05-102817 City of Federal Way Mechanical Permit #: 05 - 102817 - 00 - 1VIF
Community Development Services
P 0 Box 9718
Federal Way,WA 98063-9718
Ph (253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3054
Project Name: LARSON
Project Address: 2428 SW 306TH PI Parcel Number: 416730 0160
Project Description: Replace gas hot water tank.
Owner Applicant Contractor
ANITA LARSON WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO
2428 SW 306TH PL 2800 THORNDYKE AVE W 2800 THORNDYKE AVE W
FEDERAL WAY WA 98023 SEATTLE WA 98199 SEATTLE WA 98199
(206)282-4700
Mechanical Valuation 850 Over the Counter Permit Yes
PERMIT EXPIRES December 14,2005.
Permit issued on June 17,2005
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: See Application Date: 01"
i
City of Federal Way Mechanical Permit#: 05 - 102817 - 00 - ME
Community Development Services
PO.Box 9718
FederalWay,WA 98063-9718
Ph.(253)835-7000 Fax (253)835-2609 Inspection request line: (253) 835-305C
Project Name: LARSON
Project Address: 2429 SW 306TH Parcel Number: 416730 0160
Project Description: Replace gas hot water tank.
Owner Applicant Contractor
Anita M Larson &LOWELL LARSON WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO
2428 SW 306TH PL 2800 THORNDYKE AVE W 2800 THORNDYKE AVE W
FEDERAL WAY WA SEATTLE WA 98199 SEATTLE WA 98199
98023-2339 (206)282-4700
Mechanical Valuation 850 Over the Counter Permit Yes •
PERMIT EXPIRES December 14,2005.
Permit issued on June 17,2005
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 ac dance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: tf/ Date: /1 7�d (}'''
THIS CARD IS TO REMAIN ON-SITE •
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-102817-00-ME
Owner: ANITA M LARSON
Address: 2429 SW 306TH PL
FEDERAL WAY, WA 98023-2339
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.
❑ Mechanical Rough-in(4165) ❑ Gas Piping(4125) •❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By Date. Z7- o
JUN-14-2005 08:43 FROM: TO:12538352609 P.
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ammo ,•jj�vizoT1A,rrsaRt,7CES PERMIT SF MF CO( EL PL DE EN FP
73f30F1.71s WAYX,WA
}t410113-9718
4 PO 3. 7I•t APPLI CATI O N
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53G 1-423 TO /
15�667A1 TS•FAX 453fi1 X7917
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This oiiowI . is •aired in or-rotation-an ince •Tete • •-Iicatton will not be acce•ted. Please •rint le•ibi in in or j•-.
PROPERTY/JINFORMATION
SITE ADDRESS ZR L ) 3 O(p'�- yxr) SUITE/UNIT N
ASSESSOR'S TAX/PARCEL i ( _42 7 3 Ilo_ LOT SIZE(sJ)
LEGAL DESCRIPTION(e.g.Aare Estates,Lot I)
Uaea..yP...ral•.lr.1«1.^004/lyd Jwo:riW .-
PROJECT INFORMATION
.TYPE OF PERMIT CI BUILDING D PLUMBING MECHANICAL
❑ DEMOLITION a ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
49a 77 j4J I.1. -4--Ii kl_t .-1 i h ie ",:"ZS
--CD gs.r 4 recf VeA.L.
PROJECT NAME(Name of Business or Owner Last Name) Li&rj0i
PEOPLE INFORMATION
PROPERTY NAME �� PRIMARY PHONE / +
OWNER r�,/U� PRvl�•• 3P -3 4,38-
MAILING ADDRESS CITY A E,ZIP
ez L/2 r
J. w 364 PI c)Q/ L-0 .___ g�23
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
WPtsu I h 5 -etact3cf Savt/ (-a z a. -te-xa .
MAILING ADDRES CITY STATE P CELL PHONE
2Soa '1 r IrY CJ le.. .- 74Li Sea_(4fQ. C•ior-Qi(49 ( )C/TY OF
FOU 3 WAYERL. BUSI/Q ESS UCENSE i"Z3'NUMBER�- E)CpI/TION DA/TE NUMBER
B L Zj ( )
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with.each application( EXPIRATION DATE
WIt�S'1-11C'=J' 91'71 40/3._ T / / CSC-
APPLICANT COMPANY NAME AppME OFFICE PHONE
`-77-e ?��'llt(� y- (4/6 ( )
MAIUNO ADDRESS CITY,STATE, 12 P - CE PHONE
f 0 f36)C ?�3c/ t rey-e xA_GJA V eP- (tL21--) 7 its- 3 j'
RELATIONSHIP TO PROJECT FAX NUMBER
CI Architect o Tenant Agent 0 Other(Describe) ( )
CONTACTNAME PRI ARY PHONE E-MAIL ADDRESS
7' ic�ic-ti L tido 77e0r,2#'2 ac1(J7 (S -'S ) 7'7.0 -3 2aJ--'
LENDE '?cr-IL{W.;9"l 1T.0A: 7erder inloi4 �!aner"
%rn NAME
-,•iF47i!(ro (rearojert
made)exceeds: ..90,
MAILING ADDRESS CITY.STATE,ZIP
DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE S VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? O YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER o LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
o NEW a ADDITION o ALTERATION a REPAIR ❑,TENANT'IMPROVEMENT
BUILDING SHELL ONLY? a YES o NO BASIq.PLAN? o YES 0 NO
ZONING DESIGNATION CHANGE G> USE? a YES o NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU?. a YES o NO
PLATTED LOT? o YES a NO DEMO PERMIT REQUIRED? a YES a NO
7Ct.e-- 2 Fp' , lar,Sav‘
Bulletin N100—March 30,2004 Page 2 of 4 k\Handouts—Revised\Permit Application
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. _ TOTAL
BASEMENT
FIRST
SECOND
THIRD w
FOURTH •
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? toT,u.ewsrnro TOTAL mores= for,rn.+T.eo,urn rRelOeW -
**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.
MECIIAMCAL
Value of Mechanical Work $ O�L
AIR HANDLING UNITS EVAPORATIVE COOLERS OAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Gmm.rew) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES j GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS for TYr/eh..c.c.••r.l SHOWERS • WATER CLOSETS raw.) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYS sUu«a 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 its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application. ���/� /
NAME/TITLE Yi'u.c�`' DATE 4lLq/oy •
(Signature) (Title) ll
RELATIONSHIP TO PROJECT 0 Owner K gent 0 Contractor 0 Architect 0 Other
wO• FFCESiWriar�..V�
; 4 ,,.
-
o NEW o ADDITION a ALTERATION o REPAIR p TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES D NO - BASIC PLAN? a YES a NO
ZONING DESIGNATION CHANGE-OF USE? a YES a NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES o NO
?c -- 2 R, , L4rtJUh
Bulletin#100—March 30,2904 Page 2 of 4 k\Handouts—Rcvised\Pennit Application
i•d 6092528 2T:01 :140dd St'8O S002-t T-Nnr