09-100564City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
• 0 Plumbing
Permit #: 09 -100564 -00 -PL
Inspection Request Line: (253) 835-3050
Project Name: STEEL LAKE ANNEX
Project Address: 2645 S 312TH ST
Project Description: Replace electric hot water tank.
L r:: Parcel Number: 092104 9026
ner
Aanlicant
Contractor
TIM DICKINSON
TIM DICKINSON
CITY OF FEDERAL WAY - PARKS
CITY OF FEDERAL WAY - PARKS
CITY OF FEDERAL WAY - PARKS
33325 8TH AVE S
33325 8TH AVE S
33325 8TH AVE S
FEDERAL WAY WA 98023
FEDERAL WAY WA 98023
FEDERAL WAY WA 98023
Water Heaters ................................. 1
PERMIT EXPIRES Tuesday, August 11, 2009
Permit Issued on Thursday, February 12, 2009
1 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 f Federal Way.
Owner or agent: Date: -14�- `0. '
THIS CARD IST MAIN ON -,SITE
CITY OF Community Develop en
Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 09 -100564 -00 -PL
Owner: TIM DICKINSON
Address: 2645 S 312TH ST
FEDERAL WAY, WA 98003
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.
❑ Plumbing Groundwork (4190)
Approved to cover
By Date
❑ Final - Plumbing (4075)
Approved
By G L.--) Date Z
❑ Rough Plumbing (4230)
.Approved
By Date
❑ Gas Piping (4125)
Approved to release test
By Date
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
cwy'wA RECEIVfID
Federal Way * I -.�
co"'�"""°"�°g��`°F'�""'`'',EB l 2 2009 PERMIT SF MF CO ME E PL EN FP
333?58*SMLW Y, WAH.F0 9 APPLICATION
FBDBRAL WAY, WA 98063-9718 /
?53-835?607• PAX ?53d3S?609
w•Inu.dla•/IEdei��iatr]! C i- F E T E RA L A
"w f0II0wbW is repaired BAR — an incompieta application wM not be accepted. Please print hVft y (in inN or %r*.
SITE ADDRESS
ASSESSOR'S TAX/PARCEL # L -!?- -,a / D - '5� -
LEGAL DESCRIPTION (e.g. Acme Fstates, Lot 1)
SUITWUNIT #
LOT SIZE (sf)
PROJECT INFOR:4ATION
TYPE OF PERIM 0
BUm
■ •i>lUKB=G (3 MECHANICAL
bi., • • ■ :N y ■ ENGINEERING ■ FIRE PREVZMON SYSTEK
'a• ..1� ��ulk PAM
wl
PEOPLE INFOR'IIATION
CONTRACTOR
PROJECT
CONTACT
LENDER
E738TIRG USE
ERIS I ING ASSES
SPRINKLERED BI
WATER SERVICE
SEWER SERVICE
NATt[E
PRIMARY PHONE
MAIUNO ADD CITY, STATE, ZIP
E-MAILADDRESS
i /
-
COMPANY APPLICANT NAME
MIA
OFFICE PHONE
MAILING ADDRESS CI'PY, STATE, ZIP
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
-
EXPIRATION DATE
FAX NUMBER
CONTRACTOR'S > 1RA140N NUMMM
ZM RAMN DATE
"A& ADDRESS
COMPANY NAME APPLICANT NAME
OFFICE PHONE
MAILiN(i ADDRESS CITY. STATE, ZIP
CBLL PHONE
RELATIONSHIP TO PROJECT
CnY. STATE, ZIP PHONE
C3 Architect E3 Tenant E3 Agent C3 Other
FAX NUMBER
) _
PROIARY PHONE E-MAIL ADDRESS
NAME
Per RCIY 19.27.09&
Lender i4urnmOon is requ(nd ifP-.� mdue w=weds "000
MAIUNG ADDRESS
CnY. STATE, ZIP PHONE
USE
VALUE $ VALUE OF PROPOSED WORK $
❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
❑ LAx>AUVEN ❑ KIGHMINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ LAKERAVEN 0 BZGHLIIIE 0 PRIVATE (SEPTICI
PROJECT FLOOR AREAS
AREA DESCRIPTION
EffiSTING
. FT.
PROPOSED
SQ. FT.
TOTAL
S . FT.
BASEMENT
AIR
EVAPORATIVE COOLERS
OAS PIPE OUTLETS WOODSTOVES
FIRST
FANS
GAS WATER HEATERS MISC (Describe)
BOILERS
SECOND
HOODS tc..wk4
COMPRESSORS
FURNACES
THIRD
DUCTS
GAS LOCI SETS
REFRIG. SYSTEMS
ADDITIONAL FLOORS (DESCRIBE)
DEMO PERMIT REQUIRED?
a YES
a NO
DECK (❑ COVERED OR ❑UNC D?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
°
TOM
nr=sanvasr
rormsewcowar
anrmar
"NEW HONES ONLY" NUMBER OF B ROOMS ESTIMATED SELLING PRICE $
Indicate number of ead t type offixture to be installed or relocated os part of this project. Do not include existing fudures to remavL
NMX3FAHICdL
o ALTERATION
o REPAIIt a TENANT
$
Value of Medu=NITS
(A C� Y OF BID OR ESTIMATE MUST BE nVCLUDED WITH APPLICATION)
AIR
EVAPORATIVE COOLERS
OAS PIPE OUTLETS WOODSTOVES
BBQS
FANS
GAS WATER HEATERS MISC (Describe)
BOILERS
FIREPLACE INSERTS
HOODS tc..wk4
COMPRESSORS
FURNACES
RANGES
DUCTS
GAS LOCI SETS
REFRIG. SYSTEMS
BATHTUBS (WTUb/shawrC-W* LAVS peftosmsh*4
DISHWASHERS RAINWATER SYST
DRINKING FOUNTAINS SHOWERS
ELECTRIC WATER HEATERS SINKS
HOSE BIBBS SUMPS
URINALS MISC (Describe)
VACUUM BREAKERS
WATER CLOSETS (ramq
WASHING MACHINES
I ce t(& under k+onaky ofpwjwy that I am the property owner or authorised agent of the property owner. I certVg that to the best of my
knowledge, the hVbrmadon submitted in support of this permit apPtioatton is tree and eorrocL I cert(& that I will comply with all applicable
City 4f Pbdww wap regulations pertaining to the work aKtlwri ed leg the issuance of a permit I enderstand that the issuaneo of this permit
doss not remove the owner's rtsponsgd tty for compliance with local, state, or feder al lams regulating construction or environmental laws.
I frather agree to hold harmless the City of P*de al Wag as to any claim (inchuting aepwuses, and attwTwgse fees incurred in the
investigation and dgbnm of such claim& which may be mads by arty person, including the enderaigned, and /tied agabut the city, but only
where such claim arises out of theJ/ancs oftim city, its ofiteere and mpleyta6 upon the aacra�acy of the ir4formatton supplied to
the city as apart of this appitcali11001
SIGNATURE:
'1Z <
70INGToADDITION
o ALTERATION
o REPAIIt a TENANT
ONLY?
a YES o NO
BASIC PLAN?
0 YES
a NO
ZONING DESIGNATION
CHANGE OF USE?
a YES
a NO
NEW ADDRESS REQUIRED?
a YES o NO
UP/SEPA/SU?
a YES
o NO
PLATTED LOT?
a YES a NO
DEMO PERMIT REQUIRED?
a YES
a NO
Bulletin #100 —January 1, 2009 Page 2 of 4 k\iandoutslPermit Application