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05-106445 City°f Fede Mechanical Permit #•• 05-106445-00-ME t Community Developmentnt Services P.O.Box 9718 Federal Way,WA 98063-9718 Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050 Project Name: YORK Project Address: 31620 41ST AVE SW Parcel Number: 873198 2420 Project Description: Replace gas hot water tank. Owner Applicant Contractor OBIE L YORK WASHINGTON WATER HEATERS INC WASHINGTON WATER HEATERS INC JOICE A YORK 8714 59TH DR NE WASHII*9800P 9/17/06 31620 41ST AVE SW MARYSVILLE WA 98270 8714 59TH DR NE FEDERAL WAY WA MARYSVILLE WA 98270 98023-2117 Additional Permit Information Mechanical Valuation 809 Over the Counter Permit? Yes Plumbing Fixtures Water Heaters 1 . CONDITIONS: PERMIT EXPIRES Sunday, June 18, 2006 Permit Issued on Tuesday, December 20, 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 accordance with the laws, rules and regulations of the State of Washington and the City of Federal Way. Owner or agent: See Application Date: a , THIS CARD IS TO REMAIN ON-SITE r CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 05-106445-00-ME Owner: OBIE L YORK Address: 31620 41ST AVE SW FEDERAL WAY, WA 98023-2117 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 C_ 4) Date/ — Z Q - of 4P- ,v 4. "' Z` RECEIVED BY ' coc MMUNIT(DEV ELOPMEbt)E TMEWICRY r ,/ c j Federal way PERMIT coYAIUN(TYDEVBLOPilENrSERVICES DECEG 2 0 "MF co L PL DE EN FP 3332AVENUE SOUTH•PO 9718 F APPLICATION FEDERAL WAY,FAX 98063-9718 253-835-2607*FAX?53 835.260•?609lug ......,‘Iiiiiwi wwm ntqur(cdrraitunu corn The ollowi , is -, 'red i . ,',nation-an , , •late , v•l'cat'on will not be acc-, - Please • nt -. , • in or _,• . �2 40-c•GPROPERTY INFORMATION SITE ADDRESS ;J/PI-0 LI/S f 5-e 4.-ec -14 41167-3 SUITE/UNIT# ASSESSOR'S TAX/PARCEL# V 7 3 5?- LOT SIZE(4) LEGAL DESCRIPTION(e.g.Acme Estates,Lot l) (Attach�rw.hrknnovrkg.1 thm6PW4 • PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING 0 PLUMBING (!I l[ECHANICAL 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit only) a l l ) c -ct y c.t�c € ju al e L PROJECT NAME(Name of Business or Owner Last Name) �f7 11----/ I. PEOPLE INFORMATION PROPERTYONE OWNER "0b1 yule..,� (z) 1 '.37 MAILING 6� STATE, ga may Wa_ 9$0Z� CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE kij&5 r � \CLA-ta- V k C:44-� (U c, -Lk.�r�.1 �,` C-4, ( ) )q 7 -CSS MAILING ADDRES§ CITY,STATE,Z CELL PHONE � --, 'Z v 15 C % ttia- `1Nc C) (`l75) -1 --`A.%I GU CRY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER (2 5-L Q- L a - B L /Z / 5i /Zit/5 ( 6(e) 3 ) - Th / CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) IR/ATION DATE (_'L- - tX- •- (2. f' /1/7 /off APPLICANT C MP NAME / �l11 ,, / APPLICANT NAME / 1 OFFICE PHONE _ tCU�rithi / - , �i�i �Ljrl/1 1,`v�G1 -_ ( i� )`�7& - �'�ssr MAILING ADZ'S COY,STNEE,ZIP CELL PHONE Y6i5 564— 5 F-- Lbe-4'4 ii-Lt I86)6/ (925) 3 -W4 RELATIONSHIP TO PROJECT FAX NUMBER ❑ Architect ❑Tenant gent 0 Other(Describe) (-J4,)375 - 2y5/ CONTACT N E PRIMARY PHONE E- L ADD -w(-L1 b�ctv. (`lx: ) `l?'d -4S;_sb her LA,DoL • t ioc,c�!,uiioI LENDER Per ICW 19.27.098: Lender Wormation is NAME 00‘&""--- required jyt-._._required i f project value exceeds$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 ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE a TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC) t ;r PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOTAL SQ.FT. SQ.FT. SQ.FT. BASEMENT FIRST SECOND THIRD FOURTH ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) GARAGE 0 CARPORT 0 COOTOWO TIOpoOtD TOTAL TOTAL!COMBO Or TOTAL mop'OOmW TOTAL O► NUMBER OF FLOORS "lVEW HOMES ONLY'* NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ FIXTURES Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECEAMCAL G Value of Mechanical Work $ p�Dp^` J AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS BBQS FANS HOODS(Commercial) WOODSTOVES BOILERS FIREPLACE INSERTS ( RANGES MISC(Describe) COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS(or Tub/ShowerCombo) SHOWERS WATER CLOSETS credo MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAYS(Believe=soba VACUUM BREAKERS ELECTRIC WATER HEATERS DISCLAIMER/SIGNATURE BLOCK I csrtijy under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and further,that I am authorised by the owner of the above premises to perform the work for which the permit application is made. 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 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/TITLEOC('' DATE l�r r —©S ( tun) (Title) RELATIONSHIP TO PROJECT 0 Owner ent 0 Contractor 0 Architect 0 Other FOR OFFICE USE ONLY ❑NEW o ADDITION ❑ALTERATION o REPAIR ❑TENANT IMPROVEMENT BUILDING SHELL ONLY? ❑YES ❑NO BASIC PLAN? o YES ❑NO ZONING DESIGNATION • CHANGE OF USE? ❑YES ❑NO NEW ADDRESS REQUIRED? o YES Cl NO UP/SEPA/SU? ❑YES o NO PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? ❑YES a NO Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application