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08-101228City of Federal Way Community Development Services Mechanical Permit #: 08-101228-00-M E P.O. Box 9718 Federal Way, WA 98063-9718 Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050 Project Name: FLEISCHER Project Address: 30244 27TH AVE S Parcel Number: 798480 0040 Project Description: Installing a gas to gas Bryant 90k btu: water heater -Model #310JAV042090E Owner Applicant Contractor OTTO H FLEISCHER NORTHWEST PERMIT INC WASHINGTON ENERGY SERVICES CO 30244 27TH AVE S 1345 GULF ROAD (WESCO) (General) FEDERAL WAY WA 98003-4212 POINT ROBERTS WA 98281 WASHIES971 OB 9/2/09 2800 THORNDYKE AVE W SEATTLE WA 98199 Additional Permit Information Mechanical Valuation .............................. :............. 2845.56 Over the Counter Permit? .................................... ..Yes Mechanical Fixtures Furnaces ......................................... 1 PERMIT EXPIRES Wednesday, March 17, 2010 Permit Issued on Monday, March 17, 2008 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy nd the use will be iyccUrdanM aws, rules and regulations of the State of Washington i and tFederal Way. Owner or agent: V V W Date: �� THIS CARD IS TO R'I'MAIN ON -SITE CITY OF �_ Community Development Inspection Record �' Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 08-101228-00-ME Owner: OTTO H FLEISCHER Address: 30244 27TH AVE S FEDERAL WAY, WA 98003-4212 This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on -site. DO NOT LOSE, 'N HIS 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. Ongoing inspections are logged on the back of this card. ❑ Mechanical Rough -in (4165) ❑ Gas Piping (4125) ❑ Final - Mechanical (4065) Approved Approved to release test r� Approved By Date By Date ByL- Date ,�,f For hiMector reference only ❑ Rough Electrical ❑ FINAL - Electrical Approved Approved By Date By Date 03-12-' 08 13: 09 FROM- T-362 P002/010 F-611 RECEI arYor MAR 12 2008 ?�4+,� - Federal Way PERMIT � SF MF CO,COC DSL PL DE EN FP cos'sUAYONN vI F FEDE 53325 8rri AVENUE9D 4 8 � I C AT I O NE7E::� REOERAL WAY, WA 9� s 2$3.83s.2607r RAX 259.835-2609 C "ran .irr r . Tke following Is required irlforination arc Incomplete application will not be accepted. Please print legibly (it' Ink) or type, PTZOPFIZTY INFORMATION SITE ADDRESS 30244 27TH AVE S suITE/UNIT # ASSESSOR'S TAX/PARCEL # 7984800040 _ LOT SIZE (sfJ LEGAL DESCRIPTION (ag, Acme Estates, Lot 1) /rlttpch ..y.�Nra paga for fcAgtAU fas7ai Qecc�p�on) 11PROJECT INFORMATION TYPE OF PERMIT ❑ BUILDING O PLUMBING m MECHANICAL 0 DEMOLITION ❑ ELECTRICAL Gl ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this permit off/ Installing a gas to gas Bryant 90k btu water heater - Model #310JAV042090E PROJECT NAME (game of ri,; ness or Owner Log lVa.me) _ OTTO F'LEISCHER PEOPLE• • PROPERTY PRIMARY ?HUNG' OWNER �$ OTTO FLEISCHER o253 ) 946-1863 CONTRACTOR yo `f , APPLICANT PROJECT CONTACT LENDER 30244 27TH AVE S y Federal Way, WA 98003 LVTnrnsrr nnma VV ESC� —._._.