04-103264 City of Federal Wal
Community Development Services Mechanical Permit #:04 - 103264 - 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: MILLER tiP`
Project Address: 32706 39TH SW Parcel Number: 873195 1510
Project Description: Remove and replace gas water heater.
Owner Applicant Contractor
Steve A Miller &Kay K Miller FAST WATER HEATER COMPANY FAST WATER HEATER COMPANY
32706 39TH AVE SW 12601 132ND AVE NE 12601 132ND AVE NE
FEDERAL WAY WA KIRKLAND WA 98034 KIRKLAND WA 98034
98023-2605 (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.
See Application
Owner or agent: Date: 0 75"--11 -0'1
y/
•
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-103264-00-ME
Owner: STEVE A MILLER
Address: 32706 39TH AVE SW
FEDERAL WAY, WA 98023-2605
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 Mechanical Rough-in (4165) 0 Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By rt•-•/ Date /p
^Z -6Y
Federal Way -Q g- - I 0 -3 � 1
PER" RECEIVED 6Y
:CoteMUNI YDILWELOPMENTSERWCEs tiYDEVEI.OPMENTDEP�' CO €-1L PL DE EN FP
tssa€YtRALWAYWAY,
1. 63472aO DOX 14 APPLI CATI
rt:.r>t1rAL wAY,wA saa�a�1-»1e
253.661-4115•tAx2S3-661 I1S9 t] ,1 7 2004 =o
ollowi • is re•tared In or: ztiort--an Inca •tete a••IUcation will not be acce•ted. Please • nt to•ibi (In ink)or • .
PROPERTY INFORMATION
SITE ADDRESS 32706 39 AVE SW,F FT)E(R Al.WAY,WA Q8023 _ SUITE/UNIT
ASSESSOR'S TAX/PARCEL _ 8731:951510--- - _ �._ _ LOT SIZE(sJ)
LEGAL DESCRIPTION (e.g.Acme Estates, Lot 1)
(Att.ds e<Paaas<pope J.4,4.00w tegat 60,61,406}
PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING O PLUMBING XMECIiAI`IICAL
❑ DEMOLITION 0 ELECTRICAL a ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work Included on this permit only)
Remove/Replace Gas Water Heater
'•PROJECT NAME(Name of Business or Owner Last Name)
PEO P L E I WI'.7IiN;111'1U.."]
PROPERTY NAME PRIMARY PHONE
OWNER MILLER STEVE (2531874-9701
MAIUNG ADDRESS CITY,STATE,ZIP
32706 39 AVE SW FEDERAL WAY,WA 98023
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
FAST WATER HEATER COMPANY (4251814-3124
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
12601 132ND AVE NE KIRKLAND.WA 98034
CITY OF FEDERAL WAY BUSINFQR UCENSE NUMBER EXPIRATION DATE FAX NUMBER
-8 7---0 -0-0- 0-4-7— -0 A - B L 425 814-9516
CONTRACTORS REGISTRATION NUMBER icon.1 card rcgalred with eaelt application] EXPIRATION DATE
EASTWTIC052DE 02/16/2005
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY.STATE,ZIP CELL PHONE
RELATIONSHIP-TO PROJECT FAX NUMBER
0 Architect a Tenant ❑Agent ❑ Other(Describe)
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
I'SNDER Per RCW 19.27.095: Lender infor;raitan is" t NAME
requiiird(f prefect value szeeeds$5;0-004',
4AATLING
5,000'-
44AtUNG ADDRESS CTT,STATE,ZWP
DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ $449-00 .�
SPRINKLEREI)BUILDING? ❑YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES n NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN a HIGHLINE 0 PRIVATE(SEPTIC)
3
• PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT.
BASEMENT TOTAL
FIRST __.
SECOND
THIRD _... ._. _
FOURTH
ADDITIONAL FLOORS(DESCRIBE) --—•- _ �.._.
DECK(COVERED?)
GARAGE/CARPORT -
i
HOW MANY FLOORS? TOTAL 1.1.17TIXa TOTAL PROPOSED Toru.ivaa rtsa Allo trtoraoca
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
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.
MB IIANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFEIIG.SYSTEMS
BBQS FANS HOODS(C.omerci.tt WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES X GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS ler Tub/sA.we,Combo) SHOWERS WATER CLOSETS iroik,I _._ — MISC(Dcnrcribe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS matUu om su,Yal VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
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,y
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
-Permit Mgr DATE 08/16/2004
(Signature) (Title)
RELATIONSHIP TO PROJECT U Owner o Agent XI Contractor Cl Architect 0 Other
' FOR OFFICE USE,ONLY
a NEW a ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES o NO BASIC PLAN? a YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? a YES o NO UP/SEPA/SU? a YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? u YES a NO
tr
Bulletin#100-March 30,2004 Page 2 of 4 kU tandouts-Revised\I'cmnt Application