04-102715City of Federal Way
Community Development Services Mechanical Permit #: 04 - 102715 - 00 - ME
33530 1st Way S
Federal Way, WA 98003-6210 O
Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.035.3050
Project Name: NEWPORT
Project Address: 1131 SW 325TH PI Parcel Number: 926494 0260
Project Description: Remove/replace gas water heater
Owner
Applicant
Contractor
Grant R Newport & Keri L Newport
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
1311 SW 325TH PL
12601 132ND AVE NE
12601 132ND AVE NE
FEDERAL WAY WA
KIRKLAND WA 98034
KIRKLAND WA 98034
98023
1
1 (425)814-8381
Mechanical Valuation..........................................449 Over the Counter Permit ...................................... Yes
PERMIT EXPIRES January 4, 2005.
Permit issued on July 8, 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- ` &p fCd CTC Date: Vkj
J
' THIS CARD IS TO REMAIN ON-, SITE ,
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04 -102715 -00 -ME
Owner: GRANT R NEWPORT
Address: 1131 SW 325TH PL
FEDERAL WAY, WA 98023-4917
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 By 142 f Date IC �'C C 5/
cnyof � RECEIVED BY .
FederalNJ1Y DEVELOPMENT DEPARTMENT
PERMIT
303ss.,fFj ifWAy SOUTH • PO BOX1971�) t '"_ 0 ? OXPPLICATION
WAY, WA 98063-9718
253-66FEDE:45 FAX 2536614129
www. dt yo7ede rd wo a. com
The following is required information - an incomplete application will not be
-0 �- - -1 [ 'LJ /
SF MF CO ME EL PL DE EN FP
ted. Please print legibly (in ink) or tune.
SITE ADDRESS 1 131 SW 2 t h P1 SUITE/UNIT #
ASSESSOR'S TAX/PARCEL # 9264940260 _ _ - _ _ _ _ LOT SIZE (Sj)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attadr separate page for I -Why Icgd d--ipd-V
PROJECT• •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING )KMECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlul
Remove/replace gas water heater
PROJECT NAME (Name of Business or Owner Last Name) Newport
PEOPLE•- •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
NAME PRIMARY PHONE
Newport, Grant (253 )838 -5593
MAILING ADDRESS CITY, STATE, ZIP
1131 SW 325th Pl Federal
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
Fast Water Heater
CITY, STATE, ZIP
(425)814-3124
MAILING ADDRESS
CITY, STATE, ZIP -
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
FAX NUMBER
L 9_-a- 'L - Q 0- 0_0_4-7 _ - B L 12/ 31 / 94
(425 )814-9516
CONTRACTORS REGISTRATION NUMBER 1copy of cud required with each application) EXPIRATION DATE
FASTWHC052DF 2 /16 / 05
COMPANY NAME _
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent ❑ Other (Describe)
FAX NUMBER
( ) -
NAME
PRIMARY PHONE
E-MAIL ADDRESS
Per RCW 19.27.095: Lender nforinatlon is"'
required ifliroject'value eieceeda $5,000
NAME
MAILING ADDRESS
CITY, STATE, ZIP
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 4 4 9.0 0
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑ PRIVATE (SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
FANS
HOODS (Co—raaq
WOODSTOVES
FIRST
FIREPLACE INSERTS
RANGES
MISC (Describe)
SECOND
FURNACES
_� GAS WATER HEATERS
CHANGE OF USE?
THIRD
GAS PIPE OUTLETS .
NEW ADDRESS REQUIRED? o YES ❑ NO
UP/SEPA/SU?
FOURTH
o NO
PLATTED LOT? o YES o NO
DEMO PERMIT REQUIRED?
ADDITIONAL FLOORS (DESCRIBE)
❑ NO
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS?
TOTAL EIUSTDPG
TOTAL PROPOSED
TOTAL WASTING AND PROPOSED
`•NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
indicate number of each type of fixture to be installed or relocated as part oFthis project. Do not include existing fixtures to remain.
Value of Mechanical Work $
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS LOGS
REFRIG. SYSTEMS
BBQS
FANS
HOODS (Co—raaq
WOODSTOVES
BOILERS
FIREPLACE INSERTS
RANGES
MISC (Describe)
COMPRESSORS
FURNACES
_� GAS WATER HEATERS
CHANGE OF USE?
DUCTS
GAS PIPE OUTLETS .
NEW ADDRESS REQUIRED? o YES ❑ NO
UP/SEPA/SU?
PLUMBING
BATHTUBS (-Tub/Show C—bo)
SHOWERS
DISHWASHERS
SINKS
GAS PIPE OUTLETS
SUMPS
WASHING MACHINES
URINALS
LAVS (Bath—m sink.)
VACUUM BREAKERS
WATER CLOSETS (roael _
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
MISC (Describe)
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 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 a part of
this application.
NAME/TITLE /- U u 6/Owner
/
(Signature(
RELATIONSHIP TO PROJECT Owner ❑ Agent
❑ Contractor ❑
TE 7
FOR OFFICE USE ONLY "
o NEW o ADDITION
o ALTERATION
❑ REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO
BASIC PLAN?
❑ YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
❑ NO
NEW ADDRESS REQUIRED? o YES ❑ NO
UP/SEPA/SU?
o YES
o NO
PLATTED LOT? o YES o NO
DEMO PERMIT REQUIRED?
❑ YES
❑ NO
Bulletin # 100 - March 30, 2004 Page 2 of 4 k\Handouts - Revised\Permit Application