04-102819. ` _ ..
City of Federal Way
Community Development Services Mechanical Permit #: 04 -102819 - 00 - ME
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050
Project Name: STENBERG j, Ii
Project Address: 31226 4TH"SW Parcel Number: 555750 0150
Project Description: Remove/replace GAS water heater
Owner
Applicant
Contractor
J B Stenberg
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
31226 4TH AVE SW
12601 132ND AVE NE
12601 132ND AVE NE
FEDERAL WAY WA
KIRKLAND WA 98034
KIRKLAND WA 98034
98023-4638
1 (425)814-8381
Mechanical Valuation..........................................449 Over the Counter Permit...................................... Yes
PERMIT EXPIRES January 12, 2005.
Permit issued on July 16, 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: Date: I((�
r
,I
3
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04 -102819 -00 -ME
Owner: J B STENBERG
Address: 31226 4TH AVE SW
FEDERAL WAY, WA 98023-4638
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
a
By Date By Date By %17 L� Date
aMyroF
deral Way
COMMUMIY DEVELOPMEl a SERVICES
33530 FIRST WAY SOUTH • PO BOX 9718
FEDERAL WAY, WA 98063-9718
2536614115• FAX 253-66J -4129
www. d(Wlfederal way. cam
The following is reauin
PERMIT
APPLICATION
-an
will not be
Lbl lo— ! ! 1
SF MF C ME EL PL DE EN FP
D
/ /
lted. Please -print legibly (in inkl or tune.
SITE ADDRESS 31226 4th Ave SW SUITE/UNIT #
ASSESSOR'S TAX/PARCEL # 5557500150 _- LOT SIZE (sfl
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach separate page for lengthy legal description)
PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING X MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlul
. REmove/replace qas water heater
PROJECT NAME (Name of Business or Owner Last Name) Stenbera
PEOPLE• •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
NAME PRIMARY PHONE
J Stenber 1(253)839-7099
MAILING ADDRESS CITY, STATE, ZIP
21226 4th Ave SW Federal Way WA 98023
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
Fast Water Heater
CITY, STATE, ZIP
(425)814-3-124
MAILING ADDRESS
12601 132 Aytm NF,
CITY, STATE, ZIP
Ki rkl a I&-M..-q,8
CELLPHONE
l -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER XPIRATIODATE
FAX NUMBER
L 9_-1 7--Q (L 0_0_4 _-B L 12/ 31 / 94
(425)814-9516
CONTRACTORS REGISTRATION NUMBER (copy 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-MAILADDRESS
Per.RCW 19:27.095:-Lenderinforination iss ""_>'
required ijprofect value exceeds $5;000 '
_. _ ._.:.
NAME
MAILING ADDRESS
CITY, STATE, ZIP
EXISTING ASSESSED/APPRAISED VALUE $
SPRINKLERED BUILDING? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN
SEWER SERVICE PROVIDER 0 LAKEHAVEN
PROPOSED USE
VALUE OF PROPOSED WORK $ 4 4 9_ 0 0
FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
❑ HIGHLINE ❑ TACOMA O PRIVATE (WELL)
❑ HIGHLINE ❑ PRIVATE (SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
o ALTERATION
o REPAIR o TENANT IMPROVEMENT
FIRST
BASIC PLAN? ❑ YES
o NO
ZONING DESIGNATION
SECOND
CHANGE OF USE? o YES
o NO
NEW ADDRESS REQUIRED? ❑
THIRD
UP/SEPA/SU? o YES
o NO
PLATTED LOT? ❑ YES ❑ NO
FOURTH
❑ NO
ADDITIONAL FLOORS (DESCRIBE)
DECK (COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS?
TOTAL EXLSMG
TOTAL PROPOSED
TOTAL EXISTING 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 of this project. Do not include existing fixtures to
Value of Mechanical Work $
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
PLUMBING
BATHTUBS (or Tub/shower combo)
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
LAVS (Bathroom Sinks)
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
GAS LOGS
HOODS (commercial)
.RANGES
J GAS WATER HEATERS
WATER CLOSETS Qbiiiet) _
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
REFRIG. SYSTEMS
WOODSTOVES
MISC (Describe)
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
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent ❑ Contractor ❑ Architect ❑ Other
TE
FOR OFFICE USE ONLY
o NEW o ADDITION
o ALTERATION
o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES ONO
BASIC PLAN? ❑ YES
o NO
ZONING DESIGNATION
CHANGE OF USE? o YES
o NO
NEW ADDRESS REQUIRED? ❑
YES o NO
UP/SEPA/SU? o YES
o NO
PLATTED LOT? ❑ YES ❑ NO
DEMO PERMIT REQUIRED? o YES
❑ NO
Bulletin #100 — March 30, 2004 Page 2 of 4 k\Handouts — Revised\Permit Application