06-105181r �
City of Federal Way
Commun;ty Development Services • Mechanical Permit #• 06-105181-00-M E
P.O. Box 9718
Federal Way, WA 98063-9718
Ph:;(253YS35-2607 Fax: (253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: MAJSZAK
Project Address: 32100 43RD PL SW Parcel Number: 873202 0860
Project Description: Replace GAS Water Heater
Owner
Applicant
Contractor
JOE MAJSZAK
BRENNAN HEATING & A/C LLC
BRENNAN HEATING & A/C LLC
32100 43RD PL SW
4601 S 134TH PL
BRENNHA971R9 12/29/07
FEDERAL WAY WA 98023
TUKWILA WA 98168
4601 S 134TH PL
TUKWILA WA 98168
Additional Permit Information
Mechanical Valuation............................................1365 Over the Counter Permit? ...................................... Yes
Plumbing, Fixtures
Water Heaters ................................ 1
PERMIT EXPIRES Saturday, October 11, 2008
Permit Issued on Wednesday, October 11, 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
and the City of Federal Way.
Owner or agent:
SeeApWiemw Date:
I"
THIS CARD IS TO REMAIN ON-SITE `
-' CITY OF Community Development Inspection Record
„.
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -105181 -00 -ME
Owner: JOE MAJSZAK
Address: 32100 43RD PL SW
FEDERAL WAY, WA 98023-2453
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 l Approved
By G Date a . 2 v • U By G ej Date/&p, , 2 O • O (p By G LI-) Date /CJ G(c
RECEIVED BY
X&IMUNITY ®EVELOPMFI>IT.DEPARTMENT
Federal Wciy - M �p r . ,.::.,T OCT' 1.1
.'_
OCT 11, 20or Pi1�1
COK+YUMTYDBVUOPahTSERY(CES o gF MFC ME -EL PL DE EN FP
JJJZS BTM AVENUE SOUTH • Po BOX 97ZI
PEDER,IL WAY, X S343S.26o A P P L I C A T I O
ZSJ-8J5-Z607•PAXZ5J19S-2609 �i F EE(�ER ,,�v / /
I m ' UILDING DE T
.M.2following is requ&vd intbrination -an inconyzete =Ucation will not be accepted. Pleaseprint
legibly {n. inkJ or e.
'•' 1 •- •
SITE ADDRESS 01 4 L S(�
SUITE/UNIT t �_
ASSESSOR'S TAX/PARCEL # (� _ (� $ (� D
— — --- LOT SIZE (s))
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) F
µa°ah •ywrab pq� for lalpll,y I�pol duoiptlo,t)
TYPE OF PERMIT O BUILDING ❑ PLUMBING MECHANICAL -
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING O FIRE .pREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work bwluded on
1 • ��� 1, lM , �_ � %.- � �• ! . � A'TP� , /7 I • a .�....-.4 r` .�� ,1 1 `t ' 'll.. 5
l
PROJECT NAME (Name of Business or Owner Last Name) M Al J S' Z A 1_•
■i�ii�!'fiR�RiM�'7inIR ..
PROPERTY NAME
OWNER Joy Imo(�szA�
MAIUNO ADDRESS
Salvo
CONTRACTOR I COMPANY NAME
APPLICANT
CONTACT
LENDER
EXISTING USE
�ENnlA7� %�EATi �1i�' k A�
LINO ADERESS
FL
SINE .
P DF FEDERAL WA SINES$ LI NSE NUMB R
kPPUCANT NAME
TTY, STATE ZIP
Tr:�Ktb.S G:l��. a � ►,G
PIRATION A7
CELL f,HO E
' AX NU BER n
BJ(PIRA IUN DATE
/
IsRew�,jN ry+AE:4-r1 l 1LA/rj 0,t4Ab3tQeA.. I OFFICE PHONE
MAILING ADDRESS CITY, STATE, ZIP 14 - `71
ac,
44>6i
Q (a4,� CELLPHONE
RELATIONSHIP TO PROJECT -
❑ Architect ❑ Tel ❑ Agent ❑ Other (Describe) FAX NUMBER
(auto) a4 8 v to55
C�FDAWNCAl1 AULE� P5MARYPHONE &MAILADDREss
(ate) a48 ��r
''`P bftlnCfr�E�.g�17 ydY=xF'drti°.. ................................. .............................. .. .
.X,,�!
e
EXISTING ASSESSED/APPRAISED VALUE $_
SPRINKLERED BUILDING? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN
SEWER SERVICE PROVIDER ❑ LAKEHAVEN
PROPOSED USE
VALUE OF PROPOSED WORK $
FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ KO
❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL).
0 HIGHLINE 13 PRIVATE iSEpTICt
t
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ. FT. SQ. FT. 8 . FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS s7Q0mo PROPOSED TOTAL
"NEWHOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indibate number
or relocated as part of this•profect. Do not
to- remain.
MECHANICAL p�
Value of Mechanical Work $%
AIR HANDLING UMTS EVAPORATIVE COOLERS OAS LOOS REFRIG. SYSTEMS
BBQS FANS HOODS WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC (Describe)
COMPRESSORS FURNACES �_ GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
BATHT(IBS (or Tub/Sho~Combo)
SHOWERS
WATER CLOSETS (r,a,q MISC (Deacribe)
DISHWASHERS
SINKS
DRINKING FOUNTAINS
OAS PIPE OUTLETS
SUMPS
RAINWATER SYST
WASHING MACHINES
URINALS
HOSE BIBBS
LAVE
VACUUM BREAKERS
ELECTRIC WATER HEATERS
I cert(fy under penalty of perjury that the tr{formation furnished by me is true and correct to the best of my knowledge, and further, that I
am authorised 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 dgfense 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 city, including its officers and employees, upon the accuracy of the in ormation supplied to the city as a part of
this application.
NAME/TITLE DATE ( o LC5 Z� g-
G7.tun:)�
RELATIONSFIIP TO PROJECT Q Owner b Agent q Contractor ❑ Architect o Other