--- ------ ( 206 $78-6649 MAILING ADDRESS CITY, STAYS, 24P CELI. moms 2800 Thorndyke Ave W Seattle WA 98199 - Gt1Y OF FEDERAL WAY 8VZDNESS•LICENSE NUMPRR BkNRATON DATE FAX NUMBER 2003104234BL 12/31/08 ( - corrraACTOlt'S PJMISTRA370N Nu3aBLR $#i%I AT[4N pp7'E i{ 3+fAiL nnDRE55 WASH IES971 OB 09/02/09 COMPANYNAME Northwest Permit Inc. APPttQN4T NAME Naida Khan OFPIM PHONE ( 360 ) 946-278-7 MejLING ADDIZE.SS OITY. STATE, z'P Point Roberts, WA CELL PHON2 - 1345 Gulf Road REIdYPt40HIPTo PRojecr FAX NQN11Di,& (360 ) 945-2091 ❑ Architect O Tenant 0 Agent ❑ other NAME Khan/ Northwest Permit PRIMARY PHONE 360 ) 945-2787 E-MAIL ADDRESS naida@nwpermit,com NAME V Per ROW 19.a7,098: Lander information is required (f prgjeot palua oxeeeds $5,000 MAILING ADDRESS CITY, STATE, ZIP PHONE EXISTING USE Residential EXISTING ASSESSED/APPRAISED VALUE $� SPRINKLERED BUILDING? ❑ YES O NO WATER SERVICE PROVIDER ❑ LAIiEHAVEN SEWER SERVICE PROVIIER O LAREHAVEN PROPOSED USE VALUE OF PROPOSED WORK $ FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO ❑ HIGHLINE ❑ TACOMA O PRIVATE (WELL) ❑ Ell[�1IL1NY~ ❑ PRIVATE S-VTIC:I 03-12-'08 13:10 FROM- T-362 P003/010 F-611 rnrlinnfa n.tisn.har of each tope of flx-ture to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECHANICAL 2, 845.56 Value of Mechanical Work � A COPY OF BID ORESrIMATE MUST BE INCLUDED WIT14 APPLICATION) f AIR HANDLING UNITS 13BQS BOILERS COMPRESSORS 9 DUCTS EVAPORATIVE COOLERS FANS FIREPLACE INSERTS FURNACES GAS LOG SETS GAS PIPE OUTLETS WOODSTOVES GAS WATER HE, MISC (Describe) HOODS p,o --wi RANGES REFRIG. SYSTEMS �kURINALS MISC (Describe) BATHTUBS (or rP10Pi--c—W1 LAVS Akth—sfnkal DISHWASHERS RAINWATER SYST „� 'VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS WATER CLOSETS Qndeq ELECTRIC WATER HEATERS SINKS WASHING MACHINES HOSE BIBBS SUMPS f certify undsr ponalty of perjury that I urn the pro party artrner or arsthorlxed agant ar tft.,: property that wttf coo hav to u Ioir att the bcmE of apptic Mir knowlcdyc, the War.nutton suk�rntttud to vitpport of tilts permit upplicauan fo ervs and cormvt. I cert A J b le pay of rede:ral may reyulattens pertaining to the cork authort;ed b9 tha Issuance of a pern,It. I vr,dtrotand that the tv$aarrca of this parmit dOEB net remo a theree to holy r sp arnife l., thvll for COMP f Yderul with r� 1avto anyIse to m (Including costs pva4 s and attorneys fees Inav ulrrad In the I f[trthcr agree to hold httrnefess iho City f tSS+ invcattgati*n and dofaose of such clatrN, which may be made by arty peraon, inclurdtng the urtdcrsigtrad, and flled against the city, hue only u,hara such claim arises aut of the r rfianea of the city, inClndln9 'es oau"a and aWWloyeax, upon tiie accuracy of the I rT4J rLow don suppficd to the city as a part of this app11dation. SIGNATURE: DATE anarry Owt3tr sndlar Auchori.ted A>;�nt Q NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR 0 TENANT IMPROVEMENT BUILDING &I- &LI.ONLY? o YES ❑ NO BASIC PLAN? o YES ONO ZONING DESIGNATION CHANGE OF USE? ❑ YES ❑ NO NEW ADDRESS RLQUIRED? o YES c NO UP/^AEPA/SU? ❑ YES c NO PLATTED LOT? 0 YES O NO DEMO PERMIT REQUIRED? a YES ONO Bulletin # 100 — January 1, 2008 page 2 of 4 k\Handout9\Permit Application