10-103578 ' , ` • Mechanical
City of Federal Way
•
Cor nunityDevelopmentServices Permit #: 10-103578-00-ME
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax (253)835-2609 p q
Project Name: ROMERO
Project Address: 31409 11TH PL SW Parcel Number: 556050 0200
Project Description: Replace gas water heater.
`
Owner Annlicant Contractor
TRISH ROMERO WASHINGTON CORROSION SRVC INC WASHINGTON CORROSION SRVC INC
31409 11TH AVE S 1425 BLAINE AVE NE WASHICS055KC(5/4/12)
FEDERAL WAY WA 98023 RENTON WA 98056-2774 1425 BLAINE AVE NE
RENTON WA 98056-2774
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Mechanical Valuations 1100 Is this an Online or O.T.C.application? s•
Yes
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Hot Water Tanks 1
PERMIT EXPIRES Tuesday, February 15, 2011
Permit Issued on Thursday,August 19, 2010
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the, will be,i�I accordance with the laws, rules and regulations of the State of Washington
/' /end theotFederal Way.7...
Owner or agent: f /` ' Date: '�
FIK1L a a 1 o
Vivi " THIS CARD IS TO REMAIN ON-SITE • , ,
CITY OF • Construction I _ __ ection Record
Federal WayINSPECTION RE UESTS: 253 835-3050
Q ( )
PERMIT#: 10-103578-00-ME Address: 31409 11TH PL SW
Owner: TRISH ROMERO FEDERAL WAY, WA 98023-4543
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.
ID Mechanical Rough-in(4165) El Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By .0./" r Date / //- ! ,
El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
to - / v 3 5 72
Q:::=: V RMIT
el r a cE 41/MF CO ME PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES I p LI CAT I O N
25.3-835-2607•FAX 253-835-2609 NUG (' 1 �1
,ru t•,•.dur•L,G v,):rtV.,err, NU l7
��/ �F FE��RAL W AY
SITE ADDRESS C1, 1 CDS SUITE/UNIT F
C"
/A') / / / ST 74 S(�
P ECT V ATION ZONING ASSESSOR'S TAX/PARCEL F
$ /a'rT) 55 6 O S 0 - OAO 0
TYPE OF PERMIT
0 BUILDING 0 PLUMBING /MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
PROJECT DESCRIPTION / /'J l'`C- 7.'/I-_S i'te 49 7`I� (,y. C---
Detailed description of work to '
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER -
MAILING ADDRESS E-MAIL
'/yr` c...--k, 1/ 1/ S-•
CITY i STATE ZIP
NAME /,'N PHONE
/'�' {.c �T . � I �� �^S /r/, ,Jb7�' 4125 - Zze- f. .31
MAILING ADDRESSE-MAIL
CONTRACTOR %42 5 J (/ )';f' ,4- ee-/ ,
CIT! -e7 STATE ZIP _ FAX
AL,'li � ABX 11— -') t-' µ�_� if-`. ' •-C_' 'lrC
A ST TE CO R'S LICENSE II EXPIRATION DATE FEDERAL WAT BUSINESS LICENSE 4/
%ZNAM-1/ j f /CfC X37-fir .c/ 71^ /72-
NAME
E PHONE
APPLICANT MAILLNG ADDRESS E-MAIL.
CITY STATE ZIP FAX
PROJECT CONTACT NAME PHONE
(The individual to receive and
respond to all correspondence MAILING ADD E-MAIL
concerning this application)
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME
❑ OWNER-FINANCED
Required value of$5,000 or more
(RCW 19 27 056) MAMIE ADDRESS,CITY,STATE,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 pity as a part of this application.
SIGNATURE,' '1.7)7i, L" ‘ -, (- / Z G' /-J 1 - DATE e' - / 2 c
PRINT NAME: 1 C rs ' ,'� 672 -"T i ' S
Bulletin#100- tprii/14,2010 Page 1 of 3 k:\landouts\Pelmit Application
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VALUE OF MEcHLsiNICAL WORK $ I 16 U _ (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 -7 HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST •
DUCTING GAS PIPING WOODSTOVES
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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(Electric)
HOSE BIBBS SUMPS WASHING MACHINES 5'14::::i# i'1' `•' `i i
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