14-104342Wcl nicai
Community & Eccon.Dayay
. Services Permit #: 14 -104342 -00 -ME
33325 8th Ave S FILE
Federal Way, WA 98003 Inspection Request Line: (2
53) (253) 835-2607 Fax (253) 835-2609 tit q (53j 835050
Project Name: AMIJKUNE g- "57&3
Project Address: 35629 18TH AVE SW Parcel Number: 3065610030
Project Description: REMOVE AND REPLACE GAS WATER HEATER IN THE SAME LOCATION
Owner
A9RL"st;i�
Contractor
MOSES D AMUKUNE
JESSICA VARON
FAST WATER HEATER CO (GENERAL)
3562918TH AVE SW
FAST WATER HEATER COMPANY
FASTWWH948BC (1/4/16)
FEDERAL WAY WA 98023
11715 NORTH CREEK PKWY
11715 NORTH CREEK PARKWAY S
BOTHELL WA 98011
BOTHELL WA 98011
y , Additional Permit infoiination
Is this an Online or O.T.C. application? ................. es
Mechanical Fury
Hot Water Tanks ........................... 1
PERMIT EXPIRES Saturday, February 21, 2015
Permit Issued on Monday, August 25, 2014
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:
k
CITY OF 4101&
Federal Way
PERMIT #:
THIS CARD IS TO MAIN ON-SITE
Construction In ection Record
INSPECTION REQ TS: (253) 835-3050
14 -104342 -00 -ME Address: 35629 18TH AVE SW
Project: MOSES D AMUKUNE FEDERAL WAY, WA 98023-7275
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 Roul
Approved
By Date
Gas Pip—in—g—(41-2f,
Approved to release test
By Date
Approved
By �\ r, Date
Rough Electrical
Approved
Final Electrical
1:1Right
of Way
Approved
Approved
By
Date
By
Date
By
Date
Nov 21 12 07:47p Rell's Refrigeration, AC
RECEIVED* PERMIT
COMMUNITY 1)EVG1AYMFNTSERWCE9 2'7 202APPLICATION
258 R95-2807• FAX 7_5.9 R4 MY)
1:1tY OF FEDERAL WAY
rnS
206 592 0179 p.2
SF MF CO ME PL DE EN FP
POO
SITE ADDRESS
SUITEMNIT Y
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL Y
W
TYPE OF PERMIT
El BUILDING D PLUMBING ^mBCHANICAL
L-3 DEMOLITION ❑ ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenara Name/Flomeourner Last Name)
PROJECT DESCRIPTION
Detailed description of u.ork to
be included on this permit only
PROPERTY OWNER
NAME
;.
PROMRY MONK -
r
G ADDRESS C � J
CI
( (� r v C \�l�
AT18I
/tet-•
[ J `
CONTRACTOR
1 II /
F -MAIL Q0
Vv lis j'� l i j�-
erre P-•
srwaa
np
1'F�ONTR.'-=92'6 uFrsFi Y _ �
RA
USINESS LICENSE Y
APPLICANT
;CQ,,A D ID
y
to , (X l 2z
E•etAn,
Cl'1'Y
ZIP
Old
FAS
PROJECT CONTACT
+ ^ l 1
r'� �� ' 1 sit
PRONE)
(The individual to receive and
T U "�
respond to all correspondence
MAUMG ADDRESS
E-MAIL
concerning this application/
CITY STATE ZIP
FAS
ALTERNATE CONTACT NAME: PHONZ
E-MAn
PROJECT FINANCING
NAME
Required 0a1De of 55.000 or more
�] OWNER -FINANCED
(RCW 19.27.0951
MAII.ING ADDRESS. CITY. STATE, ZIP
PRONE
I certM under penalty ofperjury that I am the property owner or authorized
I m ledge, the Wormation submitted in support of this permit certify thatomp� hitt
l H know agent of the property Domer. I
application is true and correct. I oeK{Jy that I
will
all applicable City of pederal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
L-uance of this permit does not remove the owner's responsibility for compliance
with local. state, or federal laws regulating
construction or environmental laws.
the investigation and gee hold ha fess the City of.Fiederal Way as to any claim (Including costs, expenses, and attorneys'fees, incurred in
delaesuch claim), which may be made 69 any person, inelt/dirlg the undersigned,
rinse
and jged 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
Wormation supplied to the city as apart of this application.
SIGNATURE:G .�..
DATE
PRINT NAME: r 1 (' r -
Bulletin #100 -January 1, 2011 Page I of 3 k:\HandoutslPermit Application
Nov 21 12 07:47p Rell's Refrigeration, RC 206 592 0179 p.3
VALUE OF MECtfAMCAL WORX .�
i '
Indicate how man ojeach ty e o la copy of bid or estimate must be provided)
fftxttue to be installed or relncatecl as part ofbxLq
AIR HANDLWG
UNrTS
FANS
oject Do not include erLstin
pr911Xtru'es to remain.
AIR CONDITIONER
FIREPLACE INSERTSwiz,
PIPE OUTLET'S OTHER (Describe)
BOILERS
FURNACES
A
HOODS ic___wl
COMPRESSORS
GAS SETS
HOT WATER TANKS ic_l
DUCTING
GAS PIPING
REFRIGERATION SYST
WOODSTOVES
Indicate haw many of each type of j'crture
T'l,l'i09i53.`4� @' 4�s'I.'i,ls(y
m be .
Installed
or relocated as part ofthis project Do not Include exis "
BATHTUBS Tor r,b/sno—r combo) fixtzwes to remain.
IAIN
DISHWASHERS
DRAWS
AT R SMond
RAINWATER SYSTEMS
T 0[LETS
WATER PIPING
URINALS
DRINKING FOUNTAINSHOSE
SHOWERS
OTHER (Describe)
VACUUM BREAKERS
1311319S
�t�" /uuwyl
SUMPS
WATER HEATERS RS (Dectiycl
WASHING MACHINES ---TOTAL mu
CRn7CAL AREAS ON PROPERTY? $i`l�fllf'�:'C �' i(i;�•
WATER PTJRVEYOR
SEWER PURVEYOR VALUE OF EZIHIIlYG Dp'RO
SXLVMG/PREVIOUS VSEd.
LOT SIZE an Sgaare Feri) E=
ST -C- FIRE SPM ---R STSTEM7 PR
VPOSED FIREYes o No soPPREssroN sYSTEss7
Yes 0 No
AREA DESCRIPTION (in square feet)
AS
FIRST FLOOR (or Mobtle Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE 0 CARPORT ❑
OTHER (describe)
Area Totals
NF:w OR ADDITION
MSTMVC' PROPOSED TOTAL
AREA DESCWPTIon AreaTR N
In Feet Occupancy Groups) Construction # of
Naw BUH'DwG Stole
ADDTT'IOIP
sti
RifAITOD ?L/I ENANT L'%11'sR0 E:N'1E'tiTS
AREA DPSCRIPTZON Area
In Feet Occupancy Groups) Construction # of
TOT— BUn.DING Stories
TENANT AREA ONLY
PROJECT AREA ONLY
FOR OFFZCE USE
Additional Information
Additional Information
Bulletin #100 —January 1, 2011
Page 2 of 3
k.\Handouts\Permit Application