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06-104509--A City of Federal Way Community Development Services " P.O. Box 9718 Federal Way, WA 98063-9718 Ph: (253) 835-2607 Fax: (253) 835-2609 Project Name: TERRY Project Address: 32514 36TH AVE SW Mechanical Permit #: 06 -104509 -00 -ME Project Description: Replace a 40 gallon gas water heater Inspection Request Line: (253) 835-3050 Parcel Number: 873195 0920 Owner Applicant Contractor ROBERT & NORMANDIE TERRY ROBERT & NORMANDIE TERRY ROBERT & NORMANDIE TERRY 32514 36TH AVE SW 32514 36TH AVE SW 32514 36TH AVE SW FEDERAL WAY WA 98023-2601 FEDERAL WAY WA 98023-2601 FEDERAL WAY WA 98023-2601 Additional Permit Information Mechanical Valuation............................................1000 Over the Counter Permit? ...................................... Yes Mechanical Fixtures THIS CARD IS TO REMAIN ON-SITE CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 06 -104509 -00 -ME Owner: ROBERT & NORMANDIE TERRY Address: 32514 36TH AVE SW FEDERAL WAY, WA 98023-2601 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) Approved By Date ❑ Gas Piping (4125) Approved to release test By Date Final - Mechanical (4065) Approved By by6t*j*- Date �.� VC Federal Q�_L Q Y�Q Myos �� SEp p .Federal way p COMMUNrrYDEVEWPNEWTSERVICEs p� �EpER��- MIT SF MF CO EL PL DE EN FP 33325 BD+AYEWA . WA 9 • PO BOX 9718 GITY � I CATI O N FEDERAL WAY. FAX 98063-260 -9718 253-835-2607• FAX253-835-2809 wuau.cvuofWeralum u.com TAe 1§21 is - an UggMm will not be tea. Pieam rrn b;4 or SITE ADDRESS 3 7 1 3:04 i' Aye 5.W. Fe el e —A W OU1� lA ,_ff a n2Z SUITE/UNIT # TAk A c -c !;,Vt —>-02- LOT slzE (so f3 28O LEGAL DESCRIPTION (e.g. Ac Im Estates. Lot 1) Soo Ct ,=, ke 5 �Nq�d Mft-h -pw fe pWf- Lnf9 &.qW d—VU 1 PROJECT•- • TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detafied description of work tnckided on this permit onto) w 1-Wa+,er inY1 PROJECT NAME (Name of Business or Oumer Last Name) PROPERTY OWNER PHONENAM PRIMARY ROb,e.v- L, uvN "ovmU tam. Tarr MAILING ADDRESS CITY. STATE. 21P 3TS ( ``'' A VA -1 S. W, w COMPANY NAME APPLICANT NAME OFFICE PHONE MAILING ADDRESS CRY. STATE. ZIP CELL PHONE CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER CELL PHONE 3251 "w'Ave S w-uA4 14 A ( ) - CONTRACTORS REGISTRATION NUMBER (copy of card regadred with each oppHcatlon) EXPIRATION DATE FAX NUMBER COMPANY NAME APPLICANT NAME W; ONE a Ro av L, Terms (253 ) 952 - -7(0(y0 MAILING ADDRESS CITY. STATE. ZIP CELL PHONE 3251 "w'Ave S w-uA4 14 A ( ) - RELAMONSHIP TO PROJECT FAX NUMBER ❑ Architect ❑ Tenant ❑ Agent VLOther a)escnbe) 4gLg kQ.r ( ) - CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS Ra v+ ( ) -34 0 LENDER EXISTING USE Per RCW 19.29.095: Lender b&nnation is rrquired (fproject value exceeds $5,000 NAME MAILING ADDRESS CITY, STATE, ZIP EXISTING ASSESSED/APPRAISED VALUE $ VALDE OF PROPOSED WORK $ `I o SPRINELEItED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGEffJW ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGEMMM ❑ PRIVATE (SEPTIC) PROJEC 1 FLOOR _=iRE_1S Nor - V AREA DESCRIPTION EXISTING SM FT. PROPOSED SQ. FT. TOTAL SQ. FT. BASEMENT EVAPORATIVE COOLERS BBQS FANS FIRST FIREPLACE INSERTS COMPRESSORS FURNACES SECOND GAS PIPE OUTLETS HOSE BIBBS ZONING DESIGNATION THIRD CHANGE OF USE? o YES ❑ NO FOURTH ❑ YES ❑ NO UP/SEPA/SU? ❑ YES ADDITIONAL FLOORS (DESCRIBE) PLATTED LOT? o YES ❑ NO DEMO PERIGT REQUIRED? DECK(COVERED7) ❑ NO GARAGE ❑ CARPORT ❑ NUMBER OF FLOORS s:meR vawaesv TOTAL TOMzMe wGm Torec.soMINOer TOTAL.: --NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ number of each type off( lure to be installed or relocated as part of thts project Do not MECHANICAL SHOWERS Value of Medwnicai Work $ 0 © ©, — SINKS AIR HANDLING UNITS EVAPORATIVE COOLERS BBQS FANS BOILERS FIREPLACE INSERTS COMPRESSORS FURNACES DUCTS PLUMBIIIIG GAS PIPE OUTLETS BATHIUBS (-Tub/Sf--Comb.) SHOWERS DISHWASHERS SINKS GAS PIPE OUTLE'T'S SUMPS WASHING MACHINES URINALS LAVS te■mmbm &.1w VACUUM BREAKERS to remain. GAS LOGS REFRIG. SYSTEMS HOODS (commerci.n WOODSTOVES RANGES MISC (Describe) J_ GAS WATER HEATERS ❑ REPAIR ❑ TENANT DAPROVENWIT WATER CLOSETS rroeeU MISC (Describe) DRINKING FOUNTAINS ❑ YES o NO RAINWATER SYST ❑ YES HOSE BIBBS ZONING DESIGNATION ELECTRIC WATER HEATERS CHANGE OF USE? I certVy under penalty of perry that the fit ormation furnished by me is true and oorrect to the Test gf my knowledge, mrd further, that I am authorized by the owner of the above promises to perjbrm the work for which the permit application is made. I_ftuther agree to hold harmless the Qtly of Federal Way as to any claim (including costs6 expenses, and attorneys' fees incurred in the investigation and dgfense of such claimL which may be made by any person, including the undersigned, andjUed against the City OPederal Wry, but only where such claim arises out of the reliance of the city, including its q iters and employees, upon the accuracy of the 1 formation supplied to the city as a part of this application. NAME/TITLE DATE 9 / G JOG (Signature) MUM) RELATIONSHIP TO PROJECT XOwner ❑ Agerd ❑ Contractor ❑ Architect O Other FOR OFFICE USE ONLY o NEW ❑ ADDITION o ALTERATION ❑ REPAIR ❑ TENANT DAPROVENWIT BUIMING SHELL ONLY? ❑ YES o NO BASIC PLAN? ❑ YES ❑ NO ZONING DESIGNATION CHANGE OF USE? o YES ❑ NO NEW ADDRESS REQUIRED? ❑ YES ❑ NO UP/SEPA/SU? ❑ YES a NO PLATTED LOT? o YES ❑ NO DEMO PERIGT REQUIRED? ❑ YES ❑ NO Bulletin #100 – January 7, 2005 Page 2 of 4 MandoutsWermit Application