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04-103964 i City of Federal Way Mechanical Permit #: 04- 103964 - 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: TABOR Project Address: 1004 S 323RD St Parcel Number: 150240 0050 Project Description: Remove and replace gas water heater Owner Applicant Contractor [Ross A Tabor WASHINGTON ENERGY SERVICES CO WASHGTON ENERGY SERVICES CO 004 S 323RD ST 2800 THORNDYKE AVE W 2800 THORNDYKE AVE WA 98199 EDERAL WAY WA SEATTLE WA 98199 SEATTLE W8003-5929 (206)272-4700 Mechanical Valuation 600 Over the Counter Permit Yes PERMIT EXPIRES March 29,2005. Permit issued on September 30,2004 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 ccordance with the laws,rules and regulations of the State of Washington and the City of Federal Way. / Owner ag`n, V� Date: �` 3 d loy AinFN THIS CARD IS TO REMAIN ON-SITE CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 04-103964-00-ME Owner: ROSS A TABOR Address: 1004 S 323RD ST FEDERAL WAY, WA 98003-5929 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 `E`3=��r' Date(/ SEP-28,-2004 11:14 FROM: TO:12538352609 P.3 • 401A-- . . , a 4_ - _t_ . _ _6_ 4 Federal Way ,��,� ERMIT COMM RINNYDEVE�LOPMEN7 SERVICES SF MF C L PL DE EN FP 77325 Pm AUNTIE SOUTH•l0 97I 9741 S Y' tAPA,I CAT I O N � FEDERAL WAY,WA 9/067-97I! — o 253435-2607•FAX 251435.2609 / p.wwdluolRederolaay.con 00%1 The ollowin. is re• fred,,,,‘,(,;�• �� ,� -an ineo •tete a• •lication will not be aces•ted. Please •rint legibly(in inky or type. . 5 • PROPERTY INFORMATION SITE ADDRESS /8O(f 3 23 V S SUITE/UNIT I ASSESSOR'S TAX/PARCEL I ' 5- o 2 d_ © LOT SIZE s J) LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) (MM.%Kww ep QeIaigMhLlegaldetolixfonJ • PROJECT INFORMATION - TYPE OF PERMIT 0 BUILDING 0 PLUMBING MECHANICAL 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit only) qa_S 7i) q q S a)a i - ha q-4e.4,- ('/4q i/2 ,P1/liv74-.' PROJECT NAME(Name of Business or Owner Last Name) / " ` /3 RO • PEOPLE INFORMATION PROPEROWNER TY SSS 751-'80i PRIMARY PHONE (7 ) 9.7 =7208 MAILING ADDRESS ZIP `u 3 1 oG q S 3 Z rrt) St . ,�-� � � - CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE to et.Sr-t. '14.402/c V Li w_&,._ ( 2��-=Sr7cO M 00O ADDF _ u dc1kC STAT `� S?? CELL PHO( NE CITY1c3-'01--/ �O.F�FEDERA`L WAY BUSINESS CEWSE NUM R )EXPIRATITIIOOONN DATE(/ FAX NUMBER .f 'd1-- 6 Z� ^B L ( / O / O y( ) - CONTRACTORS REGISTRATION NUMBER(copy o cud required with each appllcati000 EXPIRATION DATE r /` Lvim'} ,S 1C-:�$g7(08 _ ? / Z /a'y APPLICANT CO ANY NAM APPLIT NAME OFFICE PHONE Com- C. Y i, ( )�)— Y7C0 MAILING ADDRESS CITY,STATE,ZIP CELL PHONE ( ) - RELATIONSHIP TO PROJECT • FAX NUMBER O Architect 0 Tenant 0 Agent 0 Other(Describe) ( ) - CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS ( ) LENDER •Per ROW 19.2?opsi:Lender irVoITnation is , NAME _ r`equ1re14f pioject.value'exceedl$5.000 ' z MAILING ADDRESS CITY,STATE,ZIP • DETAILED BUILDING INFORMATION EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUES VALUE OF PROPOSED WORK ' SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? O YES O NO I WATER SERVICE PROVIDER O LAKEHAVEN O BIGHLINE a TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER O LAKEHAVEN a HIGHLINE a PRIVATE(SEPTIC) - SEP-28-2004 11:14 FROM: TO:12538352609 P.4 .,..,,�.,....,.,�. f R , 1. a--sfrr - c.> .7 L ' — • ...t• PROJECT FLOOR AREAS • AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL BASEMENT - FIRST SECOND THIRD , FOURTH ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) GARAGE/CARPORT TOTAL r�o$TPC TOTAL vsoroeco TOTAL LASTUIO AID TROPOILD HOW MANY FLOORS? "NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SEL.UNO PRICE $ FD�TURES Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. Value of Mechanical Work $ AIR HANDLING UNITS EVAPORATIVE COOLERS OAS LOGS REFRIG.SYSTEMS BBQS FANS HOODS ic.�m.rcIatl WOODSTOVES BOILERS FIREPLACE INSERTS / RANGES MISC(Describe( COMPRESSORS FURNACES GAS WATER HEATERS DUCTS OAS PIPE OUTLETS FWMBINa WATER CLOSETS 1pu�y MISC(Describe) BATHTUBS l.,Tub/Shower Combo . SHOW ERS DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES - URINALS HOSE BIBBS LAVE(e.o,r...sa k,1 VACUUM BREAKERS ELECTRIC WATER HEATERS ` _ ,' -_- •DISCLAID3ER/SIGNATURE BLOCK- - . • • =. - :. • `!•cert(fy 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 flied against the City of Federal Way,but only where such claim arises out of the reliance of the city, eluding its officers and triple ecs,uponaccuracy of the information supplied to the city as a part of this application.AAAii< ^^ 'r 7032-ore Q� /� AME TITLE • U'► {r t (4 DATE N / eritkl ! (Signature) 4 RELATIONSHIP TO PROJECT 0 Owner Age 0 Contractor 0 Architect O Other FORiOFFICETUS �CriEai i • o NEW a ADDITION o ALTERATION o REPAIR Iy TENANT IMPROVEMENT 1 BUILDING SHELL ONLY? a YES a NO _ BASIC PLAN? o YES o NO I ZONING DESIGNATION CHANGE OF USE? a'YES o NO ! NEW ADDRESS REQUIRED? o YES o NO UP SEPA/SU? o YES a NO PLATTED LOT? a YES o NO DEMO PERMIT REQUIRED? o YES o NO i Bulletin N 100—March 30,2004 — Page 2 of 4 k\Handouts—RcviscdU'erm)L Application