06-101086 r
City of Federal Way Mechanical Permit #: 06-101086-bO-ME
Community Development Services
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: HENSLEY
Project Address: 4208 SW 314TH PL Parcel Number: 873199 0490
Project Description: Gas Water Heater Replacement; 50 Gallon Conventional
`
Owner Applicant Contractor
CLIFFORD HENSLEY WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO
KUMSOON K HENSLEY 2800 THORNDYKE AVE W WASHIES971OB (9/2/06)
4208 SW 314TH PL SEATTLE WA 98199 2800 THORNDYKE AVE W
FEDERAL WAY WA SEATTLE WA 98199
98023-2150
Additional Permit Information
Mechanical Valuation 600 Over the Counter Permits Yes
Plumbing Fixtures
Water Heaters 1
CONDITIONS:
PERMIT EXPIRES Tuesday, September 5, 2006
Permit Issued on Thursday, March 9, 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
the City of Federal Way. /
Owner or agent: ii2/-Ca Date: �L gl�6v
.26
THIS CARD IS TO REMAIN ON-SITE '`
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-101086-00-ME
Owner: CLIFFORD HENSLEY
Address: 4208 SW 314TH PL
FEDERAL WAY, WA 98023-2150
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 G-(id Date j'L(
/R-3-2006 15:25 FROM:PERMIT 4257756315 TO:12538352609 P.S
AA, RECEIVED (/, I C /G�
CITY o► `.) _ - { ( ✓
Federal Way MAR o 7 2006 —
cnlrumtrnavwortusxrsattvicas PERMIT SF MF CO EL PL DE EN FP
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. 2S3435•2607.PAX 253435-2609 BUILDING DEh',
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The following is re.aired i ormation-an Inco .tete a••licatlon will not be accepted. Please •rint legibly in in or type.
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11111 PROPERTY INFORMATION -
SITE ADDRESS 10(?. .....S7•03 / L( / ,` /
2 ) [� SUITE/UNIT w
ASSESSOR'S TAX/PARCEL Y ff 7 3 / - 0 / 6_ LOT SIZE(sfl
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
µMelt almanac,page f r lsnAhy lama daaIp ,1 •
MI PROJECT INFORMATION . ,
TYPE OF PERMIT 0 BUILDING 0 PLUMBING MECHANICAL
❑ DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Prrovide detailed description of work included on this permit onh.)
aI-f (.dam- E-Lecc ge-prZ pme1A
ii
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PROJECT NAME(Name of Business or Owner Last Name) -C Vat/
NI PEOPLE INFOR17ATION
OWNER
PROPERTY N�/!� I-es/�
`.'v`i PRIMARYrMAPHONE
OWNER (Z53) eve/ - /53-7-
±711.15:p.RE1.9w3/ ICITYnd' wtjw € 9doz3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
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MAILING���RF l LE ) ¢Y STAT
✓`� OTT (ELL PHONE -
CITY OF FEDERL WAYP/ BUSINESS ENBE NUMBER L_�\'Ilf�' EXPIRATION DATE FAX NUMBER
70-e ' -L � _z3_4-l_-pe / / ( ) -
CONTRACTORS REGISTRATION NUMBER(lopy •atj=Kdee;with eppUwtlw) IRATION_DATE
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE '
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MA DDRE3 t 74c ) T, L�� CELL PHONE
RELATIONSHIP TO PROJECT `•[/ FAX NUMBER
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a Architect ❑Tenant a Agent a Other(Describe) ( ) -
CONTACT N E P ANY PHONE E-MAIL ADDRESS
LM(n 04- T n&t)IS'f. ( )a-1c— - fS
LENDER f414:/t40II;�t,/s,;;,i<.'ol?i.I, 1 %r. NAME
t-i"-9.f{.t:•lq.ei'G.Ild'I•tilci4&61 4•T Y3..•ri''Wp(o
MAIUNO ADDRESS CITY.STATE.ZIP PHONE
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-..,';';:'''';::%. .- -.'';'.3;";' . . • i DETAILED,BUILDING INFORMATION ',I ,'t•,. 1-,1 : '1',.;:,' ,i.:;
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? a YES a NO FIRE SUPPRESSION SYSTEM PROPOSED%REQUIRED? ❑ YES a NO
WATER SERVICE PROVIDER a LAKEHAVEN a HIGHLINE a TACOMA a PRIVATE(WELL)
R-3-2006 15:25 FROM:PERMIT 4257756315 TO:12538352609 P.6
page, 2- F2 kg/15'
6-4d._
- ' PROJECT FLOOR AREAS •
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ. FT. SQ.FT.
BASEMENT
•
FIRST
SECOND -
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
' DECK(COVERED?) •
GARAGE 0 CARPORT 0
NUMBER OF FLOORS
MO= remake TOTAr. 7•p't, ,..,.�rr1 r,o,.,,.��.•.rt•,• ..,et{i,
I
"NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES -
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtzres to•remain.
MECHANICAL ..--// ,�.,,
Vahte of Mechanical Work $ 1..�/
AIR HANDLING UMTS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(C.mmaat.l) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS . FURNACES ' GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING .
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS(r•Wq MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAV$ (ow...m ser.1.{ VACUUM BREAKERS ELECTRIC WATER HEATERS
•
• •• DISCLAIMER/SIGNATURE BLOCK -
I cert under penalty of perjury that the information/garnished by me is true and correct to the best of my knowledge,and further, that I
am authorised 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 supplied to the city as a part of
this application.
NAME/TITLE 7-'✓ ""`4-��, 110Y71 �L iR5 DATE 73/0(2
(signature) (ghee)
RELATIONSHIP TO PROJECT 0 Owner a Agent O Contractor a Architect 0 Other •
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