05-101700 City of Federal Way Mechanical Permit #: 05 - 101700 - 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) 835-3050
Project Name: PUHN
Project Address: 2032 S 301ST PI Parcel Number: 798290 0320
Project Description: Gas to gas water heater changeout
Owner Applicant Contractor
Robert P Puhn &Kaori Puhn WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO
2032 S 301ST PL 2800 THORNDYKE AVE W 2800 THORNDYKE AVE W
FEDERAL WAY WA SEATTLE WA 98199 SEATTLE WA 98199
98003-4262 (206)282-4700
Mechanical Valuation 525 Over the Counter Permit Yes
PERMIT EXPIRES October 15,2005.
Permit issued on April 18,2005
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
Z f�
Owner or agent / Date: / d S
THIS CARD IS TO REMAIN ON-MTE' ,
CITY OF A Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-101700-00-ME
Owner: ROBERT P PUHN
Address: 2032 S 301ST PL
FEDERAL WAY, WA 98003-4262
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) 0 Gas Piping(4125) .
❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By F-2, ...
� Date 1/A..,1776
APR-12-2005 12:49 FROM: T0:,,tt1��25383526 9 P.4
an,
'Federal Way s1 - 4P L 7 OD
OOMMUN YDEVELOPMEN SERVICES ,�,E`,/5...'��� PERMIT SF MF CO dip EL PL
33530FYRSTWAYSOUTH•POBOX9214 DE EN FP
FEDERAL WAY,WAFAX
911063-9711. 1-412p P LI C AT I O N ro
?SJ 661-1115•FAX?53661 1!?9 / /leiww.dlvo/r-edem7wau.mq AIM 7 -O I
The ollowln• is re.wired in urination-art inco •tete a••(icatlon will not be acct•ted. Please •rint le:ibi in in or
_ PROPERTY INFORMATION
•
SITE ADDRESS 20 Z. S3 d 1 19 /
SATE/SIT#
ASSESSOR'S TAX/PARCEL Y l 7 9 Z •9 / 6 LOT SIZE(sf)
9 d 3 L1
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Awad,4epanate pope for lengthy legd dwviplonl
PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING ❑ PLUMBING ,(MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit anlu)
•
Qf -fry w__, cam- �J A ;Qom
9y0 �,� ( 1
PROJECT NAME(Name of Business or Owner Last Name) puttiAJ
PEOPLE INFORMATION
PROPERTY NnM
OWNER f 'PUHA, PRIMARY PHON
MAILING ADDRESS CITY,STATE.ZIP `Z��� , - `^7
zo32- 5 30 !51 P1 -F .1,21 GUJ4.. 9daf)3
CONTRACTOR COMPANY NAME APPLICANT NAME
2r OFFICE PHONE
Wp7Ji� C„_amg l�.w//
CITY,STATE, -(e-X6
MAILING ADORES CELL PHONE8oa �y IAC fe SP _44—'_. �/teg IQ9
CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER !
' 1— 03 - (RATION DATE FAX NUMBER
' /�
CONTRACTORS REGISTRATION NUMBER[copy of card mucked with each application)
EXPIRATION DATE ii-SH IL_--:_r L
APPLICANT COMPANY NAME
` r t M Gmv� APPWCAyT� Mt�� OFFICE PHONE
MAILING ADDRESS C/.(� (/t r� ) _
?O F6 x 203c/ / CITY,STATE,//ii/ ZIP �/�"� ICtE{L,•(�PHONE y� ry��(y
RELATIONSHIP TO PROJECT l� 4A-&r V~+d? `` `f) 776 - 72,
0 Architect ❑ Tenant ❑Agent D Other(Describe) (FNUMBER
CONTACT NAMEPRI ARY PliONE
�` afcC-v Llhdo� ^ a►'`�?Qt�t,J'�
cis') 7?d -32�� E-MAIL ADURESS
LENDS Per RCP,19.27.09‘t: Lender fd-njatloii ii''^ NAME
requlredV(fproject value exceeds 0,000:
MAILING ADDRESS CITY,STATE,ZIP
DETAILED BUILDING INFORMATION
EXISTING USE
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $
VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? O YES ci NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
•
APR-12-2005 12:50 FROM: TO:12538352609 P.5
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
•
THIRD
•
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL ELaTT21O TOTAL.PROPOSED TOTAL.=grow MID PROPOSED
,•NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type off xture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $452-...) t C.TO
MR HANDLING UNITS EVAPORATIVE COOLERS GAS LOOS REFRIG.SYSTEMS
BBQS FANS HOODS(c.ow.,,t.l) WOODSTOVES
BOILERS FIREPLACE INSERTS I RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower combo SHOWERS WATER CLOSETS(reilct) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS tastieweisinke_ VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I.certify 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 authorized 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 etaimJ which may be made by any person,including the undersigned,and flied 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 l'Y/n^d� GYnl Q DATE (0Z/or
ignature( �,J t�) L
RELATIONSHIP TO PROJECT Cl Owner 0 A t 0 Contractor O Architect 0 Other
'tl?OR OFFICE USE:ONLY''�ti
a NEW 0 ADDITION o ALTERATION o REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES a NO BASIC PLAN? a YES o NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? o YES a NO UP/SEPA/SU? a YES a NO
PLATTED LOT? o YES a NO DEMO PERMIT REQUIRED? a YES o NO
pvtLi i 2-032_ S 3 0/ 17`
Bulletin#100-March 30,2004 Page 2 of 4 k\Handouts-Revised\Permit Application