05-102816 t �
a w
City oflhederal Way Mechanical Permit #: 05 - 102816 - 00%_Mk
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax.(253)835-2609 Inspection request line: (253) 835-3051]
Project Name: KEENE
Project Address: 834 SW 307TH S1 Parcel Number: 178870 0205
Project Description: Replace gas hot water tank.
Owner Applicant Contractor
James E Keene WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO
834 SW 307TH ST 2800 THORNDYKE AVE W 2800 THORNDYKE AVE W
FEDERAL WAY WA SEATTLE WA 98199 SEATTLE WA 98199
98023-8245 (206)282-4700
Mechanical Valuation 525 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 co .ance with the laws,rules and regulations of the State of Washington and
the City of Federal Wa
Owner or agent: / k Date: (42/1-7/45
THIS CARD IS TO REMAIN ON-SITE
CITY. ACommunity Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-102816-00-ME
Owner: JAMES E KEENE
Address: 834 SW 307TH ST
FEDERAL WAY, WA 98023-8245
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 . 3 Date6_Z 7 • 0
JUN-14-2005 08:43 FROM: • TO:12538352609 P.2
�,. od- ( • A _7.1,_ L
Federal Way PERMIT
�^:i mmarDEVBto?kEAITsERvicxs SF MF CO ME L PL DE EN FP
590.6d1 W25.FAX
-PO,406 -4729BOX APPLICATION
FEDERAL WAY, X 53 61-41 TD /
253661-,115•FAX75�66ar
rt3uar,dtuo/kdemluxxu.oerE
The oilowi • is re•utred I ormation-an ince •tete • • •Ucation wilt not be acce• -• Please Tint le•ibi in in or .. • .
PROPERTY INFORMATION
SITE ADDRESS 8-3 (( s'(--4- 3o-2 / SUITE/UNIT 4
L
• ASSESSOR'S TAX/PARCEL# 2 0 c-J
7 _ d Z-- 0 LOT SIZE On
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
art.*separate paps for lsngU,y lova d soyiens) ._
PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING Si MECHANICAL
O DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit oral()
Taf 4 'i J Wim— / dr /2. '
(lo qc,-( Can u.a.-- ')-4-.--e'
PROJECT NAME(Name of Business or Owner Last Name) g ee n e.
PEOPLE INFORMATION
PROPERTY NAME '
PRIMARY TWINE
OWNER a ota,r I/-e ^bnV 12-3-7)e)1
-)7,Z.-.
MbARE STATE,ZIP�70S—, 3l7h f+ �
y bin-- q g-e)23
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
WASH Iviq{al, 9ti ( 7 ? -k
MAILING ADORES CITY STATE,ZIP CELL PHONE
2-Boa '1gridye-C Aue seia_ Girt Q$l og ( )
CITY OF FEDERAL WAY BUSINESS UCENSENUMBER EXPIRATION DATE FAX NUMBER
2°-- C33- iaVIZ-37/-ac'sB L 7 / / ( ) -
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with cath application' EXPIRATION DATE
W# ��.J
Ski q 71 as `j -2— / a{
APPLICANT COMPANY NAME ME OFFICE PHONE
^
MAILING ADDRESS CITY,STATE,ZIP cm PHONE
PO 36X' 2o3C/ t r .t WA 'Pf 3 ( err) 726- 7-ape
RELATIONSHIP TO PROJECT . FAX NUMBER
o Architect ❑Tenant 0 Agent D Other(Describe) ( ) -
CONTACT .- t NAME PRI ARY PHONE
Fe-n-Tafl,- -u L/ -dam lar 2ac�(J'fr ( �) 7s) -3211 E-MAIL ADDRESS
LENDER 7c?RQWVi9 709,'5:
'.7r Z!►ldectlifO•ton iti}i;; NAME
req*ed 0,irrojet value exc*4,'$S,000 ';'k,
MAIUNO ADDRESS CITY,STATE,ZIP
DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? O YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? p YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHL[NE ❑ TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER O LAKEHAVEN a HIGHLINE 0 PRIVATE(SEPTIC)
JUN-14-2005 08:43 FROM: TO:12538352609 P.3
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BrRSEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT •
HOW MANY FLOORS? TOTAL=STOW TOTAL PROPOSED TOTAL rRDzTuo MD PROPOSED
""NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ _
FIXTURES
Indimte number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECFIANICAL
Value of Mechanical Work $ � r
AIR HANDLING UNITS EVAPORATIVE COOLERS u OAS IROS REFRIG.SYSTEMS
BBQS FANS HOODS tc.R,s.auq WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES / GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS{..Tub/Shows.asa) SHOWERS WATER CLOSETS tr.oul MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE B(BBS
LAVS(Batter m sunk4 VACUUM BREAKERS ELECTRIC WATER HEATERS
• DISCLAIMER/SIGNATURE BLOCK
!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,inci ng its officers and c ployess,upon the accuracy of the information supplied to the city as a part of
this application. /
NAME/TITLE DATE �/ r
(Signature) mud)
RELATIONSHIP TO PROJECT ❑ Owner Agent 0 Contractor 0 Architect 0 Other
1
ie FIC SE• y , Y ;,, ,
a NEW a ADDITION o ALTERATION a REPAIR D TENANT IMPROVEMENT
BUILDING SHELL ONLY? - a YES a NO BASIC PLAN? - a YES o NO
ZONING DESIGNATION CHANGE QIF,USE? a YES a NO
NEW ADDRESS REQUIRED? o YES a NO UP/SEPA/SU? o YES D NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO
?ai,<..„ T.---Cp/
Bulletin#100—March 30,2004 Page 2 of 4 k\liandouts—Rcvised\I'ermit Application