04-103214 Ci munitedevel Way Mechanical Permit #:04 - -100 - ME
Community Development Services
33530 1st v1 ay S
Federal Wa'v,WA 98003-6210
Ph 253 661.40t0 Fax 253.661.4129 Inspection request line: 253.835.3050
Project Name: LEDOUX te4
Project Address: 33022 49TH1SW Parcel Number: 802952 0160
Project Description: Remove and replace gas water heater
Owner Applicant Contractor
Edward J Ledoux &Elizabeth M Ledoux FAST WATER HEATER COMPANY FAST WATER HEATER COMPANY
34509 9TH AVE S#304 12601 132ND AVE NE 12601 132ND AVE NE
FEDERAL WAY WA KIRKLAND WA 98034 KIRKLAND WA 98034
98003-8709 (425)814-8381
Mechanical Valuation 449 Over the Counter Permit Yes
PERMIT EXPIRES February 8,2005.
Permit issued on August 12,2004
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: Or- 1 Z — 0
g See Application
r
A
THIS CARD IS TO REMAIN JN-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-103214-00-ME
Owner: EDWARD J LEDOUX
Address: 33022 49TH AVE SW
FEDERAL WAY, WA 98023-3324
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) ❑ Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test ,, Approved
By Date By Date By �:�LJ`,/ Datu—
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RECEIVED BY p M� 1 SF MF CO 9•L PL,.t E EN FP
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FEDERAL'WAY,WA fa069-ri1a
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ate ollowl • is •ulred in ormatlon--an into •tete a••lication will not be acre•ted. Please • nt le,ibl (La.ink)or • .
PROPERTY INFORMATION
SITE ADDRESS I 1 ' _ I . 1 I a A e A t : I _ SUITE/UNIT I
ASSESSOR'S TAX/PARCEL I 80295-201-60 ! --. - — --_ LOT SIZE/sDJ
LEGAL DESCRIPTION (e.g.Acme Estates, Lot 1) -
(A•t *spawns<Page fisc I.,"4 1cgai desaipsony
PROJECT INFORMATION
TYPE OF PERMIT Li BUILDING O PLUMBING XMECHANICAL
❑ DEMOLITION 0 ELECTRICAL 0 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 1
PE) 111 :1 IF')R!I!ilICA"
PROPERTY NAME ' PRIMARY PHONE
OWNER LEDOUX.BETSY (2531927-8016
MAILING ADDRESS CITY,STATE,ZIP
33022 49 AVE SW _„ FEDERAL WAY,WA 9 23
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
3AST WATER HEATER COMPANY (4251814-3124
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
12601 132NDA E NE KI2KLAND.WA 98034
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
-.8 7---0 -0-0. 0-4-7- -0 A - B L 425 814-9516
CONTRACTOR'S REGISTRATION NUMBER copy at card retalred rld.each application) EXPIRATION DATE
EASTWHC.052DE 02/16/2005
A?PLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY.STATE,ZIP CELL PHONE '-:1
„el
RELATIOtUShftPTO PROJECT FAX NUMI3F,R ' iti
0 Architect 0 Tenant ❑Agent (l Other(Describe) _
CONTACT NAME Pg./MARY PHONE f E-MAII.ADDRESS �._
LENDER NAME
Per RCW 29.27 095: Iwndsr!r¢ormabieiit!s "t_
raquiiid I j project value eexc.ids$5,000"�
WAILING ADDRESS CTTY,STATE,Z1P
DETAILED BUILDING INFORMATION ,
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $, VALUE OF PROPOSED WORK $ $449 nn
t
SPRINKLEREI)BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES a NO
, i "
WATER SERVICE PROVIDER D LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKEHAVEN 0 IIIGRLINE 0 PRIVATE(SEPTIC)
vI
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT•
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL SXUSfTSG — TOTAL►ROPOSLU TOTAL L1o5TOO MO PRoroem
"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 fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(c.mm<,ciay WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES X GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower combo) SHOWERS WATER CLOSETS(r.arq — MiSC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom sinks( VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I eertify 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 �"�- _Permit Misr DATE 08/10/2004
(Signature) (Tile) —
RELATIONSHIP TO PROJECT 0 Owner n Agent b Contractor 0 Architect 0 Other
FOR OFFICE USE,ONLY
o NEW a ADDITION a ALTERATION o REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES o NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? n YES a NO UP/SEPA/SU? o YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? o YES a NO
S.
Bulletin#I00-March 30,2004 .� __ Page 2 of 4 k\Ilandouts-Revised\I'ennit Application ;'