04-101917City of Federal Way
Comnnmity Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
1
Mechanical Permit #:04 - 101917 - 00 - ME
Inspection request line: 253.835.3050
Project Name: LONNING e
Project Address: 30045 30TI SW Parcel Number: 416710 0260
Project Description: Replace gas hot water tank.
Owner
Applicant
Contractor
Lester Lonning
STERNOD ROOTER & PLUMBING SERVICE
STERNOD ROOTER & PLUMBING SERVICE
30045 30TH AVE SW
13825 13TH AVE CT E
13825 13TH AVE CT E
FEDERAL WAY WA
TACOMA WA 98445
TACOMA WA 98445
98023-2372
(253) 460-3392
Mechanical Valuation..........................................715.94 Over the Counter Permit ...................................... Yes
PERMIT EXPIRES November 13, 2004.
Permit issued on May 17, 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. �t
Owner or agent: See ADplie-atinia
Date: S ` ( % - o W
t
14
THIS CARD IS TO REMAIN ON SITE
CITY o1 �►,�,,,, l COMMUNITY DEVELOPMENT INSPECTION
Federal Way IVR INSPECTION REQUEST PHONEI# (253) 835-3050
PERMIT #: O q - 10 191-7-M -H PROJECT NAME: LOK 141'14 c,
❑ TEMP. EROSION CONTROL (4365)
❑ FOOTING/SETBACKS (4110)
❑ FOUNDATION WALLS (4115)
To be done prior to breaking ground
Approved to place concrete
Approved to place concrete
By Date
By Date
By Date
❑ DRAINAGE/DOWNSPOUT (4040)
❑ RE -STEEL (+ yIa
❑ GROUNDWORK PLUMBING (4190)
Approved to backfill
Approved to place concrete or grout
Approved to cover
By Date
By Date
By Date
❑ SLAB ON -GRADE (4255)
❑ UNDERFLOOR (4285)
❑ FLOOR SHEATHING (4105)
Approved to place concrete
Approved to sheath floor
Approved to install flooring
By Date
By Date
B Date
❑ SHEAR WALLS (4245)
❑ ROOF SHEATHING (4220)
❑ ELECTRICAL ROUGH -IN (4225)
Approved to install siding
:1
Approved to install roofing
Approved
B Date
By Date
Bx Date
❑ PLUMBING ROUGH -IN (4230)
❑ MECHANICAL ROUGH -IN (4165)
❑ GAS PIPING ROUGH -IN (4125)
Approved
Approved
Approved to release test
By Date
By Date
By Date
❑ FIRE STOPPING (4095)
Approved
NOTE:
Prior to framing inspection, all rough -in &
❑ FRAMING (4120)
Approved to insulate
firestopping sign -offs must be approved..
21 Date
IBC 109.3.4 / UBC 108.5.4
B Date
❑ INSULATION (4150)
❑ GYP. WALLBOARD NAILING (4130)
❑ SUSPENDED CEILING GRID (4265)
Approved to install wallboard
Approved to mud & tape
Approved to drop tile
By Date
By Date
By Date
❑ FINAL- FIRE (4060)
❑ FINAL- PLANNING (4070)
❑ FINAL- PUBLIC WORKS (4080)
Approved
Approved
Approved
By Date
By Date
By Date
❑ FINAL- S.W.M (4375)
❑ FINAL- ELECTRICAL (4090)
❑ FINAL- BUILDING (4050)
Approved
Approved
Approved
BI Date
By Date
By Date / 7'
't RECEIVED BY �q�t
49 COMMUNITY DEVELOPMENT DEPARTMENT
r — — If.-- , wA YOVW-V/Itl
Federal wA fWay PERMIT APPLICATION MAY 7 200r-'.'14115•FAX:253.6614129
wwiu. uluu(f (X, 25 -6614
Fw OUse Only: /� — �j TD:
Qice
FW File Number: L ( V LL 14 L
The following is
- an incomplete application will not be accepted. Please
SITE ADDRESS: -: -00 5 - MJljW SUITE/APT #
ASSESSOR'S TAX/PARCEL #: '1 L b -1 10 - Q 2-&2 Q SQUARE FOOTAGE OF LOT:
or
LEGAL DESCRIPTION (eg: Acme Estates, Lot 1) LAV -0f,& IN V -,4-Z• P -3i— I I L --T- ( o- l
(Attach separate page for lengthy legal description)
PROJECTINFORMATION
TYPE OF PERMIT (This application): Q BUILDING LUMBING MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ NGINEERING FIRE PREVENTION SYSTEM
PR(O�J�ECCT' DAES,C'RIIPTION (Provide detailed description of work included on this permit onluh•
PROJECT
PROPERTY
OWNER:
CONTRACTOR:
0
LENDER:
(If P—po—d Vdae > $5,0001
APPLICANT:
Owner Last
NAME:
COMPANY
PR1MARY P'ONE:
1(26}}06i2-7-CnU
