04-104684 OrI
Or
City of Federal Way Mechanical Permit #: 04 - 104684 - 00 - ME
Communitt Development Services
P.O06ox 4718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-305Q
Project Name: LYDERS
Project Address: 510 SW 324TH 91. Parcel Number: 926490 0810
Project Description: Replace gas hot water tank.
Owner Applicant Contractor
Michael A Lyders WASHINGTON WATER HEATERS INC WASHINGTON WATER HEATERS INC
510 SW 324TH ST 8714 59TH DR NE 8714 59TH DR NE
FEDERAL WAY WA MARYSVILLE WA 98270 MARYSVILLE WA 98270
98023-5635 (360)653-6429
Mechanical Valuation 500 Over the Counter Permit Yes
PERMIT EXPIRES May 16,2005.
Permit issued on November 17,2004
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 accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: See Application Date: 11-17 — D T
riet,61•11DS
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THIS CARD IS TO REMAIN ON-SITE
CITY of Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-104684-00-ME
Owner: MICHAEL A LYDERS
Address: 510 SW 324TH ST
FEDERAL WAY, WA 98023-5635
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 /� p
By Date By Date By Date / �/ ��L,
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01/09/2004 16. "T _ CI'i'1' FEDERALCCMIIINUWIhfrL 4001J�c.�
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COT OP ,'�'� NOV 0 5 4 s351,FIRsr&AYsWA9oinn•PoDC'1971e
FdD6RAL WAY',WA 960ei3-9318
eFQderal411/ay ERMIT APPLICATION 2004 253-wwjw stwifed d5::,-15614
wob tom 229
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For omDmO.Is IOW File Number: M _ __ -. _ —
The olloud , Is - aired • on-an inc• •tete • y•llcatton will not be ac •tad. Please •rint ie,ibl n in or • _
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• PROPERTY INFORMATION
S
SITE ADDRESS: /b 5u,.., 3 Z-l �� 5- Ili-023 SUITE/APT•
2411 I
SES$OR'S TAX/PARCEL I: SQUARE FOOTAGE OF LOT:
LEGAL DESCRIPTION(eg:Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
a E'W IKe T INTFORMATZOI\
TYPE OF PER?.IIT(This application): C BUILDING a PLUMBING yiEECHANICAL G DEMOLITION
C ELECTRICAL a ENGINEERING.a FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Pnwi4re.dqtailed descnption of lcork••'``luded on this permit nnlr): _
PROJECT NAME Warne O Business/Owner Last Namel: �..,, /`
LL � � / ■2P�OPLE INFORMATION
PROPERTYOWNER: i I Ai IL.�-•711U- J ---- - - --- ----__---- PRIMARYPHONE: ,/
MAILINC ADDRESS(STREET AM-AIME*): CI Y,STATE,ZIP
5/0 5.-� ,�z Y_ .s f- -e .C�t f/ Lvcc7 Gc-+2 1 c‘o�3
CONTRACTOR I NAME. / - Y �- CO PANY I OFFICE PHONE: —1
(u(,t,3ti r ��iy. �G / LLQ-:--Iter � uj/it/12/ ())� -S s-
MAILING ADDRESS rel AMURESP;): C STATE,ZIP a c . CELL PHONE'
'3 lki 5 -- A-- �/ ; ` %Z (5 53) 335 - ���z'
CITY OF PSU L WAY BUSINESS�'S E NUMBER: EXPIRA O DATE. _ / FAX NUMBER.
O / BLS,/ (�-�0c' 3 7yS�
CCIN'fii1.eII7H'J REGIS RPtOON NUMBER: yQ� ‘...v GE�XPIRATION DATE::'
(copy of car{required with sash appliaatbaj ,�� 4z- ----4t..- €2#' 3L ee
+ _ / " ii l V
LENDER NAf—N1E -1-DAYTIME PHONE.
