PROJECT FINANCING NAME
❑ OWNER-FINANCED
Required for projects with
value of$5,000 or more MAILING ADDRESS,C -STATE,ZIP PRIMARY PHONE
(RCW 19.27.095) (
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the
best of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply
with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that
the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs, expenses,and attorneys'fees incurred
in the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the
city, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
SIGNATURE:
76--'/:1•"1---ri%><�� - DATE /C1/...?0/9
PRINT NAME:
Bulletin#100-4/17/2009 Page 1 of 4 k:\Handouts\Permit Application
---.)----- IP,
MECHANICAL FIXTURE
A , i
Value of Mechanical Work$ 1,.( QC' (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(Commercial)
BOILERS FURNACES 1 HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
1 DUCTING GAS PIPING WOODSTOVES
PLUMBING FIXTURES
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 Combo) LAVS(Hand sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS _
DRINKING FOUNTAINS SINKS(Kitchen/Uuiity) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
PROJECT VALUATION WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
$ $
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes ❑ No ❑Yes ❑ No
RESIDENTIAL
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ # OF BEDROOMS
COMMERCIAL- NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
in Square Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100-4/17/2009 Page 2 of 4 k:\Handouts\Permit Application