06-101841City of Federal Way
Community Development Services Mechanical mit #• 06 -101841 -00 -ME
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609 F
I L Inspection Request Line: (253) 835-30550
Project Name: LARSON
Project Address: 33709 40TH CT SW Parcel Number: 921151 0650
Project Description: Install Gas Water Heater Replacement; 50 Gallon Direct Vent
Owner
Applicant
Contractor
KEN LARSON
WASHINGTON ENERGY SERVICES CO
WASHINGTON ENERGY SERVICES CO
JO LARSON
2800 THORNDYKE AVE W
WASHIES9710B (9/2/06)
33709 40TH CT SW
SEATTLE WA 98199
2800 THORNDYKE AVE W
FEDERAL WAY WA
SEATTLE WA 98199
98023-2916
Additional Permit Information
Mechanical Valuation............................................850 Over the Counter Permit? ...................................... Yes
PERMIT EXPIRES Tuesday, October 10, 2006
Permit Issued on Thursday, April 13, 2006
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
nd the City of Federal Way.
Owner or agent: Date:
THIS CARD IS TO REMAIN ON-SITE '�
CITY OF Community Development Inspection Record_
Federal eral Wa IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -101841 -00 -ME
Owner: KEN LARSON
Address: 33709 40TH CT SW
FEDERAL WAY, WA 98023-2916
This card is part of your required inspection documents. 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 Date f% 3
PR -12-2006 12:18 FROM:PERMIT 4257756315
RECEIVED
Federal way PERMIT
CGMAtUNWDEYecDrM3NrsERAPsR j 2 2006
3392S RYBNUBS/OBOt
9718
FEDERAL WAY, IVA,�PPLI CATI O Nass-eJs-s6o7•PA1a�2 OF FEDERAL
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is
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will not be
TO:12538352609
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iced. Please print legibly /in ink! or tune.
SITE ADDRESS V 73" C c/ (�<j SUITE/UNIT x
ASSESSOR'S TAX/PARCEL Y _ L _ Z _ L - LOT SIZE (sO
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(ANach�eparnhpgpr/arinipthy4potQnarptla,(
ME
TYPE OF PERMIT O BUILDING ❑ PLUMBING MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIP'T`ION (Provide detailed desc *tion of work included on this Permit ontu)
Q� r9C 14
PROJECT NAME (Name of Business or Owner Last Name) LIQ %f",
PEOPLE•- •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
NAME PRIMARY PR9ME
La(j
MAILING ADDRE33 ���
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COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADD R ITY, 3TAT ,
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CO
CELL PHONE'
MAILINO�AD^Dg^�
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, STAT IP
CELL PHONE
rrY OF FEDERAL WAY BUSINESS ENBE NUMBER EXPIRATION DATE
L 2,3_4/_ - /
PAX NUMBER
CONTRACI'ORS REpISTRATION NUMBER �oopp o[ acrd rpntr•Q vleh a•eh �ppUc�tloa� EXPIRATION DATE
COMPANY NAME APPLICANT NAME `
OFFICE PHONE
MAILING ADD R ITY, 3TAT ,
� ` ! �-
CO
CELL PHONE'
CJ t�Gt Le
_
( )
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect 0 Tenant ❑ Agent 0 Other (Describe)
( _
n MC: 11RYPHONE - E-MAIL ADDRESS
. I h di4
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED%REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE ❑ TACOMA 0 PRIVATE (WELL)
PR -12-2006 12:23
4e
r
FROM:PERMIT
4257756315
2, Tb�- laIPJ-01
TO:12538352609 P.2
-3376 X0.
AREA DESCRIPTION
EXISTING PROPOSED TOTAL
SQ. FT., SQ. FT. SQ. FT.
BASEMENT
BBQS
FIRST
HOODS (Cameoarel.Q WOODSTOVES
SECOND
FIREPLACE INSERTS
THIRD
COMPRESSORS
FOURTH
OAS WATER HEATERS
ADDITIONAL FLOORS (DESCRIBE)
OAS PIPE OUTLETS
DECK (COVERED?)
GARAGE 0 CARPORT O
NUMBER OF FLOORSa'ao "eOrOsiD Tat~'
"NEWHOMES ONLY"" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fuctyres to-
=CFIAIVICAL
Value of Mechanical Work
AIR HANDLING UMTS
EVAPORATIVE COOLERS
OAS LOOS REFRIG, SYSTEMS
BBQS
FANS
HOODS (Cameoarel.Q WOODSTOVES
BOILERS
FIREPLACE INSERTS
RANGES MISC (Describe)
COMPRESSORS
FURNACES
OAS WATER HEATERS
DUCTS
OAS PIPE OUTLETS
WXCTRIC WATER HEATERS
BATHTUBS (-T b/shov.ereoabq
SHOWERS
WATER CLOSETS irowq MISC (Describe)
DISHWASHERS
SINKS
DRINKING FOUNTAINS
GAS PIPE OUTLETS
SUMPS
RAINWATER SYST
WASHING MACHINES
URINALS
HOSE BIBBS
LAVS matheo"m wnk4
VACUUM BREAKERS-
WXCTRIC WATER HEATERS
I cert fy under penalty of perjury that the bljormation furnished by me is true and correct to the best of Trey knowledge, and furthor, that I
am authorixed 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 investignHon and da fence of
such claim), which may be made by dny person, including the undersigned, and filen against the City of Federal Way, but only where such claim
arises out of the reliance of the ctty, Inclu iia ofJleera and employees, upon the accuracy of the information supplied to the city as apart of
this application. C� /
NAME/TITLE C DATE
(Sl6eeaturelmom)
RELATIONSHIP TO PROJECT ❑ Owner kAgen ❑ Contractor 0 Architect 0 Other