06-102579City of Federal Way
Community Development Services echanical Permit #• 06 -102579 -00 -ME
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
Project Name: VALDEZ
Project Address: 2121 SW 339TH ST
Project Description: Install of new gas water heater
Parcel Number: 330620 0290
Owner
Applicant
Contractor
FRANK M VALDEZ
IDEAL SERVICES INC
IDEAL SERVICES INC
PATRICIA A VALDEZ
3525 S ALDER ST
IDEALSI011J2 4/22/07
2121 SW 339TH ST
TACOMA WA 98409
3525 S ALDER ST
FEDERAL WAY WA
TACOMA WA 98409
98023-7729
Additional Permit Information
Mechanical Valuation............................................2238 Over the Counter Permit? ...................................... Yes
Plumbing Fixtures
ater Heaters ................. .......... 1.00
F/NRaEO S-1,XS/o,6
` THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -102579 -00 -ME
Owner: FRANK M VALDEZ
Address: 2121 SW 339TH ST
FEDERAL WAY, WA 98023-7729
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 gg)�- Date
0
RECEIVED
CITY OF
F'ederafflayMAY 2 2 2006 PERMIT
COKWff Y DEVELOP=W SERVICES
33325 P8TH A JYUESOA 9,•Po9 I nEDERALW PPLI CATI O N
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www.dtuoffedm7h=u.com
The following is required if{ formation — an incomplete application will not be
SITE ADDRESS I?, t 3L \
ASSESSOR'S TAX/PARCEL #
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
V
SF MFC E LPL DE EN FP
Please print legibit/ (in ink) or
SUITE/UNIT #
LOT SIZE (s, )
(Aaache p—tepc f- lengthy tegat desnipdoq
PROJECT• •
TYPE OF PERMIT ❑ BUILDING . *PLUMBING 7VECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT NAME (Name of Business or Owner Last Name)Z •rte\ A �7
PEOPLE•- •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
NAME PRIMARY PHONE
MAILING ADDRESS CITY, STATE, ZIP
.� lJ W 1i?1;>-e
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
,aQgMAILING
CELL PHONE
(� CO -7 t
a1
ADDRESS
CITY, STATE, ZIP
CELL PHONE
G71 - ;%1%
)5`q{
-7)
CITY OF FEDERAL WAY BUSINESS LICENSE NI BER EXPIRATION DATE
1 cl-9,S-1 4 � (�P- CAS -B 1-131 /�
FAX NUMBER
�; 3&7N
L
CONTRACTOR'S REGISTRATION NUMBER (copy of card required with each application)
EXPIRATION DATE
i Q A L C S Q 1
07' W/
9ZO(
COMP NAME
APPLICANT NA E
OFFICE PHONE
(9SN 0671 -al(EZ)
MAILING ADDRESS
CITY, STATE, ZIP u
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant by Agent
❑ Other (Describe)
G71 - ;%1%
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 ❑ NO
❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ HIGHLINE 0 PRIVATE (SEPTIC)
AREA DESCRIPTION
EXISTING PROPOSED TOTAL
SQ. FT. SQ. FT. S . FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT ❑
■IMMO PROIO TOTAL'
NUMBER OF FLOORS
"NEWHOMES ONLY"" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS
BBQS FANS
BOILERS FIREPLACE INSERTS
COMPRESSORS FURNACES
.DUCTS GAS PIPE OUTLETS
BATHTUBS (or Tub/snowercomco) SHOWERS
DISHWASHERS SINKS
GAS PIPE OUTLETS SUMPS
WASHING MACHINES URINALS
LAVS (eatnroom NW.4 VACUUM BREAKERS
GAS LOGS
HOODS pomm.rdat)
RANGES
GAS WATER HEATERS
REFRIG. SYSTEMS
WOODSTOVES
MISC (Describe)
WATER CLOSETS (T..q MISC (Describe)
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
I cert{fy 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 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 defense of
such claim), which may be made by any person, including the undersigned, andfiled 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 ir{formation supplied to the city as a part of
this application.
NAME/TITLE
(Signfturelool"
TO PROJECT Q Owner 0 Agent AContractor
IUM r �/1C1 DATE ..Q
(Title
❑ Architect a Other
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