07-100537r �
City of Federal Way s
Community Development Services Mechanical Permit #:1 07- 100537 -00 -98
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609 inspection Request Line: (253) 835'5 -3050
Project Name: KORSMO
Project Address: 30504 16TH AVE SW ,, ' Parcel Number: 514930 0450
Project Description: Replace gas water heater
Owner
Applicant
Contractor
ROD KORSMO
NORTHWEST PERMIT INC
WASHINGTON ENERGY SERVICES CO
30504 16TH AVE SW
1345 GULF ROAD
(WESCO)
FEDERAL WAY WA 98023 -3429
POINT ROBERTS WA 98281
WASHIES9710B 9/2/07
98023
2800 THORNDYKE AVE W
SEATTLE WA 98199
Additional. Permit Information
Mechanical Valuation ................ ............................950 Over the Counter Permit? ...................................... Yes
No Fixtures Associated With This Permit 11
i
THIS CARD IS TO REMAIN ON -SITE
CITY OF 4A Community Development Inspection Record.
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 100537 -00 -ME
Owner: ROD KORSMO
Address: 30504 16TH AVE SW
FEDERAL WAY, WA 98023 -3429
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 e'
Z:4
c;r,4W
Federal Way
00MMUNnYDEVELQ171' SERVWES
39325 8NAVEMB SOUM • PO BOX 9118
FEDERAL WAY, WA 98063.9718
253- 835 -2807- FAR 253-835-2605
uurm-catyffine —n&m -00m
JAN 31 ZQ�? MIT
BUILWfKICATION
SF MF CO OEL PL DE EN FP
Tate is ie+ed rmation - an into fete iicatiaR will not 6e Please bW or
SITE ADDRESS 30504 16th Ave SW, Federal Way WA 98023 SUITE/UNIT #
ASSESSORS TA8/PARcEL # 5 1 4 9 3 0_ 0 4 5 0 LOT SIZE (Sfi
LEGAL DESCRIP'T'ION (e g. Acme Estates, Lot I)
u�mxrexF►te*�i 3�dehprad�3
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING i(MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVEFMON SYSTEM
PROJECT DESCRIPTION filhm de detailed descr D ion of work included on Ellis hermit oWu)
Replace 50 Gallon gas to gas water heater
PROJWT M VVeam of Ouster
PEOPLE INFORMA'ZION
PROPERTY
O'VNER
APPLICANT
i-:6;it ,-Ili
NAM Rod Korsmo chi 7ss -3932
MARJNG ADDRESS C , m7E, ZIP
30504 16th Ave SW Federal Way, WA 98023
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
WESCO
Melissa Croda
(206 ) 378 6608
MARANG ADDRESS
CfIY, STATE, ZIP
CELL PHONE
2800 Thomdyke Ave W
Seattle WA 98199
( ) -
CrIY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRAMOY DATE
FAX NUMBER
2 .4 - .4 1- J .4 4 2. 3 -4 - L 12 /31 /07
( ) -
CONIRWMfrS REGISTRATION NUMBER (copy of cud MgUind W" d"S oPPIMU02) EXPIRATION DATE
W A S H I E S 9 7 1.0 B 09 /02 /07
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
Northwest Permit Inc
Melissa Croda
(3W ) 945 -2787
MAaJNG ADDRESS
CtMSTATE, ZIP
CE1,LPHOW
1345 Gulf Road
Point Roberts, WA 98281
( 206) 388 - 9357
REIAMONSHIP 70 PROJECr
FAX NUMBER
❑ Architect ❑ Tenant Agent ❑ Other
NAME PRIMARY PHONE E- MAILADDRESS
Melissa Croda (360 ! ) a _ 2787 ffwhwa@rwmermk.com
rU WW 10 27.0W. Leader b#brmadn is
NAM
* Wr omue e= $5,000
MAAdNG ADDRESS
CtIY, SPATE, ZIP
PHONE
( )
EXISTING USE SFR PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ vALUE OF PROPOSED WORK $
SPRENKLERZD BUELXM? ❑ TES ❑ NO FIRE SUPPRESSION SYSTEM[ PROPOSED/M QUIRED? ❑ TES ❑ NO
WATER SERVICE PROVIDER ❑ LABEHAVEN ❑ HIGNIMIR ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAXEHAVER ❑ HIGSLDW ❑
AREA DESCRIPTION
EXISTING
. FT.
PROPOSED
89L FT.
TOTAL
89. FT.
BASEMENT
0 NEW o ADDITION
o ALTERATION
o REPAM o TAXANT EAIMVXBMXT
FIRST
BUILDING SHEhL ONLY? ❑ TBS o NO
SECOND
o TES
a NO
ZONING DESIGNATION
THIRD
C AN09 OF USE?
o TES
FOURTH
NEW ADDRESS REQUMZV? o YES 0 NO
UP /8"A/S"
ADDITIONAL FLOORS (DESCRIBE)
o NO
PLATTED LOT? ❑TES ❑ NO
DECK (COVERED?)
a YES
❑ NO
GARAGE 0 CARPORT ❑
NUMBER OF FLOORS
°°`1BPg
rt03'
TOML
TOU g0R°Ow
aorm rsoroeasw
sotaw
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTLMATED SEUING PRICE $
hjpe of jbdwe to be installed or relocated as part of this project Do not
AMM 950.00
ofMechanknlWork $
AIR HANDLING UNrTS
BBQS
BOUZRS
COMPRESSORS
DUCTS
BATHTUBS 1-m b /sha comw
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
IAVS maummstww
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FUFMWES
GAS PIPE OUTLETS
SHOWFdtS
SINKS
SUMPS
URINALS
VACUUM BREQ(ERS
GAS LAGS
HOODS (Co...ew
RANGES
1 GM WATER HEATERS
WATER CLOSETS fr." —
DRINKING FOUNTAINS
RAINWATER SM
HOSE BBBS
ELECTRIC WATER HEATERS
to remain.
REPRIG. SYSTEMS
WOODSTOVES
MISC (Describe)
I certVg t der Penalty of lwr ary that the biformation furnished by me is true and correct to the best of my knowledge, and further, that I
an authorised by the owner of the above premises to perform the work for which the permit application is made. I_0uther agree to hold
harmless the City of Federal Way as to any claim (including coats, arpenses, and attorneys' fees incurred in the investigation and dotjense of
such clabnl which maybe made by any person, Including the undersigned, and,iGled against the City of fflederal Way, but only where such claim
arises oat of the reliance of the city, go1cers upon the accuracy 4f the Wa mation supplied to the city as a part of
this application. , ?
i
NAMITITLE ki (A DATE
(slgnah,re) Mae)
RZIATIONSEEIPTnPitnJECT ❑Owner 4ent ❑ Contractor ❑ Architect ❑ Other
FOR OFFIM WO OMY
0 NEW o ADDITION
o ALTERATION
o REPAM o TAXANT EAIMVXBMXT
BUILDING SHEhL ONLY? ❑ TBS o NO
11"IC PLAN?
o TES
a NO
ZONING DESIGNATION
C AN09 OF USE?
o TES
a NO
NEW ADDRESS REQUMZV? o YES 0 NO
UP /8"A/S"
o ?ES
o NO
PLATTED LOT? ❑TES ❑ NO
DEMO PERIM REQUIRED?
a YES
❑ NO
Bulletin #100 — January 1, 2006 Page 2 of 4 MiandoutsTermit Application