05-105974 City of Federal Way Mechanical Permit#: 05 - 105974 - 00 - ME
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection request line: (253) 835-305C
Ph (253)835-7000 Fax:(253)835-2609
Project Name: WILEY
Project Address: 28215 29TH$PrVe S Parcel Number: 111700 0300
Project Description: Removal and Installation of new gas water heater.
Owner Applicant Contractor
Gayle L Wiley WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO
28215 29TH AVE S 2800 THORNDYKE AVE W 2800 THORNDYKE AVE W
FEDERAL WAY WA SEATTLE WA 98199 SEATTLE WA 98199
98003-3342 (206)282-4700
Mechanical Valuation 600 Over the Counter Permit Yes
PERMIT EXPIRES May 20,2006.
Permit issued on November 21,2005
I hereby pertify that the above information is correct and that the construction on the above described property and
the occup, an the use will be in accordance with the laws,rules and regulations of the State of Washington and
the City of FFederal Way.
Owner or agent':' III $/ Date:- car—
,
THIS CARD IS TO REMAIN ON-SITE ‘
CITY OF = Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-105974-00-ME
Owner: GAYLE L WILEY
Address: 28215 29TH AVE S
FEDERAL WAY, WA 98003-3342
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) 0 Gas Piping(4125) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By , Date /./t/a
NOV-18-2005 07:4•3 FROM:PERMIT _ 4257756315
47...:,. . T :12538352609 P.3
eeral W 5_ 0
a' PERMIT
�' -�--- 12.1
WN4NlU7YA6'Y6rRUM•P 130A fi SP MP C�/-�
]]775 t?~AVENUE SOIRr!•PO ays orn L PL DE EN FP
" "; APPLICATION
s vauw.airwr rCSOWIMMAP I
The ollouring Li •aired I,Jo in Uon-an tneo •tete • .ttcation win not be a-- •ted. Please
•IPM PROPERTY INFORMATION Lint teg:i}ly in or 1
SITE ADDRESS ' - z-J 5" 2-1' ' e aJ
SUITE/UIIIT•
ASSESSOR'S TAX/PARCEL it 1 1. 2 C) ci 3 Q 0
LOT SIZE(47
LEOAL DESCRIPTION
(eg.Avnc.Estcctea,.Lot!f,
p""°4 -.__i..a.r Wmitro q aw
• PROJECT INFORMATION
TYPE OF PERMIT O HUILDUio Q PLUMBwe
)(91.TECHAPZI`-I►i.
0 DEMOLITION O ELECTRICAL O ENOTNEERINO Cl FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description ofwork included on this permit onto/
- '4a• :/.e."-ic-.-?
A--z, L: __/ t .PROJECT NAME(Name of Business or Owner Last Name) r/e e�
in PEOPLE INFORMATION
PROPERTY r",„/, ,,,
__OWNER (PTFFIIA�R'Y7�PH/B�Ac/�./�/' •......,7� z.,77.%/6540.6_,J, tTfY•!)TATIL, Y -... � •z��1 7 / /-�liC..
�- � Cv� 9pao3
CONTRACTOR t: ItrAlaJNAME AVPLicAnTNAME
°MEE Noun
litifiLM G aDR-�y �'Y`7'e�/// CIiY.ifATE -h � -
M po ��>�d e �s ev /j/(/J dia Cif ' -
C177 OF FEDERAL WAY SinaiEa C d g f�3' " � /
F�tARATIOH DATE FAX NUMBER
�O_O1- _ _23 / / ( ) -
/{1�NTRA R 1igCL. 11TIO['f 6[:R h+1T.f�j�cl..t.i,.{.u .t.L y�ie.a{.at
�r+f./ J �-� `Q R! /FATI[SN DATE
APPLICANT
o PHONE
wnxw L /vLd gitniia
oGtLr MIuytrrfi Jam
` s7
PHONE A /tv e iy -
fAT10NDHP TO pRQJECT FAX NUMBRQ Architect 0 Tenant 0 Agent o Other(Desoibe)
(
CONTACT
I / J
L ra y/ s 74 - ii
R�OHe -r7 1 e..ua C ADORES
(-461 ..PerRCIF 19.27.0WLender a L
NAME
Intirts
regitest Ilr+�Jlet_sar�ce: ty dodo
LIAfUNO ADDRE3a .... .. .
