11-100401 Mechanical
City of Federal Way • ••
Community Development Services Permit #: 1 1-1 00401-00-M E
P.O.Box 9718
Federal Way,WA 98063-9718
Inspection Request Line: 25
Ph:(253)835-2607 Fax.(253)835-2609 p q ( 3)835-3050
Project Name: SHULTZ
Project Address: 37653 18TH PL S Parcel Number: 721265 0850
Project Description: Replace gas water heater
Owner Applicant Contractor
SUSAN M SCHULTZ WASHINGTON CORROSION SRVC INC WASHINGTON CORROSION SRVC INC
37653 18TH PL S 1425 BLAINE AVE NE WASHICS055KC(5/4/12)
FEDERAL WAY WA 98003-7574 RENTON WA 98056-2774 1425 BLAINE AVE NE
RENTON WA 98056-2774
„«. ' 'm.��a.. a..VA: , ft ,, h.
Mechanical Valuation 1100 Is this an Online or O.T.C.application9 Yes
„ c
Hot Water Tanks 1
PERMIT EXPIRES Saturday, July 30, 2011
Permit Issued on Monday,January 31, 2011
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancyand the use will:be in accordance with the laws, rules and regulations of the State of Washington
and t ity of Federal Way.
Owner or agent: Oefei 49, Date: /
rlN 441> 3151/
THIS CARD IS TO REMAIN ON-SITE .
CITY OF Construction I ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 11-100401-00-ME Address: 37653 18TH PL S
Project: SUSAN M SCHULTZ FEDERAL WAY, WA 98003-7574
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.
El Mechanical Rough-in (4165) El Gas Piping(4125) ❑ Final-Mechanical(4065)
Approved Approved to release test /^ Approved
By Date B• y Date By /�Z�' Date 3 Ac-if
El Rough Electrical
El
Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
aro': ( 1 - 1001- 01
Federal Way *PERMIT 111VIF CO CP PL DE EN FP
COMMUNI7YDEVELOPME1VT SERVICES APPLICATION RE - -I�/E C
253-835-2607•FAX 253-835-2609
www.cittioffederalwau.com
JAN 31 2011
SITE ADDRESS
! � 5 , CITY OFF 5tATALWAV
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# v
DS
$ //v0 '7 2 l 2 5—_ 0 8— 5 0
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 25QECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
PROJECT DESCRIPTION "dor c /`� I 10., 7,t'/(
Detailed description of work to
be included on this permit only
NAMEPRIMARY PHONE
PROPERTY OWNER
cl s P-11 PI 0 L T-a (zs73) gr7(>t 733g
MAILING ADDRESS E-MAIL
x76 tS 3 i P., e S .
CITY STATE ZIP
)-=e wa-y W ci`Xcx..) 3
NAME PHONE
14),n-s�-f t2 2 n s tt o Y. SVC ef&.$) ?2 6v-/moi 7 3
MAILING ADDRESS '2) ` ' E-MAIL
CONTRACTOR ) 4-z6/4 / i1As C
CITY STATE ZI&� FAX
/ 1T, r WA- 7 6.7 FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME _ 11evyo S PHONE
APPLICANT MAILING ADDRESS a E-MAIL
/ Z5' &a :ne Aulie
CITY STATE ZIP �p FAX
Cerin GLIM O ��5
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 suppli\ to the iii
`as as part of this application.
SIGNATURE: ' '-" ' C _,... .-----
DATE f 7
PRINT NAME:I `Jk) CD . ell`"g/1/ -
Bulletin#100-April 14,2010 Page 1 of 3 k:\Handouts\Permit Application
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VALUE OF MECHAAICAL 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(oommemiat)
BOILERS FURNACES HOT WATER TANKS(caa)
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 fixtures to remain.
BATHTUBS for Tub/Shower combo) LAVS(Hand Sika) 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 TOTAL FIXTURES
GEY RAR 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 ❑ No
•
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENF'
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK;
GARAGE 0 CARPORT 0
OTHER(describe}
EXISTING PROPOSED TOTAL _.........
Area Totals
**1VEW HOIiS,OMY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
Area Construction #of
AREA DESCRIPTION inSquare Feet Occupancy Group(s) Type Stories Additional Information
NEW'BUILDING
ADDITION
' CO RcIAL= '" M O1H/T ANTI PROVEME S
Area Construction #of
AREA DESCRIPTION in Square Feet Occupancy Group(s) Type Stories Additional Information
TOTAL BUILD NO
TENANT AREA ONLY
PROJEICT AREA ONLY `
Bulletin#100—April 14,2010 Page 2 of 3 k:\Handouts\Permit Application