11-105143City o EconMechanical
ral Way Per> it #. 11 - 105143- 00-M E
Community & Econ.;Dev. Services •
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
Romp ff W1111111111111111
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Project Na
KASPRICK
Project Address: 2723 SW 323RD ST Parcel Number: 873180 0880
Project Description: Remove/replace gas water heater
caner
Applicant
Contractor
JON J KASPRICK
JON J KASPRICK
NORDIC HEATING INC
30819 7TH AVE SW
30819 7TH AVE SW
NORDIM099BJ (1/12/12)
FEDERAL WAY WA
FEDERAL WAY WA
PO BOX 2381
98023-4603
98023-4603
AUBURN WA 98071
Mechanical Valuation............................................1200 Is this an Online or O.T.C. application? ................. Yes
PERMIT EXPIRES Tuesday, June 26, 2012
Permit Issued on Thursday, December 29, 2011
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 be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Date:_
FlM v r
0 1 �13 �12
• THIS CARD IST MAIN ON-SITE
GVoF Covstruction Lpection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 11 -105143 -00 -ME Address: 2723 SW 323RD ST
Project: JON J KASPRICK FEDERAL WAY, WA 98023-2522
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
ByjG S Date
Rough Electrical
Approved
Final Electrical
Approved
1:1Approved
Right of Way
By
Date
By
Date
By
Date
RECEIVW
Ory CW PERMIT
Federal WayU L G 2 9 1
COAMIAM
253-835-2607
CDS
- ! C) 5-143
SF MF CO SME PL DE EN FP
SITE ADDRESS
7x23 scC.; 3,-�3 5�--,
sorraioNrr #
PROJECT VALUATION
ZONM
ASSESSOR'S TAVPMa% #
$ 1 dao
X 7 3 L S" o- o g
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING K MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
Menant Name/Honroumer Last Name)
X
PROJECT DESCRIPTION
49
Detaileddescriphon of work to
t -
O sot e
be includedon fids permit only
be
PROPERTY OWNER
NAS
Ll O LI C� 45 tl"'` C�
2-6-3—f .SY —334-7
YAUMO ADDRESS
E-MAM
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72p
NAIL
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PHONE
ADD
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CONTRACTOR
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Wil-
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FAX
WA STATE CONTRACTOR'S LICENSE #
'O( o A 41 hL1 a I
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
PHONE
APPLICANT
1AWNG ADDS
N-KAIL
Cti'4
STATE I
ZIP
FAX
PROJECT CONTACT
Mw individual to receive and
respond to all correspondence
NAME
L h 1wr
PHONE
1L4nJNG ADDRESS
E-KAM
concem&W this appUcatioN
CITY
STATS
ZIP
FAX
ALTERNATE CONTACT NAME.
PHONE
E•NAM
PROJECT FINANCING
NAAM
0W74MR-FINANCED
Required value of $5,000 or more
iRCW 19.27.095)
WAn4 NO ADDRESS, CITY, STATE. ZIP
PHONE
I cert(fy under penalty of perjury that I am the property owner or authorised agent of the property owner. I Certft that to the best
of my knowledge, the igrormation submitted in support of this permit application is true and correct. I oerdfy that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorised by the issuance gf a permit. I understand that the
issuance gf 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 gf Federal Way as to any claim (including casts, expenses. and attorneys' fees incurred in
the investigation and defense of such clatml which mag 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 q icers and employees, upon the accuracy gf the
intformation supplied to the city as a part gf this application.
l /
SIGNATURE: 0a DATE
PRINT NAME: t0 S �49/hitPi�
Bulletin #100 —January 1, 2011 Page 1 of 3 k-MandoutsWennit Application
2 -
0
0 0
GENERAL INFORMATION
CRITICAL AREAS ON PROPMM
Indicate how marW of each qW
ofJixture to be installed or relocated as part of this proecL Do not include existing fixtures to remain.
BAITITUBS (or Tub/shower combo)
LAVS (Nana SmW TOILETS WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS URINALS OTHER (Describe)
DRAINS
SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (mtchen/omtW WATER HEATERS (Ekcthc)
HOSE BIBBS
SUMPS WASHING MACHINES 'DOTAL FE L7VFXS
GENERAL INFORMATION
CRITICAL AREAS ON PROPMM
WATER PURVEYOR
SEWER PURVEYOR
VALVE OF EMSTING OMPROVEIIEYTS
TOTAL
FOR OFFICE USE
BASEMENT
EMSTUMG/PREVIOUS USE
LOT SEER (In Square Feet)
EMSTING FIRS SPRINKLER STSTWW?
PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No
❑ Yes ❑ No
R
' EN't'iAL • °ft*w to Mwn6N
AREA DESCRIPTION (in square feet)
MUSTING
PROPOSED
TOTAL
FOR OFFICE USE
BASEMENT
FIRST FLOOR (or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER (descrg)4
----------------------- - -----
Area Totals
IDusrmo
Pietro®
rarN.
"risw BOMBS
COW"
I
ESTIMATED SELLING PRICE ffi
# OF BEDROOMS
Bulletin #100 — January 1, 2011 Page 2 of 3 k:\Handouts\Permit Application