06-102184City of Federal Way FILEMecha'nical Permit #• 6-102184-00-ME
Community Development Services•
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: BEERS
Project Address: 30348 9TH AVE S
Project Description: Gas water heater replacement
Parcel Number: 515365 0020
Owner
Applicant
Contractor
G H BEERS
BARBARA BEERS
BARBARA BEERS
BARBARA BEERS
30348 9TH AVE S
30348 9TH AVE S
30348 9TH AVE S
FEDERAL WAY WA
FEDERAL WAY WA
FEDERAL WAY WA
Additional Permit Information
Mechanical Valuation............................................890 Over the Counter Permit? ...................................... Yes
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THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -102184 -00 -ME
Owner: G H BEERS
Address: 30348 9TH AVE S
FEDERAL WAY, WA 98003-4101
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
Date5_/,1.//dz
i
OTT or DECEIVE®
Federal Way PERMIT
comes TYDBFSLOFLBNTSBR"Y
0 2 2006
3332S AVEUB• PO 9718
FB8AWAY, WA. 9¢:471 WA
P P L I C AT I O N2S3.83S•Z6o7•FAR?y�F FEDERAL
AY
UILDING Dir
0- _ • Z ( Sy
SF MF CO (ME NL PL DE EN FP
The olio is tr+ed t formation — an Inco fete a lication will not be acce ted. Please
( PROPERTY•- •
1 SITE ADDRESS ✓ CJ ve �.
or
5)
SUITE/UNIT #
ASSESSORS TAX/PARCEL ti _ LOT SIZE (sf) l
1
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) �"l Qi U (—�W 1 CS,�
IAS vwk• �w rem+ de�c.+atlol
PROJECTie
•• •
TYPE OF PERMIT ❑ BUILDING ING >( I=IIANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description pf work included on this permit only/
Wf��illm
PROJECT NAME (Name of Business or Owner Last Name) S.
PEOPLE•- •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
EXISTING ASSESSED/APPRAISED VALUE $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE P]
WATER SERVICE PROVIDER ❑ M.0 ❑ HIG1H N
SEWER SERVICE PROVIDER O LAKEHAVEN . ❑ HIGHLINE
NAME PRIMARY PHONE
Beers I (Z5 )W& .-
MAILING ADDRESS, J �� �( Y A I3�19P
COMPANY NAME
APPLICANT NAME
OFFICE PHONE '
( ) -
MAILINO NOD
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑. Tenant
o Agent
❑ Other (Describe)
PROPOSED USE I ^
VALUE OF PROPOSED WORK
N SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
❑ TACOMA O PRIVATE (WELL)
0 PRIVATE (SEPTIC)
AREA DES! ON
TING
. FT.
PROPOSED TOTAL
SQ. FT. SQ. FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK (COVERED?)
GARAGE ❑ CARPORT ❑
slorepra-
NUMBER OF FLOORS raorosso TOTAL
••NEWHOMFS ONLY- NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type offtxture to be installed or relocated as part
MECUANICAL �j
Value of Mechanical Work $ R k Q l�
_ AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
.DUCTS
BATHTUBS (or Tib/shower combo)
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
LAVS le• NAA
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
not
GAS LOGS
HOODS (cemmerotd)
r l RANGES
WATER HEATERS
VJ
WATER CLOSETS (rodeo _
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
REFRIG. SYSTEMS
WOODSTOVES
MISC (Describe)
MISC (Describe)
I certVg under penalty of perjury that the injbrmatton 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 clam, which may be made by any person, including the undersigned, and filed 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 information supplied to the city as a part of
this application.
NAME/TITLE � i� DATE
-7 ® 6
181paturel ITIde)
RELATIONSHIP TO PROJECT �O aer O Agent O Contractor 0 Architect t] Other
811110 n ill m — ramiary 1 _ 7rM pave 2 of 4 Mandouts\Permit ADDlication