04-103053 de As,
City of Federal Way
Community Development Services Mechanical Permit #:04 - 103053 - 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: MELTON
Project Address: 4017 SW 329TH PI Parcel Number: 873204 0530
Project Description: Remove/replace GAS water heater
Owner Applicant Contractor
Ronald L Melton FAST WATER HEATER COMPANY FAST WATER HEATER COMPANY
12601 132ND AVE NE 12601 132ND AVE NE
KIRKLAND WA 98034 KIRKLAND WA 98034
(425)814-8381
Mechanical Valuation 449 Over the Counter Permit Yes
PERMIT EXPIRES January 29,2005.
Permit issued on August 2,2004
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: '312-104
ip
OP
THIS CARD IS TO REMAIN ON-SITE '"
CITY OF Community Development Inspection RecorI
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-103053-00-ME
Owner: RONALD L MELTON
Address: 4017 SW 329TH PL
FEDERAL WAY, WA 98023-2621
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) ❑ Final-Mechanical(4065)
Approved Approved to release test ✓�� Approved
By Date By Date By . Date 9/01/4
arr or '.., RECEIVED BY 0 `1 -1 03 C)
Federal Wa rmDefiamEM°EPSERIN/11'T
AUG p 2 2004 SF MF C��EL PL DE EN FP
o1FI
:5RSTIVAYSOUTH•POBOX9714 8063-9218 APPLICATION
j/ �J
2S3iti�66 RAL1 5'FAX 2Y,WA 53661.4129 + + ' `-" D I
leseuLdneatIohnitenesen
The ollowi • is re•aired in ormation--art Inca lete a••)teat-on will not be acre•ted. Please • at le•ibl (In.ink)or • .
r`t PROPERTY INFORMATION
SITE ADDRESS .4017 SW 329_Pis FFJ)F,RAI`WAV,WA 98023 SUITE/UNIT I
ASSESSOR'S TAX/PARCEL iT _ - _ LOT SIZE Is))
LEGAL DESCRIPTION (e.g.Acme Estates, Lot 1)
(Attach sgw+as<puye F,.4..ng hj kgat d pont —
7,. • -0 ar i` • •j F. •
TYPE OF PERMIT L3 BUILDING D PLUMBING XMECHAFCICAL
D DEMOLITION 0 ELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work Included on this permit only)
Remove/ReDlace Gas Water Heater
:; IOJECT NAME(Name of Business or Owner Last Name)
PES'Pi..1 [t0`4'IZ1'1erlaN
PROPERTY NAME PRIMARY PHONE
OWNER MELTON.RON (253)838-0421
MAILING ADDRESS CITY,STATE,ZIP {{'
4017 SW 329 PL FEDERAL WAY,WA 98023 _ I
}�t�'lNTRACTOR
COMPANY NAME APPLICANT NAME OFFICE PHONE
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 LICENSE NUMBER EXPIRATION DATE FAX NUMBER
-8 7---0 -0-0- 0-4_7- -0 .0 - B L 425 814-9516
CONTRACTORS REGISTRATION NUMBER copy of card'vomited rttk each applieatioal EXPIRATION DATE
EASTWHC)52DE_ 02/16/2005
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE _
j:. MAILING ADDRESS CITY.STATE,ZIP CELL PHONE•
RY;LATIOttSIiiPTOPROJECT
FAX NUMIIER
O Architect 0 Tenant 0 Agent a Other(Describe)
CONTACT NAME _.... tPIMARY PHONE mm E-MAIL ADDRESS
LENDER Per •RCCA'19.27.095: Lender tn{fornie dion is,5%.
NAME
• required if prefect value tt,c fIN ti$5,1100'
IdAtUNG ADDRESS CITY,STAW„ZIP
.-J
DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $....$449 00 •
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? n YES n NO
WATER SERVICE PROVIDER O LAKEHAVEN 0 HIGHLINE D TACOMA ❑ PRIVATE(WELL)
;'S EWER SERVICE PROVIDER Ci LAKEHAVEN D HIGHLINE a PRIVATE(SEPTIC)
PROJECT FLOOR AREAS •
L AREA DESCRIPTION EXISTING SQ.FT. , PROPOSED SQ.FT. TOTAL
BASEMENT - -
FIRSC
SECOND t
THIRD _ "" __ -._._ __ �___
FOURTH —
-ADDITIONAL FLOORS(DESCRIBE) �'
DECK(COVERED?) ---
' GARAGE/CARPORT
HOW MANY FLOORS? TOTAL -
L.=nag TOTAL.PROPOSED TOTAL saSTIXO AXD PRapoeco
'•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 HANDUNG UNITS EVAPORATIVE COOLERS GAS LOGS REl'RIG.SYSTEMS
BI3QS FANS HOODS IC.omere WI W OO DSTOV FLS
BOILERS FIREPLACE INSERTS RANGES
COMPRESSORS FURNACES X GAS WATER HEATERS MISC(Describe)
DUCTS GAS PIPE OUTLETS
PLUMBING
a BATHTUBS I..Tun/SheworrCoot* SHOWERS WATER CLOSETS crinkly __ _ MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST ,
WASHING MACHINES URINALS HOSE BIBBS
LAVS :aureoeSir* VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK '• ,
t. I eertg'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 '
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 MEr DATE 07/27/2004
(Signature) Rale) "—
RELATIONSHIP TO PROJECT U Owner 0 Agent X Contractor a Architect a Other
FOR OFFICE USE,ONLY
, o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES o NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? n YES o NO UP/SEPA/SU? o YES o NO
—
PLATTED LOT? u YES ti NO DEMO PERMIT REQUIRED? u YES a NO
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Bulletin#100-March 30,2004 Page 2 of 4 1M:indents-RevisedlPennit Application