12-100910City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
•
Mecfianical
Permit #: 12 -100910 -00 -ME
Inspection Request Line: (253) 835-3050
Project Name: LUNA "1'1
Project Address: 2721 SW 345TH PL Parcel Number: 011460 0220
Project Description: Replacing gas water heater
Owner
Applicant
Contractor
FRANCISCO R LUNA
WASHINGTON CORROSION SRVC INC
WASHINGTON CORROSION SRVC INC
CRYSTAL PADILLA LUNA
1425 BLAINE AVE NE
WASHICS055KC (5/4/12)
2721 SW 345TH PL
RENTON WA 98056-2774
1425 BLAINE AVE NE
FEDERAL WAY WA 98023-3024
RENTON WA 98056-2774
Additional Permit Information
Mechanical Valuation............................................1100 Is this an Online or O.T.C. application? ................. Yes
Mechanical Fixtures
Hot Water Tanks ...........................
PERMIT EXPIRES Sunday, August 26, 2012
Permit Issued on Tuesday, February 28, 2012
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
and the City of Federal Way.
Owner or agent: Date:
4 Q-'-"szi co/(t4 /W
Circ of
Federal Way
PERMIT #:
Project:
THIS CARD IS TOMAIN ON-SITE
Construction In ection Record
INSPECTION REQUE TS: (253) 835-3050
12 -100910 -00 -ME Address: 2721 SW 345TH PL
FRANCISCO R LUNA FEDERAL WAY, WA 98023-3024
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)
Gas Piping (4125)
Final - Mechanical (4065)
Approved
Approved to release test
Approved
By C` Date L ` Y t
By Date
By C4Date k.
EJ
Rough Electrical
Approved
Final Electrical
Approved
Right of Way —�
Approved
By
Date
By
Date
By
Date
FQAeralv4.1t:CF,�iEUPERMIT
COMMUNITY DEVELOPMENT E S A)PP L I C A T I O N
i1
253-835-2607• FAX 253-835-2609 T �
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_ r_oD,►_WAY
SF MF CO ME PL DE EN FP
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SITE ADDRESS
D
SUITE/UNIT #
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
$ l �D0 OP
_
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING I MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
r
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
(J/� !�
PRIMARY PHONE
26;�p .
MAILING7Al2PRESS `
/�
E-MAIL
{ � L
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PTIE
M� LING ADDRESS+J
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E-MAIL
CONTRACTOR
C
S A E
ZIP
I Lb o S --'L
FAX
A STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
4
FEDERAL WAY BUSINESS LICENSE #
1
NAA
b
PHONE
APPLICANT
LING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
PROJECT CONTACT
N
C. k--)
P1V9NE
`"("Zs
(The individual to receive and
gA.,
bWLING ADD S I
�) f
E-MAIL
respond to all correspondence
conceming this application)
TAT
Z �)
FAX
ALTERNATE CONTACT NAME:
PHONE
E-MAIL
PROJECT FINANCING
NAME
❑ OWNER -FINANCED
Required value of $5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27.095)
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 city as a part of this application.
✓I
—2 2 1 c�
SIGNATURE:
c/` DATE
PRINT NAME:
Bulletin #100— January 1, 2011 Pagel of 3 k:`,Handouts\Perrnit Application
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 (-Tub/Shower combo)
LAVS (Hand sinks(
TOILETS WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS IKuchen/utitityl
WATER HEATERS (Ei rtrw(
HOSE BIBBS
SUMPS
WASHING MACHINES TOTAL FIXTURES s'
CRITICAL AREAS ON PROPERTY? I WATER PURVEYOR
EXISTING/ PREVIOUS USE LOT SIZE (In Square Feetl
SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
r -i Yes ❑ No ❑ Yes No
ADDITION
Area
IE 'f
Construction
# of
�IR,
x ....
Occupancy Group(s)
DI) IT.IoN"
Additional Information
AREA DESCRIPTION
Area
a
Construction # of
Occupancy Group(s)
Additional Information
z *n
in Square Feet
F,
Type Stories
M
NEW BUILDING
r
ADDITION
Bulletin #100 — January 1, 2011
Page 2 of 3
k:\Handouts\Permit Application
Area
Construction
# of
AREA DESCRIPTION
Occupancy Group(s)
Additional Information
in Square Feet
a
Stories
z *n
f NO a Am
F,
M
TENANT AREA ONLY
-'AREAONLY
P o
)
r:
KIM ME
Bulletin #100 — January 1, 2011
Page 2 of 3
k:\Handouts\Permit Application