10-101664 • • Mechanical
City Developmentof FederaWay Permit #: 10-101664-00-M E
Community Services
P.O.Box 9718 n tr7
Federal Way,WA 98063-9718 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: CHYNOWETH
Project Address: 1327 S 291ST PL Parcel Number: 516210 0050
Project Description: Remove/replace gas water heater
Owner Applicant Contractor
RONALD A&VICKIE R CHYNOWETH WASHINGTON CORROSION SRVC INC WASHINGTON CORROSION SRVC INC
1327 S 291ST PL 1425 BLAINE AVE NE WASHICS055KC(5/4/10)
FEDERAL WAY WA RENTON WA 98056-2774 1425 BLAINE AVE NE
98003 RENTON WA 98056-2774
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Mechanical Valuation 1448 Is this an Online or O.T.C.application? Yes
k
Hot Water Tanks 1
PERMIT EXPIRES Saturday, October 23, 2010
Permit Issued on Monday, April 26, 2010
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use wi a in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Date: f
Ftp 4/ //L
THIS CARD IS TO REMAIN ON-SITE
CITY OF Construction Inspction Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 10-101664-00-ME Address: 1327 S 291ST PL
Owner: RONALD A & VICKIE R CHYNOWE FEDERAL WAY, WA 98003-3778
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.
❑ Mechanical Rough-in(4165) CI Gas Piping (4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By G; j Date 4• z`2_ L o
❑ Rough Electrical ® Final Electrical 111 Right of Way
Approved Approved Approved
By Date By Date By Date
/ oi6GI
•PERMIT
Federal Wa MF' CO ME PL DE EN FP
APPLICATION ED
CoMMUNITY DEVELOPMENT SERVICES
253-8.35-2607•FAX 253-835-2609 ^�
e,ue.eiu:c;cderatira cent
0')( APR 2 6 zu'J
SITE ADDRESS
9_9 i i PL• -a."-c- 6;,11Pe0F F`^ c Il WAY
$ PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
"'��
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING MECHANICAL
❑ DEMOLITION ❑ ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
PROJECT DESCRIPTION ����YwLn` l '(L l-I"l�PfC
Detailed description of work to
be included on this permit only
_
NAME PRIMARY PHONE
PROPERTY OWNER ^ ,� �( f� C�t- Na tA�p 6.' `
MAILING ADDRESSE-MAIL
1 S 2-1 1 ��r
CITY STATE ZIP
c 11/14-k. Ltf -1 cit - Cj`s Dog
NAME - - PHONE
:r,-1 N b-1-G C-61,4-10S j ON? - I
' j
�
MAILING ADDRESS E-MAIL
CONTRACTOR �� A
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE 8 EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE 8
NAMEPHONE
/-f 010 LL.y ' (s
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP -w FAX
•
PROJECT CONTACT NAME PHONE
(The individual to receive and61
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 91"
(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 as a p jrt of this app tion. '
SIGNATURE: ,� � DATE r t C�
PRINT NAME: -t*L? 4J t
Bulletin#100-April 14,2010 Page 1 of 3 k:\1-Iandouts\Pennit Application
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VALUE OF MECHANICAL WORK $ I ` (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(commeroeq
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 ect. Do not include existing fixtures to remain.
BATHTUBS(or'rub/shower combo) LAVS(Head stake) T TS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Hitchen/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 ❑ No
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AREA DESCRIP ON(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
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COVERED ENTRY
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GARAGE 0 CARPORT 0
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EXISTING PROPOSED TOTAL
Area Totals
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ESTIMATED SELLING PRICE$ #OF BEDROOMS
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Construction #of
AREA DESCRIPTION Area Occupancy Groups) Additional Information
in Square Feet Type Stories
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Construction # of
AREA DESCRI ION Area Occupancy Group(s) Additional Information
in Square Feet Type Stories
TENANT AREA ONLY
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Bulletin#100–April 14,2010 Page 2 of 3 k:\Handouts\Permit Application