•
MAlLIKO'fDDIZ?SS(u^TREE=ADDRESS;;-------_ CITY,STATE,ZIP
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APPLICANT: Notts -----I CUIV,ANY ! OFFICE PHONE:
f fin. Jr6IR11I VA" 5q- -(
VIAII:NC;A')DRESS(STREET ADDRESS1' S:.4'T£.LIP uvEN)NO PHONE:
31-0(5 6c ‘°A-CI-C_ S .kw.r WC�lI (Z53 )335 -`1`iz2
RRLATIONSHIPTO PROJECT• ��, r( FAXNIJZ RER•
0.Architect LITenant Oi,
Other(Describe): lv 'I c-"J (%( L )375 -"715(
CONTACT PERSON FOR THIS PROJECT: Ll Property Owner J Contractor )plicant E-MAIL ADDRESS:
DETAILED RIJILDING INFORMATION
EXISTING USE: PROPOSED USE:
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK: $
SPRINKLERED BUILDING? c YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: c YES C NO
WATER SERVICE PROVIDER: a LAKEEAVEN 0 HIGHLINE a TACOMA U PRIVATE(WELL) '
SEWER SERVICE PROVIDER: 0 LAKEHAVEN o HIORLI NE a PRIVATE ASEPTIC)
01/09/2004 16:10 FAX 2530614129 CITY FEDERALNAY 002
a
•I PROJECT FLOOR AREAS
AREA DESCRIPTION - I EXISTING SQ.FT. ] PROPOSED SQ_FT._-- TOTAL _.
BASEMENT
FIRST —
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT -- -
HOW MANY FLOORS TOTAL EXAMS - t'OTALPAOPO9SD telVLRendif2 V:IFRoPOZs
i*"NEW HOMES ONLY"* NUMBER OF BEDROOMS. - ESTIMATED SELLING PRICE: $_ -�
■ FIX'I'IIRES
Indicate number of each type of fixture that is to be installed or relocated as part of this project. Do not include emitting fixtures to remai.�.
MECHANICAL l ,�
Value of Mechanical Work $_ 5,0
AIR HANDLING UNITS _ EVAPORATIVE COOLERS _- GAS LOGS MFR.*,SYSTEMS
BBQS FANS HOODS/co...co o W OODSTO✓ S
BOILERS FIREPLACE INSERTS RANGES MISC(Dexnbc)
COMPRESSORS FURNACES OAS WATER HEATERS
-
DUCTS CAS PIPE CUTLETS
PLUMBING
BATHTUBS io:T.hramrm-rGonrw SHOWERS WATER CLOSETS rreu,) MISC(Deccnbe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMFS RAINWATER SYS
__- WASHING MACHINES URINALS IIOSE BIBBB
LAYS{Bathroom Sera VACUUM BREAKERS ELECTRIC WATER HEATERS
r 'SCIAIVERY '.1.X OP..,
I certify under penalty of perjury that the in{formation.furnished by ma is true and correct to the best of my
knowledge,and further, that!am authorised by the owner of the above premises to perform the work for which the permit
application is made. Tfurther agree to hold harmless the City of Federal Way as to any claim(Including costs,eacpenses,and
attorneys'fees incurred in the investigation and defense of such claim), which may be made by any person,including the
undersigned,and/fled against the City of Federal Way,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 application.
NAME/TITLE: !s. G, _ -- - O DATE: k•, -
(Signature) i 11Ge)
RELATIONSHIP TO PROJECT. ❑Property Owner SCApolicant a Contractor ❑ Architect u — —
o NEW • o ADDITION c ALTERATION ❑REPAIR . TENANT IMPROVEMENT
BUILDING SHELL.ORLY? a YES ❑NO BASIC PLAN? o YES o NO
ZONING DESIGNATION: ., —_-_ CHANGE OF USE? YES o NO
NEW ADDRESS REQtfRED? o YES r:NO UP/SEPA/SU? o YES c NO
_PLATTED L071 —_ - C YES r NO DEMO PERMYT REQUIRED? 0 YES ❑NO
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