07-105033- * I . -A,
City of Federal Way
4:orhnunity pg4elopmerrt5ervices Mechanical Permit #: 07-105033-00-ME
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: KON
Project Address: 2004 S 301ST PL, k V? Parcel Number: 798290 0280
Project Description: Remove /replace gas water heater;
Owner
Applicant
Contractor
DOUGLAS G KON
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
2004 S 301ST PL
12601 132ND AVE NE
FASTWWH948BC 1/3/2008
FEDERAL WAY WA 98003 -4262
KIRKLAND WA 98034
12601 132ND AVE NE
KIRKLAND WA 98034
Additlonal P+O ilh �r�f�rrt�rlr��31on
Mechanical Valuation .................... ........................1419.21 Over the Counter Permit ? ...................................... Yes
Plumbing F106k
Water Heaters ............................... 1
PERMIT EXPIRES Fridav, September 11, 2009
I hereby``
the occu
Owner or agent:
will
0
on
September 11, 2007
Date:
THIS CARD IS TO REMAIN ON -SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 105033 -00 -ME
Owner: DOUGLAS G KON
Address: 2004 S 301 ST PL
FEDERAL WAY, WA 98003 -4262
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) 0 Final - Mechanical (4065)
Approved Approved to release test Approved
By Date By Date By t.+..J Date `Q .
For inspector reference on
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
CITY 0 _ l
of - 7- 6
Fedelrafflay PERMI DEIVI�D •.�
COMWkFkD8VSLOPMENTSERV1CR3 SF MF C . ME L PL DE EN FP
93325 Stu ERALWY,WX9•POBOX9778 A pI1�c T 2007
53435 I WAY, WA- 98063.9718 , p /
253.895.2607• PAX 253.835 -2609
_ wow d[r%f(g t�rni�ucu.rom '
CITY OF FEDERAL WA
The following is required information —an incom fete appticc$�1L&ANracW 5@jiFcepted. Please print legibly in ink) or type.
. . + OHA a
SITE ADDRESS 2004 S 301 PL, FEDERAL WAY, WA 98003 SUITE /UNIT .
ASSESSOR'S TAX /PARCEL # 7982900280 _
--- --- --- —_-_ . _ LOT SIZE (sfl
LEGAL DESCRIPTION (e.g. Acme Estates, Lot I)
1ASOM aepa-e page far tengtft tegat deraipltonl _
6
/ a • a
TYPE OF PERMIT 0 BUILDING . ❑ PLUMBING Yk MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVEN'T`ION SYSTEM
PROJECT. DESCRIPTION (Pt oidde detailed description of work included on this Permit only
Remove/Renlace Gas Water Heater
PROJECT NAME (Name of Business or owner Last Name) KONe DOUGLAS & SANDY
PEOPLE INFORMATION.—,
PROPERTY
OWNER
KN
CONTRACTOR
APPLICANT
. NAME
APPLICANT NAME
PRIMARY PHONE
O, "n1 G LAS & SANDY
((2531941 -2761
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE'
2004 S 301 PL
FEDERAL WAY, WA 98003
O Architect ❑:Tenant o Agent ❑ Other (Describe)
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
FAST WATER HEATER COMP
( 800 -A454 -8955
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
12601 132ND AVE NE
KIRKLAND. WA 98034
( -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
Z- 1)- 9 4 4 7 0 0-
1 /
(425 ) 814 -9516
.8 ...0 B
L.
CONTRACTORS REGISTRATION NUMBER 1copy 4 card required With agch application)
EXPIRATION DATE,
H24811C
101/03/2008
COMPANY NAME
APPLICANT NAME
OFFICE PHONE '
. See Contractor
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE'
RELATIONSHIP TO PROJECT
FAX NUMBER
O Architect ❑:Tenant o Agent ❑ Other (Describe)
CONTACT NAME
Carol Randall
LENDER
454 -8955
EXISTING USE PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $ $449.00 .
SPRINKLERED BUILDING? 13 YES a NO FIRE SUPPRESSION SYSTEM PROPOSED %REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA O PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN . ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
s
t
NUMBER. OF FLOORS
of each type of fixture to be installed or relocated as part of this project. Do not
Value of Mechanical Work $
AIR HANDLING UNITS
>3BQS
BOILERS
COMPRESSORS
DUCTS
PLUMBING
BATHTUBS {arTubtshewa combo)
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
PROPOSED
OAS LOOS
HOODS r-o *mq
RANGES
X GAS WATER HEATERS
WATER CLOSETS (T.fwi
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBI38
ELECTRIC WATER HEATERS
REFRIO. SYSTEMS
WOODSTOVES
MISC (Describe)
M1SC (Describe)
I cert(fy under penalty of perjury that the ittformation furnished by me is true and correct to the best of my knowledge, and further, that I
am authorised 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 Federat.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.
NAME /TITLE• -- / DATE 9/$/07
'(signature{ (Title{
RELATIONSHIP TO PROJECT p Owner 0 Agent A Contractor 13 Architect to Other