11-102486 lot
Mech.anicial
City of Federal Way • 110
Community Development Services Permit #: 11 -102486-00-ME
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: KAISER
Project Address: 2537 S 288TH ST Unit 9-2 Parcel Number: 269800 0340
Project Description: Remove/replace gas water heater
•
Owner Applicant Contractor
PAMELA J KAISER PAMELA J KAISER HAROLD'S PLUMBING
2537 S 288TH LN UNIT 2 2537 S 288TH LN UNIT 2 HAROLP*911 B3 (2/9/13)
FEDERAL WAY WA 98003-8030 FEDERAL WAY WA 98003-8030 124 W MAIN ST
AUBURN WA 98001
Addiitional Permitinforms ftb X.,t
Mechanical Valuation 2062.98
f r fu Mechanical.Fixtur.
/ L� y�Y �Ham, E �' ittk
Hot Water Tanks 1
Plumbing Fixtures
Water Heaters 1
PERMIT EXPIRES Tuesday, December 20, 2011
Permit Issued on Thursday, June 23, 2011
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
See io
Appal o61n eral Way. See Application
Owner or agent: (� I Date:
'JUN 2 3 2011 JUN 2 3 2011
Ft N ei7 V/717/f/
THIS CARD IS TMAIN ON-SITE
CITY OF Construction Inspection Record.
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT#: 11-102486-00-ME Address: 2537 S 288TH ST Unit 9-2
Project: PAMELA J KAISER FEDERAL WAY, WA 98003
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.
fl Mechanical Rough-in(4165) - fl Gas Piping(4125) Final-Mechanical (4065)
Approved Approved to release test Approved
By Date By Date By Date 7„7„,- 1/
Rough Electrical El Final ElectricalEl Right of Way
Approved Approved Approved
By Date By Date By Date
H6;'22'2�0r�11�14: 22 2063,063?9 PNI�,�UlV1C / 0 ZP� �7�I03
CITY nP'"7��"'-''M.�.r,' • at_
r Gl�- (0
Federal Way PERMIT p C tike DE EN FP
co Nfillf.FMTV Ort-f,LOPMCNT SERVICES APPLICATION
253-635-2007•FAX 25a-835•2600
SITEADTWESs ITV-L' FEDERAL W$ /
3-1- S - `'` 42-
CDSUNIT fI
PROJECT VALUATION NYN
ZOG ASSESSOR'S�/PAR(:I;I,Il �
s 06)(C)2C)2 9 7 O 0 - Q- - - 0 3 1 0
TYPE OF PERMIT . i3UILDING 7..1 PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
ITennntNnme,/rranteounerLast Name) ��� ��r"` I
PROJECT DESCRIPTION ��� - -.
Detailed description of work to t~e(?�l� _"2- h _t
be included on This permit only
NAME . .TiY PHONr:
PROPERTY OWNER 1 Ti \f 3 `Se_f LZ�J-Z`-tb-9 .2 (C'`
MAILING ADDRESS IC'MAIM. r
CITY T STATE ZIP 1S' ��w •Ot
NAME
t� E
)rol�`S P \• z5 - 833,23 3o
MAILING ADDRESS t�^ Er
MATE
CONTRACTOR EV IZ� U3 1 ` �11 �'
CITY pruaoST
c TE q P
oo► FAX
23- B33-0V*l
WA STATE CONTRACTOR'S LICENSE i) EXPIRATION DATE FEDERAL WAY BUSINES LICENSE PI
/ /
NAME I'IIONE
Pii( e,e- z1a 0- o-lib t l- (v
APPLI(`ANT///III ' ' MAILING� ADDRESS ,'`. G E-MAIL ��y ��C
11%— CITY
! o `� J�STATE ZIP ���I e'l:�ys} .
PROJECT CONTACT NAME PHONE
(The individual to receive and -
respond 10 oil correspondence
MAILING ADDRESS FiMAIL
concerning this application)
CITY STATE ZIP FAX
AI,�RII4T5 CONTACT NAME: PRONE E-MAIL.
PROJECT FINANCING NAME
i" OWNER-FINANCED
Regiire&Volae of 85,000 or more
iRCW 1.9.27,0.9.1) MAILING ADDRESS,CITY.STATE,ZIP PHONE
I Certify under penalty of perjury that I ani 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 ageirst thr 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 part of this application.
SIGNATURE; DATE t:).2-6--k
PRINT NAME: P Sgli
Bulletin#100-January 1,2011. Page 1 of 3 1c11-Ianclouts\Permit.Application
. 06/22/2011 14: 22 2068706839 PNNUMC PAGE 02/03
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VALUEOr MECHANICAL WORK $_ �L&Pile)
• (a copy of bid or estimate must be provided
lnd.icate how many of each type'of fixture to be in.statled or relocated.as port of this protect, Do not Inr,.tta.d.e existing fixtures to remain.
AIR HANI71,TNG UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDONER FIREPLACE INSERTS HOODS(commorrinl)
BOILERS FURNACES X [IOT WATER TANKS tcnv)
COMPRESSORS GAS LOG SETS REFRIGERATION SYS'.('
L—_ DUCTING _ GAS PIPING WOODSTOVES
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In.d.iCote how many of each type of fixture to be Installed or retocared as part c f this protect, Do not include existing fixtures to remain.
BATHTUBS(or'11.,h/ShowerComhol LAVS(r-Inns Sinlcal TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMSDISHWASHERS URINALS OTI-IICR(Describe)
i (DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS Ilotcltcn/Uubty) WATER HEATERS(Lrlecirle)
HOSE BLEBS SUMPS WASHING,MACHINES
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CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
$
r;7IISTING/PREVIOUS USE LOT SIZE(In Square,Foot) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No ❑Yes ❑ No
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AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
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FIRST FLOOR(or Mobile Home) •
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COVERED ENTRY
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GARAGE 0 CARPORT 0
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t:SI8T3R0 I'ROI'OBICD TOTAL
Area Totals
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Area Construction it of
AREA Occupancy Group(s) Additional Informationn careFeet e Stories
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Ann:ITION
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AREA DESCRIPTION Area Occupancy Group(R) Construction #of Additional Information
in Square Feet Type Stories
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TENANT AESA ONLY
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P,ullelin#100-January 1,2011 Page 2 of 3 k:\Handouts\Permit Application