07-106137w
t;
THIS CARD IS TO REMAIN ON -SITE
F
CITY OF Community Development Inspection Rikord
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 106137 -00 -ME
Owner: RALPH WEBSTER
Address: 702 SW 350TH CT
FEDERAL WAY, WA 98023 -8104
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 Date ll Zi zi
For inspector reference only _
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
RECEIVED BY
C,noF COMMUNITY DEVELOPMENT OEPARTMENT
fE'dyemi Way
NOV Q 2,Y E R 1IM IT
CDMMCINITY DEVELOPMEAT SERWCES
33345 8TM AVENUE SOUTH • POWX 9718 APPLICATION "
259 3S -2607 FAX 253-835-2609 63.9 718,
www. dlvofredan)hvay.mm
x fna is
SITE ADDRESS 702 SW 350 CT, FEDERAL WAY, WA 98023
not be
117- - /016 t A
SF MF CO<jnEL PL DE EN FP
Ited. PIease print legibly (in ink► or tune.
SUITE /UNIT #
ASSESSOR'S TAX /PARCEL # 1321740750 V _ LOT SIZE (sf)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
µKoch - -paste pagel- I-Why legal desmpdaal
TYPE OF PERMIT ❑ BUILDING O PLUMBING X MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL 0 ENGINEERING Q FIRE PREVENTION SYSTEM
PROJECT. DESCRIPTION (Prdt ide detailed description of work included on this permit onlu)
Remove/ReDlace Gas Water Heater
PROJECT NAME (Name of Business or Owner Last Name) WEBSTER. RALPH
PEOPLE IN { •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
NAME
APPLICANT NAME
OFFICE PHONE
( 1
PRIMARY PHONE
WEBSTER. RALPH
CELL PHONE'
RELATIONSHIP TO PROJECT
o Architect 13: Tenant 0 Agent ❑ Other (Describe)
((2531914 -1541
MAILING ADDRESS
CITY, STATE, ZIP
NAME
Carol Randall
702 SW 350 CT
FEDERAL WAY, WA
98023
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
FAST WATER HEATER COMPAN
V
( 800 -454 -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 - 0 4 7 0 0 -
• / /
(425 ) 814
.8 ...l3 —9- .0 s
L
-9516
CONTRACTORS REGISTRATION NUMBER (cop? of cazd requl=ed with each •gpltcatioa)
EXPIRATION DATE.
FASIRAH-N&BC
/01/0312008
COMPANY NAME
. See Contractor
APPLICANT NAME
OFFICE PHONE
( 1
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE'
RELATIONSHIP TO PROJECT
o Architect 13: Tenant 0 Agent ❑ Other (Describe)
FAX NUMBER
NAME
Carol Randall
PRIMARY PHONE
( 800) 454 -8955
E -MAIL ADDRESS
PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED�REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHA.VEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN . ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
.
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SO. FT. $ . F T. S . FT,
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK (COVERED?)
GARAGE ❑ CARPORT ❑
Z7Oer1lfq
NUMBER OF FLOORS PROPOM MAL
"''NEWHOMES ONLY"* NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Inditate number of each type of fixture to be installed or relocated as part of this project. Do not inchide existing fixtures to
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOOS REFRIG, SYSTEMS
BBQS FANS HOODS tcommerdet( WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC (Describe)
COMPRESSORS FURNACES � GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
BATHTVBS InrTubishmm, Combo) SHOWERS WATER CLOSETS (roan) MISC (Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVE B.ohreomsk*.) VACUUM BREAKERS ELECTRIC WATER HEATERS
I certVy 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 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 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 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 apart of
this application.
NAME/TITLE � Pest Mgr DATE 1117107
'(Signature) (Title}
RELATIONSHIP TO PROJECT q Owner d Agent Xi Contractor a Architect n Other