05-102318 c . .r
City of Federal Way Mechanical Permit #: 05 - 102318 - 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) 835-305C
Project Name: GRILL
Project Address: 30224 27 V AVGS Parcel Number: 798480 0080
Project Description: Replace gas hot water tank.
Owner Applicant Contractor
JOHN GRILL WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO
30224 27TH AVE S 2800 THORNDYKE AVE W 2800 THORNDYKE AVE W
FEDERAL WAY WA 98003 SEATTLE WA 98199 SEATTLE WA 98199
(206)282-4700
Mechanical Valuation 525 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. 914. Date:Owner or agent: /'�" 37a 770 -
,
.A THIS CARD IS TO REMAIN ON-SITE \
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-102318-00-ME
Owner: JOHN GRILL
Address: 30224 27 AVE S
FEDERAL WAY, WA 98003
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) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date Byt"..) Date6 f G--
MAY-17-2005 10:59 FROM: T0: 12538352609 P.2
aTyoc Way PERMIT0 s - . -a IL
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3751 FEDE?MSRAL
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9806.•PO 9711BOX APPLICATION
FEDERAL WAY,FAX
9pC61-412
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The allow' . is re.tared in ormation-an Inco •fete a• •iication will not be aece•ted. Please •rint Ie•(hi in in or
! PROPERTY INFORMATION
t
SITE ADDRESS 302;2 a 7Th i
�7 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL # {. r b_ 0 t
LOT SIZE(sfJ
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lapthy lyal do .ipiton)
PROJECT INFORMATION
TYPE OF PERMIT O BUILDING a PLUMBING
MECHANICAL
0 DEMOLITION a ELECTRICAL ❑ ENGINEERING a FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
S Ara 0 W - it vug
a
-40 644 c_eJn -7-qi-tic,
PROJECT NAME(Name of Business or Owner Last Name) 6r-i11
PEOPLE INFORMATION
PROPERTY NAPIE
OWNER `��� • ` ri l ` RY PHONE �`xp
M NO ADDRESS 1 (� )Q3� ser/3
3 Z2� a--71-, ii-re CITY,STATE,ZIP
Q
s cv4A..7 1/4_ 9 -O 3
CONTRACTOR COMPANY NAME APPLICANT NAME
WJ'oi3� OFFICE� _ PHONE
rN rl 9 ( GQ) 262._ -MAILING ADD
28oaAve , 1 CITY STATE,ZIP
' ((.J �e� � ���� CELLPHONE -
CIIY OF FEDERAL WAY BUSINESS LICENSE NUMBER ( )
.2� U 3- t O V23 V-6:5- /TION DATE FAX NUMBER -
CONTRACTOR'S REGISTRATION NUMBER(copy of card tegalrM with each application) )
E
4 SH l�=J, elml Oa TEx'RA�TI-OND/ehc.
APPLICANT COMPANY NAME APpuCANT ME
11. ?-ar ii- Ens-v-0 Cir OFFICE PHONE
MAIUNG ADDRESS ( )
CITY,STATE,ZIP CE PHONE
?4C)FOC
2003(1 t � - 3��j��Qpr
�
RELATIONSHIP TO PROJECT � RSL L.(.! V�+�� ( 2r) [�yv
❑ Architect ❑ Tenant ❑Agent a Other(Describe FAX NUMBER
1 ( ) -
�^ CONT NAME�� � PRI ARYpHON6 I E-MAIL j
Fir—n `P ifC IC- TLa� nea.0 rfr 1 (S4 ) 770 -32,�
LENDS
rP.rRcw1927.09a: Lender d fo�ncition . NAME
- requiradIrProject valets eatceeds;5,000;
MAIUNO ADDRESS CITY,STATE,ZIP
DETAILED BUILDING INFORMATION
EXISTING USE
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES O NO
WATER SERVICE PROVIDER O LAKEHAVEN o HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LA.KEHAVEN 0 HIG[U,INE 0 PRIVATE(SEPTIC)
MAY-17-2005 10:59 FROM: TO:12538352609 P.3
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? TOT.u.cnsruW TOTAL morose° TOTAL ILXISTING AIG PROPOssn
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
ter- tom)
Value of Mechanical Work $ ? Z,
AIR HANDLING UNITS EVAPORATIVE COOLERS OAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(C.ouaeradl WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES / GAS WATER HEATERS
DUCTS OAS PIPE OUTLETS
PLUMBING
BATHTUBS(«Tub/6h.wcrc..►a SHOWERS WATER CLOSETS(r.ileq MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
t.AVS(Ban,...mood VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
Icertify 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.
NAME/TITLE DATE
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑Owner 0 Agent O Contractor ❑ Architect a Other
;1K ORa�FF[CE'US)✓'OI$LY' ?"
o NEW o ADDITION a ALTERATION a REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES a NO BASIC PLAN? o YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? o YES a NO
PLATTED LOT? o YES a NO DEMO PERMIT REQUIRED? a YES o NO
Bulletin#100—March 30.2004 Page 2 of 4 k\I•(andouts—Revised\Pcnuit Application