01-104625 it
i' —a
Citi of Federal Way Mechanical Permit #:01 - 104625 - 00 - ME
1 'ommunity Development Services
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: PUNDSACK
Project Address: 3215 SW 326TH Sr Parcel Number: 873195 0600
Project Description: MEC-Replace gas hot water tank.
Owner Applicant Contractor
William C Pundsack SOUTH WEST PLUMBING SOUTH WEST PLUMBING
3215 SW 326TH ST 5611 DELRIDGE WAY SW 5611 DELRIDGE WAY SW
FEDERAL WAY WA SEATTLE WA 98106-1445 SEATTLE WA 98106-1445
98023-2534 (206)932-1777
Mechanical Valuation 1600 Over the Counter Permit Yes
PERMIT EXPIRES June 2,2002,IF NO WORK IS STARTED.
Permit issued on December 4,2001
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I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use ' e in ac rdance with the laws,rules and regulations of the State of Washington and
th..City of Federal Wa . /
Owner or agent: Date: / Z / #C 1 t
If,',/)
-/11
ji/
14/0 I
t
CT,' 9ECEIVEDCONSTRUCT ION PERMIT APPLICATION
APPLICATION NUMBER: O L - I o q _623-_-;' i
DEC 0 4 2001 APPLICATION NUMBER
APPLICATION NUMBER
1,11 Y OF FcLicF-IAL WAY
**The eN1 A N§VERTuired information-Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
■ •PROPERTY INFORMATION -
qingwe!!F.'6c 3`'--I-)---- --5-t--) 3 2' F< S. T ASSESSOR'S TAX/PARCEL#: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
_;- . . : _/•PROTECT INFORMATION _VrtYPE OF PROJECT(This application): ❑ BUILDING ,PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM/
CiOJECT DESGRIPTION(Provide detailed description): f>/Cc C(— ( ,S t7 yam-- l,7X---- (;\/1"1- 3/Z-
F",0JECT NAME:
.. - :, • PEOPLE INFORMATION
OPERTYOWNER: NAME: DAYTIME PHONE:
( ) -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
NTRACTOR: NAME: (7z2et to-- -37-1— P / I) pt ,A/c2.
DAYTIME PHONE:
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
96 h 6C// rS i^1 ( ) ��--y�'�Z
QTY OF FEDERAL WAY BUSINESS LICE NUMBER: FAX NUMBER:
- l (-, 2-1 w - X. (2 ) �3 - ) S-7
CONTRACTOR'S REGISTRATION NUMBER: , r n EXPIRATION DATE:
(copy d cane required) 5 U ' -- t'V /") 7 1 C 6. I I
tOldrVitf LI A p NAME: f . DAYTIME PHONE:
1 'VIA
l MAILING ADDRESS(STREET ADDRESS;CITY, ATE,ZIP): EVENING PHONE:
3 Z /: - S 3 s .f ( ) -
t RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT „OTHER(DESCRIBE): (J INV l‘f-if--- ( )
E-MAIL ADDRESS:
111.0e)NTACT PERSON FOR THIS PROJECT: 1 PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
- . 1,:OETAILED BUILDING INFORMATION _ "-
EXISTING
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS l 6 67�
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: Cl LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PRO3ECT FLOOR AREAS •
FLOOR EXISTING SQ.FT, PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
•
FOURTH
OTHER FLOORS(DESCRIBE) ..
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
:,■ FIXTURES
Indicate number of g.Actt 142e of fixture
ECH_ANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEMS)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) (9 WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ik GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
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 t ee work for which the permit application is made. I
further agree to hold harmless tale City of Federal Way as to any daim(inducting costs,expenses,and attorneys'fees incurred in the
investigation and defense of such daim),which may be made by any person,inducting the undersigned,and filed against the City of
Federal Way,but only where such daim arises out of the reliance of the city,inducting its officers and employees,upon the accuracy
of the information ied to the city as a part of this application.
NAME/TITLE: l4/ �L —< (1 /YI.'J-rDATE:
/" 'vZ
❑ PROPERTY OWNER ❑ APPLICANT ACONTRACTOR
isorw
FOR OFFICE USE ONLY: `_
El NEW- ,❑ADDITION -' ❑'ALTERATION ❑!izREPAIR .., .:1_TENANT IMPROVEMENT :
CENSUS BODE:`; LOTSIZE ,
ZONING DESIGNATION " .. •
,; BUILDING SHELL ONLY? ❑,YES ❑ NO
COMP PL1N DESIGNATION BASIC P,.LAN? ❑YES - ❑ NO "
ECTION TOWNSHIP:. RANGE NEW ADDRESS REQUIRED? ❑ YES ;;-❑ NO'
PLATTED LOT? ❑YES ❑ NO CHANGE OF"USE?" ❑YES ❑ NO .
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129