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12-100107' City of Federal Way Community & Econ. Dev. Services 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835-2607 Fax: (253) 835-2609 Project Name: BRUELL Project Address: 30008 23RD AVE SW Project Description: Replace gas hot water tank. 0 Miechanical Permit #: 12 -100107 -00 -ME Inspection Request Line: (253) 835-3050 Parcel Number: 012103 9087 Owner Applicant Contractor DAVID BRUELL WASHINGTON CORROSION SRVC INC WASHINGTON CORROSION SRVC INC JANICE BRUELL 1425 BLAINE AVE NE WASHICS055KC (5/4/12) 30008 23RD AVE SW RENTON WA 98056-2774 1425 BLAINE AVE NE FEDERAL WAY WA 98023 RENTON WA 98056-2774 Additional Permit Information Mechanical Valuation............................................995 Is this an Online or O.T.C. application? ................. Yes Hot Water Tanks ............................ 1 PERMIT EXPIRES Saturday, July 7, 2012 Permit Issued on Monday, January 9, 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 n cordance with the laws, rules and regulations of the State of Washington an a ity ofral Way. c� Owner or agent: Date: Z- FINgtLQb 3I.;qtZ CITY OF Federal Way PERMIT # • THIS CARD IS TO REMAIN ON-SITE J. Construction I4ection Record INSPECTION REQUESTS: (253) 835-3050 12 -100107 -00 -ME Address: 30008 23RD AVE SW Project: DAVID BRUELL FEDERAL WAY, WA 98023-2309 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 Date By Date By Date3 0/��_ ❑ Rough Electrical Approved E]Final Electrical Approved Right of Way Approved By Date By Date By Date Federal Way COMMUNITY DEVELOPMENT SERVICES 253-835-2607• FAX 253-835-2609 wu mw. dt uoffede mt wau. Mjn / a_-L0_�2_ 61 7 *PERMIT R EAIVER PL DE EN FP APPLICATION l'' JAN 0 9 20 ..Y-r.i ^p aCnr-QAL WAY SITE ADDRESS CDS SUITE/UNIT ! t oo tA Ste' PROJECT VALUATION ZONING ASSESSOR'S TAR/PARCEL ii o TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING-a-VIECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT (Tenant Name/Homeowner Last Name) 6Q LM PROJECT DESCRIPTION Detailed description of work to be included on this permit only PROPERTY OWNER NAME i7 -\j uo PRIMARY PHONE (e 7, Ll MAILING ADDRESS •'.76f�Q� ��'� �'g'Vl� SLtI E-MAIL CITY , I ��m. �� STATE � zIp 9,� a 3"Z NAME l,v faS t >a • oYU'WSl %j Svc_ PHONE , MAILING ADDRESS 4 L Y� (_ A, A'C 16-11m ^'Ile E-MAIL CONTRACTOR CITY STATE ZIP /�� FAX WA STATE CONTRACTOR'S LICENSE X EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE N NAME PHONE- J APPLICANT MAILING ADDRESS oto �' �C�t -� CA Sc E-MAIL CITY.n `� STATE U ZIP � � `J �j � FAX PROJECT CONTACT NAME"5� � w ec (/v� ,V PHONE (The individual to receive and MAILING ADDRESS E-MAIL respond to all correspondence concerning this application) CITY STATE ZIP FAX ALTERNATE CONTACT NAME: PHONE E-MAIL PROJECT FINANCING NAME ❑ OWNER -FINANCED Required value of $5,000 or more " MAILING ADDRES , 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 the city as apart of this application. SIGNATURE: DATE iJw t PRINT NAME: Bulletin 4100 -January 1, 201 1 Pagel of 3 k:AHandouts\Permit Application F-11 0 qF PLU1NIB NG FIYTURES tndicute how many of each type of future to be installed or relocated as part of this project. Do not include existing futures to remain. BATHTUBS (or Tub/shower Combo) LAVS )Hand Sinks) TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe) DRAINS SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS SINKS (Kitchen/utdity) WATER HEATERS (Electric) HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES GENF-RAI, INFORMATION MECHANICAL FIXTURES WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS # of Stories Additional Information NEW BUILDING VALM OFMECIIAWCAL WORK / (a copy of bid or estimate must be provided) EXISTING FIRE SPRINKLER SYSTEM? Indicate how many of each type of f xture 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 (Deseiribe) AIR CONDITIONER FIREPLACE INSERTS GODS (commercial) HOT COMMERCIAL -- :;moDELJTENANT I-NIPROVEMENTs BOILERS FURNACES WATER TANKS (Gas) Area in Square Feet COMPRESSORS GAS LOG SETS REFRIGERATION SYST # of Stories DUCTING GAS PIPING WOODSTOVES PLU1NIB NG FIYTURES tndicute how many of each type of future to be installed or relocated as part of this project. Do not include existing futures to remain. BATHTUBS (or Tub/shower Combo) LAVS )Hand Sinks) TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe) DRAINS SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS SINKS (Kitchen/utdity) WATER HEATERS (Electric) HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES GENF-RAI, INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS # of Stories Additional Information NEW BUILDING EXISTING/ PREVIOUS USE LOT SIZE (In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? ADDITION I ❑ Yes ❑ No ❑ Yes ❑ No RESIDENML NEW OR ADDITIOiti AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE ,, --- _.... _.._..._ ............... — — 'BASEMENT � `� ' FIRST FLOOR (or Mobile Home) SECOND FLOOR COVERED ENTRY DECK GARAGE ❑ CARPORT ❑ t,OTHER (describe) EXISTING PROPOSED TOTAL Area Totals "NEW SONES ONLY" ESTIMATED SELLING PRICE $ # OF BEDROOMS C OMNIFRCIAL — NF-w/ADDITION AREA DESCRIPTION Area in Square Feet Occupancy Group(s) Construction Type # of Stories Additional Information NEW BUILDING ADDITION I COMMERCIAL -- :;moDELJTENANT I-NIPROVEMENTs AREA DESCRIPTION Area in Square Feet Occupancy Group(s) Construction a # of Stories Additional Information TOT. -',L BUILDING TENANT AREA ONLY i PROJECT AREA ONLY Bulletin #100— January], 2011 Page 2 of 3 k:\Handouts\Permit Application