06-1027270 % 10
City of Federal Way
Community Development Services chanical Permit #• 06 -102727 -00 -ME
P.O. Box 9718
Federal Way, WA 98063-9718 FILe
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
Project Name: MORALEZ
Project Address: 29026 19TH AVE S
Project Description: Gas Water Heater Replacement
Parcel Number: 422300 0150
Owner
Applicant
Contractor
JESSE T MORALEX
WASHINGTON ENERGY SERVICES CO
WASHINGTON ENERGY SERVICES CO
SHANNON P MORALEX
2800 THORNDYKE AVE W
WASHIES9710B (9/2/06)
29026 19TH AVE S
SEATTLE WA 98199
2800 THORNDYKE AVE W
FEDERAL WAY WA
SEATTLE WA 98199
98003-3872
Additional Permit Information
Mechanical Valuation............................................600 Over the Counter Permit? ...................................... Yes
THIS CARD IS TO REMAIN ON-SITE
CIT of Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -102727 -00 -ME
Owner: JESSE T MORALEX
Address: 29026 19TH AVE S
FEDERAL WAY, WA 98003-3872
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 C CAJ Date8 - Z1 - V
JUN -1-2006 07:05 FROM:PERMIT 4257756315
Cry or RECEIVED
Y ED
FederalWay PERMIT
GbWANM1Y
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PlI1BN• PPOSSHRO
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253-83S-2607-AX?S]600 -
PLICATION
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CITY OF FEDERAL WAY
The following is reauiiMItr[Sk n2aHoer an incomplete application will not be
TO:12538352609 P.2
C6 -10z7,2-7
SF MF CO _eg)EL PL DE EN FP
Ited. Please print ieatbly /in inlet or tune.
sITE ADDREss L O L [ l - -E— SUITE/UNIT
ASSESSOR'S TAX/PARCEL # Li Z 3-O - (:P Q LOT SIZE (sf)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(AooeA•psvl•Pe f-&MAYII &Val d-WOMON .
PROJECTINFOMIATION
TYPE OF�PERMIT O BUILDING . ❑ PLUMBING MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION JVr»vide detailed desm*tion of work included on this permit onlvl
PROJECT NAME (Name of Business or Owner Last Name)
PROPERTY
OWNER
. NAM �n
bra- L� Z
PRIMARY PH NE ?�
1 05- 3)
MAILING ADDRES§
MAILING ADDRESS
CITY, .STATE, 2'IP
CONTRACTOR
APPLICANT
CONTACT
LENDER
COMPANY NAME -
APPLICANT NAME
OFFICE PHOI E
MAILING ADDRES§
CELL PHONE
MAILING ADD
'Z c�o�ti
, STAT P
CELL PHONE
CITY ON YEDE L WAY BU9INE:IS SNSE NUMB R EXPIRATION DATE
7 '
FAX NUMBS
( -
�p-a -L 4-) Z _I
CONTRACTOR'S REGISTRATION NUMBER (copy at cud r•gatr•d with •Foh •pp c•tloal EXP RATION "ATE
��SK�ES Flo d'7 ,
COMPANY NAME
PLICANT NAME
A
OFFICE PHOI 19
) ' z -
MAILING ADDRES§
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBEI
❑ Architect ❑ Tenant ❑ Agent ❑ Other (Describe)
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE t$ VALUE OF PROPOSED WORK ty
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED%REQUIRED? 0YES O NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA O PRIVATE (WELL)
SEWER SERVICE PROVIDER 13 LAKEHAVEN 0 HIGHLINE 0 PRIVATE (SEPTIC]
JUN -1-2006 07:07 FROM:PERMIT 4257756315 TO:12538352609 P.1
AREA DESCRIPTION
EXISTING
SQ. FT.
PROPOSED TOTAL
SQ. FT. SQ. FT.
BASEMENT
AIR HANDLING UMTS
EVAPORATIVE COOLERS
FIRST
REFRIO. SYSTEMS
BBQS
SECOND
HOODS
WOODSTOVES
THIRD
FIREPLACE INSERTS
RANGES
FOURTH
COMPRESSORS
FURNACES
ADDITIONAL FLOORS (DESCRIBE)
.DUCTS
DECK (COVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS �aro`o "tO�Oss' TO"°
"NEWHOMES ONLY'"' NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of jbdure to be installed or relocated as part of this project. Do not inclUde existing jlxttjnes to-remdin.
AINCIZARTCAL �/�
Value of Mechanical Work $ C vel
AIR HANDLING UMTS
EVAPORATIVE COOLERS
OAS LOGS
REFRIO. SYSTEMS
BBQS
FANS
HOODS
WOODSTOVES
BOILERS
FIREPLACE INSERTS
RANGES
MISC (Describe)
COMPRESSORS
FURNACES
OA3 WATER HEATERS
.DUCTS
OAS PIPE OUTLETS
PLIIMBYIV`G
BATHTVB3 j -,T n/She C..bej
SHOWERS
WATER CLOSETS iloAW
MISC (Describe)
DISHWASHERS
SINKS
DRINKING FOUNTAINS
GAS PIPE OUTLETS
SUMPS
RAINWATER SYST
WASHING MACHINES
URINALS
HOSE.BIBBS
LAVS 134*0em SWC4
VACUUM BREAKERS
RIACTRIC WATER HEATERS
I certUk underpenalty of perjury that the Information Jiirnished by me is true and correct to the best of ing knowledge, and further, that I
am authorised by the owner of the above premises to perform the work for which the permit application is .inade. I further agree to hold
harmless the City of .1nederat Wqy as to any claim (including cost@, expenses, and attorneys' fees incurred in the investigation and defense of
such elatny, which may be made by dr{y person, including the undersigned, andflled against the City of Atderal Way, but only where such claim
arises out of the reliance of the City, including its gARcers and employees, upon the accuracy of the information supplied to the cite/ as apart of
this application. Q /
NAME/TITLE �Q- L'• " DATE
(stp�aturo)(title)
RELATIONSHIP TO PROJECT O Owner Agent OeXaContractor o Architect 4 Other