05-103946 I
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City of Federal Way Mechanical Permit #: 05 - 103946 - 00 - ME
Community Development Services
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P.O Box 9718
Federal Way,WA 98063-9718
Ph (253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-305C
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Project Name: LANG
iti
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Project Address: 31203 2ND SW Parcel Number: 555750 0010
Project Description: Replace gas hot water tank.
Owner Applicant Contractor
Donald B Lang &Cherilyn R Lang WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO
PO Box 24492 2800 THORNDYKE AVE W 2800 THORNDYKE AVE W
SEATTLE WA 98199 SEATTLE WA 98199
PO Box 24492 !Federal Way,WA 98093-1492 (206)282-4700
Mechanical Valuation. 950 Over the Counter Permit Yes
CONDITIONS:
This parcel is located within a Wellhead Protection Area(Capture Zone 5)and must comply with FWCC,Chapter 22,
Article MV "Critical Areas" and fill out a Hazardous Materials Inventory Statement,if applicable.
PERMIT EXPIRES February 8,2006.
Permit issued on August 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. /, �j di/4
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Owner or agent: liy` Date: " ` /Z j�
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THIS CARD IS TO REMAIN ON-SITE
CITY OF A Community Development Inspection Record
. Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-103946-00-ME
Owner: DONALD B LANG
Address: 31203 2ND AVE SW
FEDERAL WAY, WA 98023-4616
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 By,l';t Date , --7-6Q OQ
AU -3-2005 12:13 FROM: T0:12538352609 P.6
Teale W • � _
ay PERMIT -�- 1_1
POUT
DEVELOPMENT151.?0 00X 3Es F . C4LPLDEEN FP
33530POUT WAY SOMW•PO OOX 371i
FEDERAL
FAX X"pi J„ APPLICATION
u2Aw.slluolladtmtwnemm / /
The ollowi • is re.uired ormation—an Inco •fete a•-tication will not be acre• > d. Please • t le•lb in i or
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PROPERTY INFORMATION
SITE ADDRESS ' 1203 2- rki-e. J`
SUITE/UNIT N
• ASSESSOR'S TAX/PARCEL• c c 7 0 _ (' 0 LCL LOT SIZE(sf7 _
LEGAL DESCRIPTION(e.g.Acme Estates,Lot I)
(Atnary e . to pap•for lengthy kvat desdpu,J
PROJECT INFORMATION
TYPE OF PERMIT O BUILDING 0 PLUMBING )(MECHANICAL
0 DEMOLITION O ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
of 4S lb /4/ Lth 1140-,-r- Gia ryc5f
Se) eeeP Ill i). - / Jtfri
PROJECT NAME(Name of Business or Owner Last Name) LA-119 r
PEOPLE INFORMATION
PROPERTY NAME
OWNER 'P-tr/ce �+ PRI�MARY PHONE, /�
MAILING ADDRESS
7 I �.�ARY)i /{//�.'. 33(3
I 3(w3 21.) J4> STATE,cL-rl... 9980�3 1...�
CONTRACTOR COMPANY NAME
APPLICANT NAME
W'SHin �
1'6 OlaciJ 4/ OFFICEci°�2 (/.�
MA(IUUNG ADD $( J - lW
28Da :fir Icy L}� (() Ej •/_ /.I CELL PHONE
CITY OP FEDERAL WAY BUSINESS LICENSE NUMBER G���•(Q, W �� -
Za0- /04,23 V y RATLO'\ DATE FAX NUMBER -
CONTRACTORS REGISTRATION NUMBER a card
S L / /
gr-ii
��(copy �9a4tod with each appLLcatlea) EXPIRATION DATE
APPLICANT COMPANY NAME /�PPLIGN7 MB
-Mc � l� & `A `/,(�'„��(�, `,� /�(/j OFFICE PHONE
MAILING ADDRESS 7 -,+V�J ry�;/��+<(frit, ( I - J
CITY,STATE,ZIP PHONEP�tJ� x �2� lire,#.4A_c4.04 / vp C ) 72t)- 374Pe
RELATIONSHIP
Lam+- y74PORELATIONSHIP TO PROJECT
Fa Architect 0 Tenant O Agent 0 Other(Describe) ( NUMBER
L 'CONTACT �, NAME/ PRl ARYPHO?NE0 -3E-MAIL ADDRESS DRESS—`'?Q��(C --mjii, °"74.0 fr (S4 ”) 7 J
LENDE
ler- 4,. ff:0 411.
