05-103753 i ti "
• r r
'Sit!'of Federal Way } Mechanical Permit #: 05 - 103753 - 00 - ME
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609Inspection request line: (253) 835-3050
Project Name: LUKE
Project Address: 27719 25TH ) Parcel Number: 757561 0040
Project Description: Remove and repl e gas water heater
Owner Applicant Contractor
Philip Luke WASHINGTON WATER HEATERS INC WASHINGTON WATER HEATERS INC
27719 25TH DR S 8714 59TH DR NE 8714 59TH DR NE
FEDERAL WAY WA MARYSVILLE WA 98270 MARYSVILLE WA 98270
98003-6929 (360)653-6429
Mechanical Valuation . 844 Over the Counter Permit .. .Yes
•
PERMIT EXPIRES January 25,2006.
Permit issued on July 29,2005
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.
Owner or agent: Date: 4
n jj
e
THIS CARD IS TO REMAIN'ON-$ITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-103753-00-ME
Owner: PHILIP LUKE
Address: 27719 25TH DR S
FEDERAL WAY, WA 98003-6929
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) ❑ Gas Piping(4125) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved 1
By Date By Date By f`` Date 6/670 0
vw ;'y RECEIVED BY
• A COMMUNITY DEVELOPMENT DEPARTMENT! �.
+ Federal Way �� - ��� 2 �`�
�u)-_ 2 8 2005 PE
RMIT
COMMUNITYDEVEWPI�i `:� EM I V E SF MFC EL PL DE EN FP
33325 AVENUEAPPLICATION To
FEDERAL
RAL WAY,WA 98063-9778 / /
253.835-2607•FAX 253-835-2609
tur'''n•ntuof)rrlrrnitri d t./1 2 O 2 o u yJ
•
The olio _,is 'sed 1.1• ••• ,n-an • • •lets •licatdon will not be • .. • ,_• Please •, .• , • In or -
IN PROPERTY INFORMATION
•
0
SITE ADDRESS ,) t, • 4 -. Or'ICJt- S Ljli/ � ,0SUITE/UNIT I
ASSESSOR'S TAX/PARCEL# 5 2 5 Co / - 0 �) V v LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
/Attach separate page for lengthy Iegal description)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBINGCHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detaileddescription of work includefii:n this er nit onh
PROJECT NAME(Name of Business or Owner Last Name) ba-i-e-
111
`^ 1 PEOPLE INFORMATION
' PROPERTYPHONEPRIMARY
OWNER N 1,1 I� ,L (Z3) i 7c6
MAILING ADDRESSCITY,STATE,ZIP
2-7i )°1 S'`" Or 5 `-)edgy-kms uJ 02--\ °l`6 00,3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
ti`-.C151n1 ki"N- .1//.L4 \ k-60-(4.4S 0 t U,,,i�✓,I/\ (f V2 '` ( ) )q -t7
MAILING ADDRESA CIN,STATE,ZIP CELL.PHONE
',2'2.
.2 U\? 47Cv4" \A"- \OIL,LUx-:.Ct1 V--i-z C1c:0 (`-(75) 1 -` `6 i`6
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
Q. —L Q.-5 Z —BL /2- / 37 /Zcdkj NS. 3n - --/L-(.5y
CONTRACTORS REGISTRATION NUMBER loopy of card required with each application) TION DATE
APPLICANT C MPANY NAME / APPLICANT NAME / OFFICE PHONE G
;(5'If,t \ C(,I'i(j/ `K-L aJ ' S 6a.•4ajrlA 6`G'"� ( tc )-77/J - Y)5S-
MAILING AD ESS CLAY.STAGE,ZIP CELL PHONE
�/z5 50- P-1-0-= 5 ,cktt h�u.) w:t_ `-/806/ ( L/Z5) ,3`7- -W 4
•
RELATIONSHIP TO PROJECT FAXNUMBER
0 Architect 0 Tenant ant 0 Other(Describe) (--6U,9 ) 3-7 - 7Vt,C
CONTACT N E PRIMARY PHONEE- ADD ESS
C-:Lim.� 7-0Lti•_ ( , ) ` -146 -`-5b`n PHONE .
l,,;cLL-y LIoti.0 yc.dt
LENDER Per RCW 19.27.095: Lender 1nibrmation is NAME 0(
required if prefect value exceeds 85,000
MAILING ADDRESS CITY,STATE,ZIP
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES O NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO
WATER SERVICE PROVIDER a LAKERAVEN a HIGHLINE ❑ TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKEHAVEN a HIGHLINE a PRIVATE(SEPTIC)
� jw*
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.PT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
rustle PROTON= TOTAL TOTAL merle Q TOTAL PROPOS=! TOTAL TT
NUMBER OF FLOORS
**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 $ 0
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS 1Commeroal) WOODSTOVES
BOILERS FIREPLACE INSERTS / RANGES MISC(Describe)
COMPRESSORS FURNACES ( GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS for Thb/Sho.erCombo) SHOWERS WATER CLOSETS Iroike) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS)e.u.e.00 saw VACUUM BREAKERS IILECTRIC 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 authorised 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 its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
� `" �n9: 1C --v 5k DATE �
NAME/TITLE `�'�C1�-� i ��� c-f ��
(Signature) (Title)
RELATIONSHIP TO PROJECT 0 OwnerAgent 0 Contractor 0 Architect 0 Other
FOR OFFICE USE ONLY
❑NEW o ADDITION ❑ALTERATION o REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES a NO BASIC PLAN? a YES a NO .
ZONING DESIGNATION CHANGE OF USE? o YES a NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES a NO
PLATTED LOT? ❑YES a NO DEMO PERMIT REQUIRED? ❑YES a NO
Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application