04-101894City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name: SCHUMPERT �,Jli
Project Address: 32700 30TH SW
Project Description: Replace gas hot water tank.
Mechanical Permit #: 04 - 101849 - 00 - ME
Inspection request line: 253.835.3050
Parcel Number: 951090 0700
Owner
Applicant
Contractor
OTHA SCHUMPERT
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
32700 30TH AVE SW
12601 132ND AVE NE
12601 132ND AVE NE
FEDERAL WAY WA 98023
KIRKLAND WA 98034
KIRKLAND WA 98034
(425) 814-8381
Mechanical Valuation..........................................449 Over the Counter Permit ...................................... Yes
PERMIT EXPIRES November 9, 2004.
Permit issued on May 13, 2004
I hereby certify that the above information is correct and that the construction on the above described 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: See Application
Date:
THIS CARD IS TO REMAIN ON SITE
CITY OF � COMMUNITY DEVELOPMENT INSPECTION
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: O N -1 a R4 9 - 00 " ME PROJECT NAME: e11 1 -4W7 -
E]
" EW7-
❑ TEMP. EROSION CONTROL (4365)
❑ FOOTING/SETBACKS (4110)
❑ FOUNDATION WALLS (4115)
To be done prior to breaking ground
Approved to place concrete
Approved to place concrete
By Date
By Date
By Date
❑ DRAINAGE/DOWNSPOUT (4040)
❑ RE -STEEL (4HS� 43LI S
❑ GROUNDWORK PLUMBING (4190)
Approved to backfill
Approved to place concrete or grout
Approved to cover
By Date
By Date
B Date
❑ SLAB ON -GRADE (4255)
❑ UNDERFLOOR (4285)
❑ FLOOR SHEATHING (4105)
Approved to place concrete
Approved to sheath floor
Approved to install flooring
By Date
Lay Date
B Date
❑ SHEAR WALLS (4245)
❑ ROOF SHEATHING (4220)
❑ ELECTRICAL ROUGH -IN (4225)
Approved to install siding
Approved to install roofing
Approved
Lay Date
B Date
By Date
❑ PLUMBING ROUGH -IN (4230)
❑ MECHANICAL ROUGH -IN (4165)
❑ GAS PIPING ROUGH -IN (4125)
Approved
Approved
Approved to release test
By Date
B Date
By Date
❑ FIRE STOPPING (4095)
Approved
NOTE:
Prior to framing inspection, all rough -in &
❑ FRAMING (4120)
Approved to insulate
tirestopping sign -offs must be approved.
By Date
IBC 109.3.4 / UBC 108.5.4
B Date
❑ INSULATION (4150)
❑ GYP. WALLBOARD NAILING (4130)
❑ SUSPENDED CEILING GRID (4265)
Approved to install wallboard
Approved to mud & tape
Approved to drop tile
By Date
By Date
By Date
❑ FINAL- FIRE (4060)
❑ FINAL- PLANNING (4070)
❑ FINAL- PUBLIC WORKS (4080)
Approved
Approved
Approved
By Date
By Date
By Date
❑ FINAL- S.W.M (4375)
❑ FINAL- ELECTRICAL (4090)
❑ FINAL- BUILDING (4050)
Approved
Approved
Approved
Ex Date
By Date
B Date J(� I
RECEIVED BY
COMMUNITY DEVELOPMENT DEPARTMENT
CK1118
"' vaw�Irm trltv�ItotxExrsenvtcss
.� MAY Z 31=WA w eoore�otxt9ats
-�der'al way PERMIT APPLICATION ��11'Mg ls90* �"t,tzl,
I r.r COM u« a dy: I FW File number: () Ll - I U / V Y % - /L/ C,' 1 — I
The fallowing is required Information - on incomplete application udif not be
SITE ADDRESS: 32700 30 AVE SW, FEDERAL WAY, WA 98023
sVITE/APT I
AssEssows TAx/PARCEL #: 9510900700 _ _ _ SQUARE FOOTAGE OF LOT:
LEGAL DESCRIPTION jeq: Acrne Estates, Lot 7)
(Attach separate page for lengthy legal desaiptior)
PROJECT • •
TYPE OF PXP= r4da s;T+plication): O BUILDING O PLUMBING X MECHANICAL O DEMOLITION
O ELWMCAL O ENGIIIEERING 4 FIRE PREVZXTION SYSTZK
PROJECT DESCRIPTION (Arovide detailed description of work included on this permit onlvk
Remove/Replace Gas Water Heater
PROJECT xA= imams ofaminoselouNter uw mama: SCHUMPERT. OTHA
CONTRACTOR:
Lw[DER
to r"K.00a6 Wain, s $$A")
APPLICANT:
NAME PRIMA PtfONE:
SCHUMPERT. OTHA (2531661-5606
UMUNG ADDRESS (STREET A53909a,- CITY. STATE. ZIP
32700 30 AVE SW FEDERAL WAY, WA 98023
PTA
NAME
COMPANY
OFFt PH W
FAST WATER HEATER COMPANY
Ct Y. STATE, ZIP
(425)814-3124
MAIUNO ADDRESS (STREET ADDRESS;(:
CITY. STATE, ZIP
PHONE:
IZOQ1 2ND AVE NE
KIRKLAND. WA 98034
WAY N NUMBER: EXPIRATION DATE
FAX Fwaft
8 7 - 0 0 0 0 4 7- 0 0425
_
`smVi
814-9516
N NUMB EXPIRA DATE:
t�Ps + • «�r.Pple.u..� JFA$TYVUCQ52DF 02/16/2005
XMI: DAYTIME ONE:
14AIUNO ADDRESS (STREET AODR a: CITY. STATE. ZIP
NAME:
COMPANY
OFFICE PHONE:
MAIUNO ADDRESS (STREET ADORC",
Ct Y. STATE, ZIP
EYENINCr PRONE
RuwjoNSHiPTO PROJECT
o Architect O Tenant O Other (Desaibek
AX UMBER.
