04-103093 / ;
•
City of Federal Way
Community Development Services Mechanical Permit #:04 - 103093 - 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: HARPER per"
Project Address: 33328 41STtSW Parcel Number: 327900 0520
Project Description: Remove/replace GAS water heater
Owner Applicant Contractor
William B Harper FAST WATER HEATER COMPANY FAST WATER HEATER COMPANY
33328 41ST AVE SW 12601 132ND AVE NE 12601 132ND AVE NE
FEDERAL WAY WA KIRKLAND WA 98034 KIRKLAND WA 98034
98023-2917 (425)814-8381
Mechanical Valuation 449 Over the Counter Permit Yes
PERMIT EXPIRES January 31,2005.
Permit issued on August 4,2004
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: 5 'c4ja(-i
8' t
t1 (4
THIS CARD IS TO REMAIN ON-SITE " •
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-103093-00-ME
Owner: WILLIAM B HARPER
Address: 33328 41ST AVE SW
FEDERAL WAY, WA 98023-2917
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(1125) ❑ Final-Mechanical(4065)
Approved Approved to release test �Ap roved
ByDate ByDate B ii Date 48/17/1),
•
Feeal:r7Wa
M� RECEIVED BY E�•�-M I •� SF MF CO EL PL DE EN /
PEgipRMIT
vidad ear Devuorxster 1! ITYDEVELOPMENT
7530 MST WAY SOUTH•r0 BOX 9711 � �� A /-r���� p
?sP31) RAL wAY, X !3063-4729 AUG 0 4 ' ,ty]) yl 1 / /
753 66f-If t•'t'PAX?S1a6141Y9 / _
The ollowi • is •wired in ormatiort--an Inca •fete a••Iicatton will not be acre•ted. Please • nt Ie•ibi (in ink)or
PROPERTY INFORMATION
SITE ADDRESS 33328_41 AVE SWrFFJ)RRAI,WAY,WA 98023 — SUITE/UNIT 0
ASSESSOR'S TAX/PARCEL _3279000.520____ _ - _ Y_ LOT SIZE (sJ)
LEGAL DESCRIPTION (e.g.Acme Estates, Lot 1)
(Attach•spaiots page fu•loythe ieyd e.sopana/ .–
PROJECT INFORMATION
TYPE OF PERMIT c BUILDING o PLUMBING XMECIiANICAL
0 DEMOLITION 0 ELECTRICAL O ENGINEERING C7 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work:Included on this permit only)
Remove/ReDlace Gas Water Heater
PROJECT NAME(Name of Business or Owner Last Name)
PE:F.'• :1:I47IIt1P.TOT:
PROPERTY NAME PRIMARY PHONE
OWNER HARPER. BILL & EDITH (253)838-1609
MAILING ADDRESS CITY,STATE,ZIP —'
33328 41 AVE SW FEDERAL WAY.WA_98023
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
3AST WATER HEATER COMPANY (425)814-3124
MAIUNG 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 ' >3 L 425 814-9516
CONTRACTOR'S REGISTRATION NUMBER!copy et card required with each application) EXPIRATION DATE
EASTWTIC052DE 02/16/2005
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
MAIUNG ADDRESS CITY.STATE,ZIP CELL PHONE
RELATIOit'SI11PTO PROJECT FAX NUMBER
❑ Architect a Tenant 0 Agent n Other(Describe)
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESSGENDERPer RCW 19.27.095: Lender ii{forniatiin iso�..' NAME
requiied(fprotect value exceeds$5;000''-
r ._
MAILING ADDRESS CITY.STATE,Z1P
DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $,3$449 nn
SPRINKLERED BUILDING? 0 YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? CI YES n NO
WATER SERVICE PROVIDER 0 LAREIIAVEN a RIGIILINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKERAVEN U HIGHLINE t2 PRIVATE(SEPTIC)
y
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
r
SECOND
THIRD __ _ - —
FOURTH _. —"
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?) —
GARAGE/CARPORT
.___[
HOW MANY FLOORS? :ar u:xssTma ror u rRoauxci Toru=ATOM MID rxoroacn
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 BANDUNG UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS ROODS 1c....r<t.i1 WOODSTOVFS
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES X GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(.,Tub/Stxr.nrComboi SHOWERS WATER CLOSETS(we( __, _ MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BlBBS
} LAYS rs.rtx.o.suuat VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK •
I rartiy under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that I -
ant 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 Mur DATE 08/03/2004
(S(anature) (Title)
RELATIONSHIP TO PROJECT U Owner n Agent X Contractor U Architect a Other _
FOR OFFICE USE.ONLY
o NEW o ADDITION o ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES a 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? a YES a NO
N
Bulletin#100-March 30,2004 Page 2 of 4 k\Handouts-ReviseaPennit Application