The URL can be used to link to this page

08-101858 City of Federal Way • Mechanical Permit #1118-101858-00-ME Community Development 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: DICKSON SR. Project Address: 35339 13TH PL SVt ' iiiik,1 . 02860 0320 Project Description: Installed water heater in existing location of old water hea • Owner Applicant C. , MELVIN J DICKSON JR AFFORDABLE GAS SERVICE , •FFORDAB A SERVICE SUDARAT T DICKSON SR 4864 NE SHELTERED BAY LN AFF• " ..13 3/23/09 35339 13TH PL SW HANSVILLE WA 98 ti 4: HELTE D BAY LN FEDERAL WAY WA 98023-6945 ANS L 95340 j Additional ermit Inform- •n Mechanical Valuation 1 • ` Over ounter P Yes M. ` :1Fi Furnaces....... 1 Hot , a 1 )- PI' S Wednesday, April 21, 2010 ' ued on Monday,April 21, 2008 I her fy tha\ve ®rseemation is correct and that the construction on the above described property and p cy ae wi •e in accordance with the laws,rules and regulations of the State of Washintgton ant)The Ci y;of 1=ederal'Way. Ow gent: Date: See " PpIicat'•. 1"I" �Qn [APR 212000 :APR 2 .1 2008 A:,,,, , c .A Y - s THIS CARD IS T*MAIN ON-SITE CITY OF m �'`- Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 08-101858-00-ME Owner: MELVIN J DICKSON JR Address: 35339 13TH PL SW FEDERAL WAY, WA 98023-6945 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. 0 Mechanical Rough-in (4165) ❑ Gas Piping(4125) ❑ Final-Mechanical(4065) Approved Approved to release test Approved By Date By Date BYO_ .W Date 5-11-6 se • For inspector reference only __ __ 0 Rough Electrical 0 FINAL-Electrical Approved Approved By Date By Date jCOMMUNITY©EVE OPNIEIVTDEPARTMENT - cJ Federal C Federal Way ? RM IT F *' �F�: COMMUMTY DEVELOPMENT SERVICES APR 1 8 200 {:x^. `= ;.MF CO EL PL DE EN FP 333258^'AVENUE253-835-260A SO[IIH•POBOX97I8 APPLICATION.:4R I ;�'Q / / FEDERAL X 8063-260 WAY,FAX 253- 835-2609 (� www.cityoffederalway.com The following is required information-an incomplete application velerbitie,;; . h -" - Vase print legibly en ink)or type. t • PROPERTY INFORMATION SITE ADDRESS_ 5 5 .).-k 13 Pt_ . LSt+ID ' SUITE/UNIT# ASSESSOR'S TAX/PARCEL# 0 o-2 X (to 0_- (a 3_.Q LOT SIZE(sf) 3F LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) Attach separate page for lengthy legal description) MI PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING 0 PLUMBING 'MECHANICAL 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provid_e detailed (description of work included on this permit onlu) (� tt,;...3 4.6,-„, ot ok...Q lA7'AXO.t, ..pLIZ PROJECT NAME(Name of Business or Owner Last Name) • PEOPLE INFORMATION PROPERTY NAME PRIMARY PHONE OWNER 1 TreSe. 1c (� io n (ado) (05c -8$. .6 MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS _36 acA t'2.;t4'`- pi . sw F-eaero`tWa y WA g$Od3 N/A CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE A h( Gym &tr-vi V(c-k %et, t(Ve1et*t (36b) (03$ -009( MAILING ADDRESS igit.N � �wCITY,STATE,ZIP CELL PHONE `i%Lk Shelk-ere.� ` ne_ ta4n ,Of WA 9$Nq p ( ) - CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER a'0 ^ a3-1oa8bt0 —ND—i,L salai a g (303)6S - 00e13- CONTRACTOR'S REGISTRATION NUMBER ON DATE E-MAIL ADDRESS 14-r--r-o it cl--S "13 V b 3 3/Q 3(o, z-cis evvo.n E3 Msnl APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE ciii PSc ccs .41-s,'v(c'e \t c [Mt :IP MCCI1C"n (Sigh ) b38 -0 0 9 I CELL PHONE `k%(4 N%aS eUreredJ Lctir\z 1 t\Sv‘1ieIW1�GM346 ( ) - RELATIONSHIP TO PROJECT' FAX NUMBER o Architect ❑Tenant 0 Agent $-Other 04:1M(t4 O&Sk• (366 )(z8 -oo cla PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS CONTACT f'I cA-pr-jame. m C(q. (,,1 (3(flb)foM -©O vt( Zzi cl,SrnO.14 MSN) LENDER NAME Per RCW 19.27.095: Lender information is required if project value exceeds$5,000 MAILING ADDRESS CITY,STATE,ZIP PHONE ( ) - • DETAILED BUILDING INFORMATION EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES 0 NO WATER SERVICE PROVIDER ❑LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑HIS' 0 PRIVATE(SEPTIC) f• `} • 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 0 UNCOVERED?) GARAGE 0 CARPORT 0 NUMBER OF FLOORS EXISTh o PROPOSEDTOTAL TOTALS ISTWO SP TOTAL PROPOS®SF WTAL 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 InclurdP existing fixtures to remain. MECHANICAL Valli,.of Mechanical Work$ (I 31:Zat).C1 0 (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION) AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLICIS WOODSTOVES BBQS FANS I GAS WATER HEATERS MISC(Describe) BOILERS FIREPLACE INSERTS HOODS(commercial) COMPRESSORS I FURNACES RANGES DUCTS GAS LOG S1:1S REFRIG,SYSI'I✓MS PLUMBING BATHTUBS(or Tub/Shower Combo) IAVS(Bathroom Sinks) URINALS MISC(Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS WATER CLOSETS(ibuo) 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 inlformation 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. which may be made by any person, including the undersigned, and filed against the city, but only where such claim ,, ' out of the reliance of the ,including its officers and employees,upon the accuracy of the Information supplied to the city as a part , this_ , ., ., SIGNATURE: is_ I C DATEj/0(Op Property Owner and/or Authorized Agent FOR OFFICE USE ONLY o NEW o ADDITION a ALTERATION o REPAIR o TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES ❑NO BASIC PLAN? o YES ❑NO ZONING DESIGNATION CHANGE OF USE? ❑YES o NO NEW ADDRESS REQUIRED? o YES ❑NO UP/SEPA/SU? o YES o NO PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? ❑YES o NO Bulletin#100—January 1,2008 Page 2 of 4 k\HandoutsTermit Application