13-104492 • • Mechanical
City Federal Wa
Communiy&EconDev Services Permit #: 13-104492-00-ME
33325 8th Ave S
Federal Way,Fax
Request Line: 253f 835-3050
�ssoo3 ``
Ph:(253)835-2607 Fax:(253)835-2609 Inspection
Project Name: SORKNESS
Project Address: 29739 4TH AVE S Parcel Number: 692860 0530
Project Description: Remove existing electrical water heater and replace with gas tankless system
Owner Applicant Contractor
SHANNON SORKNESS SHANNON SORKNESS OWNER IS CONTRACTOR
29739 4TH AVE S 29739 4TH AVE S
FEDERAL WAY WA FEDERAL WAY WA
98003 98003
Additional Permit information
Is this an Online or O.T.C.application Yes
Mechanical Fixtures
Hot Water Tanks 1
PERMIT EXPIRES Monday, April 7, 2014
Permit Issued on Wednesday, October 9, 2013
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
a►d the Ci f Federal Way.
Owner or agent: L. - /., .. :/ Date: /® c7—/-3
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CITY OF Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 13-104492-00-ME Address: 29739 4TH AVE S
Project: SHANNON SORKNESS FEDERAL WAY, WA 98003-3621
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) 0 Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release testroved
By Date By Date 4 ,i. , I G L Date-z— (c›--
0 Rough Electrical Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
noP • PERMIZ PPLICA'TION
Federal Way RECEIVED
OCT 09 2013 \\��
PERMIT NUMBER _ I _ me--
- -
_ _ TARGET DATE rITY OF FEDERAL WAY
CDS
SITE ADDRESS SUITE/UNIT#
2973` - Lt' Ave, 0,
PROJECT VALUATION ZONING ASSESSOR'S PARCEL#
1g / CI a z 3 G O - 0 5
TYPE OF PERMIT ❑BUILDING ❑ PLUMBING ❑//MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT TN 5-w /u/t1.,EsT id47L-"i He e r/ °(2I(
i t-(VCQ .T=,5---to.1l � e+t-- 1- k�--
PROJECT DESCRIPTION s
Detailed description of work to
be included on this permit only
PROPERTY OWNER NAME < l A N No-A) 3-2,R ic Al rSS PRIMARY PHONE
MAILING ADDRESS E-MAIL
CITY STATE ZIP
NAME iy . Ne.1 /- PHONE
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE IF
/ /
NAMECAA x, L; PRIMARY PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAME PRIMARY PHONE
PROJECT CONTACT
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY A STATE ZIP FAX
PROJECT FINANCING NAME 0 OWNER-FINANCED
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 ci as a part of this applica-on. /
SIGNATURE: �� i /L �i�f�� DATE /06 / 13
PRINT NAME: 1C'/� —
LCB 1= .ice
Bulletin#100–January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
• VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $ 18''r Gj
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixt1 ures to remain.
AIR HANDLING UNITS FANS AS PIPE OUTLETS . OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial)
BOILERS FURNACES HOT WATER TANKS(cas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo) LAVS(HaudSbks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS([citchen/utsity) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? 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 0 No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
FIRST FLOOR(or Mobile Home)
COVERED ENTRY
DECI# d
� r
GARAGE 0 CARPORT 0
des 7t,
EXISTING PROPOSED TOTAL
Area Totals
� T HOMES ONLY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION '
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square FeetType Stories
•r a s r dh�r' .x .�` a
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
TO BUILDINf# • ' ti f �
TENANT AREA ONLY
•
PROJECT AREA ONLY '
Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application