05-102587 I
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City of Federal Way Mechanical Permit #: 05 - 102587 - 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: BRYCE pc4e,
Project Address: 31918 36THf SW Parcel Number: 873198 0120
Project Description: Replace gas hot water tank.
Owner Applicant Contractor
Mary E Bryce WASHINGTON CORROSION SRVC INC WASHINGTON CORROSION SRVC INC
31918 36TH AVE SW 1425 BLAINE AVE NE 1425 BLAINE AVE NE
FEDERAL WAY WA RENTON WA 98056-2774 RENTON WA 98056-2774
98023-2138 (425)228-1393
Mechanical Valuation 700 Over the Counter Permit Yes
PERMIT EXPIRES November 29,2005.
Permit issued on June 2,2005
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 W•y.
Owner or ag jtj' F ., C-L"""am""" Date: ' `-2 ,C lam'"
THIS CARD IS TO REMAIN ON-SITE
CITY OF A Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-102587-00-ME
Owner: MARY E BRYCE
Address: 31918 36TH AVE SW
FEDERAL WAY, WA 98023-2138
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 G. Date 4F-•G .O S
1 , . ., i4-60-r
raraMA •
• 1_ - / v � 1- 3-
Federal Way PERMIT RECEIV
MF COLPL DE
EN FPCOMMUNIYDEVPLONBNSERIES
33325 Wif RSOUTH 9718
FEDERAL WAY
. A 9398 APPLICATIOO 2Zo / /253-835-2607•FAX 253435.2609
araw.dlygIIed&d ay.eaa CITY�1OF FOERA
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The otlowi • is -• fined in ormation-an Inco •tete • • •licatlon l 0 ,. +; !cm Please •rint le•ibl n or j, .
■ PROPERTY INFORMATION
SITE ADDRESS 319/8 36 A Su/
SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _ _ LOT SIZE AO
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach eaPwrieea for lengIvtheat da+ i
' ■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING j<MECHANICAL
- 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PRO DESCRIPTION(Provide detailed description of worked on this permit only)
PROJECT NAME(Name of Business or Owner Last Name) /r 74i(f / '/
• PEOPLE INFORMATION
PROPERTY NAME PHONE /
OWNER A J 612 y _c; (Z53) -DCo 5Z
MAILING ADD CITY,STATE,Zl
3191/5 3C 4 Sed F toil TAe,z2)
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
WANing704 C & cosi o 311.J 7)14.1s (4/61 z -1393
MAILING ADDRESS CITY ATE,ZIP CELL PHONE
' CITY/L-zs 6a/FEDERAL WAY Se4c)LICSNSE NUMBERtie bl 70�R 9 5Z ATE SAX NUMBER
WI -B L / / ('{2S) '$30 - 076,
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
Wks_ 14. LCLS ,'5 sK a S/ /O6
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
( ) -
MAILMG ADDRESS CITY,STATE,ZIP - CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
a Architect a Tenant o Agent a Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
•
( ) -
LENDER :e: r,.: r ::f.r. NAME
MAILING ADDRESS CITY,STATE,ZIP
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? a YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? O YES O NO
WATER SERVICE PROVIDER a LAKEHAVEN a BIGHLINE a TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN a BIGBLINE 0 PRIVATE(SEPTIC)
r . 1 '
- PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST -
SECOND
THIRD -
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
111=11110 PROPOStD NUMBER OF FLOORSOAL �. gillaNai�aA .L
**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.
MECKARICAL �� D
Value of Mechanical Work $
•
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(e.mme,el q WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
'• COMPRESSORS FURNACES / GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS(rooeq MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(9•th worn stwra( 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 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 relian of the ,including its o -cars and employees,upon the accuracy of the information supplied to the city as a part of
this application. A.
_ v
NAME/TITLE k•4 ie g �ti
` , DATE 'Z -.
(Signature) (Title)
RELATIONSI • PROJECT a Owner a Agent retractor a Architect a Other
Pl'.'r ,,c1e)I'r`(Gl i bt't1C�,kS)(.b��( ». _ .4. 'i'b1;7 „ s• 1,':..4!):40';' ,;,40
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Bulletin#100—January 7,2005 Page 2 of 4 kkHandouts\Permit Application