08-103799 •
of
•
City ity Development
nt S Plumbin Perm7t #: 08-103799-00-PL
Comm��ni Develo ment Services
.. • , "'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: KRUGER ,
}� T,r a t,
Project Address: 37024 8TH AVE S t ,N. ,r Parcel Number: 322104 9159
Project Description: Electric "boiler" changeout -
`
Owner Applicant Contractor
ELIZABETH KRUGER NORTHWEST MECHANICAL NORTHWEST MECHANICAL
37024 8TH AVE S 3204 NE 145TH ST NORTHMI151MJ(4/11/10)
FEDERAL WAY WA 98003 SHORELINE WA 3204 NE 145TH ST
SHORELINE WA
Plumbing Fixtures
Water Heaters 1
PERMIT EXPIRES Saturday, February 7, 2009
Permit Issued on Monday, August 11, 2008
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
and the City of Federal Way.
Owner or agent: Date:
See App
liction
AUG 112008
THIS CARD IS TO WAIN ON-SITE
A.
cry OF Y p Inspection Pommunit Develo ment Ins ectiou Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-103799-00-PL
Owner: ELIZABETH KRUGER
Address: 37024 8TH AVE S
FEDERAL WAY, WA 98003-7405
This card is part of your required inspection documents. 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.
❑ Plumbing Groundwork(4190) El Rough Plumbing(4230) ❑ Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date By Date By Date
❑ F��'//lj2griavedingj!� Nle/
BDate =_— ;�
For inspector reference only
❑ Rough Electrical 0 FINAL -Electrical
Approved Approved
By Date By Date
RECEIVED •
`. COMMUNITY DEVELOP(ME/N R ARTMENT //f}�/� J/I aeI CITY OF Z'�''z "re I-if 11a O. i LOOVVI ,D37
Federal Way Mu(3 V8 PERMIT
COMMUNITYDEVELOPMENTSERVICEs SF MF CO ME EL PL DE EN FP
333258",AVENUE SOUTH• BOX 9718 APPLICATION ID
FEDERALWA 9806363-9718 / /
253-835-26072607••FAX 253-835-2609
wunu.cituoffedercilwmt.com
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION
SITE ADDRESS • 40... Wilarm il �;a1�7��1''� SUITE/UNIT#
1
ASSESSOR'S TAX/PARCEL# 3 / O O ' / c 'Barr ,IZE(s j9
OF
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1) ,WO ! S►V
(Attach separate page for lengthy legal•IFF tlo CI
■ PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING PLUMBING ' CHANICAL
❑ DEMOLITION ❑ ELECTRIC' ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
_• /
PR CT 4 ESC' ION Provide detailed descr.tion of work inclu.ed on his .ennit or I `
c.
.,....5
L
(Name ofBusiness or Owner Last Nwne ji44' \ R
PROJECT NAME � 1 k,� �,'
111 PEOPLE INFORMATION
PROPERTY NAMEPRIMARY PHONE
OWNER ZG `3 •' ( .�A e, i _ ___-
MAILING ADDRESS CITY, ATE,ZIP E-MAIL v DRESS -
CONTRACTOR I T NAME OFFICE PHO
V---ala.
j(vtc
MAILING ADIIRES '• ST'TE,ZIP CELL PI-IONS
1 _ a -„,�._,� ) -
CI 7-”'-7DERAL AY BUSINESS LICENSE NUMBER EXP RATI• DA El 'AX NUMBER
t
A ��I ,7 v ...VP la Q1 ,)J(�
CONTRACTOR• 'GISTItATIdN ' MBER XPIRATI , DAT a E-MAIL ADDRESS
_ i _
APPLICANT CO P N E AP�"/gj'"��]C T/NA(M��E L)c,oieS I CELPHONEtC.i ( /5c2o
e L�/7 1 ( )
RELATION TO PROJECT �_ /r'wGk (AX NUMBER
❑ Architect ❑Tenant o Agent • Other h�('�.i 'r )
PROJECT NAME . ( 1 P MARY PI I 8/1 T E-MAIL ADDRESS l
CONTACT �..�1 l Tad ` < ` l✓
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS .,\ CITY,STATE,ZIP PI-TONE
--------------.--- ___-- --_-___ ---111---DETAILED BUILDING INFORMATION- __
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
• I
• PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ. FT. SQ. FT. SQ. FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR ❑UNCOVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• 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.
MECHANICAL
Value of MechSical Work$ ssAiitel %�� A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLI.C SNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBS FANS GAS WATER HEATERS MISC(Describe)
:OILERS FIREPLACE INSERTS HOODS)Commercial)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(orTob/shower Combo) LAVS(Bathroom Slobs) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINSAO
SHOWERS WATER CLOSETS(Toilet)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
..,..,� SIGNATURE
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 autho, .•d by the issuance of a permit.I understand that the issuance of this permit
does not remove the owner's responsibility or compliance wit, to al,state,or federal laws regulating construction or environmental laws.
I further agree to hold harmless ti ity of Federal W y . to any claim(including costs, expenses, and attorneys'fees incurred in the
investigation and defense of such eta' which may be ade ,y any person, including the undersigned, and filed against the city, but only
where such claim arises out of the r v of the city, i cludi g its officers and employees, upon the accuracy of the information supplied to
the city as a part of this applicatio
i
/- d -, 11-06
SIGNATURE: DATE
1 Property Owner and/or Authorized Agent
FOR OFFICE USE ONLY
o NEW o ADDITION ❑ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? a YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? D YES ❑NO DEMO PERMIT REQUIRED? o YES ❑NO i
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application