04-103265 flCity of Federal Way r
Community Development Services Mechanical Permit #:04 - 103265 - 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: WOOD
Project Address: 1317 S 295TH PI Parcel Number: 516200 0310
Project Description: Remove and replace gas water heater
Owner Applicant Contractor
Roger A Wood FAST WATER HEATER COMPANY FAST WATER HEATER COMPANY
1317 S 295TH PL 12601 132ND AVE NE 12601 132ND AVE NE
FEDERAL WAY WA KIRKLAND WA 98034 KIRKLAND WA 98034
98003-3717 (425)814-8381
Mechanical Valuation 449 Over the Counter Permit Yes
PERMIT EXPIRES February 13,2005.
Permit issued on August 17,2004
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 Application Date: O 1s'' 1 -0 r(
Mc_c_AJ
—- `t Ft,i6u/ U �/ III///"'
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-103265-00-ME
Owner: ROGER A WOOD
Address: 1317 S 295TH PL
FEDERAL WAY, WA 98003-3717
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.
-
0 Mech:nical Rough-in(4165) 0 Gas Piping(4125) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date Datte- 0-d4/
Fe ral Way PERMIT . . �1r - _ Q.-.� .�.-C
Almult rr EATS "[ "/fA�EECEIVED BY SF MF Co ME EL PL DE SIV Fp
15Jq wti I,YatA1 •ro BOX 6218 A P 1 L I C�L��1 \✓
FE RAL Ii+AY,wA saas3-nla MENTDEPAiVIENT
2S3 6614115•FAX 253-6614129 1 7
�' AUG 2004
The ollowl • is re•wired in ormation--an Inco tete a••lication will not be acre•ted. Please • nt le•1121 (In title or
PROPERTY INFORMATION
SITE ADDRESS 1317 S 294 PL,FFfFRAI.WAIT,WA. 98003 _ SUITE/UNIT#
ASSESSOR'S TAX/PARCEL t .,51620.00340__ _ - _ LOT SIZE(sj)
LEGAL DESCRIPTION (e.g.Acme Estates, Lot 1)
(Alk d s<r.w<s i,,+.v<<w 1.9a dao.F.so,y
Mr • PROJECT INFORMATION
TYPE OF PERMIT C3 BUILDING 0 PLUMBING XMECHAFiICAL
0 DEMOLITION 0 ELECTRICAL ❑ ENGINEERING U FIRE PREVENTION SYSTEM '
PROJECT DESCRIPTION(Protide detailed description of work tnduded on this permit only)
Remove/ReDlace Gas Water Heater
:' OJECT NAME(Name of Business or Owner Last Name)
PE:? T: )ITF+;I0'p"X1:N �?
PROPERTY NAME PRIMARY PHONE
OWNER WOOD.ROGER (2531941-2018
MAILING ADDRESS CITY.STATE,ZIP
1317 S 295 PL FEDERAL WAY,WA 980Q3
.^JNTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE +t
FAST WATER HEATER COMPANY (425)814-3124
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
12601 132ND AVE NE KIRKLAND.WA 98034
CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER EXPIRATION DATE FAX NUMBER
-8 7---0 -0-0- 0-4-7— -0 -0 - p L 425 814-9516
CONTRACTOR'S REGISTRATION N*)MBER loopy of card required with sack Application] EXPIRATION DATE
EASTWJIC052DE 02/16/2005
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
6!; MAIUNO ADDRESS CITY.STATE,ZIP CELL PHONE
RELATIONSHIPTO PROJECT FAX NUMBER ,
❑ Architect U Tenant a Agent n Other(Describe)
CONTACT NAME PRIMARY PHONE EMAIL ADDRESS
LENDER E'er RCW 19.27.095: Lender Werniation iso"t_ NAME
4 required(f profeet value exceeds$5;0-00 i-
MAIUNG ADDRESS CITY.STATE,ZIP
DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $4449-00 _
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES a NO
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE a TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
.t
= PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL t
.BASEMENT - ;
FIRST
SECOND
THIRD _ _ ---..
FOURTH _. __
ADDITIONAL FLOORS(DESCRIBE) . ._._
DECK(COVERED?) -
GARAGE/CARPORT ----
HOW MANY FLOORS? TOTAL memo TOTAL.PROPOS/0 TOTAL L1e5Tao AND neoroam
i •
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ i
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing futures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS IiOODStc.o...cdy WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES X GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
, PLUMBING
BATHTUBS(orTur/Shower Combo)
DISHWASHERS
GAS PIPE OUTLETS
SHOWERS WATER CLOSEtS(1 kit _ _ MiSC(Describe)SINKS DRINKING FOUNTAINS
SUMPS RAINWATER SYST ;
WASHING MACHINES URINALS HOSE BIBBS 1
LAVS(Bathroomssvi al VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
T eart{t'y 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 y.
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 .•-42::: -.. �c ' _Permit Mur DATE 08/16/2004
(Signature) (Tole) —
RELATIONSHIP TO PROJECT n Owner 0 Agent X Contractor CI Architect ci Other
FOR OFFICE USE ONLY
o NEW a ADDITION o ALTERATION o REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO _ BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? u YES a NO
it i0
Bulletin#100-March 30,2004 Page 2 of 4T_ — k\I-landouts-Revised\Permit Application