06-106491City of Federal Way
Community Development Services Mechanical Permit #' 06-106491-00-M E
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
Project Name: DALE
Project Address: 712 SW 327TH ST Parcel Number: 926492 0940
Project Description: REP - Replace gas to gas water heater
Owner
Applicant
Contractor
DOUGLAS & DAWN DALE
NORTHWEST PERMIT INC
WASHINGTON ENERGY SERVICES CO
712 SW 327TH ST
1345 GULF ROAD
(WESCO)
FEDERAL WAY WA 98023-4906
POINT ROBERTS WA 98281
WASHIES971 OB 9/2/07
2800 THORNDYKE AVE W
SEATTLE WA 98199
Additional Permit Information
Mechanical Valuation............................................950 Over the Counter Permit? ...................................... Yes
Plumbing Fixtures
Water Heaters ................................ 1
PERMIT EXPIRES Sunday, December 28, 2008
Permit Issued on Thursday, December 28, 2006
1 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:2
Date: i2 - -S - CA --v
THIS CARD IS TO REMAIN ON-SITE ,
CITY OF Community Development Inspection Record -
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -106491 -00 -ME
Owner: DOUGLAS & DAWN DALE
Address: 712 SW 327TH ST
FEDERAL WAY, WA 98023-4906
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 DateBy Date f 3 �i
. �G� tioo6
crry of
Federal way PERMIT
COMMUNITY DEVELOPMENT SERVICES SF MF CO E EL PL DE EN FP
33325 - AVENUE DERALWA,W1771•POBOR8\ 0 \ `NG APPLICATION D
FEDERAL WAY, WA 98063-9 71 8 +{ ` \ Q
253-835-2607• FAR 253-835-2809 V
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The ollowin is in9d t rntation - an incom fete a Lica tion wits not be accepted. Pleasejg
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n Trek) or
PROPERTY INFORMATION
SITE ADDRESS 712 SW 327th St SUITE/UNIT #
ASSESSOR'S TAR/PARCEL # 9 2 6 4 9 2- 0 9 4 0 LOT SIZE (sfi
LEGAL DESCRIPTION (e.g. Acme Estates, lot 1)
IAttadc —p—W PSI-L-gft 1Jl d—,".1
PROJECT•
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION /Provide detailed description of work included on this vermi2 onlul
Replace Gas to Gas 50 Gallon water heater
PROJECT NAME (Name of Business or Owner Last Name)
PROPERTY
OWNER
CONTRACTOR
APPLICANT
NAME PRIMARY PHONE
Dale Douglas 1 (253 ) 838 - 1791
MAILING ADDRESS CITY, STATE, ZIP
712 SW 327th St Federal Way, WA 98023
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
WESCO
Melissa Croda
(206 ) 378 - 6608
MAILING ADDRESS
CITY, STATE, ZIP
CELLPHONE
2800 Thorndyke Ave W
Seattle WA 98199
( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
2Q-0 3-1442- 4 -Bi
12 /31 /06
( ) -
CONTRACTUIVS REGISTRATION NUMBER (copy of card required with each application)
EXPIRATION DATE
W A S H I E S 9 7 1 O B
09 / 02 /07
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
Northwest Permit Inc
Melissa Croda
( 3W ) 945 -2787
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
1345 Gulf Road
Point Roberts, WA 98281
( 206) 388 - 9357
RELATIONSHIP Tl) PROJECT
FAX NUMBER
❑ Architect ❑ Tenant Agent ❑ Other (Describe)
( ) -
CONTACT NAME PRIMARY PHONE E-MAILADDRESS
Melissa Croda 1 (360 ) 945 - 2787 melissaQmrpermit.com
LENDER
Per RCW 19.27.095: Lender irtformation is
NAME
required (f project value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
EXISTING USE SFR
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $.
SPRINKLERED BUILDING? YES NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? YES ❑ NO
WATER SERVICE PROVIDER ri LAKEHAVEN i I HIGHLINE I i TACOMA r. -,j PRIVATE (WELL)
SEWER SERVICE PROVIDER rl LAKEHAVEN n HIGHLINE fi PRIVATE (SEPTIC)
AREA DESCRIPTION
EXISTING
SQ. FT.
PROPOSED
SQ. FT.
TOTAL
SQ. FT.
BASEMENT
FANS
HOODS
WOODSTOVES
FIRST
FIREPLACE INSERTS
RANGES
MISC (Describe)
SECOND
FURNACES 1
GAS WATER HEATERS
THIRD
GAS PIPE OUTLETS
❑ NO
NEW ADDRESS REQUIRED?
FOURTH
UP/SEPA/SU?
n YES
❑ NO
ADDITIONAL FLOORS (DESCRIBE)
❑ YES -NO
DEMO PERMIT REQUIRED?
a YES
DECK (COVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
EararmO
PROPOSED
TOTAL
TOTAL EIISTLiGOP
TOTAL PROPOSED OF
TOTAL OF
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fwture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AfEC !ANTCAL 950.00
Value of Mechanical Work $
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS LOGS
REFRIG. SYSTEMS
BBQS
FANS
HOODS
WOODSTOVES
BOILERS
FIREPLACE INSERTS
RANGES
MISC (Describe)
COMPRESSORS
FURNACES 1
GAS WATER HEATERS
DUCTS
GAS PIPE OUTLETS
❑ NO
NEW ADDRESS REQUIRED?
BATHTUBS (o Tuv/Sho Comm)
SHOWERS
DISHWASHERS
SINKS
GAS PIPE OUTLETS
SUMPS
WASHING MACHINES
URINALS
LAVS (Bathroom sin&A
VACUUM BREAKERS
WATER CLOSETS pmku _
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER IWATERS
MISC (Describe)
I certify under penalty of perjury that the irljorrnation 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 j Yet _' �hP.� ;y .v nuc � t7 C- DATE 7 i
I (Sigi-ture) J (Title)
RELATIONSHIP TO PROJECT ❑ Owner -went ❑ Contractor ❑ Architect ❑ Other
FOR OFFICE USE ONLY
NEW ii ADDITION
❑ ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY?
n YES ❑ NO
BASIC PLAN?
❑ YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE?
❑ YES
❑ NO
NEW ADDRESS REQUIRED?
n YES ❑ NO
UP/SEPA/SU?
n YES
❑ NO
PLATTED LOT?
❑ YES -NO
DEMO PERMIT REQUIRED?
a YES
n NO
Bulletin #100 - January 1, 2006 Page 2 of 4 k\Handouts\Pernut Application