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04-102361City of Federal Way k4onimunity Development Services 33530 1st Way S Federal Way,,WA 98003-6210 Ph: 253.661.4000 Fax: 253.661.4129 Project Name: BRISTOW k\ Project Address: 31317 41ST'SW Project Description: Replace gas hot water tank. Mechanical Permit #: 04 -102361 - 00 - ME Inspection request line: 253.835.3050 Parcel Number: 873199 0160 Owner Applicant Contractor Brent L Bristow & Reid R Bristow ACTION WATER HEATERS ONLY INC ACTION WATER HEATERS ONLY INC 31317 41ST PL SW 12704 NE 124TH ST SUITE 43 12704 NE 124TH ST SUITE 43 FEDERAL WAY WA KIRKLAND WA 98034 KIRKLAND WA 98034 98023-2114 (425)820-8848 Mechanical Valuation..........................................1000 Over the Counter Permit ...................................... Yes PERNHT EXPIRES December 11, 2004. Permit issued on June 14, 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 Amlication Date: �''� THIS CARD IS TO REMAIN ON-SITE C,rYOF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 04 -102361 -00 -ME Owner: ACTION WATER HEATERS ONLY INC Address: 31317 41 ST PL SW FEDERAL WAY, WA 98023-2114 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 A proved By Date By Date By / / Date b �% 'OftN/7YD VELA V ED S�3CO1 MM �YDEVELOPMENT SOUTH Po8 Clri OF SERVICE ' ~ MENT DEp WAY, WA 98063-9718 Federal Way PERMIT APPLI CATI Off,° _1 �5. FAX: 253-661-4129 �� www.ci[4o(Tederalwau.com For Office Uw Only: — _ AL 3 /,,,,1 / — -kA �. FW File Number: � The following is required in rmation - an incom lete lication will not be accepted Please print i ibt in in or PROPERTY INFORMATION SITE ADDRESS: I (� J SUITE/APT # ASSESSOR'S TAX/PARCEL #:&- 7 -25J - Q L 6 Q SQUARE FOOTAGE OF LOT: LEGAL DESCRIPTION (e.g. Ae Estates, Lot I) �� 1� -1� 5 /�l �7 C� L10l ((/ (Attach separate page for lengthy legal description) PROJECT•• • TYPE OF PERMIT (This application): ? BUILDING ? PLUMBINGMECHANICAL ? DEMOLITION ? ELECTRICAL ? ENGINEERING ? FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this permit only: PROJECT NAME (Name of Business/Owner Last Name): PEOPLE•- • PROPERTY OWNER: CONTRACTOR: LENDER: (It Proposed Voue > $5,000) APPLICANT: t to P— I S7-viv 1 ��7/%�..38 yO 138 c�l S (STREETDRE S;): / CI STATE, ZIP � /1 y 11,P9 f � o Z-2 .q� ,� ` COMP �'c /OFF CE NE: OFFICE PHONE: lcSS (STREET ls�STATE, -d� //& cELL ;taV 3q(a VENII�}G�PHONE• - 23 5 �111F'�_ ��JJ CITY QF FEDERAL AY BUSINESP LICEN E NUMBER: EXPIRATION DATE: ' Lr FAX NUM R: CONTRACTORS REGISTRATION NUMBER: /'� r— � / P EXPIRATION DATE: / 1-7 (copy of card required with each application( ik�:� ...J — NAME: DAYTIME PHONE: MAILING ADDRESS (STREET ADDRESS;): CITY, STATE, ZIP E: y COMPANY OFFICE PHONE: MAILING ADDRESS (STREET ADDRESSI' CITK,STA �LPl/-!/ >'E/ � �' �'� VENII�}G�PHONE• - 23 5 �111F'�_ ��JJ RELATIONSHIP TO PROJECT: ? Architect ? Tenant ? Other (Describe): Co1�� / � G�a � FAX UMBER: ( ),?;b EXISTING USE: C Y//,je,� f�/w / e—y PROPOSED USE: EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK: $ /90-& SPRINKLERED BUILDING? ? YES ? NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: ? YES ? NO WATER SERVICE PROVIDER: ? LAKEHAVEN ? HIGHLINE ? TACOMA ? PRIVATE (WELL) SEWER SERVICE PROVIDER: ? LAKEHAVEN ? HIGHLINE ? PRIVATE (SEPTIC) i Z7 ✓j ■ PROJECT FLOOR AREAS (- AREA DESCRIPTION EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL BASEMEN ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR o TENANT IMPROVEMENT FIRST BUILDING SHELL ONLY? a YES ❑ NO BASIC PLAN? ❑ YES SECOND ZONING DESIGNATION: CHANGE OF USE? THIRD ❑ NO NEW ADDRESS REQUIRED? o YES ❑ NO FOURTH ❑ YES o NO PLATTED LOT? ❑ ADDITIONAL FLOORS (DESCRIBE) DEMO PERMIT REQUIRED? ❑ YES ❑ NO DECK (COVERED?) GARAGE/CARPORT HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED **NEWHOMES ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ Indicate 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. MECHANICAL6� ' Value of Mechanical Work $ 's '0 0 AIR HANDLING UNITS BBQS BOILERS COMPRESSORS DUCTS PLUMBING BATHTUBS (or Tub/Show Combo) DISHWASHERS GAS PIPE OUTLETS WASHING MACHINES LAVS (Bathroom sink EVAPORATIVE COOLERS FANS FIREPLACE INSERTS FURNACES GAS PIPE OUTLETS SHOWERS SINKS SUMPS URINALS VACUUM BREAKERS GAS LOGS REFRIG. SYSTEMS HOODS (co-cw) WOODSTOVES RANGES MISC (Describe) GAS WATER HEATERS WATER CLOSETS (r.ii lq MISC (Describe) DRINKING FOUNTAINS RAINWATER SYS HOSE BIBBS ELECTRIC WATER HEATERS DiSCi.ATMFR /SIGNATURE BLC I certify 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 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' fees incurred in the investigation and defense of such claim), which may be made by any person, including the undersigned, and f led against the City of Federal Way, but only where such claim arises out of the reliance of the city, including its officers afd'l�mployees, upon the accuracy of the information supplied to the city as apart of this application. NAME/TITLE: re) RELATIONSHIP TO PROJECT: �l�I.� LDyd !✓ � � (Title) ❑ Property Owner ❑ Applicant f�Contractor DATE:U ❑ Architect ❑ FOR OFFICE USE ONLY: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR o TENANT IMPROVEMENT BUILDING SHELL ONLY? a YES ❑ NO BASIC PLAN? ❑ YES a NO ZONING DESIGNATION: CHANGE OF USE? ❑ YES ❑ NO NEW ADDRESS REQUIRED? o YES ❑ NO UP/SEPA/SU? ❑ YES o NO PLATTED LOT? ❑ YES ❑ NO DEMO PERMIT REQUIRED? ❑ YES ❑ NO Page 2