05-101924 0 ,
1R
City of Federal Way Mechanical Permit #: 05 - 101924 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) 835-3050
Project Name: JACKSON
Project Address: 2231 S 304TH rj'r Parcel Number: 053700 0130
Project Description: Replace gas hot water tank.
Owner Applicant Contractor
William Jackson WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO
2231 S 304TH ST 2800 THORNDYKE AVE W 2800 THORNDYKE AVE W
FEDERAL WAY WA SEATTLE WA 98199 SEATTLE WA 98199
98003-4807 (206)282-4700
Mechanical Valuation 525 Over the Counter Permit Yes
PERMIT EXPIRES October 26,2005.
Permit issued on April 29,2005
I hereby certify that the above inforrtionis 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 ander
the City of Federal Way
4/79'/o
Owner or agc nt: � � Date'
u ' t gyp; i
THIS CARD IS TO REMAIN ON-SITE dr-
CITY OFA Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-101924-00-ME
Owner: WILLIAM JACKSON
Address: 2231 S 304TH ST
FEDERAL WAY, WA 98003-4807
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 tmsure 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 Date
APR-25-2005 12:02 FROM: TO:12538352609 P.4
•
Federal PERMIT � - It"" / q f_
C+ >hITY DEVELOPMENT SERVICES SF MF CO L PL DE EN FP
3:. F FIRST DERAWAY,WA • DOX 9919APPLICATION "
FEDERAL WAY,WA 98063-9718 D
253-661-4115•FAX 253-661.4129
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The oilowin• is re.utred in ormaUon-an Inco .lete a•.UUcation will not be acce•ted. Please •rint Ie.ibl in in or
S •
PROPERTY INFORMATION
Z2
SITE ADDRESS
3 I 30 I SUITE/UNIT #
ASSESSOR'S TAX/PARCEL # J 3 -70 C) _ d 1 3 LOT SIZE(sn
•
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate pagefor lengthy legal dooiptant ,
PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING a PLUMBING (MECHANICAL
0 DEMOLITION 0 ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
94,J — q4.4_, w c....-k- <
ci„.....rte,
c
PROJECT NAME(Name of Business or Owner Last Name) J,.L( J'1
PEOPLE INFORMATION
PROPERTY NAME f l PRIMARY PHONE
OWNER u1 C it 14.1 `j4_G 01" (i ) 5- -f -Y4,1i
MAILING ADDRESS CITY,STATE,ZIP
X23 1 c 0(-146 S(- -F=,ed Cy4 c f Ve-Z2
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE /ry
Wt4s in t '•1 (—z.,0 -( rW
MAILING)30 DRES
` tt-V AIV W CI STATE,ZIP CELL PHONE
Ir`IJ y CITY,STATE,
cvQlt Qg ( -
Ch^FEDU t,WAY BUSINESS i _7 NUMBEREXPIRATION D/E FAX NUMBER -
(
CONTRACTOR'S REGISTRATION NUMBER((copy of card required with each application! EXPIRATION DATE
� liA-fti lC=J' 9''71 p q / - _ l cs‘.
APPLICANT COMPANY NAME APPLICANT ME ,( OFFICE PHONE
.71''e ?-* E)f W1 Linda. vt/Ll ( ) -
�Q�6x �� (MAILING ADDRESS CITY,STATE,ZIP CEI PHONE
`1 P � Vein ( L& l7X -
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect a Tenant 0 Agent ❑ Other(Describe) ( ) _
CONTACT NAME PRI ARY PHONE 'E-MAIL ADDRESS
�"$► f&-t_, L/ � arnau (ar) 7'ZC - 3zehr
LENDS Per ROW I147.691:. Lender tryjdriiiatton"ts-:'. NAME
required(rproJect value exceeii(S!0,000,'
MAILING ADDRESS CITY,STATE,ZIP
DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? O YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN o HIORLINE o TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKEHAVEN 0 HIGHLINE O PRIVATE(SEPTIC)
APR-25-2005 12:03 FROM: `
TO:12538352609 P.5
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ. FT. PROPOSED SQ.FT. TOTAL
BA 0,MENNT
FIRST
SECOND
•
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL LEISTDta TOTAL PROPOSED TOTAL vas-rota AND PROPOSE —
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type offuture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL CT -
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIO.SYSTEMS
BBQS FANS HOODS(comm.romi 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(Toikti MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(HWvoo..,si. l 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 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. J ��
NAME/TITLE DATE 4 4r
(Signaturq \,, ?..) Lk)
RELATIONSHIP 0 PROJECT O Owner ,!4 A nt ❑ Contractor 0 Architect 0 Other
FOI;:OFF.,[CE USE ONLY
a NEW a ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES a NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? o YES o NO
e -222..3 , ?eci/kir
Bulletin#100—March 30,2004 Page 2 014 k\Handouts—RevisedWertnit Application