05-105049 a
•
• City of Federal Way ''Mechanical Permit #: 05 - 105049 - 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) 835-305C
Project Name: DAVID
Project Address: 29810 1ST S Pit s Parcel Number: 052104 9102
Project Description: Gas water heater replacement
Owner Applicant Contractor
E David Patrick WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO
29810 1ST AVE S 2800 THORNDYKE AVE W 2800 THORNDYKE AVE W
FEDERAL WAY WA SEATTLE WA 98199 SEATTLE WA 98199
98003-3642 (206)282-4700
Mechanical Valuation................ . .. .. 650 Over the Counter Permit . . . .Yes
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 F
%astl'
Owner or agent: an"f‘ C., ko Qir ... Date: lb L3 /0 5
t
•
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community.Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-105049-00-ME
Owner: E DAVID PATRICK
Address: 29810 1ST AVE S
FEDERAL WAY, WA 98003-3642
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 Date By C..j Date 'O#
i
SEP-29-2005 09:09 FROM:PERMIT 4257756315 TO:12538352609 P.8
cert.... I2 - j. _O V) q_ .2.
•
Federal Way PERMIT
Iowa 1 rrDEVELOPMENTSERVICES SF MFC L PL DE EN FP
33590 FIRSDE1i4 WAY SOP/1F1•P'O BOX 1718 APPLICATION _
s 53-661AL NAY,WA 534.619714 1113
/253661.4115•FAX 253 6614139
vtOtkaitiloffederalwati.com
The ollowin• is re.wired in ormation-an Inco •tete , • •iieation will not be acce•ted. Please .rint le.ibi n ink)or • .
�7 PROPERTY INFORMATION
SITE ADDRESS Z I cF- f O S / J-P SUITE/UNIT#
• ASSESSOR'S TAX/PARCEL I v Z / 6 V - q 6 2
— LOT SIZE(sn
LEGAL DESCRIPTION(e.g.Anne Estates,Lot 1)
(Annd,..p.m1.p.g./w 4r.po y 1.9.1..--44.nl .-
PROJECT INFORMATION
TYPE OF PERMIT D BUILDING 0 PLUMBING MECHANICAL
❑ DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
---------/c --,S Weci-e-r- /-4.6Q4c/ A-ep e...t 0 v,zil.ek
3-z) 9A-ko e..40-1. v.,I/
PROJECT NAME(Name of Business or Owner Last Name) QA' 0
PEOPLE INFORMATION
PROPERTY NAME
PRIMARY PHO E q�
OWNER / �G� 0� (L � _ Sd�3
MAILING ADDRESS CITY,STATE,ZI'
z'n>1 I f , I 7 ge(-3a3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
W4S14 ( w-94
2W (Z) 462_ -V
'2A360DRE iITY,STAT ,ZIP s K+ ACV CSG�E`CT'V&. ti eQ9 CELLPHONE _
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
"2-6- U 3- /0 V2_7 <II- - B L 7 ( ) _
CONTRACTORS REGISTRATION NUMBER)copy of card required with each application) EXPIRATION DATE
Lt1 f�J'H tc=.r .9'7.1 q IRZ RSC
SC
APPLICANT COMPANY NAME APPLICANTME OFFICE PHONE
-11 `�- l� 6�0 CIrad�"7ficn (c/6 ( ) -
MAILING ADDRESS CITY,STATE,ZIP CEkl,PHONE
f c•as 7-03c( t re t-coL CJA 6? (i ) �z'U 3We
RELATIONSHIP TO PROJECT FAX NUMBER �
❑ Architect ❑ Tenant o Agent 0 Other (Desazbe) 1 7�c 7e_57
CONTACT( -c.) NAMELmd �n A�( PRI RY PHONE - _ E-MAIL ADDRESS
c4C -
LEND 'Per ROW:19.L?,7.O9S: fender thjorm*adion i3.:4- NAME -� .. 7 5-,----Ar.=rel ul}c4�(f project value exceeds' r4,0110:•.,
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? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
t
SEP-29-2005 09:10 FROM:PERMIT 4257756315 TO:12538352609 P.9
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENTN,
FIRST
SECOND
•
?LAIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL EXITTINO TOTAL PROPOCW TOTAL.EXISTING AND 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 $ ( )
AIR IIANDUNG UNITS _ EVAPORATIVE COOLERS OAS LOGS REFR1G.SYSTEMS
BBQS FANS HOODS(Commercial) W OODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES I GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or T.b/Sh..ierCombo) SHOWERS WATER CLOSETS(T.mq MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYS(sufu.eosteteal VACUUM BREAKERS ELECTRIC WATER HEATERS
• DISCLAIMER/SIGNATURE BLOCK
I eert(fy 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 arty 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.
Qk*
NAME/TITLE DATE ?/2002/6/..----
(Signature)
(Signature) (Title)
RELATIONSHIP TO PROJECT o Owner kAgen o Contractor o Architect 0 Other
tFOR Oreid USO LVI,4
o NEW ❑ADDITION o ALTERATION a REPAIR. a TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES a NO BASIC.PLAN? a YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? a YES o NO UP/SEPA/SU? o YES a NO
PLATTED LOT? a YES o NO DEMO PERMIT REQUIRED? o YES o NO
21. V/ '
Bulletin#100—March 30,2004 Page 2 of 4 k\Handouts—Reviscd\Pcnnit Application