13-103641 411 • Mectanieal
City of Federal Way Permit #: 13-103641-00-M E
Community&Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (25
3)835-3050
Project Name: ANDERSON
Project Address: 4002 SW 333RD ST Parcel Number: 327900 0060
Project Description: Install a tanidess gas water heater
Owner Applicant Contractor
BRUCE L ANDERSON MOUNTAIN VALLEY HEATING&A/C INC MOUNTAIN VALLEY HEATING&A/C INC
LORRAINE ANDERSON (GENERAL) (GENERAL)
PO BOX 24056 13407 SE 339TH ST MOUNTVH970N2(3/5/14)
FEDERAL WAY WA 98093-1056 AUBURN WA 98092 13407 SE 339TH ST
AUBURN WA 98092
Additional Permit Information
Is this an Online or O.T.C.application? Yes
Mechanical Fixtures
Hot Water Tanks. 1
PERMIT EXPIRES Saturday, February 15, 2014
Permit Issued on Monday,August 19, 2013
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
and the City of Federal Way.
Owner or agent Date: f " 1? ` / 3
l
THIS CARD IS TO ON-SITE F
CITY • Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 13-103641-00-ME Address: 4002 SW 333RD ST
Project: BRUCE L ANDERSON FEDERAL WAY, WA 98023-2924
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) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
'By Date . 'By Date B2 Date /.4)/e
El Rough ElectricalEl Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
J,
OT - 4A • PERt APPLICATION
Federal Way
AUG 19 2013 4,oq'`)`4
— ( 0 3( 7/ i - 'VF(TOF FEDERAL WAY L/
PERMIT NUMBER ( L% (� CDSTARGET DATE / ( /
SITE ADDRESS SUITS/UNIT#
44 002_ S w 333r1\ S-- ffeJefeti (4,Le Y `x$0 23
PROJECTgVALUATION ZONING ASSESSOR'S TAR/PARCEL►
/ ( l — — — —
TYPE OF PERMIT 0 BUILDING 4 PLUMBING JMECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT 4A Jj-So&) $/v(e
�,-s A// 7 k/eas 0 lac. 4' . Aa ic.vu/ , .
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
,J PRIMARY PHONE
PROPERTY OWNER NAME/,3/U C e iI Glcla rl U vt 2r3 - 3-14- - .Q 0
MAILING ADDRESS E-MAIL
47/602_ s w 333.-4) s-/-
CITY ZIP
1-70 / W0 x STATE , ??02..-y3� ,
NAME /t6l/b(Y"etllti Vc€(/e y 4474Y/7 f- /V G ..LNG, y2�-2.2 `d0(j U
KAILIrG ADDRESS (/ E-NAD.Mo u 4a y.f(e Gk
CONTRACTOR ( 3`'l d S-e 3 3/ft` S F i2 coo,cart,Acf '
CITYSTATE ZIP FAX
gVLI 14/e4 '8ot2 4424---2qq - oc,ir
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE A
MaUn1T V/-1770N2 3 / 5 / IV 2o -06-/OS"3r/-oo-'3t
NAME PRIMARY
PHONE
Sonkk.� NOV46i4. Uliy /5 ZdP7 - '5-062-
MAILING
062-
NAS
APPLICANT /31'0? c 33 /` S-1 e Mvitty Ftq rAcRcl,CoaA
CITY STATE ZIP FAX
tibv� •ti w,4 ??)0?2-
N PRIMARY PHONE
PROJECT CONTACT 1'� < > LihCr, ?.d 6, YOg COG 2
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence / 3'1'0q. ,•C 3371 l 51Q/�(� u vtik,l C of i-'
concerning this application) CITYSTATE ZIP FAX
v4al‘,.-L.t. VILA 9 )9 L
PROJECT FINANCING NAME 0 OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
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 • • the city as a part of this application. / /
SIGNATURE: DATE cE3/ I ( / r 3
PRINT NAME: F.-c,t k S tecrik ,v\ / (`
Bulletin#100—January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
• �—
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $ 3 t`fi 7
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 . __ TiER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial) ih(L UCS S
BOILERS FURNACES HOT WATER TANKS(Gan) UI Ct*c fled Hek 4C4'
COMPRESSORS GAS LOG SETS REFRIGERATION SYST G4SJ
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $
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 Sink.) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(xiuhen/utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OP EXISTING IMPROVEMENTS
$
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes❑ No ❑Yes 0 No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
s> ,� •.4 x:.: ' ,.z- fres: ' t
.f. .;:i%3y�) S i��' ��f',r.-3•"u;,,,a.�:f;�,, �• ':;;��"(.:0,1.f.,..(:-1.i444')� �.'3 ��'^''r�'"' �.•s�' � ..�
FIRST FLOOR(or Mobile Home)
y.� j ,{�(,.Y.: ;'S ;'!A:' ',,!-J+'6% hi s s,,3 it K''.; •i� '4;1.**
�: '.''v{•'S','
.-,11,,';,^'^t .'�9 iax ' �..rb'�{3��'^✓ v Y..:S.3>'}.J' =� n..,r�.�h.'f`j;' :1;i204: �t":fT:is,,iLrL�'% _h;^.,,4r ..r.
COVERED ENTRY
w
`" • ,i .. ` j.,KF. z, .,p, �;, ,^ Y„ s - .t.,; ..444>,,�',?•,^-i,,,,y «aI""k <
GARAGE 0 CARPORT ❑
L>QSSTDfO PROPOSED TOTAL,..
Area Totals
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square FeetType Stories
'NE*BUlL tbi, `' . ;. •
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square FeetType Stories
TOTAL BUILDXNCi•, '
TENANT AREA ONLY
P wJzcf ARE'oWi
Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application