05-104313 City of Federal Way Mechanical Permit #: 05 - 104313 - 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)835-3054
Project Name: ALLISON
Project Address: 4034 SW 328TH Er Parcel Number: 873203 0440
Project Description: Gas to gas water heater changeout
Owner Applicant Contractor
C Jay Allison &Patricia K Allison WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO
2800 THORNDYKE AVE W 2800 THORNDYKE AVE W
SEATTLE WA 98199 SEATTLE WA 98199
(206)282-4700
Mechanical Valuation 650 Over the Counter Permit Yes
PERMIT EXPIRES February 28,2006.
Permit issued on September 1,2005
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 acc. i ce with the laws,rules and regulations of the State of Washington and
the City of Federal Way.,
Owner or agent: A' �. Date: /70,
/....••• '
a
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-104313-00-ME
Owner: C JAY ALLISON
Address: 4034 SW 328TH ST
FEDERAL WAY, WA 98023-2657
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 12./C— Date 9/2/r'
AUG-24-2005 07:05 FROM: TO:12538352609 P. 1
• med01/Way IIP6 - -0a3 ,s
couutaerr DEVELOPMENT SERVICES PERMIT M MF C� L PL DE EN FP
33530 MST WAY 50U111•PO DOX 9718
WAY,WA 98063.9714
253F46 5 FAX 2536614129 APPLICATION l
ynyw.dtwlhderalrgy,co /
The ollowin, is re•uired in ormation-an inco •tete • ••licatiort will not be acre• - Please •Hint le•ib in In or
PROPERTYy� INFORMATION
SITE ADDRESS 4/C)3 S L' 328 7'` s f SUITE/UNIT I
- ASSESSOR'S TAX/PARCEL N i¢ / "7? C) 3 - Q 51Y0 LOT SIZE(sfi
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(moth sepwwe page for lengthy legal dr pion)
PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING NeMEC AL
0 DEMOLITION o ELECTRICAL O ENGINE' •ING o FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
q 7 .y.J L41 - kap — eJta hi-ea-6
Fq_ / D /
PROJECT NAME(Name of Business or Owner Last Name) A-I it.J I
PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER G T� I (-059 P'-' 67
MALI/IG A0D q S J 32 f 4_ CITY,STATE ZIP
33c1 lcJit__ Lel z., 9s-c)z 3
CONTRACTOR COMPANY NAME "'—' Y APPLICANT OFFICE PHONE -�f
�/URSK►n (��)
21UN0 AbDDREi ` S,STATE,ZIP� ' (17 CELL PHONE _
CITY OF FEDERAL WAY BUSINESS UCENSE NUMBERXPIRATIO .ATE FAX NUMBER
'ztD- v3- !04123V- 7 / / ( 1 _
CONTRACTORS REGISTRATION NUMBER(copy of cart acquired with cock application' EXPIRATION DATE
1-41/1-S1-1 (C=J' 1'71 o / 2_ / CCS-
APPLICANT COMPANY NAME APPLICANT ME OFFICE PHONE
'7X e eP-armi� Gres-rA �.I/Y.�eL I /6 ( ) -
MAIUNO ADDRESS CITY,STATE,ZIP
/ 1 �i-�,� 5, CE PHONE
f�1F6X ONSHIP TO PROJECT
r reteu1CCl•A 4 'r/-? (42.f) 720- 3 �r
RELATFAX NUMBER
0 Architect a Tenant 0 Agent 0 Other(Describe) ( ) _
CONTACT NAME N
/ ih c/�
ern
PRl ARY PHONE E-MAIL ADDRESS
iw �f n C(. -S' 720 - 3 MI
LENDS ..
;Per RGto;I p:Z7 OQS: Ltrcdcr{i{fOrrCl rt�{3 T k NAME
,regtiii4il:101-4/eei[Pattie er caetic j5,Qa00-
MAILING ADDRESS CITY,STATE,ZIP
I
DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOS: ' WORK $
SPRINKLERED BUILDING? 0 YES a NO FIRE SUPPRESSION SYSTEM PROPOS• a/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER a LAKE/LINEN 0 HIGHLINE 0 TACOMA 0 P ATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTI
Bulletin 1100-March 30,2004 Page 2 of 4 k\Uanduuts-Reviscd\Pcrrnit Application
A. 4-2005 07:07 FROM: TO:12538352609 P.1
•
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. PROPOSE D,_Eg.FT. TOTAL
BASEMENT
FIRST
.
SECOND
IRS I'
SECOND
•
•
THIRD
•
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL LIMITING TOTAL P K POSED TOTAL LIMITING APO►MOTOWED
"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.
MECHANICAL ' /-��
Value of Mechanical Work $ C_P c c
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commeroi}w W OODSTOV ES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES / GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(•r Tub/Sh•werCombo) SHOWERS WATER CLOSE-A
(r•ikQ MISC(Describe)
DISHWASHERS SINKS DRINKING FOUYI'AINS
OAS PIPE OUTLETS SUMPS RAINWATER SILT
WASHING MACHINES URINALS HOSE RIBES
LAYS(Bathroom 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 tfic k,est of my knowledge, and further, that I
am authorized by the owner of the above premises to perform the work for which the permit apple cation is made. I further agree to hold
harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees in Ma-red in the investigation and defense of
such claim),which may be made by any person,including the undersigned,and flied against the Citycf 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 all / � / `�,� ATE cs—Liza
(Signature) Mr 1 ilk) •
RELATIONSHIP TO PROJECT 0 Owner 0 Age t 0 Contractor 0 • chitect ❑ Other
a NEW a ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES o NO BASIC PLAN? a YES D NO
ZONING DESIGNATION CHANGE OF USE? a YES o NO
•
NEW ADDRESS REQUIRED? a YES o NO UP/SEPA/SU? a YES a NO
ti
PLATTED LOT? a YES o NO DEMO PERMIT REQUIRED? o YES a NO
ct 2 �71v /TLlIf'�'—
`f b � set)et) 32 `
Bulletin#100-March 30,2004 Page 2 of 4 k\Handouts-Revised\Permit Application