an.ETATDa 7.DP
.- * DETAILED BCIILDING INFORMATION
EXISTLYo USE
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE
VALUE OF PROPOSED WORK $
SPRINIQ.ERED BUILDING? 0 YES Q NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? O TPS 0 NO
. WATER SERVLCE PROVIDER O LM IMIAVEri 0 HIGffi,INE
O TACOMA P PRIVATE(WELL)
SEWER SERVICE PROVIDER d
I.AIiEIiAVEdt Q ffiQHLINE p PRIVATE(SEPTIC)
—
Bulletin'N 100-March 30.2004
Page 2 oto lkHandauts-RevisetAPermit Application
1 NOV-18-2005 07:50 FROM:PERMIT
4257756315 70:12538352609 P.2
•
-- �_ PROJECT FLOOR AREAS
AREA D CRIPTION E7IISTDPO .FT. PROPOSED 8 .FT.
Toru
FIRST
SECOND , ....
... . .
THIRD , S
FOURTH
ADDITI'O3 AL FLOORS(DESCRIBE)
DECK(COVERED?)
OARAGE/CARPORT
HOW MANY FLOORS? ,vm tatariro
tora laoresma sustaro AND rwr�
"NEWHOetf1;,S ONLY" NUMBER OF BEDROOMS
ESTIMATED SELLING PRICE St,
------ -----._---- FIXTURES —
Tndieate number of each! o T
type ff fixture to ba installed or relocated as part ofthis
Prof Do not include existing _.__
AIYIGILrtgrixtutes to rantairt
Value of Mechanical Work $ P I
ALR KANDL IN0 UNITS EVAPORATIVE COOLERS
BBQS FANS OAS HO LODS REFRIi].SYSTEMS
BOILERS FIREPLACE INSERTSp N'�"d'+ WOODSTOVFS
COMPRESSORS FURNACES ' MSC(DeaQiLo}
d
DUCTS OAS PIPE OUTLETS
GAS WATER HEATERS
PLUMING
BATHTUBS i+nwts+w.Krc.mt.* SHOWERS
DISHWASHERS DRINK)CLOSETS(Neal MISC 1
GAS PIPS OUTLETS SINKS - DRINKING FOUNTAINS lDescrifx
WASHING MACHINES _ SUMPS RAINWATER SYS?'
URINALS _. HOSE BIBBS
--. _ LAYS ttt.aua.a a:we,i VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIBIER/SIGNAT(IRE BLOCK
I eert�ander penalty of perjury that the information -_._.
am authorized de the owner lo of the above g ntsesLnfor tofurnished by me is true and correct to the best army tnoset�y and fes that I
horrauth the City of F lerar of as to any claim(Mewling perform the work for whle', the permit aP011tatton is ntade. I farther agree to hold
of
harm loss the
which may dbee al W by s� exponsee,and attorneys lees incurred In the investigation and
such •i of the ich mag b of tho d ,any pe►son,including the undersigned,unstiltedfraldefense
hi. n9 its officers apedagainst the the i o oration Way,but only whore such claim
this application. /, e.nptoyo•a.upon the vacusa4141 trtfsrmatton supplied t•the city air a
r Hart•�
NAM /TITLE AM 11Ufa + " /l�tP�Q�
Jr—
or tsisnaturq DATE 66
RELATIONSHIP TO ' 'OJP,t,`T O Owner (nth
Agent 0 Contractor O Architect O Other
: R FSGE DSE10,P:r 11
a NEW a ADDITION o ALTEfiAT[ON
BOt(I.DZNCi 9f[ELL-ONLY? to REPAIR o TENANT IMPROVEMENTo YES o110 BASIC PLAIN?
ZONING DESIGNATION
o YES a NO
N1rY7IlDDRQS,S C>;IANOE OF use, a YES a NO
REQUIRED? a YES o NO "UP/SEPA/SU? a YES
PLATTED IAT? D NO
a YES a NO DEMO PERMIT REQUIRED? a YES o NO
ci--Deve_. z friac/i7-&-)-- Zej//ey
Bulletin N100–March 30,2004
Page 2 of kkliandouts–RevisedlPetmit Application