05-103261 •
City of Federal Way Mechanical Permit #: 05 - 103261 - 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: KAESS
Project Address: 28601 13TH SA*5 Parcel Number: 720300 0785
Project Description: Water heater changeout
Owner Applicant Contractor
George Kaess WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO
28601 13TH AVE S 2800 THORNDYKE AVE W 2800 THORNDYKE AVE W
FEDERAL WAY WA SEATTLE WA 98199 SEATTLE WA 98199
98003-3150 (206)282-4700
Mechanical Valuation 650 Over the Counter Permit Yes
PERMIT EXPIRES January 8,2006.
Permit issued on July 12,2005
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.
ill
/
Owner or agent: Date: ! 2/7'
THIS CARD IS TO REMAIN ON-SITE
CITY Of Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-103261-00-ME
Owner: GEORGE KAESS _
Address: 28601 13TH AVE S
FEDERAL WAY, WA 98003-3150
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)
0
Gas Piping(4125) Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By
VN Date \7...
JUL-6-2005 14:48 FROM: TO:12538352609 P.3
M Fdde Way 12S: J.Q . 2
PERMIT — A-
0p0E"�Ot/ s SF MF CO E LPL DE EN FP
33530i1RST WAY 601/111•to BOX sms
• 2534614` UsFiK4I APPLICATION
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The oltotain• is . (red ormation-an Inco •tete a••!kation will not be acre.ted. Please •tint le:lb to i or •j• .
/-� PROPERTY INFORMATION
SITE ADDRESS -L kt.o 0 1 1-3 )e-
TAX/PARCEL/ ! Z SUITE/UNIT•
ASSESSOR'S
a 3 0 D- 0 ? v ,E LOT SIZE(s.0
LEGAL DESCRIPTION(e.g.Aane Estates,Lot I)
meach aq aiorcrac.f.£>•y kyr d«edyt n)
PROJECT INFORMATION
TYPE OF PERMIT
0 BUILDING
0 PLUMBING )/eMF.CHANICAL
0 DEMOLITION O ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only)
04-45
4S1 )44c.:-/cf-
---O 9 cJ Cov1 Uu -tx h k
PROJECT NAME(Name of Business or Owner Last Name) k a e- ,s
PEOPLE INFORMATION
PROPERTY I NAME QPRIMARY /,¢{
OWNER (- e_o r' Q ! ea I 7 3 0"PHONEq -t!L(7 3
MAILING ADD ,ZlP
leo 13 CI sTAlia s I e__wT'Ew LI-- 1p c 03
CONTRACTOR COMPANY NAME
APPLICANT NAME OFFICE PHONE h 76amY ^n-V
(7_040 - E,MAILINADDRES . E• CELL PHONE4W� y 1iCAye
[J Q toff�(??
I -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
-�- U 3- !a 4,723 lc- �- L EXPIRATION DATE FAX NUMBER -
CONTRACTORS REGISTRATION NUMBER(copy of card reeatr,d vrItk each appUcatlool '
W kr it t. f� qtr-71
.0 e_ _ — TEX/R 2 ND/TAC
APPLICANT COMPANY` NAME
`r J
yt_ ?at-71,W- 6' ;IPfrizt_PUCAI1T ME ,6 /OPFICE PHONE
MAIUNO ADDRESS /�'(,',S-7.-TA V l
�O�6x �+� 1 DV,STA E,ZIP C(E(17.,L�PHONE 321111-
RELATIONSHIP -
TO PROJECT C4��� ��� G ��� -
n Architect a Tenant O Agent O Other(Describe) FAX NUMBER
�� CONTACT NAME/ � � ( I -
r` � (( L PRI RY PHONE ' r. ( E-MAIL ADDRESS
LENDS 1C/C"t.� orzlQci�J`fi (5r) 7'zo -3c.�� I
,p4R41FiSgy.o$S:"Leitd. info i 'ill /^ NAME
' re q ea( rr�tirb[on'[sy
4 tr i 'p"roject'value euceetic-ES:Obb,:=t A.
MAILING ADDRESS CITY,STATE,ZIP
DETAILED BUILDING INFORMATION
EXISTING USE
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $
VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? O YES D NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? p YES O NO
WATER SERVICE PROVIDER a LAI{EKAVEN O HIGEILINE
❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKERAVEN
o EIIGKLINE a PRIVATE(SEPTIC)
'JUL-6-2005 14:48 FROM: TO:12538352609 P.4
•'
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? TOTAL=STOW TOTAL MOMS= TOTAL=FOTOo AND raorosto
"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 ea
Value of Mechanical Work $ e J U I
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIO.SYSTEMS
BBQS FANS HOODS tco...rd q WOODSTOVES
BOILERS FIREPLACE INSERTSRANGES MISC(Describe)
COMPRESSORS FURNACES / GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLZThWING
BATHTUBS Issue/Sl...rcomb.l SHOWERS WATER CLOSETS tr.u,, MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYS(B.m,.o.sinks VACUUM BREAKERS ELECTRIC WATER HEATERS
—
--_– --- _-_ DISCLAIMER/SIGNATURE BLOCK Y_ _ M
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 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 claims),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.
c75
NAM (^/�
E/TITLE ' ' `� Cirri u's-6,) DATE '-7/(9 4 r
(Slanaturcl (title)
RELATIONSHIP TO PROJECT 0 Owner 0 Agent O Contractor 0 Architect 0 Other
'RROF iaift 4, NL�-.• O * . ••,•04-)F.r ti ,,
o NEW d ADDITION o ALTERATION o REPAIR. b TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES a NO BASIC PLAN?' a YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES o NO 1JP/SEPA/SU? o'YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? o YES o NO
—
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Bulletin#100-March 30,2004 Page 2 of 4 k\Handouts-Reviscd\Pcrmit Application