06-106090a
City of Federal Way
Community Development Services Mechanical Permit #• 06 -106090 -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: NANAVICH
Project Address: 32719 39TH AVE SW Parcel Number: 873195 1530
Project Description: Replace gas to gas water heater
Owner
Applicant
Contractor
ROSE NANAVICH
NORTHWEST PERMIT INC
WASHINGTON ENERGY SERVICES CO
32719 39TH AVE SW
1345 GULF ROAD
(WESCO)
FEDERAL WAY WA
POINT ROBERTS WA 98281
WASHIES971 OB 9/2/07
98023-2605
2800 THORNDYKE AVE W
SEATTLE WA 98199
Additional Permit Information
Mechanical Valuation............................................950 Over the Counter Permit? ...................................... Yes
Plumbing Fixtures
Water Heaters ................................ 1
PERMIT EXPIRES Sunday, November 30, 2008
Permit Issued on Thursday, November 30, 2006
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 of Federal Way.
Owner or agent: Ca Date:
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -106090 -00 -ME
Owner: ROSE NANAVICH
Address: 32719 39TH AVE SW
FEDERAL WAY, WA 98023-2605
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 ;?'�Date
I
K
Si
RECEIVED
Federa way NOV 3 0 2006 PERMIT
3comm N DE"E wni Poq MLF FEDERAi+"
FEDERAL WAY, WA 98063-9718 BUILDING DEXPPLI CATI ON
253-835-2607• FAX 2Z53 -W5-2609
�c�(federalunu.cum
-12.i/-106Q9v
SF MF CO E EL PL DE EN FP
The followinq is required information - an incomplete aj2plication will not be accei2ted. Please i2rint le ibl in ink) or
PROPERTY•• •
SITE ADDRESS 32719 39th Ave SW eSIO .20 7?SUITE/UNIT #
ASSESSOR'S TAX/PARCEL # 8 7 3 1 9 5_ 1 5 3 0 LOT SIZE (sfi
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
Wt -h —pa-tl ~f., ler5thy L -g.1 d—4,d—)
INFORMATIONPROJECT
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING V MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description or work included on flus nermit onlu)
Replace Gas to Gas 50 Gallon water heater
PROJECT NAME (Name of Business or Oumer Last Name)
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
NAME PRIMARY PHONE
Rose Nanavich 1 (253 ) 838 - 2606
MAILING ADDRESS CITY, STATE, ZIP
33724 27th PI SW Federal Way, WA 98023
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
WESCO
Melissa Croda
(206 ) 378 - 6608
MAILING ADDRESS
CITY, STATE, ZIP
CELLPHONE
2800 Thorndyke Ave W
Seattle WA 98199
( ) -
CIW OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE,
FAX NUMBER
2 0-0 3-1 042— 3 4 -BL
12 /31 /06
t ) -
CONTRACTOR'S REGISTRATION NUMBER (copy of card required with each appilcation)
EXPIRATION DATE
W A S H I E S 9 7 1 0 B
09 /02 /07
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
Northwest Permit Inc
Melissa Croda
(360 ) 945 -2787
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
1345 Gulf Road
Point Roberts, WA 98281
( 206) 388 - 9357
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant Agent ❑ Other (Describe)
( ) -
NAME PRIMARY PHONE E-MAIL ADDRESS
Melissa Croda 1 (360 ) 945 - 2787 melissa@nwpermit.com
Per RCW 19.27.095: Lender information is
NAME
required (fp%lect value exceeds $5,000
MAILING ADDRESS
Crit, STATE, Zip
PHONE
( )
EXISTING USE SFR
EXISTING ASSESSED/APPRAISED VALUE $_
SPRINKLERED BUILDING? YES 1i NO
PROPOSED USE
VALUE OF PROPOSED WORK $
FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ° NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA i i PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE [ 1 PRIVATE (SEPTIC)
AREA DESCRIPTION
EXISTING
FT.
PROPOSED
SQ. FT.
TOTAL
SQ. FT.
BASEMENT
❑ NEW ❑ ADDITION
❑ ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
FIRST
BUILDING SHELL ONLY?
❑ YES ❑ NO
BASIC PLAN?
SECOND
❑ NO
ZONING DESIGNATION
THIRD
❑ YES
❑ NO
NEW ADDRESS REQUIRED?
FOURTH
UP/SEPA/SU?
YES
❑ NO
ADDITIONAL FLOORS (DESCRIBE)
❑ YES ❑ NO
DEMO PERMIT REQUIRED?
_; YES
DECK (COVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OFLOORS
F
ESMMG
PROPOSED
TOTAL
TOTAL EXMMWO SF
TOTAL P$OPOSID SF
TOTAL SF
**NEW HOMES ONLY* NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type ofjurture to be installed or relocated as part of tits project. Do not include existing futures to remain.
RIECHANIC L 950.00
Value of Mechanical Work $
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
BA'ITITUBS (or Tub/Shower Combo(
DISHWASHERS
GAS PIPE OUTLET'S
WASHING MACHINES
LAVS (Hathrrom SlnkM
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
GAS LOGS
HOODS (Comm im
RANGES
1 GAS WATER HEATERS
WATER CLOSETS [rodeo
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
REFRIG. SYSTEMS
WOODSTOVES
MISC (Describe)
MISC (Describe)
I certify under penalty of perjury that the iq ormation 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 irlJ'ormation supplied to the city as a part of
this application.,-Q/j �+ , /�,{/�
NAME/TITLE lJ� " 6 " " ' ( DATE
(Signature) (Rile)
RELATIONSHIP TO PROJECT o dwner ,;ent ❑ Contractor ❑ Architect (-i Other
FOR OFFICE USE ONLY
❑ NEW ❑ ADDITION
❑ ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY?
❑ YES ❑ NO
BASIC PLAN?
a YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE?
❑ YES
❑ NO
NEW ADDRESS REQUIRED?
❑ YES ❑ NO
UP/SEPA/SU?
YES
❑ NO
PLATTED LOT?
❑ YES ❑ NO
DEMO PERMIT REQUIRED?
_; YES
❑ NO
Bulletin #100 — January 1, 2006
Page 2 of 4
MHandoutAPennit Application