04-104822 .IQ .s * '
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City of Federal Way Mechanical Permit #: 04 - 104822 - 00 - ME
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253)835-30513
Project Name: FIELDS
Project Address: 3912 SW 314TH 5i' Parcel Number: 873198 1910
Project Description: Replace gas hot water tank.
Owner Applicant Contractor
Douglas Fields WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO
3912 SW 314TH ST 2800 THORNDYKE AVE W 2800 THORNDYKE AVE W
FEDERAL WAY WA SEATTLE WA 98199 SEATTLE WA 98199
98023-2147 (206)282-4700
Mechanical Valuation 600 Over the Counter Permit Yes
PERMIT EXPIRES May 29,2005.
Permit issued on November 30,2004
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 ccordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: 14AL. 1 Date: '` /OfQ
D'�
.. ,A
THIS CARD IS TO REMAIN ON-SITE-- , ..CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-104822-00-ME
Owner: DOUGLAS FIELDS
Address: 3912 SW 314TH ST
FEDERAL WAY, WA 98023-2147
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 / -, Date l a/
NOV-23-20 07:35 FROM: • , TO:12538352609 P.2
an,.: fig - < 0 a—
Federal Way -?
a PERMIT SF MFCO0 L PL DE EN FP
001011M7Y DEVELOPMENT SERVICES
33325 Vs AVENUE SOU771•PO BOX 9711
2534354602*FEDERAL AX?53;5.2 APPLICATION -�°
iadaariastrralotetteas
The ollowi • is re•wired in ormation-an tricorn•Zeta a••lication will not be acce.ted. Please •riat le•IN in in or i•
. PROPERTY INFORMATION
' SITE ADDRESS 5411 2 SW 3 L E-(-- SUITE/UNIT I
S' 1 3 r `
ASSESSOR'S TAX/PARCEL I _ _ _ � �- / � `U LOT SIZE(V)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(mach aeporatepaVeAr lenOW&WI ferali* ,/
• • PROJECT INFORMATION •
TYPE OF PERMIT 0 BUILDING 0 PLUMBING MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
• etas 40 `QCs Wath..&cc ('-MJ/?1e o x.6
PROJECT NAME(Name of Business or Owner Last Name) F1 EI-US
• • is PEOPLE INFORMATION
PROPEROWNER TY 0W1 Ca f F1�Z� PRIMA_BY PHONE
MAILINO ADD C17Y STA E,ZIP '
Wet_ qcf6?-3
CONTRACTOR C kAPE APPICANT OM E PHONE
1• raSL
(2-ff ) Z - V766
MAILINO AD�/(J tV R •Idc b-G/ qJ[_`�' C EIPTYr.AT , t..(/� L/ill CELL PHONE - !fin`1J
crr OF FEDERAL WAY BUSINESS LICCENSStWI BEIM EXPIRATIONIODATE FAX NUM7BER
7 [
-03-_ �1 z/3 _ B L I / 0 for ( )
CONTRACTORS REGISTRATION NUMBER(copy o[card required with eaeh applleaUoel PIRATION DATE `
f LTr c9--u 06 `/ Z /0.5'
APPLICANT COMPANY NAME AP LICANT NA E / �� / ( FF10E PHONE
MAILING ADDRESS �� I A(/ IA.6g1V !l )
CITY,STATE,ZIP CE HONE
7
( 70-3
RELATIONSHIP TO PROJECT • FAX NUMBER
0 Architect a Tenant Agent 0 Other(Describe) ( ) -
CONTACT NAME Lav:4
( E-MAIL ADDRESS
.IOW/]l
74") 710 -`32��
LENDER t 40, ) 7a, -y�,,�.,u�' o ruitio^ NAME
k4,tvx,vt.te r •�•o'e L' .'..1.e•:SS,OO: Aah
MAILING ADDRESS CITY,STATE,ZIP
•
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? a YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES O NO
. WATER SERVICE PROVIDER 0 LAKERAVEN a BIGELINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN a MGIILINE a PRIVATE(SEPTIC)
NOV-23-2884 07:35 FROM: . , TO:12538352609 P.3
•r•+,1•r'•.�+ryn• • • • •
-'•,''� , :��:a%.' FLOOR AREAS •
� . PROJECT
AREA DESCRIPTION - EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT _
FIRST 111111.11111111
SECOND •
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
TOTAL 1003/46 TOTAL PROPOS= TOTAL CASTORS AAO POOrOew
HOW MANY FLOORS?
"NEW HOMES ONLY" NUMBER OF BEDROOMS�,�
ESTIMATED SELLING PRICE $_
- - _ . FIXTURES
Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain_
3lEC WJICAL I
Value of Mechanical Work $ i
EVAPORATIVE COOLERS GAS LOOS REFRIG.SYSTEMS
AIR HANDLING UNITS HGOD3(cwmerdai) WOODSTOVES
BBQS FANS -- RAN ES MISC(Describe)
BOILERS FIREPLACE INSERTS ,
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING SHOWERS WATER CLOSETS Mout MISC(Describe)
• BATHTUBS(.eta►/st»src..bl - DRINKING
DISHWASHERS SINKS NFOUNTAINSR SYST
GAS PIPE OUTLETS SUMPS
WASHING MACHINES URINALS HOSE B1BB3
LAVS(auto»a stss.1 •
VACUUM BREAKERS•
ELECTRIC WATER HEATERS
• - _ 'r.:- r L..- • •
.'DISCLAIMER/SIGNATURE BLOCK • :- ' -` :'.`'•_ .. . _- = - - '
ut
I.certify under penalty of perjury that the information furnished by me is true and correct to the estop mf yis kno ledge,w �her,o hold
,that I
am authorized by the owner of the above premises to perforin the work for which the permit app
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 flied against the City of Federal Way,
but only where such claim
arises out of the reliance of the city, ( uding its officers and employees, upon the accuracy of the information supplied to the city as a part of
this application. L 1 I g3 /
��`� ^P ^ r DATE L L/
NAME/TITLE IMCIC-W'l�" � t"r r � `� "`
C3V
i (Signature) critic)
I RELATIONSHIP TO PROJECT O Owner )ri Agent. a Contractor O Architect 0 Other
I
k L)
o NEW o ADDITION o ALTERATION • o REPAIR ti TENANT IMPROVEMENT
PLAN? OYES o NO
E BUILDING SHELL ONLY? is YES o NO BASIC o y o NO
1 ZONING DESIGNATION CHANGE.OF USE?
i NO UP/SEPA/SU? o YES o NO
NEW ADDRESS REQUIRED? o YES o
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? o YES o NO
r
?a.v 2._ F_41/... .-/-i �i� 3q/ZS� 3l4/�
Bulletin M 100-March 30,2004 _
Page 2 of 4
k\Handouts-Rcviscd\Pcrtnit Application