t.r44,1A. iirofect de&i z&4`.�� G?`, NAME
MAILING;,,DD-- ' fi'
CITY,SPATE,ZIP
DETAILED BUILDING INFORMATION
EXISTING USE -
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE >C
VALUE OF PROPOSED WORK $
SPRINHLERED BUILDING? a YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER O LAKEHAVEN 0 HIGHLINE
SEWER SERVICE PROVIDER 0 TACOMA 0 PRIVATE(WELL)
❑LwuFrraygN 0 HIGHLINE 0 PRIVATE(SEPTI(,.``I
AU -3-2005 12:14 FROM: TO:12538352609 P.7
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PROJECT FLOOR AREAS
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AREA DESCRIPTION
BASEMENT EXISTING SQ.FT. PROPOS;D SQ.FT. TOTAL - —---- I
- FIRST
SECOND II
THIRD Mil
FOURTH I_
ADDITIONAL FLOORS(DESCRIBE) I_
DECK(COVERED?) I
GARAGE/CARPORT
HOW MANY FLOORS? Tori,.raa mm Toritt, oroasn Tanu.cusTua,warrtoroaca
''NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRIG $
FIXTURES
Indicate number of each type offiacture to be installed or relocated as part of this project. Do of include existing fixtures to remain.
MECAANrCAL
Value of Mechanical Work $ Z JLC r
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOOS REFRIO.SYSTEMS
BBQS FANS HOODS
(
BOILERS FIREPLACE INSERTS RANGES I MISC SDescribe)
COMPRESSORS FURNACES / GAS WATER He TERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(.r Tub/sh.rerc...bo) SHOWERS • WATER CLAS:)I tr y.p MISC(Describe)
DISHWASHERS SINKS DRINKING FO AINS
GAS PIPE OUTLETS SUMPS RAINWATER S .T
WASHING MACHINES URINALS HOSE BIBBS
_ VACUUM BREAKERS ELECTRIC WA i ER HEATERS
1
-- _ DISCLAIMER/SIGNATURE BLOCK -
I certify under penalty of perjury that the information furnished by one is true and correct to f/ 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 ap./&cation is made. I further agree to hold
harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees 1 ed in the investigation and defense of
such claim),which may be made by any person,including the undersigned,and filed against the Cl 1 of Federal Way,but only where such claim
arias.out of the reliance of the city,including its officers and employees,upon the accuracy of the orotation supplied to the city as a part of
this application. //����%
NAME/TITLE t/lft�d<- (4/-6 Apt / <l3 l vS—
(S nature • -� TATE L
►E I f (Title)
RELATIONSHIP TO PROJECT 0 Owner O ent 0 Contractor 0 Architect 0 0 er
� �- "ire ��,
h 1FyQ OF . d it Q��pt: t;
• - t 37 ,,vrt41-.1 a
o NEW ..o ADDITION a ALTERATION a REPAIR a TENANT I PROVEMENT
BUILDING SHELL ONLY?' o YES o NO BASIC PLAN? ' I a YES a NO
ZONING DESIGNATION CHANGE-of USE? a YES a NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? a YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQ I D? Cl YES a NO
?a-je. -2....,Fri)/ La PL5'
3/20) 12, r4-)
Bulletin#100-March 30,2004 Page 2 of 4 k\Handouts-Rcvised\Permit Application