05-102433 • r
City of Federal Way Mechanical Permit #: 05 - 102433 - 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) 835-3050
Project Name: NORDYKE
Project Address: 637 S 304TH 9- Parcel Number: 232950 0140
Project Description: Gas to gas water heater changeout
Owner Applicant Contractor
Sharon M Nordyke PERMIT GROUP,THE*LINDA THORNQUIS WASHINGTON ENERGY SERVICES CO
637 S 304TH ST PO BOX 2034 2800 THORNDYKE AVE W
FEDERAL WAY WA KIRKLAND WA 98083 SEATTLE WA 98199
98003-4018 (206)282-4700
Mechanical Valuation 650 Over the Counter Permit Yes
PERMIT EXPIRES November 23,2005.
Permit issued on May 27,2005
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:
UACh. qh.c.076 Date; "IR-170
THIS CARD IS TO REMAIN ON-SITE -"
CITY of Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-102433-00-ME
Owner: SHARON M NORDYKE
Address: 637 S 304TH ST
FEDERAL WAY, WA 98003-4018
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 4i1.4Date`- /6 • Os-
MAY-23-2005 14:39 FROM: ' TA:1 38352 09 3
,Federal Way .") o�
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PROPERTY INFORMATION
SITE ADDRESS 13 5' 3 O t A
SUITE/UNIT*
ASSESSOR'S TAX/PARCEL N -3 Z 9 �(:) - 6_ %
LOT SIZE(sn
LEGAL DESCRIPTION(e.g.Acme Estates,Lot IJ
tomer4merrerh emesV ewe*meow
--
PROJECT IhFOR:.MATION
TYPE OF PERMIT O BUILDING O PLUMBINGrAANICAL
O DEMOL[TION O ELECTRICAL oGITNEERuiG 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included an this permit only)
_____________9ac3in, gdu fikciet- h a ade. c,1441-you)S _
PROJECT NAME(Name of Business or Owner Last Name) Ai NtJ J .E
PEOPL1; iiiPoRItZATION•
PROPERTT cart.
OWNER +�/ .'I / MARRY• •NJZ
lNO A•• 7 l 41"-.2...., .' - PM 1O-J J1 q i- Q It
3- 3 0 s — ATE.ZIP/ w
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CONTRACTOR ' ODYTANY NAME wMMlGGr\rrN'etrl'�`'�`/'/,
P7Su/M - t roiticc+PHONE
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1 -Y �W
IMI NO A0T1.44
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PCrtY OoEDJCQA4 WAY bUJi1NRQs UCKH *NU1AU&R ��7 J� `TAX ) -
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"v r 1 `I `[ /�� �� [a11v REG, as sag rill saei,arptteatl� EXPIRATION DATE
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APPLICANT COMPANY NAME , �+ � a obi Ne
`714747r;14.if- Ems-1,-.0C/1• tout /to (
NAM a ADORES, QTY.STATE.ZIP moms?C.� fax .71 [o3c� t ra- .4JA fiekfr7 ( - ) 77::$- TAPP
RELATIONSHIP TO PROJECT
VAN
O Architect D Tenant 0 Agent a Other(Desa*ibeJ Homage -
CONTACT yLtrd� pW R') -3 E
Y rHONE ` I
( -t.,� JJAMnat:,r, i tis -MAIL ADDRESS
CA
LENDS J!uoRcurss Dist re.e.,• wlt! MARE
�sft.'•� efi'is':,•
^°g' "d project waive award*iOO.
xiA' otta Montt -• WY.*MATE.ZIP
DETAILED BUILDING 111FORI1A'IION
EXISTING USE
PROPOSED USE
EXISTUtO ASSESSED/APPOSED VALUE $ VALUE OP PROPOSED WORK $
SPRINKLERED BITILDlu(7 O YES o NO FIRE surpassmom SYSTEM PROPOSED/REQUIRED? 0 TES o NO
WATER SERVICE PROVIDER O LA[tEHAVEN O MGM QIE O TACOMA O PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGiILINE 0 PRIVATE(SEPTIC)
MAY-23-2005 14:39 FROM: ' ' ' TO:1253$352609 P.4
;::: ~}S; t^" •
` * PROJECT FLOOR AREAS
•
•
AREA DESCRIPTIONEXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
Torei.rJasrLfo TOTAL rROTO5LD TOTAL ZXI TQ(G MO reoro al
HOW MANY FLOORS?
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
- , •-- : ..-.:•1.. 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.
MECHANICAL -
Value of Mechanical Work $
EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
AIR HANDLING UNITS HOODS(c.amerddl WOODSTOVES
BBQS FANS MISC(Describe)
BOILERS FIREPLACE INSERTS RANGES
COMPRESSORS FURNACES ( GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
•
PLUMBING WATER CLOSETS iroteq MISC(Describe)BATHTUBS I.rT�eis>,.�.c..eo1 SHOWERS
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETSSUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYS(luau...s om ® VACUUM BREAKERS ELECTRIC WATER HEATERS
--/:-;-:-'...:1: -- : 'C.:-'•.: . . .- : - . 'DISCLAIMER/SIGNATURE BLOCK -- -:- •, --,...:-.'A.:- ."-..-*-- - . - ___ _
I certify under penalty of perjury that the Information/tarnished 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. I
NAME/TITLE 61444-- 4130/71.- nt i�
DATE Z3/OJ
t (Signature)( Title)
1 RELATIONSHIP TO PROJECT 0 Owner �Ag ❑ Contractor 0 Architect o Other
I .FOR OFFICE USE ONLY l
o NEW o ADDITION o ALTERATION o REPAIR n TENANT IMPROVEMENT
1BUILDING SHELL ONLY? a YES o NO BASIC PLAN? a YES D NO
i ZONING DESIGNATION CHANGE OF USE? DYES a N0
I, NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? o YES o NO
pet_ __ 2_- F �� c
Bulletin#100—March 30,2004 Page 2 of 4 k\l-landouts—Revised\Pcrmit Application