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05-102961 • City of Federal Way Mechanical Permit #: 05 - 102961 - 00 - ME Coihmunity Development Services P.O.tax 9718 Federal Way,WA 98063-9718 Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) b 035-3050 Prbrject Name: COURY Project Address: 1026 SW 308TH St Parcel Number: 178830 0115 Project Description: Gas water heater changeout Owner Applicant Contractor Pamela D Coury WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO 1026 SW 308TH ST 2800 THORNDYKE AVE W 2800 THORNDYKE AVE W FEDERAL WAY WA SEATTLE WA 98199 SEATTLE WA 98199 1 98023-8237 (206)282-4700 Mechanical Valuation. 650 Over the Counter Permit.... ....... Yes PERMIT EXPIRES December 25,2005. Permit issued on June 28,2005 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 /,,II ,, (,� (7 Owner or agent: t - Date: "" 2 j"-- - - , ,-- , THIS CARD IS TO REMAIN ON-SITE CITY OF 40 Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 05-102961-00-ME Owner: PAMELA D COURY Address: 1026 SW 308TH ST FEDERAL WAY, WA 98023-8237 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 By Date By Date By C Date s -24- �+ JUN-21-2005an, 10:12 FROM: ��^ ``'C�T©2552609 P.1 - Federai Way PERMIT �e► Q 6 - — OMMU+OiYDEVELOPMENT SERVICES SUN 2 1 2005 sF MF G PL DE EN FP 3153e FIESPWAY SOWN•10 BOX 9711 " FEDERAL uAY,WA 94063-9714 53661-4T9 APPLICATIO T AY CITY FEDERAL / BUILDINQ DEP l In The a lowin• is re.aired I orntation-an ineo •fete . . •Uieation will not be aces•ted. Please -rent Is•ibl In or • 1 PROPERTY INFORMATION SITE ADDRESS /02...-C s L(,J 308 SUITE/UNIT I - ASSESSOR'S TAX/PARCEL I I -7 t 3 0 - V 7 ��. LOT SIZE(sJ) LEGAL DESCRIPTION.(e.g.Acme Estates,Lot 1) (Anal sepe,.ta~.~OJw Myth',t deurfOoj PROJECT INFORMATION TYPE OF PERMIT ❑ BUILDING 0 PLUMBING kie MECHANICAL 0 DEMOLITION ❑ ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Prouide detailed description of work included on this Permit only) Oaf 04 s Lu— ` ec___ r o n de s L ) 9c //r-% Con i.ei4r .p qi k. PROJECT NAME(Name of Business or Owner Last Name) PEOPLE INFORMATION PROPERTY MA OWNER QY r\ PRIMARY PHONE l MAIUNG ADDRESS COL) I (`- •�•6 y� •�` 2-6 I°2 ie.`' 3081- pi- I� TE .1 �4- q ?-3 CONTRACTOR COMPANY NAME APPUCANT NAME OFFICE PHONE WFtSKi r19 C- qV _ (22,4) 28'L -(e7c6 MAILING ��a D�� ykS u to Se&4&IL. Cu ( PHONE - CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER PIRATION DATE FAX NUMBER '24C- v 3- i 0 4,23 </I-do_B L 7 / / ( ) CONTRACTORS REGISTRATION NUMBER(copy of card required wlti each.pplIe.tlo.J EXPIRATION DATE Lu4fK 1(57.r gr7l Oa y / i /ems - APPLICANT COMPANY NAME APPLICANT E OFFICE PHONE '714 7)-vr ...i1--6.151,0 ed rick. ut f6 ( ) - MAIUNG ADDRESS CHIT,STATE,zIP CE PHONE f O a6 c 203c( ' rete wA *6,? *2-14-1 7 - 3211-F RELATIONSHIP TO PROJECT FAX NUMBER CI Architect ❑ Tenant 0 Agent 0 Other(Describe) ( ) - CONTACT ..-1 NAME/ ARY PHONE E-MAIL ADDRESS F--Tainit ,c' L M � 77-Zorndia i- rl 770 -32 1 LENDE :rr-e RCW,ti.k :'1,47,4444,44,*' T ..r44 + } roe bailie ef_ NAME MAIUNO ADDRESS CITY,STATE,ZIP DETAILED BUILDING INFORMATION EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? a YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO WATER SERVICE PROVIDER a LAKEHAVEN ❑ HIGHLINE a TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER a LAKEHAVEN a HIGHLINE 0 PRIVATE(SEPTIC) JUN-21-2005 10:12 FROM: TO:12538352609 P.2 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? TOTAL i76$Toro Toru.rnorOetD TOTAL msraw Mo rsorwso **NEW HOMES ONLY* NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ FIXTURES Indicate number of each type of facture to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECHANIC.AL //��//'�� i Value of Mechanical Work $��LJ MR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS SBQS FANS HOODS Icamaeret.q - WOODSTOVES BOILERS FIREPLACE INSERTS / RANGES MISC(Describe) COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS I.rTub/Shinier C.,b, SHOWERS WATER CLOSETS swam MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIDES LAVS IB.tw...stnk* VACUUM BREAKERS ELECTRIC WATER HEATERS DISCLAIMER/SIGNATURE BLOCK I certify under penalty of perjury that the Information furnished by me is true anti 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. br NAME/TITLE �g Aoort&c,( °l DATE 2II (Signature) (Tttk) RELATIONSHIP T• PROJECT O Owner o Agent t] Contractor 0 Architect a Other o NEW o ADDITION o ALTERATION o REPAIR .o TENANT IMPROVEMENT BUILDING SHELL.ONLY? a YES ❑NO BASIC PLAN? o YES o NO ZONING DESIGNATION CHANGE OF USE? o YES a NO NEW ADDRESS REQUIRED? o YES Co NO UP/SEPA/SU?- a YES a NO PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES a NO v 1 o 2 Co 3 08 Bulletin#100—March 30,2004 Page 2 of 4 k\Handouts—Revised\Permit Application