04-100786Cit; -4)f Federal, Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Mechanical Permit #:04 -100786 - 00 - ME
Inspection request line: 253.835.3050
Project Name: JONES 0
Project Address: 3119 SW 319TH Unit14 Parcel Number: 698000 0140
Project Description: Replacing existing GAS water heater
Owner
Applicant
Contractor
Julie E Jones
WASHINGTON WATER HEATERS INC
WASHINGTON WATER HEATERS INC
3119 SW 319TH PLACE BU #
8714 59TH DR NE
8714 59TH DR NE
FEDERAL WAY WA
MARYSVILLE WA 98270
MARYSVILLE WA 98270
98023
(360)653-6429
Mechanical Valuation..........................................500 Over the Counter Permit ...................................... Yes
PERMIT EXPIRES September 1, 2004.
Permit issued on March 5, 2004
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:CPP /, r',r>,lins�*nr� Date:
Mechanical rough -in:
Date
FINAL MECHANICAL: nLp
ate
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"I"gr � Aa0&RAL WAY', WA 9ao63-9T18
Federal way PERMIT APPLICATIOI`�� � , 004 3�t'-4.' ' �'?y
io<ourtso,. I .FW File Number:
The fellowino is reautred Information - an_tncomplata application t.,ill not bs accepted. Please print legibly Kn inky or
SITE ADDRESS: ',X -J 3 �•�' 1 "� $ 0 2-z-> SUITE/AFT # 1 y
ASSESSOR'S TAX/PARCEL *: (t -� 5 0 a e -(1L-Ll D SQUARE FOOTAGE OF LOT:
LEGAL DESCRIPTION (ag. Aana Estates, Lot !!
(Attach separate page for Lengthy tegai descrfpticn)
TYPE OF PERWr Mis applicatioar c BUILDING ❑ PLv3mIK0 HANICAL G DEMOLITION
ELECTRICAL ❑ ENOINEZRING m FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION ,l.. isle de:aded description of ucrk mciuded on this nnf
OL LAIL
PROJECT NAME IName Of B isinees/Owner Last Namd:
PROPERTY NAME. --------------- PRIMlAAWP�NONEC',� �J
OWNER: _ _ _ (�✓J 1 C7, ` �! `
i NAUNL ADDRESS (eTREET ADDERSZ-; : ^ITY, STATE• 2IP
CONTRACTOR:
LENDER;
af v"Pe .d valla + •o'em
APPLICJ
(;Ofd)
I MAILING ADDVSS (.YIXEKI All)RESS:) CITY, STATE. ZIP I V -L— CELL PHONE' -
'6n 1-j
C TY OF FEL ERAL WAY BUSINESS LI "'8V8 NUMBER: 7EXPIRATION DATE: FAX NUMBS&
{eopy of eer4 requited with each aprudabu* i P4✓ �i -C C1 .S/ / ` / ,(J C/
NAAME
— � (DAY?fME`PHUNEr.
l l
MAIL'NC1.1aDlZS9H {a -TREE: ADDRESB:;Z!P
------
—�TATF.,
_—_
--- cum.AHY
IF
VitE: cu
M% I J FESS (STREET ADD )' C '. S:x . ZIP
_
RF.LA ONSHIP TO PROJECT:
e Architect ❑ Tenant ❑ Other (Describe).
` --
OF C PHON
��)
^'JENING PH N
-
(6r D) -
FAX NUM ER:
(� )3�5 =7115
CONTACT PERSON FOR THIS PROJECT: J Property Ownei a Contractor ppliaant -•uIL ADDREW.
BUILDINGDETAITFD • 1 •
EXISTM USE: - -- — — PROPOSED USE: --- --
EXISTING ASSESSED/APPRAISED VALUE
VALUE OF PROPOSED WORK: $
SPRINIMERED BUILDING? c YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: c YES n NO
WATER SERVICE PROVEDM- o LAKEILAVEN n HIGHLINE !.I TACOMA J PRIVATE (WELL!
SEWER SERVICE PROVIDER: 0 LAKEHAVEN c HIOHLINE 0 PRIVATE (SEPTIC)
V1: Vu' LVVY AV. LV ['A4 GJ J UU1.1140 1,,111 FMic"A L*'A1
1pJUU4
PR03ECT FLOOR AP.F,.AS '1
AREA DESCRIPTION
BASEMENT----
I zkfSTINO 8Q. FT. PROPOSEDe FT.
