04-102930City of Federal Way
Community Development Services Mechanical Permit #: 04 -102930 - 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: ALLEN
Project Address: 4528 SW 316TH P1 Parcel Number: 211551 0230
Project Description: Remove/replace GAS water heater
Owner
Applicant
Contractor
Peter M Allen & Laura L Allen
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
4528 SW 316TH PL
12601 132ND AVE NE
12601 132ND AVE NE
FEDERAL WAY WA
KIRKLAND WA 98034
KIRKLAND WA 98034
98023-2182
1
1 (425) 814-8381
Mechanical Valuation..........................................449 Over the Counter Permit...................................... Yes
PERMIT EXPIRES January 19, 2005.
Permit issued on July 23, 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 ��p�1Cat1Ui1 Date: -% I23i oq
IN
THIS CARD IS TO REMAIN ON-SITE,
CITY Of Community Development Inspection Record
Federal -Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04 -102930 -00 -ME
Owner: PETER M ALLEN
Address: 4528 SW 316TH PL
FEDERAL WAY, WA 98023-2182
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 . �L f ` Date`LtJ'
RECEIVED
MMUNITYDEPARTMENT
FederalwajA
ERMIT
COMMUffNDEVELOPMENTSERVICES
L 3 OO
33530 FIRSr WAY • PO BOX 9718
FEDERALWAY, WA 98063-9714 APPLICATION
2S3-661-41 IS- FAX 25366/4/29
urw w. al t not Fede rat wa y. co m
The following is
- an incomplete application will not be
SF MFC �ME EL PL DE EN FP
D / /
Ited. Please print lealblu lin ink) or tuve.
SITE ADDRESS 4528 SW 316 P 1 SUITE/UNIT x
ASSESSOR'S TAX/PARCEL N 21 1 5 51 0 2 3 0 _ - LOT SIZE (,fl
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach separate page for lengthy legal desaipooN
PROJECT• 1
TYPE OF PERMIT O BUILDING O PLUMBING tg MECHANICAL
O DEMOLITION O ELECTRICAL ❑ ENGINEERING O FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu)
Remove/replace qas water heater
PROJECT NAME (Name of Business or Owner Last Name) Allen
PEOPLEINFORMATION
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
NAME PRIMARY PHONE
Peter Allen ( -
MAILING ADDRESS CITY, STATE, ZIP
4528 SW 316 P1 Federal Way WA 98023
COMPANY NAME
Fast Water Heater
APPLICANT NAME
OFFICE PHONE
(425)814-3-1124
MAILING ADDRESS
12601 112 Ayt- NF.
CITY, STATE, ZIP
Ki -rkl an
CELL PHONE
(
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
1- 9_-1 Z -Q 0- 0-0_4-7 _ - B L 12/ 31 / 94
FAX NUMBER
(425 81 4-951 6
CONTRACTORS REGISTRATION NUMBER (copy of cud required with each application) EXPIRATION DATE
FASTWHC052DF 2 /16 / 05
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
(
MAILING ADDRESS
TY
CI, STATE, ZIP
CELL PHONE
(
RELATIONSHIP TO PROJECT
O Architect ❑ Tenant ❑ Agent ❑ Other (Describe)
FAX NUMBER
NAME
PRIMARY PHONE
E-MAIL ADDRESS
in ormatton is` ,
PerRCW 19.27.095: Lender f
required JPro/ect value ezceeds`',i5;000
NAME
MAILING ADDRESS
CITY, STATE, ZIP
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 449.00
SPRINKLERED BUILDING? O YES O NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER O LAKEHAVEN O HIGHLINE O TACOMA O PRIVATE (WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑ PRIVATE (SEPTIC)
_. 3 —• .. .
AiZEA DESCRIPTION
BASEMENT
FIRST
EXISTING SQ. FT.
PROPOSED S . FT.
TOTAL
BUILDING SHELL ONLY?
SECOND
BASIC PLAN?
o YES
o NO
THIRD
CHANGE OF USE?
o YES
o NO
FOURTH
o YES o NO
UP/SEP A/SU?
a YES
ADDITIONAL FLOORS (DESCRIBE)
PLATTED LOT?
DYES ONO
DEMO PERMIT REQUIRED?
DECK (COVERED?)
❑ NO
GARAGE/CARPORT
HOW MANY FLOORS?
TOTAL LASTING
TOTAL PROPOSED
TOTAL LASTING MD ►ROPOSLD
"NEW HOMES ONLY" NUMBER OF BEDROOMS FRTIMATIM ar; r T rwr_ Dorm d.
Indicate number of each type of fc ture to be installed or relocated as pail of this project. Do not include existing furtures to remain.
d1ECFIAMCAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS
BBQS FANS REFRIG. SYSTEMS
BOILERS HOODS (cumm<rdat) W OODSTOV ES
FIREPLACE INSERTS RANGES MISC (Describe)
COMPRESSORS FURNACES �_ GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
BATHTUBS I,NT„b/Sh—cemb.1
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
WATER CLOSETS (r.d'(1
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
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent ❑ Contractor ❑ Architect ❑ Other
FOR OFFICE USE ONLY
TE 7��^
o NEW o ADDITION
o ALTERATION
o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o YES o NO
BASIC PLAN?
o YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
o NO
NEW ADDRESS REQUIRED?
o YES o NO
UP/SEP A/SU?
a YES
❑ NO
PLATTED LOT?
DYES ONO
DEMO PERMIT REQUIRED?
o YES
❑ NO
Bulletin # 100 — March 30, 2004 Page 2 of 4 ► k\Handouts — Revised\Permit Application