12-102366City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
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Project Name: LIGHTNER
Project Address: 706 SW 296TH ST
Project Description: Replace electric hot water tank.
0 1 -Plumbing
Permit #: 12 -102366 -00 -PL
Inspection Request Line: (253) 835-3050
Parcel Number: 119600 4385
Owne
ARRIlican
Contractor
GENE LIGHTNER
WASHINGTON CORROSION SRVC INC
WASHINGTON CORROSION SRVC INC
JANET LIGHTNER
1425 BLAINE AVE NE
WASIRCS055KC (5/4/12)
706 SW 296TH ST
RENTON WA 98056-2774
1425 BLAINE AVE NE
FEDERAL WAY WA 98023-3549
RENTON WA 98056-2774
Plumbing Fl urea
Water Heaters ................................
PERMIT EXPIRES Sunday, November 25, 2012
Permit Issued on Tuesday, May 29, 2012
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 of Federal Way.
Owner or agent: Date:
AIIk
'D
FIN
THIS CARD IS TO MAIN ON-SITE `
CITY OF Construction- In ection Record
Federal Way INSPECTION REQ TS: (253) 835-3050
PERMIT #: 12 -102366 -00 -PL Address: 706 SW 296TH ST
Project: GENE LIGHTNER FEDERAL WAY, WA 98023-3549
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.
Final - Plumbing (4075)
Approved
By Date
❑
Plumbing Groundwork (4190)
Rough Plumbing (4230)
Final ElectricalElRight
Approved
Gas Piping (4125)
Approved to cover
By
Approved
Approved to release test
By
Date
By
Date
By
Date
Final - Plumbing (4075)
Approved
By Date
❑
Rough Electrical
Approved
❑
Final ElectricalElRight
Approved
of Way
Approved
By
Date
By
Date
By
Date
CITY OF
Federal Way
COMMUNITY DEVELOPMENT SERVICES
253-835-2607• FAX 253-835-2609
wu•w.dt o ederalvLau.com
*PERMIT
APPLICATION
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0 M CO ME PL DE EN FP
RECEIVED
MAY 2 9 2012 a���l
SITE ADDRESS C OF DERAL WAY
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SUITE/UNIT 8
PROJECT VALUATION
$
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ASSESSOR'S TAX/PARCEL R
TYPE OF PERMIT
❑ BUILDING d PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
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PROJECT DESCRIPTION
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Detailed description of work to
be included on this permit only
NAME /
PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRESS /�� ,^
E-MAIL
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INCy�DRESS J
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E-MAIL
CONTRACTOR
Cir
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,
FAX
WA STATE CONTRACTOR'S LICENSE S
EXPIRATION DATE
i
FEDERAL WAY BUSINESS LICENSE 8
NAME I J/[ tj
�HON
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APPLICANT
MAILING ADD
1-- WIL L
E-MAIL
Crrt
TATEZIP
FAX
PROJECT CONTACT
(The individual to receive and
respond to all correspondence
concerning this application)
NAMIF fPHONE
N
_
29"A
LING';
ING AD$of /
s
E-MAIL
CITY
STATE
ZIP
FAX
ALTERNATE CONTACT NAME:
PHONE
E-MAIL
PROJECT FINANCING
NAME
Ej OWNER -FINANCED
Required value of $5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27.095)
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. 1 certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
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, and filed against the city,
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 apart of this application.
SIGNATURE: DATE
PRINT NAME: % 1
Bulletin #100 - January 1, 2011 Page I of 3 " k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK $ (a copy of bid or estimate must be provided)
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (commercial)
BOILERS FURNACES HOT WATER TANKS (Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS (or Tub/Shower Combo)
LAVS (Hand Sinks)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Kitchen/utility)
WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
WASHING MACHINES,
Bulletin #100 —January 1, 2011 Page 2 of 3 k:\Handouts\Permit Application