TOTAL
—--- _ T—.—_
FIRST
I NCAA GCAL
Value of MerJwniazl Work $
SECOND
i
AIR HANDLING UNITS _
THIRD
-
REPRIO. SYSTEMS
FOURTH
_ FAKE
—__ HOODStcommac-4
ADDITTONAL FLOORS (DESCRIBE)
i
_ FIREPLACE INSERTS
DECK. (COVERED?)
MISC (Deacr'be)
COMPRESSORS �—
FURNACES
GARAGE/CARPORT
DUCTS
CAS PIPE GU" -LB -5
HOW MANY FLOORS?rainisxirtwwn
4
—
—ToMw:M*Aaza
-rerwcs.amxncAND ;aoaoim
"NEW HOAiFS ORLY" NUMBER OF BEDROOMS: EST[MATED 81b:L ING PRICE:
ndicate. number of each type of tix.u:a Lhka is to bt installed or-elocated as pert of this project. Do not i-cclude -+-ting fixtures to reg
! ver ft tinder penarty of perjury that the ia4 formation furndshed hR ,me is true and correct to the best of ray
knowledge, and further, that F am authortted 'ay the ow, to of the above promises to perform the work for which the permit
application (a made. ifur0wr agree to hold harmiess the City of Federal Way as to any claim; (including torts, elrpenses, and
attarngMpfees incurred in the investigation and defense of such clatny, which may be made by any person, including the
undr. signed, and flied against the City q,4 Federal Way, but only where such cUsdm artses out of the reliance of the city,
including its officers and employees, upon the accuracy of true igformarion supplied to the civ as a of t/0Itcation.
NAME/TITLE: C41--�� (�-�T
� 'v_ _DATE: ��1SGJ_=1�_
4gnxttm) ;'titre►
RELATLONSEaP TO PROJECT: o Property Owner h -a— PI.Ac nt z Contractor ❑ Architect a _—
a N li o Anbibbit
ALT1i:RAT1
Bpi, V00 SIMLL XLY7
c YES :e NO..
I NCAA GCAL
Value of MerJwniazl Work $
FEW AL)DRE$S.RE VV=? :
°YES. r., NO.
AIR HANDLING UNITS _
EVAPORATIVE COO',ERB
_-- GAS LOGS
REPRIO. SYSTEMS
_ BBQS
_ FAKE
—__ HOODStcommac-4
WoobsTwm
BOILERS _
_ FIREPLACE INSERTS
_ RANGES
MISC (Deacr'be)
COMPRESSORS �—
FURNACES
_ _ (MA WATER BEATERS
DUCTS
CAS PIPE GU" -LB -5
PLUMING
BATHTUBS p: r e stn«., c>:rLo
SHOWERS
WATfiR CLOSETS
MISC (Describe)
DISEA'ASHERS
SINKS
DRINKInG FOUNT.AiIcS
GAS PIPE OUTI-EIS
8UNIFS
RAOVATER SYS
—__—_- WASHING :MACH)NES
1;R1NAL6
HOBE BIBBB
LAVE Mauxoom actc
VACUU:A BREAKERS
BLMCTRIC WATER HEATERS
! ver ft tinder penarty of perjury that the ia4 formation furndshed hR ,me is true and correct to the best of ray
knowledge, and further, that F am authortted 'ay the ow, to of the above promises to perform the work for which the permit
application (a made. ifur0wr agree to hold harmiess the City of Federal Way as to any claim; (including torts, elrpenses, and
attarngMpfees incurred in the investigation and defense of such clatny, which may be made by any person, including the
undr. signed, and flied against the City q,4 Federal Way, but only where such cUsdm artses out of the reliance of the city,
including its officers and employees, upon the accuracy of true igformarion supplied to the civ as a of t/0Itcation.
NAME/TITLE: C41--�� (�-�T
� 'v_ _DATE: ��1SGJ_=1�_
4gnxttm) ;'titre►
RELATLONSEaP TO PROJECT: o Property Owner h -a— PI.Ac nt z Contractor ❑ Architect a _—
a N li o Anbibbit
ALT1i:RAT1
Bpi, V00 SIMLL XLY7
c YES :e NO..
24NIIPQ LESIQNA�`ION
FEW AL)DRE$S.RE VV=? :
°YES. r., NO.
PLATTED W TO
C YES 'r Np—
o ASPAIxt,
vet�uc:.ra.wlr�-
CBANQk OF .U1
OF/SEPA/SU?
QEMU P%RWT
WANT l EPROVEMENT
o YES i, NO
IEz YEB. a NO .. —
a YES.. NO_
REQUIRED?.---- 7 YES G EPO.---
Elt!ir':l.l f� illl'.I-,'it!aa!•7^; 1, ?'.}t!7 Pagc 2