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05-106209 City of Federal Way Mechanical Permit #: 05 - 106209 - 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) 835-305C Project Name: TSCHABOLD Project Address: 28820 2ATH$'fl s Parcel Number: 422280 0060 Project Description: Replace gaa.bot water tank. Owner Applicant Contractor 1 Roy F Tschabold PERMIT GROUP,THE*LINDA THORNQUIS WASHINGTON ENERGY SERVICES CO 28820 20TH PL S PO BOX 2034 2800 THORNDYKE AVE W FEDERAL WAY WA KIRKLAND WA 98083 SEATTLE WA 98199 98003-3834 (206)282-4700 Mechanical Valuation 600 Over the Counter Permit? Yes PERMIT EXPIRES June 6,2006. Permit issued on December 8,2005 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 a ordance with the laws,rules and regulations of the State of Washington and the City of Federal Wa Owner or agent: Date: THIS CARD IS TO REMAIN ON-SITE CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 05-106209-00-ME Owner: ROY F TSCHABOLD Address: 28820 20TH PL S FEDERAL WAY, WA 98003-3834 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. 0 Mechanical Rough-in(4165) ❑ Gas Piping(4125) 0 Final-Mechanical(4065) Approved Approved to release test Approved By Date By Date By Fe...0/4 Date S * DEC-6-2005 08:44 FROM:PERMIT 4257756315 TO: 12538352609 P.6 y 'RECEIVED 0 - i_ o 6 d.oq • Federal WayDEC 0 6 2005 PERMIT COMMUNITY DEVELOPMENT SERVICES SF MF C04:1, L PL DE EN FP 33325TW AV IUE BOX 9718 IOF FEDERALAt.PLICATION - TD 253.835-2607.FAX 253-839BU(LDING DEP C �� 0 y.ww.dlwfederahvaa.com - The ollowing is required information-an incomplete a••lication will not be acce•ted. Please •rint le•ibly(in ink)or type. Q • PROPERTY INFORMATION SITE ADDRESS ZSSZO 2-0 , P 1 J SUITE/UNIT it ASSESSOR'S TAX/PARCEL N If • 2 Z ZA a- © O ( ( I LOT SIZE(sf) LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1) (Math separate page fr lengthy loyal desoipi•nl ■ PROJECT INFORMATION • - • TYPE OF PERMIT 0 BUILDING 0 PLUMBING MECHANICAL 0 DEMOLITION ❑ ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this permit(mild <- ((�Ct/Covr 1,V' PROJECT NAME(Name of Busin ��1ess or Owner Last Name) a 1:10/C1 IN PEOPLE INFORMATION ... PROPERTYa7 TC- ,j01 V ) 4%"- 7_5.17 OWNER "/ MAILING ADDRESS CITY,STATE,ZIP ZJ/2-o 'lei' /(J d C _._ (-cls q CONTRACTOR CO PANY NAME APPLICANT NAME OFFICE PHONE .v/�-S� ��11 ..9.2-et/ rte) z69?- - V7 MAIL G DDR theinizifi`�' r D`;CITY,STA c..,,j / /i fJ97 (ELL PHONE _ CITY OF FEDERAL WAY BUSINESS ICE NU BER /K-/)n /�, fEXPPIIIRRAATITI,ON DATE FAX NUM/BER w-d 3_ /C Z3 / / ( ) JR9Oric7I C7BER/Oopy od acquired with each application, EXPIRATION DATE VAG / / APPLICANT A/i�ClANT A 1Lapex EPHONE � MCA�_ arA -Sçjvx C�� On/ / Cy {_ _z�/ [y(}� 7 INGA REss nCPHONE , Ait ) RELATIONSHIP TO PROJECT FAX NUMBER ❑ Architect 0 Tenant 0 Agent 0 Other(Describe) ( ) - CONTACT ' �/ ��}�,rr '/ M' PR(l(�1�AR�Y�P}^iO-NSE /y E-MAIL ADDRESS rtnilei �, n �� ' .e' 1 �r /F'...:[c+ .z. NAME ENDER rr , •�/J per ltC{R'IY9,27i0y5{ Lende`r.ti�ormation,ia�w �' cl ;I:egiilfed ifproject value _coeds$5,000 MAILING ADDRESS CITY,STATE,ZIP .. - ,■ DETAILED BUILDING INFORMATION - - - • EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? 0 YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO WATER SERVICE PROVIDER 0 LAKEHAVEN a HIGHLINE a TACOMA a PRIVATE(WELL) SEWER SERVICE PROVIDER a LAKEHAVEN 0 HIGHLINE a PRIVATE(SEPTIC) DEC-6-2005 08:44 FROM:PERMITsr 4257756315 T0:12538352609 P.7 • PROJECT FLOOR AREAS • AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL BASEMENT FIRST SECOND THIRD FOURTH ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) GARAGE/CARPORT TOTAL r>e•T1TMO TOTAL iROrOSCO TOTAL=STING MO ntOr'OSW HOW MANY FLOORS) ••NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECHANICAL ........" . Value of Mechanical Work $ ill t GAS LOGS REFRIG.SYSTEMS AIR HANDLING UNITS EVAPORATIVE COOLERS WOODSTO ST BBQS FANS HOODS tc.mmraNtJ FIREPLACE INSERTS RANGES MISC(Describe) BOILERS / GAS WATER HEATERS COMPRESSORS FURNACES DUCTS GAS PIPE OUTLETS PLUMBING SHOWERS WATER CLOSETS(roue) DISHWASHERS SINKS MISC(Descnbe) BATHTUBS l.rT b/ShouTrC.meol DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS VACUUM BREAKERS ELECTRIC WATER HEATERS LAYS Bathroom Sinks • '.DISCLAIMER/SIGNATIIREBLOCK • " -i:'' • --":' - .-...:".<:):::: her that y I certify under penalty of perjury that the ir4ormatton furnished by me is true and.torreet t to the best of tion ismyri�ade.knoible!furan anddge, �ree , hld aI ant authorized by the owner of the above premises to perform the work for which the pr rmn harmless the City of Federal Way as to any claim(including costs, expenses,a ndattorneys' fees e City of Federal Way,but only where sue a se f such claim), which may be made by any person, including the undersigned, filedagainst arises out of the reliance of the city,i ding its officers and employees,upon the accuracy of the information supplied to the city as a part of this application. � �J� �� `!t' `�'' DATE / ��C (/(J NAME/TITLE (WO (Signature) RELATIONSHIP TO PROJECT O Owner o Agent D lei?Contractor O;Archttect LI Other i 'FO12:OFFICI:USE ONLY ' I <r o NEW O ADDITION o ALTERATION n REPAIR Li TENANT IMPROVEMENT• o YESo NO BUILDING SHELL ONLY? o YES a NO BASIC PLAN? ZONING DESIGNATION CHANGE OF USE? o YES • o NO NEW ADDRESS REQUIRED? a YES oNO UP/SEPA/SU? o YES o NO PLATTED LOT? o YES a NO DEMO PERMIT REQUIRED? o YES o NO r-Pait c TS'ejlq.l id • Bulletin#100-March 30,2004 - Page 2 of 4 LAI(andouts-ReviscaPermit Application