08-101425 r f •
City of Federal Way i•
Community Development Services Mechanical Permitib: 08-101425-00-M E
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 ) 63 Inspection Request Line: (253)835-3050
Project Name: SCHMIDT
Project Address: 4727 SW 325TH PL Parcel Number: 873219 0520
Project Description: Remove/replace gas hot water heater and gas furnace
,
Owner Applicant Contractor
BRIAN D SCHMIDT BEACON PLUMBING&MECHANICAL BEACON PLUMBING&MECHANICAL
KATHLEEN M SCHMIDT 16719 SE 149TH ST BEACOPM956KS 5/15/09
4727 SW 325TH PL RENTON WA 98059 16719 SE 149TH ST
FEDERAL WAY WA RENTON WA 98059
98023-1919
,
Additional Permit Information
Mechanical Valuation 3651.20 Over the Counter Permit? Yes
Mechanical Fixtures
Furna .,. 1 dot Water Tank 1
PERMIT EXPIRES Wednesday, March 24, 2010
Permit IsIssued n► Monday,March 24, 2008
I hereby certify that the above informatiy cor that con truction on the abovedescribed property and
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Date: 03/Z't/QHS
r THIS CARD IS TO EMAIN ON-SITE
CITY OF
*Community DevelopAnt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050.
PERMIT#: 08-101425-00-ME
Owner: BRIAN D SCHMIDT
Address: 4727 SW 325TH PL
FEDERAL WAY, WA 98023-1919
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) 0 Gas Piping(4125) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date B Date / --.°6
k
•
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
A
CITY or �" — / ° / 1— 2 5-
1 e/ PERMIT T - -
COMMUNITYDEVELOPMENTSERVICBS 1V1I y SF MF C� L PL DE EN FP
333�ss 9 a 8RAX oNfAR 2 4 2008APPLI CATION TD
FEDERAL WAY,WA 98063.9718 9
/ /
urfrnu.dltrolAedemhrra. m
( ITT OF FEDERAL WAY
The folio ng is required snation-an incomplete application will not be accepted. Please print legibly(in ink)or type.
t�...•vv ■ PROPERTY INFORMATION
SITE ADDRESS 1119 2.7 £W 3 26-)h pia c e
1 f-tclPra I L/Asi, WA- 4$P'123 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _ LOT SIZE(s,j)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Atmeh separatapafir tengthy legal duafpyan)
a PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING i1ECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only) .
feplae 6CL.5 klA'i"r,_h�or tkieetAdi, adeleal sew .0I,e;� I(vu..siscisry c_ S-kap$ coltik 4ierr ,
-es l'a'1 Aeon f. &via/a Furnace_ eldd ej /Ic►v jaa 0 elms aryl 5140A- ni.eAe l.+ rufa -11,0•0441-4-
ASO rG f7 ikecol € en i- s:, },,,,\, aid urnn.C.
PROJECT NAME(Name of Business or Owner Last Name) 4 5,1011111 i'zt-}-
II PEOPLE INFORT,IATION
PROPERTY NAME , PRIMARY MOUE
• OWNER r10.11 5C-tiA ( 3 )-r►11'(V7d -I.116
mA1L71ADDRESS._ 3?5 P I C �ATE,My(er6k1 1a� (44 9 E-MAIL ADDRESS
CONTRACTOR `CO'4PANY NAME J. APPCCA�jJNT NAME`)/1/J• OFFICE PHONE
/ f�CQn II UM��: & M au l I r wi le (253)1720 - zo ti-0 -
;111)EDDISLSISELINESAICENSE
/<t4-,Z1! f P14 9cif J !ELL PHONE
CITY NUMBER EXPIRATION DATE ( )
FAX NUMBER
•
4 \a,
`O3— 756rz Ga-BL 12l310,3 ( . ) -
OR'B R> TRATION NUImER EXPIRATION DATE
5/15I26°9 E-MAIL ADDRESS
P�COPMgs
��S
APPLICANT CO ANY NAME APPLICANT NAME OFFICE PHONE
C a.) <On-I-varfar— ( ) _
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT ( )
FAX NUMBER
❑ Architect 0 Tenant 0 Agent 0 Other ( ) -
PROJECT NAME //JJ f_ -1;1, PRIMARY
.�,�rPH E E-MAIL ADDRESS
CONTACT ./`J�I q v-L.- ��^'t p k (/ ) r/! -5061
LENDER NAME Per RCW 19.27.095:
Lender information is required(/project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP • PHONE
( ) -
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES ❑ NO
WATER SERVICE PROVIDER 0 LAKEHAVEN a HIGHLINE a TACOMA ❑ PRIVATE(WELL)
SEWERSERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
a PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS =STEM PROPOSED TOTAL TOTAL sxmniO IF TOTAL PROPOSED CT TOTAL SF
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• FIXTURES
Indicatenumber of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work$ 36,6 1,7o (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS icommerd.q
COMPRESSORS .14_ FURNACES RANGES
DUCTS. GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower Combo) . LAVS(swim=sink.) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(roues
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
I certify under penalty of perjury that I am the property owner or authorised agent of the property owner.I certify that to the best of my
knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with all applicable
City of Federal Way regulations pertaining to the work authorised by the issuance of a permit.I understand that the issuance of this permit
does not remove the owner's responsibility for compliance with local,state,or federal laws regulating construction or environmental laws.
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, 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.
SIGNATURE: DATE 63J26tjdk
Property Owner and/or Authorized Agent
:7 a, )
o NEW a ADDITION . a ALTERATION a REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES o NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application