05-105154 City of Federal Way Mechanical Permit#: 05 - 105154 - 00 - ME
Community Development Services
P.O Box 9718
Federal
(25 Way,WA 98063-(253 Inspection request line: (253) 835-305C
Ph (253)835-7000 Fax:(253)835-2609 P 9
Project Name: MCQUEEN 0
Project Address: 33212 32ND1SW Parcel Number: 954280 0830
Project Description: Gas water heater replacement
Owner Applicant Cone. tor
B Dianne McQueen WASHINGTON ENERGY SERVICES CO WASHINGT• ' ENERGY SERVICES CO
33212 32ND PL SW 2800 THORNDYKE AVE W 2800 TH•'4 DYKE AVE W
FEDERAL WAY WA SEATTLE WA 98199 SEA ' E WA 98199
98023-2751 (24. 282-4700 ‘
oMechanical Valuation 650 I r the Counter Perm' r I es
IL
PERMIT E • 'IRE i pri .,20 . 1
Permit i• ue• I� 0 o. 10,2005 `
I hereby certify that the above information is correct .t• tha e . t ction on the above d Pcribed property and
the occupancy and the use will be in accordance with th a .le .nd regulations of the State of Washington and
the City of Federal Way.67t4tdL Owner or a8 ent: a /t - Date: f C d 6
THIS CARD IS TO REMAIN ON-SITE
CIof Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-105154-00-ME
Owner: B DIANNE MCQUEEN
Address: 33212 32ND PL SW
FEDERAL WAY, WA 98023-2751
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) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By AAil Date l i t{(b c By Date
OCT-5-2005 13:30 FROM:PERMIT • !!l1 42577563tEQkmsEIVE :12538352609 P.4
1
Tede Way
PERMIT OCT o 2005 - - -- .1..
mMM/IOT'osveLorxsxrseRvIces SF MF CO L PL DE EN FP
33510 FIRSTDEKA WAS SOUTHA9•PO BOR 9718 A P P LI C ATS, €
rEDERALWAY,5.FAX 5361412 EDERAL Y / /
?53nunoxitS•iderdw rtcont?9 BUILDING DEPT I
yrt.nusiluo?tdeealwau.00eq 1
The ollowin• is wired i oranation-an laic° .tete • . .lication will not be twee•ted. Please •rint le.ibt in ink)or •-. 1
PROPERTY INFORMATION
SITE ADDRESS Z- 3 a duh P1 U
4 SUITE/UNIT Y
ASSESSOR'S TAX/PARCEL# L c- Z c Q_ n c' 3 C) LOT SIZE Of)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
Mand.sgwma Pagonw I41.90hv 149d d..a pron! •-
PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING 0 PLUMBING 1t4IECHANICAL
O DEMOLITION ❑ ELECTRICAL a ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onllt)
q j ,--- �Qpkc m&i
50 9 e.0 V,
PROJECT NAME(Name of Business or Owner Last Name) (14-C- K..t-e / /
PEOPLE INFORMATION
PROPERTY r NAMEf���� PRIMARY PHONE �-�/
OWNER 1V/ � � 75/
f� �,
MAILING ADDRESS CITY STATE,ZIP OZ3
�
33 212 3Z`` f` l 1'w g �-
�
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
I4 n}sw(h lint Gnat t (z) 282_ -Vexei
�B6MAILING ADD LL y� ,n /' CITY,STATE,ZIP'– /.'
a �yl — T1u '�+ Se&44& W�eq ' ;ELL PHONE -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
2- v3- /O c/7.3 (11- - B L 7 / / ( )
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
kik t c,s 9"7_I 0/3_ T / -2- /
APPLICANT COMPANY NAME A,PPUCA ME OFFICE PHONE
?. rh.`tiL 6r v-17 U�c_ vl t e) ( ) -
MAILING ADDRESS CITY,SLATE ZIP CE14,PHONE
'PO r36 K 2035( l rey-e4 t.(.rA �? ( ') al-71-4957
RELATIONSHIP TO PROJECT - FAX NUMBER
0 Architect ❑Tenant ❑Agent O Other(Describe) ( ) -
-
CONTACT NAMEPRIMARY PHONE ,� E-MAIL ADDRESS
FCni'Q ,iCA'U p Ltl-ads Lor�nQ curl ( -s') �� T ���
LENDS ':'2y'093:
Per,.R(yW^1� LenQerYitfa;rmatlon'tf' .1 NAME
' re litreO 'rn ect vafiie
4 .►�P ./ ekceecls$5;QOO a _
MAILING ADDRESS CITY,STATE,ZIP
DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES O NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES a NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIOHLINE O TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEKAVEN a HIGHLINE 0 PRIVATE(SEPTIC)
OCT-5-2005 13:30 FROM:PERMIT 4257756315 TO:12532352609 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? Toro.EXISTING TOTAL PRoPoseo TOTAL=REDID AND PROPOSED
T
**NEW 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.
MECHANICAL �/�
Value of Mechanical Work $ (J.)c C/L
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(c.m....cu) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe) •
COMPRESSORS FURNACES / GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(.r Tub/Shower Combo) SHOWERS WATER CLOSETS tr u.q MISC(Describe)
DISHWASHERS SINKS DRINKINO FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYS B+dn•..Sinksi VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I cert(fj 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 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,Inc tiding its officers and employees,upon the accuracy of the information supplied to the city as a part of
Chia application. �,i������ ��� ��
NAME/TITLE G'i'ld . 9J4 `- , DATE
(Signatu re) \ , / (Title)
RELATIONSHIP TO PROJECT O Owner t 'Ag t 0 Contractor 0 Architect 0 Other
r'FORtO1 FLCE_USEsONLY-
o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES o NO BASIC PLAN? ❑YES d NO
ZONING DESIGNATION CHANGE OF USE? a YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? a YES o NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? o YES a NO
p aor,6, a , /2 c -ee'1
Bulletin 4100-March 30,2004 Page 2 of 4 Idliandouts-Revised\Permit Application