12-100277City of Federal Way Mechanical
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Community& Econ. Dev. Services Permit #: 12 -100277 -00 -ME
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Line: 253 835-3050
Ph: (253) 835-2607 Fax: (253) 835-2609 p q
Project Name: DOYEA
Project Address: 32921 4TH AVE SW Parcel Number: 926491 0530
Project Description: Replacing a gas water heater
Owner
Applicant
Contractor
ALPHIE V DOYEA
WASHINGTON CORROSION SRVC INC
WASHINGTON CORROSION SRVC INC
32921 4TH AVE SW
1425 BLAINE AVE NE
WASHICS055KC (5/4/12)
FEDERAL WAY WA 98023-6102
RENTON WA 98056-2774
1425 BLAINE AVE NE
RENTON WA 98056-2774
low
Mechanical Valuation............................................438 Is this an Online or O.T.0 application? ................. Yes
Q01 ON
Hot Water Tanks ............................ 1
PERMIT EXPIRES Saturday, July 21, 2012
Permit Issued on Monday, January 23, 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:
eleo/ice
CITY OF
Federal Way
THIS CARD IS TO ,MAIN ON-SITE
� Construction I ection Record
INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 12 -100277 -00 -ME
Address: 32921 4TH AVE SW
Project: ALPHIE V DOYEA FEDERAL WAY, WA 98023-6102
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
p Approved �9
;, "
By
Date
By
Date
By Date
Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
CITY of
Federal Way
C01iM1IU ITY DEITLOPMENT SERI'ICES
253-835-2607- F.Lt 253-835-2609
OPERNMEIVED
APPLICAT�(?;T.:,
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S F CO 6) PL DE EN FP
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SITE ADDRESSj \ CD S
SUITE/UNIT #
`
Q PRO/JECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING MECHANICAL
/❑
❑ DEMOLITION ❑ ENGINEERING FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
Al
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PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
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MAILING DRESS � j .�_ I�
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E-MAIL
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STATE
ZIP....
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PHONE
MAKING ADD SS
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E-MAIL
CONTRACTOR
I
TATE
ZIF ,
FAX
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WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
N E
r"
PHONE
MAILING ADDRESS
E-MAIL
APPLICANT
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAME
s
PHONE
(The individual to receive and
L..�
MAILING ADD S
/ ,
E-MAIL
respond to all correspondence
concerning this application)
y
I ``� �%� ' t i .'�_ •�--
TY
ST1A,Tl,!N�
t �:
ZIP
FAX
ALTERNATE CONTACT NAME:
PHONE
E-MAIL
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value of $5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RC'W 19.27.0951
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with Iocal, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in
the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied t e i ty as a part of this application.
`
SIGNATURE. DATE
PRINT NAME:
Bulletin #100- January 1, 2011 Page] of 3 k:UHandouts\Permit Application
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i i,
VALUE OF MECHANICAL WORK r$ (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)comoecc;ati)
BOILERS FURNACES HOT WATER TANKS Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
Indicate how many of each typo
BATHTUBS dot Tub/Sn.—, umbo)
DISHWASHERS
_ DRAINS
_ DRINKING FOUNTAINS
HOSE BIBBS
to be installed or relocated as
LAVS (Hand Sinks) _
RAINWATER SYSTEMS _
SHOWERS _
SINKS (Kitchen/Utility) _
SUMPS
CRITICAL AREAS ON PROPERTY? I WATER PURVEYOR
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
f this project. Do not it
TOILETS
URINALS
VACUUM BREAKERS
WATER HEATERS (Electric)
WASHING MACHINES
SEWER PURVEYOR I VALUE OF EXISTING
EXISTING FIRE SPRINKLER SYSTEM? I PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No []Yes o No
Bulletin 4100—.Ianuary 1, 2011 Page 2 of 3 kiAHandouts\Permit Application