11-103593 Mechanical
City of Federal Way •
Community Development Services Permit #: 11-103593-00-ME
P 0 Box 4718
Federal Way,WA 98063-9718FILE
Ph:(253)835-2607 Fax(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: BROOKS
Project Address: 31650 36TH AVE SW Parcel Number: 873198 0390
Project Description: Replacing an existing water heater
Owner Applicant Contractor
LARRY W BROOKS WASHINGTON CORROSION SRVC INC WASHINGTON CORROSION SRVC INC
JUDITH A BROOKS 1425 BLAINE AVE NE WASHICS055KC(5/4/12)
31650 36TH AVE SW RENTON WA 98056-2774 1425 BLAINE AVE NE
FEDERAL WAY WA 98023-2105 RENTON WA 98056-2774
�`. Additions A (f` Wt on ` ; �I
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Mechanical Valuation 1191 Is this an Online or O.T.C.application? Yes
Hot Water Tanks 1
PERMIT EXPIRES Sunday, March 4, 2012
Permit Issued on Tuesday, September 6, 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
the City of Federal Way.
Owner or agent: c) C !�G�y" Date: /q
tel" l
cIN/4, L 4/13/I(
II • NV
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VALUE OF MECHANICAL WORK $ (a copy of bid or estimate must be provided)
Indicate how many of each type offvcture 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(Commernal)
BOILERS FURNACES HOT WATER TANKS)Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
.i j .• a te..• - 'ms's.- .r,
Indicate how many of each type offacture 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(Etectru)
HOSE BIBBS SUMPS WASHING MACHINES -'
-•'�s;-!. Y:'RC liai3Fi 4
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CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
$
EXISTING/PREVIOUS USE LOT SIZE Ka 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
is s.
FIRST FLOOR(or Mobile Home) _-- -- — -- — —
COVERED ENTRY --- —- - -
•
GARAGE 0 CARPyORT 0 i'+ —-- -- --
LIISrImO PROPOSSD TOTALArea Totals
:# /- ' ', •�� -:
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ESTIMATED SELLING PRICE$ #OF BEDROOMS
•
.3 )4)'.444, '',_' €''-) i`
AREA DESCRIPTION Area Occupancy Group(s) Construction Sof Additional Information
�• in •uare Feet p I. Stories
ADDITION ■_ -
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AREA DESCRIPTION Area Occupancy Group(s) Construction Sof Additional Information
in S.uare Feet .4.e Stories
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TENANT AREA ONLY
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Bulletin#100-January 1,2011 Page 2 of 3 k:\Handouts\Permit Application
y� THIS CARD IS TO .MAIN ON-SITE I
SOF Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 11-103593-00-ME Address: 31650 36TH AVE SW
Project: LARRY W BROOKS FEDERAL WAY, WA 98023-2105
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) El Gas Piping(4125) ❑ Final-Mechanical (4065)
Approved Approved to release test Approved
By Date By Date By ` Date y73 //
0 Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
le CITY of A 1 � _ 1 03� L
Federal Way ERMIT 11.1%.4F CO e PL DE EN FP
CO253-835-2607MMUNITY
6oEI� LIGATION
www ratlojjedeml ath , a g�y1
SEP 0 6
SITE ADDRESSSUITE/UNIT N
alit EDERA tM 4u s 6 -
PROJECT VALUATION CDSONING ASSESSOR'S TAX/PARCEL#
$ //9/ 7 1 9 s" _ 0 0
TYPE OF PERMIT ❑BUILDING 0 PLUMBING /ECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) R P-y 13(zoo
oo t-c S
PROJECT DESCRIPTION ke 00 t'-ce (SAS k} )-T7? ��. 7---e/Z._
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER
LAP izL, 13 (2 r-- �s'-.3 E-7 - g 0z
MADRESS
ILING
66 0 3 6 4UC�'C./ E-MAIL
CITY 4-�d .. „ A-4 BSA ZIP I1 013
NAME PHONE
Gvf M a,e)5 itn S'LVc 412_5 - ZZ6-0573
MAILING ADDRESS LLL,,, i- E-MAIL
CONTRACTOR /q Zj i n e � /1/c"
CITE,/7A .ST/�'E ZIP 9e05-6
FAX
W* }S7ri m��0 5/ �N/DATE FEDERAL WAY BUSINESS LICENSE Y
NAME
APPLICANT MAILING ADDRESS ! ��� / —Y/ E-MAIL
CITY l/ STATE ZIP FAX
PROJECT CONTACT NAME PHONE
(The individual to receive and
respond to all correspondenceMAILING 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,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 de ense of such claim),which may be made by any person,including the undersigned,and filed against the city,
but only where such •• m arisAj out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied he city a part of this appli
c)
SIGNATURE: �,--2. ----'I DATE / — I
PRINT N ,,
Bulletin#100—J:nu. 1,2011 Page 1 of 3 k:\Handouts\Permit Application