12-102806 • • Mechanical
City of Federal Way Permit #: 12-102806-00-ME
Community&Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 98003 F;LE
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: MORRILL
Project Address: 200 SW 327TH PL Parcel Number: 926491 0230
Project Description: Remove/replace gas water heater
'
Owner Applicant Contractor
CAREY A MORRILL WASHINGTON CORROSION SRVC INC WASHINGTON CORROSION SRVC INC
DAVID K MORRILL 1425 BLAINE AVE NE WASHICS055KC(5/4/14)
200 SW 327TH PL RENTON WA 98056-2774 1425 BLAINE AVE NE
FEDERAL WAY,WA 98023 RENTON WA 98056-2774
Additional Permit Information
Mechanical Valuation 1200 Is this an Online or O.T.C.application? Yes
Mechanical Fixtures
Hot Water Tanks. 1
PERMIT EXPIRES Monday, December 17, 2012
Permit Issued on Wednesday, June 20, 2012
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 'n accordance with the laws, rules and regulations of the State of Washington
and the ty of Federal Way.
Owner or agent: Date: T€ O —
I2,
THIS CARD IS TO MAIN ON-SITE
40&
CITY OF •
Construction In ection Record
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 12-102806-00-ME Address: 200 SW 327TH PL
Project: CAREY A MORRILL FEDERAL WAY, WA 98023-5641
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.
0 Mechanical Rough-in(4165) 0 Gas Piping(4125) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
.By Dater) _ � . 'By C �_ Date v-i _)_,1.L .Bye _ Date .1 —2_ �,�
0 Rough ElectricalEl Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
• 1a - 10Zg (r,
CITY e CEIVED PERMIT
' Federal Wi� � • MF COME PL DE EN FP
COS 8355-2607AX 25 DEVELOPMENT352 2 0 2o1�APPLICATION
wunw dtsof[r_deralwag coni
CITY OF FEDERAL WAY
SITE ADDRESS CDS SUITE/UNIT#
Zoo 5v' • 3 21 PC.
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL Y
$ l 2 coo 9 Z CQ 9. ( _ o .-CD
TYPE OF PERMIT ❑ BUILDING 0 PLUMBING j24lrECHANICAL
❑ DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT t,,1 n
R(Tenant Name/Homeowner Last Name) ��� MO t
PROJECT DESCRIPTION
I
W5�� L\�
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER Q /�E- IM,GYtAIZA uL
MAILING ADDRESS 5• .` 2-1 �� ^ t' E-MAIL
CITY `1t 4 L STATE ZIT 9 irU 9 L
NAME ,1/41/AA--- PHONE
W CS 4-Z5 "Z2 S (3 o j
MAILING ADDRESS E-MAIL
CONTRACTOR 14 Z5 6 LA"'' At ~,C
CITY FAX
Z1P1 b.O FAX
WA STATE CONTRACTOR'S LICENSE# �A`— EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
Lk)kS►+ iCSOSS.0 / / 01 ,_ 04135 �-7d/�
P
NAME L�M1/*/(is 2S3 [ (0 to r/
APPLICANT MAILING ADDREBS E-MAIL
ito(0 v L cAISNRA A C 5 r
CITY
v STATE21er O� FAX
v�..
PROJECT CONTACT NAME / PHONE
(The individual to receive and `�
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application)
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME
0 OWNER-FINANCED
Required value of$5,000 or more
(RCW 19.27.095) MAILING ADDRESS,CITY,STA ,ZIP PHONE
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I 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 a part of this ap cation.
SIGNATURE: DATE v (2—
PRINT
2PRINT NAME: 14-04•1_ U-411‘AJt
Bulletin#100—January 1,2011 Page 1 of 3 k:\Handouts\Permit Application
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VALUE OF MECHANICAL WORK $ I 2 0 ° (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(Etectnc)
HOSE BIBBS SUMPS WASHING MACHINES _`;?° t >,i ,c3t: 4
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
$
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes❑ No ❑Yes ❑ No
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
FIRST FLOOR(or Mobile Home)
COVERED ENTRY
GARAGE 0 CARPORT 0•
=STING PROPOSED TOTAL --- __ _____—._—._—_—_—_
Area Totals
ESTIMATED SELLING PRICE$ #OF BEDROOMS
ir» <.'' s:. ;; •
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in S•uare Feet Stories
ADDITION ._—.
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AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in S.uare Feet • .e Stories
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Bulletin#100—January 1,2011 Page 2 of 3 k:\l-Iandouts\Permit Application