05-105054 City of Federal Way Mechanical Permit #: 05 - 105054 - 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: BEMLKE
Project Address: 616 SW 312TH ST Parcel Number: 072104 9144
Project Description: Replacing gas furnace and gas water heater. **10/10-also includes gas piping**
Owner Applicant Contractor
JOE BEMLKE WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO
616 SW 312TH ST 2800 THORNDYKE AVE W 2800 THORNDYKE AVE W
FEDERAL WAY WA SEATTLE WA 98199 SEATTLE WA 98199
(206)282-4700
Mechanical Valuation 4876 Over the Counter Permit Yes
Mechanical Fixtures
Description Quantity Description Quantity Description Quantity]
Furnaces 1 Gas Piping 1
PERMIT EXPIRES April 1,2006.
Permit issued on October 3,2005
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.
(4Owner or agent: ' / Date: l 0 — --(�
6Lp /
W l�—
City of Federal Way Mechdnical Permit #: 05 - 105054 - 00 - VIE
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: BEMLKE
Project Address: 616 SW 312TH Parcel Number: 072104 9144
Project Description: Replacing gas furnace and gas water heater
Owner Applicant Contractor
JOE BEMLKE WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO
616 SW 312TH ST 2800 THORNDYKE AVE W 2800 THORNDYKE AVE W
FEDERAL WAY WA SEATTLE WA 98199 SEATTLE WA 98199
(206)282-4700
Mechanical Valuation 4876 Over the Counter Permit Yes
Mechanical Fixtures
Description puantityi Description 'Quantity Description Quantity
Furnaces
PERMIT EXPIRES April 1,2006.
Permit issued on October 3,2005
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 Fe '^
Owner or agent: "-1 eo C� Date: 10/31 5
THIS CARD IS TO REMAIN ON-SITE
CITY OF . Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-105054-00-ME
Owner: JOE BEMLKE
Address: 616 SW 312TH ST
FEDERAL WAY, WA 98023-4817
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 io 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 proved to release test Approved
By Date By Date 4-/fr-ef By Date
SEP-29-2005 09:19 FROM:PERMIT 4257756315 TO: 12538352609 P.3
Feoler~a Way __Q. -- i 12 . 0 S
O MMUNRYDEVELOPIIEKTSERVICES PERMIT SF MF CO ME LPL DE EN FP
33530 FIRS 6WAYSMITH•PO BOX 9716
FEDERAL. 6 WS F.XA?57-661412 APPLICATION , , , fTD
WWII/.d! ffedemlwav ppm
The allowin• is •uired i ormation-an ince •fete a••itcation win not be acce•ted. Please .rint le•lb( in ink)or
PROPERTY INFORMATION
SITE ADDRESS (i 6 d//-�L.(J r /_V
3� /C t t SUITE/UNIT#
I v G
ASSESSOR'S TAX/PARCEL - ( v (/ - / LOT SIZE(sl
LEGAL DESCRIPTION(e.g.Acme Estates,Lot I)
(Attach.eparale part!Mnylhy kpi dooipicN ._
PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING ❑ PLUMBING XfMECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu/
i....rafftalginirlirgeAlanNWISMIE 4° COO Mgr
Ffki v 14,/ e.01- ---7-- A-ga---"e""
PROJECT NAMENa
( me of Business or Owner Last Name) rJe.-I4 e...,/C�
PEOPLE INFORMATION
PROPERTY NAME pp J PRIMARY PHONE
/ [�r�
AffCCt4FF110
OWNER /(/l� Pe 1 CSE (Z S'� L/7 r - /
MADDRESSCITY STATE.ZIP
e I£ sw r3/z j, - -- wci, Quo 2-3
CONTRACTOR COMPANY NAME ` APPLICANT NAME OFFICE PHONE
V I:6141 i r-iltVEN ?¢W (24) Z2. -(
MAIyADD�� i CITY,STATE,ZIP CELL PHONE
°G� y (� Scz liJQB(49 t ) -
COY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
"16- 0 3- l 0 4123 V-c B L1 / / ( )
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
(.0 fts1-f l L s q"71 ons 47 / -, / 4e
APPLICANT COMPANY NAME APPLICANT ME OFFICE PHONE
`Ti- ?"‘i/114-114- C rav-/ _Lerida_ e4 f ( ) -
MAILINO ADDRESS CITY,STATE,ZIP CE PHONE
(POf36 ( 2.03C( l jfa c A /1612 (P-J-)
RELATIONSHIP TO PROJECT FAX NUMB't-7S'6r-qr7
o Architect ❑Tenant ❑Agent 0 Other(Describe) (
C "�'
CONTACT �-, NAME/ Thd ��A�( PRI PHONE -7�P E-MAIL ADDRESS
)2DE (c.A L)-
LENPer RCWV 29:27:095: f ender"fii foim"atiot:tS-`•; NAME , _7 C �-7
• regii;�ed.,If pnoJect value exce`eds:$5 OOt1 - 7
MAILING ADDRESS CITY,STATE,ZIP
DETAILED BUILDING INFORMATION
•
EXISTING USE ,PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
SEP-29-2005 09:20 FROM:PERMIT 4257756315 TO:12538352609 P.4
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
Bie3EMENTI
—
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL=STAG TOTAL PROPOSED TOTAL ELLSrlPO MD PROPOSED
"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 $ t
.177
AIR ILANDLING UNITS EVAPORATIVE COOLERS OAS LOOS REFRIG.SYSTEMS
BBQS FANS HOODS(co.m.rdal) _ WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS I FURNACES / GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(.r Tub/Shower combo, SHOWERS WATER CLOSETS(r.Lkt) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS teatti:.om sinks) _ _ 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 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 Ricers and employees,upon the accuracy of the information supplied to the city as a part of
this application. ?�
NAME/TITLE ktI4A4DATE
ISitn urn) (Title)
RELATIONSHIP TO PROJECT 0 Owner Agent 0 Contractor 0 Architect ❑ Other
At A
POR OFE[CE'USE:ONLY•i
o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES o NO BASIC PLAN? ❑YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES a NO
NEW ADDRESS REQUIRED? a YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES a NO DEMO PERMIT REQUIRED? in YES in NO
Bulletin 4100—March 30,2004 Page 2 of 4 k\Handouts—Rcviscd\Permit Application