04-101857Y
City 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: STOUT
Project Address: 2656 SW 333RD P1
Project Description: Replace gas hot water tank.
Mechanical Permit #:04 - 101857 - 00 - ME
Inspection request line: 253.835.3050
Parcel Number: 010060 0650
Owner
Applicant
Contractor
Gordon Hoffman et al
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
2656 SW 333RD PL
12601 132ND AVE NE
12601 132ND AVE NE
FEDERAL WAY WA
KIRKLAND WA 98034
KIRKLAND WA 98034
98023-2765
(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: 5 — 13 - dg
y
THIS CARD IS TO REMAIN ON SITE
CITY OF ::A�L COMMUNITY DEVELOPMENT INSPECTION
Federal Way IVR INSPECTION RECDPIHHO E # (253) 835-3050
PERMIT #: S Tou T - t+WT 4='— PROJECT NAME: OL - i Q 1 9 s 7- ao - rpt £
❑ 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 (4323) 4 ,),l y
❑ GROUNDWORK PLUMBING (4190)
Approved to backfill
Approved to place concrete or grout
Approved to cover
By Date
By Date
By Date
❑ SLAB ON -GRADE (4255)
❑ UNDERFLOOR (4285)
❑ FLOOR SHEATHING (4105)
Approved to place concrete
Approved to sheath floor
Approved to install flooring
By Date
By Date
B Date
❑ SHEAR WALLS (4245)
❑ ROOF SHEATHING (4220)
❑ ELECTRICAL ROUGH -IN (4225)
Approved to install siding
Approved to install roofing
Approved
py Date
By Date
By Date
❑ PLUMBING ROUGH -IN (4230)
❑ MECHANICAL ROUGH -IN (4165)
❑ GAS PIPING ROUGH -IN (4125)
Approved
Approved
Approved to release test
By Date
By Date
By Date
❑ FIRE STOPPING (4095)
Approved
NOTE:
Prior to framing inspection, all rough -in &
❑ FRAMING (4120)
Approved to insulate
firestoppingsign-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 the
By Date
By Date
By Date
❑ FINAL- FIRE (4060)
❑ FINAL- PLANNING (4070)
❑ FINAL- PUBLIC WORKS (4080)
Approved
Approved
Approved
By Date
By Date
By I&atea,,
❑ FINAL- S.W.M (4375)
❑ FINAL- ELECTRICAL (4090)
09 ycir 01611A ,
FINAL- 4050)
Approved
Approved
Approved
By Date
By Date
By Date LlVeva
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axes ry �EVFLOQED $� "t"i WAY. , zA"009718
' C ef"c1 %� / PERMIT APPLIL..1�;.1 Y pMENT Tiv �
F.x oma uK owr FW File Number: Q _ Q S _ t a )194
Thu foliotWng is required information -an incomplete application cunt not be accepted. Please print legibly (in ink) or tugs.
SITE ADDRESS: 2656 SW 333 PL, FEDERAL WAY, WA 98023 SVITE(APT I
AsSEsSOWS TAX/PARCEL •: 0100600650 - _ SQUARE FOOTAGE OF LOT:
LEGAL DESCRIPTION fog: Apne Estates Lot 71
(Ahad( separate page for lengthy real description)
PROJECT O.
TYPE QF PRRMIT rthu s, kation): a BUILDING O PLUMBING X MECHANICAL O DEMOLITION
O ELECTRICAL O ENGINZERWG o FIRE PREVENTION SYSTSK
PROJECT DESCRIPTION (Provide detailed description of worts included on thisp-rmit onivk
Remove/Reulace Gas Water Heater
PROJECT NAME; imams ofBusumalowner Last Hamel: STOUT. BOB
CONTRACTOR
LENDER:
Iuro�,K. vw.> ssJwol
NAME. PRIMARY PHONE.
