10-103897 5Plumbing
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Community Development Services ermit #: 10-103897-00-PL
P.O.Box 9718
Federal Way,WA 98063-9718
Inspection Request Line: (253)
Ph:(253)835-2607 Fax (253)835-2609 p q 835-3050
Project Name: WELLER ' '*'40
Project Address: 4540 SW 321ST ST BLDG Q-7 Parcel Number: 512600 1510
Project Description: Replace electric water heater
Owner Applicant Contractor
NANCY WELLER WASHINGTON CORROSION SRVC INC WASHINGTON CORROSION SRVC INC
4535 SW 321ST ST UNIT Q7 1425 BLAINE AVE NE WASHICS055KC(5/4/12)
FEDERAL WAY WA 98023-2481 RENTON WA 98056-2774 1425 BLAINE AVE NE
RENTON WA 98056-2774
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PERMIT EXPIRES Sunday, March 13, 2011
Permit Issued on Tuesday, September 14, 2010
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the se will :e in accordance with the laws, rules and regulations of the State of Washington
an City of Federal Way. c �,!
Owner or agent: /,�� `-'., 9-:/p,',- /e3 Date: �"`'.' f
C
FINPii./.67%,
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THIS CARD IS TO RE ON-SITE
CITY OF Construction Inspeon Record -
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 10-103897-00-PL Address: 4540 SW 321ST ST BLDG Q-7
Owner: NANCY WELLER 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.
❑ Plumbing Groundwork(4190) El Rough Plumbing(4230) 0 Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date By Date By Date
o Final-Plumbing(4075)
Approved
By /ef Date /2/340/0
•
0 Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
9A\IS 1110 —
c. ••••••-• •ederal Way •PERMIT RECE
I ,* DCO ME IDE EN FP
COTAVI3-835-2607INITY DEVELOPMENT SERVICES APPLICATIONEp
25 .FAX 253-835-2609
.111, Of ,•Vi 4`2010
CITy OF FED E RA
SITE ADDRESS L w Ay SUITE/UNIT#
(5 A..) g2/ . ._SDSzo etg
s -
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
/ (p 0 )
_ _ _
TYPE OF PERMIT 0 BUILDING PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(7'enant Name/Homeowner Last Name)
PROJECT DESCRIPTION r-
Detailed description of work to
be included on this permit only
NAMEI3RIMARY PHONE
PROPERTY OWNER A-// a a y I/0e I ler—
c2513..)tz3 5/ L.
_ (
DC\ 2MAILING ADDRESS
Y54/ St.t.) 3 Zi Sr- (f?
\ '5J\ Cnr-itckra STATEIPZ
to A- 9k62-
NAME PHONE
JAI AS Al 4C. &) ,15 a_RoS oil 5'fc zz /57?
MAILING ADDRESS
CONTRACTOR I 1+ S cc: I e Au ju .)Ae E-MAIL •
CITY ILITSTE Z r_, FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
Whg c gg K .S" / /0
NAME PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
PROJECT CONTACT NAME PHONE
(The individual to receive and
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application)
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME
0 OWNER-FINANCED
Required value of$5,000 or more
(RCW 19.27.095) MAILING ADDRESS,CITY,STATE,ZIP PHONE
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 a a part of this lication.
4Aof
SIGNATURE:
L LV DATE /2- - /
PRINT NAME: AIN
Bulletin#100—Apri,2010 Page 1 of 3 kAHandouts\Permit Application
• 11.
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VALUE OF MECHANICAL WORK $ (a copy of bid or estimate must be provided)
Indicate how many 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 HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST •
DUCTING GAS PIPING WOODSTOVES
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Indicate how many 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/Shown-combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utility) / WATER HEATERS(Electric) /
HOSE BIBBS SUMPS WASHING MACHINES
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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
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AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
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Area Totals
ESTIMATED SELLING PRICE$ # OF BEDROOMS
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Area Construction
AREA DESCRIPTION Occupancy Group(s) Additional Information
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Area Construction #of
AREA DESCRIPTIONOccupancy Groups) Additional Information
in Square Feet Type Stories
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