03-103359H" T
City of Federal Way
Community Development Services
Applicant
Plumbing Permit #:03 -103359 - 00 - PL
33530 1st Way S
WASHINGTON CORROSION SRVC INC
WASHINGTON CORROSION SRVC INC
Federal Way, WA 98003-6210
1425 BLAINE AVE NE
1425 BLAINE AVE NE
Ph: 253.661.4000 Fax: 253.661.4129
Inspection request line: 253.835.3050
Project Name: BARG
Project Address: 32120 6TH SW
Project Description: Replace electric hot water tank.
Parcel Number: 926490 0730
Owner
Applicant
Contractor
Donald K Barg
WASHINGTON CORROSION SRVC INC
WASHINGTON CORROSION SRVC INC
32120 6TH AVE SW
1425 BLAINE AVE NE
1425 BLAINE AVE NE
FEDERAL WAY WA
RENTON WA 98056-2774
RENTON WA 98056-2774
98023-5618
1
1 (425) 228-1393
Plumbing Fixtures
Description �ul anti ]([_
Water
Description Quantity Description Qum an
PERMIT EXPIRES February 14, 2004.
Permit issued on August 18, 2003
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use' -will bog, in accordance with the laws, rules and regulations of the State of Washington and
the City of Federal Way
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Owner ora agent: ---�Date:
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CONSTRUCTION PERMIT APPLICATION
CITY OF ��' RECEIVED- PPUCATION NUMBER:
Federal Way kPPLICAIJON NUMBER: _ _ - _ _ _ _ _ _
AUG 18 20V PpLICATION NUMBER: - -
**The follow n?t5ptjEV�b�tn)IN6cin — Please print (in ink) or type*'
I I YYaUd"
Please note: Electrical, Fire Prevent I«5��1 pand E-
ngineering permits may require a separate application.
SITE ADDRESS: 3 9-120 6 �U •S I / , ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• • •
TYPE OF PROJECT (This application): ❑ BUILDING 'PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL o ENGINEERING o FIRE PREVENTION SYSTEM
PROJECT D,CRIPTION (Provide detailed description):�ZE�Tl2/
PROJECT NAME: �[j, j f C2 dr
PEOPLE• •
PROPERTY OWNER: NAME: -� DAYTIME PHONE
MAILINGADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
L 3�i ao G AQ scv ec�_O2A why M0Z3
CONTRACTOR: /
NAME:
DAYTIME PHONE: i
(4z )LZ�
MAILING ADDRESS (STREET ADDRESS; CITY, STATE. ZIP): _
�25 6LcL T rN N t
EVENING PHONE i
9:3
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER: i
CONTRACTOR'S REGISTRATION NUMBER:
S 1 CS Ss/
I EXPIRATION DATE:
s l t o
(copy of card required) `
APPLICANT: NAME: DAYTIME PHONE:
tj
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE:
i RELATIONSHIP TO PROJECT' i FAX NUMBER:
O ARCHITECT ❑ TENANT o OTHER ( DESCRIBE):
E-MAIL ADDRESS:
I
CONTACT PERSON FOR THIS PROJECT: ❑PROPERTY OWNER ❑APPLICANTONTRACTOR
• ETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/ APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? o YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES o NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN ❑ HIGHLINE o PRIVATE (SEPTIC)
"NEW RESIDENTIAL CONSTRUCTION ONLY"
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROJECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERTS) RANGE(S) MISC. ( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHERS) RAIN WATER SYS. VACUUM BREAKER(S)ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLPT
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC. ( )
INTERCEPTORS) SUMP(S)
I certify 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 authorized 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, 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 suppli to theci a part of this application.
NAME/TITLE: _ ,Lu X:-7 r • v' DATE: g —� ZU03
❑ PROPERTY O NE ❑ APPLICANT ❑ CONTRACTOR
FOR OFFICE USE ONLY:
7] NEW a ❑'ADDITION '._r. 13 ALTERATION �^.?O REPAIR w; t]TENANT IMPROVEMENT- ;>
7 , 7N- t LOT
ZONING,DESIGNATION
'BUILDING SHELL ONLY? ❑YES ' ❑ NO
COMP PLAN DESIGNATION= �r
n --- !-BASIC PLAN?'"eYES U: NO
r.
SECTION TOWNSHIPRANGE
`RANGE NEW ADDRESSRE UIRED? [I YES ❑ NO
PLATTED LOT? CI YES o N0 CHANGE OF USE? _ =:n .YES' fl NO -
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTIi • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253,61-4129
W W W.dty0ffedera Iway, C_
aCITY OF
Federal Way
February 18, 2004
Donald K. Barg
321206 th Avenue SW
Federal Way, WA 98023-5618
CITY HALL
33530 1 st Way South • PO Box 9718
Federal Way, WA 98063-9718
(253) 661-4000
www. 0yoffederal way com
RE: 03 -103359 -00 -PL; BARG
321206 th Avenue SW; Expiration of Permit, Notice to Extend
Our records indicate that on Monday, August 18, 2003, the City of Federal Way
issued permit 03 -103359 -00 -PL. This permit expires by limitation and becomes null
and void if the building or work authorized by the permit is not commenced within 180
days from the date of issuance, or if the building or work authorized by the permit is
suspended or abandoned at any time after the work is commenced for a period of 180
days. The building official may extend the time for action by the permittee for a period
not exceeding 180 days upon written request by the permittee showing that
circumstances beyond the control of the permittee have prevented action from being
taken. No permit may be extended more than once.
To avoid expiration of your permit, you may call the inspection request line (253-835-
3050) to set up an inspection; or request an extension of your permit by submitting a
written request to the building official by Tuesday, March 9, 2004. This request may
be submitted via the regular mail or e-mail at buildingofficial@ci.federal-way.wa.us.
The request should include information indicating that circumstances beyond your
control have prevented you from taking action on this permit.
If you choose not to request an extension for this permit, your permit will become null
and void on Wednesday, March 10, 2004. Your expired plans, if applicable, will be
retained for an additional 30 days, should you wish to use them for resubmittal. Work
shall not continue at any time after expiration of the permit until a new permit is
obtained.
If you have any questions, please call 253-661-4115.
Sincerely,
WK. 914artin
Building Official
cc: Washington Corrosion Service, Inc.; Attn: Permits; 1425 Blaine Avenue NE; Renton WA 98056-2774
file