STOUT. BOB (4251985-2110
MMEN ADDRESS (STREET ADDR :1: r7Uff. STATE. ZIP
1616198 PL SE I SAMMAMISH, WA 98075
NAME
COMPANY
OmM FHONE:
FAST WATER HEATER COMPANY
CITY. STATE, ZIP
(425)814-3124
MARUNO ADDRESS (STREET ADDRESSI:
CITY. STATE. ZIP
CM PHONE:
601 1 2ND AVE NE
KIRKLAND. WA 98034
WA NUMBER: EXPIRATION "it,
FAX NW
8 7 - 0 _0 0 _0 _4 7- 0 0
1 425 814-9516
601 TION NUM EXPIPA N DATE;
Ito" 4COMA gogwr" iti *Mch.FFk=u••1 FA5T-YVHCQ52PE- _ 02/16/2005
►�
APPLICANT:
NAME:
COMPANY
OFFICE PHONE:
MAIU140 ADDRESS (STREET ADDRESS):
CITY. STATE, ZIP
EVENING PHONE:
RELATIONSHIP TO PROJECT:
O Architect O Tenant O Other (Describek
VAX NUMBER:
CONTACT PERSON FOR TMS PROJECT.* O Property Owner X Contractor O Applicant MAIt,ADDR63S
• ► BUILDING O.
EXISTING USE: PROPOSED USE:
EXISTING ASSESSED/APPRAISED VALUE t VALUE OF m4osw WORK: t $449.00
SPRiNKLERED BUILDING? a YES U NO FIRE SUPPRESSION SYSTEM PROPOSED/PEQUiRED?: a YES 0 NO
i
WATER SERVICE PROVIDER.- 0 LAKEHAVEN O HIGHLINE 0 TACOMA n PRIVATE (WELL)
SEWER SERVICE PROVIDER. 0 LAKEHAVEN 0 HiGHLINE 0 PRIVATE (SEPTIC)
AREA DESCRIPTION
EXISTING SQ. FT.
PROPOSED S . FT.
TOTAL
BASEMENT
OMEW . O ADDITION
a aTERATION
&REPAIR a TENAPT IMPROVEMENT
FIRST
O ice• ONLY?
a YES a I'f0
BASIC PLAN? o YES
SECOND
2�Alkd D TION:
,CHANGE OF USE? a.YES
THIRD
NEW'ADDRESS REQUIRED?
o YES o Na
UP/SEPA/SII? a YES
FOURTH
PLATTED LOT?
a YES o NO
DEMO PERMIT REQUQtED? o YES
ADDITIONAL FLOORS (DESCRIBE)
DECK (COVERED?) ---
GARAGE/CARPORT
HOW MANY FLOORS?
UnAL E ttsrm
mttit caowsw
MAL FAMNO AND ertora M
••NEW HOMES ONLY" NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
r
indicate nuunber of each type of fixture that is to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AoWiLIMCAL
Value ojMechanieal Work $
I AIR HANDLING UNITS EVAPORATIVE COOLERS CCAS LOGS REFRIG. SYSTEMS
13BQS FANS ROODS icomacaq WOODST+OVES
BOILERS FIREPLACE INSERTS RANG E$ MISC (Descn`b4
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS (.r Tub/Sh. C.." SHOWERS WATER CLOSETS (r.&r) MISC (Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYS
WASHING MACHINES URINALS HOSE BIBBS
LAVS le tbm..liruc VACUUM BREAKERS ELECTRIC WATER HEATERS
r
DISCLAIMERISIGNATURL BLOCK
I cerb(t tender penalty of perjury that the information furnished by mit is true and correct to the best of my
knowledge, acrd farther, that I am authorized 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' foss incurred in the investigation and defense of such claim►), which may be made by any person, including the
pandersigned, and filed against the City of Federal Way, but only where such claim arises out of the reliance of the city,
tachicUng its offieUrs and employees, upon the accuracy of the information supplied to the city as a part of this application.
NAME/TITLE: -'� . Permit Myr DATE: 05/12/2004
(Sipatua) tritk)
RELATIONSHIP TO PROJECT: o Property Owner 0 Applicant XContraCtor D Architect 0
....:�... PagC 2
OMEW . O ADDITION
a aTERATION
&REPAIR a TENAPT IMPROVEMENT
O ice• ONLY?
a YES a I'f0
BASIC PLAN? o YES
a NO
2�Alkd D TION:
,CHANGE OF USE? a.YES
a NO
NEW'ADDRESS REQUIRED?
o YES o Na
UP/SEPA/SII? a YES
o NO
PLATTED LOT?
a YES o NO
DEMO PERMIT REQUQtED? o YES
a NO
....:�... PagC 2