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MAILINGADDRESS (STREET ADDRESS;):'
DDRESS;):
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CITY, STATE, ZIP A q
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(n : � /ZlO� W�. � ICJ443
/EVENING
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RELATIONSHIP TO PROJECT:
❑ Architect Q Tenant
ther (Describe), --
FAX NUMBER:
(253) 47& - 22q I
NA�MEI -�.' ,��7,•�/�� , `,�,,
✓`�1W�� f�JCJ1 � 1 �- PA
COMPANY L' ��
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/O-F�FIICCE�PHONE:
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-
MAILING ADDRESS (STREET ADDRESS/):
CITY. ST E, ZIP jj��
CELL PHONE-
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
Z Q- U Q Z- i
EXPIRATION DATE:
12
FAX NUMBER:
CONTRACTORS REGISTRATION NUMBER:
C
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6- 0 0- `e
EXPIRATION DATE:
07/1(4.7
card (copy of cd required with each application) J
( Wl
NAME: DAYTIME PHONE-
(
MAILING ADDRESS (STREET ADDRESS;): CITY, STATE, ZIP
NAME:
c
COMPANY
OFFICE PHONE:
(2-62J 4&-O t Z
MAILING (STREET ADDRESS):CITY, ATE, ZIP
PHONE:
%)ADDRESS
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/EVENING
1
RELATIONSHIP TO PROJECT:
❑ Architect Q Tenant
ther (Describe), --
FAX NUMBER:
(253) 47& - 22q I
CONTACT PERSON FOR THIS PROJECT: ❑ Property Owner Contractor ❑ Applicant E-MAIL ADDRESS:
DETAILED B 1 1 • 1 INFORMATION
EXISTING USE: PROPOSED USE:
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK: $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEIiAVEN ❑ HIGHLINE ❑ TACOMA o PRIVATE (WELL)
SEWER SERVICE PROVIDER O LAKEHAVEN 0 HIGHLINE 0 PRIVATE (SEPTIC)
t ow �1=
_-- AREA DESCRIPTION T —T
EXISTING S . FT.
-------- - - — - Q ---Q---
PROPOSED S . T
F.
--
TOTAL
_..-..-------- --
BASEMENT
FIRST
--
SECOND -_. ----
-- -
TIIIRD
E'OU R'l' l i
A56ITIONAI I ! OOIRS (DESCRIBE)
I)L?.CF;
GARAGE/CARPORT
-
- -
NOW MANY FLOORS?
TOTAL EXISTING
TOTP PRUKI,U)
TOTAL EXISTING AND PROPOSED
."IVEWHOMESOA'LY*" NUMBER OF BEDROOMS: - ESTIMATED SELLING PRICE: S
Indicate number of each type of fixture that is to be installed or relocated as part of this project. Do not include existing fixtures to remain.
mECHAMCAL -71 45� q`T /
Value of AfcOmnim( Work
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
PLUMBING
RATIITUBS W*TW,(Sh.—C
DISHWASHERS
GAS PIPE Ol1Tt.F.TS
WASHING MACHINES
LAYS (i3wi — $ink
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
SHOWERS
SINKS
SU�1PS
URINALS
VACUUM BREAKERS
GAS LOGS REFRIG. SYSTEMS
ROODS (c..—i:d( W'OODSTOVES
RANGES MISC (Describe)
GAS WATER HEATERS
WATER CLOSETS Ro,i.,l---___. __._. MISC (Dc SCI IIx)
DRINKING FOUNTAINS
RAINWATER SYS
HOSE: I3IBBS
ELECTRIC WATER HEATFRS
DISCLAIMER /SIGNATURE BLC
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my
knowledge, and further, that I am authorized by the owner of the above premises to perform the work for which the permit
application is made. 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 ctaim), which may be made by any person, including the
undersigned, and filed against the City of Federal Way, 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 a/part/of this application.
�_l� i�L�l� DATE: I � 12 'O _
NAME/TITLE: ter' /' (Tulc1 _-
�' (Sly;,iatunl
RELATIONSHIP TePROJECT: ❑ Piopert_y Owner o Applicant L7 Contractor 1:1 Architect o
FOR OFFICE USE ONLY:
❑ NEW n ADDITION
BUILDING SHELL ONLY?
ZONING DESIGNATION: _
r, ALTERATION
c; YES NO
r; REPAIR ro3 TENANT IMPROVEMENT
BASIC PLAN?
CHANGE OF USE?
u. YES NO
YES NO
NEW ADDRESS REQUIRED? -YES NO UP/SEPA/SU? YES NO
PLATTED LOT? r: YES c: NO I DEMO PERMIT REQUIRED? YES NO