11-103210 • •City of Federal Way • Mechanical
Community Development Services Permit #: 11-103210-00-ME
P 0 Box 9718
Federal-260, Fax:(253) 718
835- Inspection Request Line: (253)835-3050
Ph:(253)835-2607 (253)835-2609 p Q
Project Name: WRIGHT
Project Address: 388 SW 316TH ST Parcel Number: 072104 9079
Project Description: Replace gas hot water tank
Owner Applicant Contractor
LLOYD WRIGHT LLOYD WRIGHT LLOYD WRIGHT
388 SW 316TH ST 388 SW 316TH ST 388 SW 316TH ST
FEDERAL WAY WA 98023 FEDERAL WAY WA 98023 FEDERAL WAY WA 98023
4dt It141 t it l F14t14:4/ M ..
Mechanical Valuation 1500 Is this an Online or 0 T.C.application? Yes
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"Mechaic•. tt i ";,:fav°�'
Hot Water Tanks 1
PERMIT EXPIRES Sunday, February 5, 2012
Permit Issued on Tuesday, August 9, 2011
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 r Date . Q/QUI /
CITY OF 44014THIS CARD IS T MAIN ON-SITE
• Construction I ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 11-103210-00-ME Address: 388 SW 316TH ST
Project: LLOYD WRIGHT FEDERAL WAY, WA
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.
El Mechanical Rough-in(4165) ❑ Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By \4"..).../ Date Ha-1 I
El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
• / 1 - % 0 3 0
CITY°F era
Way PERMIT MF CO410 PL DE EN FP
Federal
COMMUNITY DEVELOPMENT SERVICES APPLICATION RECEIVED
253-835-2607•FAX 253-835-2609 ` pi
u,u u'dt off deraItvay..cgm yC
SITE ADDRESS AUG 0 9 SUITE/UNIT#
3g .5k) 9rbr& 57 ' CITY OF FFDERAL WAY
PROJECT VALUATION ZONING ASSESSOR'S TAARCS � � - O
$
TYPE OF PERMIT ❑ BUILDING 0 PLUMBING AMECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) /0 �
/11
PROJECT DESCRIPTION %�`' """ �"e!%
Detailed description of work to
be included on this permit only
NAME Y
PROPERTY OWNER G16.; e i � ^H [��=�6- /
MAILING AD
E-MAIL
3�� 9�/�J Si( t c /STATE ZIP L h 6-4f_���-,7ZCITY iCjG
' ' , / G"A- g76zJ 'Cav�
NAME PHONE
ce J �
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAL¢ PHONE
t'21...€4,--
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
PROJECT CONTACT NAME PHONE
(The individual to receive and
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application)
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME
,.-_-_ ❑ '9WNER-FINANCED
Required value of$5,000 or more /
(RCW 19.27.095) (' MAILING ADDRESS,CITY,STATE, PHONE
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
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,
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.
SIGNATURE: / _ DATE dif f f/OZO/7
PRINT NAME:J // CI L.C9j"/G�f (/
Bulletin#100-January 1,2011 Page 1 of 3 101-Iandouts\Permit Application
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