I CONTACT PERSON FOR TMS PROJECT: O Property Owner X Contractor O Applicant C E•MAILADDRUM
VJaSTUfG USE: PROPOSED USE:
C
EXISTING ASSESSED/APPRAISED VALUE i VALUE OF PROPOSED WORK: s $449.00 I
SPRINKLERED BUILDING? O YES O NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: O YES O NO
WATER SERVICE PROVIDER O LAKEHAVEN p HIGHLINE 0 TACOMA n PRIVATE )WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIOHLINE 0 PRIVATE (SEPTIC)
AREA DESCRIPTION
EXISTING S4. FT.
PROPOSED SQ. FT.
--
TOTAL
BASEMENT
):ANS
HOODS lcomaw4
WOODSTOVES
FIRST
FIREPLACE INSERTS
RANGES
MISC (Dewnbe)
SECOND
FURNACES
GAS WATER HEATERS
CHANGE OF USE?
THIRD
GAS PIPE OUTLETS
NEW ADDRESS: REQUIRED? o YES o NO
IJP/SEPA/SU?
FOURTH
o NO
MATTED LOT? a YES o NO
i
ADDITIONAL FLOORS (DESCRIBE)
SHOWERS
WATER CLOSETS (toil+)
MISC (Describe)
DECK (COVERED?)
SINKS
DRINKING FOUNTAINS
GARAGE/CARPORT
SUMPS
RAINWATER SYS
HOW MANY FLOORS?
Tana, ZXWMtc
TOTAL t OMW
Tana. naanho A" vnoroseo
..NEW HOMES ONLY" NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
adicate number of each type of fixture that is to be installed or relocated as part of this project. Do not include existing fixtures to remain
ACECHAMCAL
Value of Mechanical Work $
AIR HANDLING UNITS
EVAPORATIVE COOLERS
OCAS LAGS
REFRIG. SYSTEMS
BBQS
):ANS
HOODS lcomaw4
WOODSTOVES
BOILERS
FIREPLACE INSERTS
RANGES
MISC (Dewnbe)
-- COMPRESSORS
FURNACES
GAS WATER HEATERS
CHANGE OF USE?
DUCTS
GAS PIPE OUTLETS
NEW ADDRESS: REQUIRED? o YES o NO
IJP/SEPA/SU?
OLUMBlwo
o NO
MATTED LOT? a YES o NO
i
BATHTUBS («Taetstw+e 0000M
SHOWERS
WATER CLOSETS (toil+)
MISC (Describe)
DISHWASHERS
SINKS
DRINKING FOUNTAINS
GAS PIPE OUTLETS
SUMPS
RAINWATER SYS
WASHING MACHINES
URINALS
HOSE BIBBS
f
LAVS le.p,es link
VACUUM BREAKERS
ELECTRIC WATER HEATERS
I suaderPenalty ofpetjury that the information furnished by me is true and correct to the best of my
knowledge, and, lurthsr, that I arra authorized by the owner of the above pneniises 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' fess incurred in the investigation and defense of such claim), which may be made by any person, including the
undersigned, and feted against the City of Federal Way, but only where such claim arises out of the reliance of the city,
tnei uN4 its offloWs and employees, upon the accuracy of the information supplied to the city as apart of this application.
NAKE/TITLE: . Permit Mgr DATE: 05/12/2004
(Sk-turel (Title)
RELATIONSHIP TO PROJECT: o Property Owner D Applicant XContractor D Architect o
F'QROFFICE..USE,ONLYi, r
o ItE4l o ADI'D [TION
o ALTERATION
o REPAIR a TENANT IMPROVEMENT
G ISI: ONLY? d YES a NO
BASIC PLAN?
a YES
a NO
7A I1fQb TioN:
CHANGE OF USE?
o YES
ONO
NEW ADDRESS: REQUIRED? o YES o NO
IJP/SEPA/SU?
o YES
o NO
MATTED LOT? a YES o NO
DEMO PERMIT REQUIRED?
o YES
o NO
Page 2