04-105089 � T
City of Federal Way Mechanical Permit #: 04 - 105089 - 00 - ME
Community Development Services �►
P.U.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-305C
Project Name: MATSON "IV
Project Address: 31825 25TH SW Parcel Number: 193840 0350
Project Description: Remove/replace gas water heater
Owner Applicant Contractor
Kathy A Matson FAST WATER HEATER COMPANY FAST WATER HEATER COMPANY
31825 25TH AVE SW 12601 132ND AVE NE 12601 132ND AVE NE
FEDERAL WAY WA KIRKLAND WA 98034 KIRKLAND WA 98034
98023-2250 (425)814-8381
Mechanical Valuation 2400 Over the Counter Permit Yes
PERMIT EXPIRES June 14,2005.
Permit issued on December 16,2004
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: See Application
14-00U> k! "AD°
411
loft
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-105089-00-ME
Owner: KATHY A MATSON
Address: 31825 25TH AVE SW
FEDERAL WAY, WA 98023-2250
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(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date BC.— Dat G -65_
ar(0,11.0. RECEIVED BY t 4 -Federc RYNTDEPARTMENT,ERMIfi5r 1OF CC> r:IH°-
YpMjv, L DI; I:N rt��WAA �; 0 Zoo4AP PLI CATION t,> — — —
*f t ae•„!,s•MX 153e41+,?`f
View Lttrestlothelv'v'J
The oilowin is re.wired in ormation-an tricorn !etc a• lication will no( be acre•ted. Please •rint lcryiblrf(in tnkj or tq 1c,
PROPERTY INFORMATION
SITE ADDRESS 31825 25 AVE SW,FEDERALIWVAY,WA_48023_ . ._. __._ SUITE/(MIT I
ASSESSOR'S TAX/PARCEL r 1938400350 — _ LOT SIZE 1..!)
LEGAL DESCRIPTION (e;q ,•Sra,:r'l'Xia.e';, 1..)1 11 . _ _ __ -- _ -
PROJECT INFORMATION
TYPE OF PERMIT LI 'BUILDING t: PLUMBING XMECHANICAL
it DEMOLITION (_I ELECTRICAL ; ENGINEERING 11 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Protide detailed description of work(rlcluebql or,tltfswiTtit ortla)
Remove/Renlace Gas Water Heater
PROJECT NAME (Name of Ruticu';ss or'Owner Last Name.') ..„„ ,,,, __ ,__
PEO x dE ;:I;'en;'tP:ii U I'
PROPERTY NAM
E: -I'P.IMANY PiI.,!i,” `. I
OWNER l asf MATSON.KATHY (2531632-1644 1
SLA er. MAIUN Ar rfr-RECfi1,:TATO,7,1E
/�"�^ ( 31825 25 AVE SW _._ FEDERAL.WAY,.WA-•98023 _
CONTRACTOR COMPANY NAME: AI'f71CANT ilAME ")1-FTt;J.I'11aut•
FAST WATER HEATER COMPANY (4251814-3124
MAIUh(:AAI;Di<tiff . ..y-- . - .. . . . -- -CR',STATE,,Z P -----
('111.L i'io?NE ..
12601 U2ND AYE.JOE.__,__.___....,.....-.,I..KIRIKLANDLWA,.2$034.__.. _ _
CITY ur EFI)eltAl,WAY IiUSINE^S UCt;N:il;NlJMI11•.k EX 1-ATie)S DA71: 'YAK t:'1\tJ1"'i'
-8 7 - .•.0 .0-0. Q.. 4_7_. -0 A - it 1_ 425 814-9516
h>E:Tt?n•~e51ut:Rkt;iSTSt 1-161 ):UMAUfl Iaopy of e.ud tequb.d will eaeb•PPticattoal. .. - i\iMAT',,N i '.1
(FASTWHC052DF __ —_• _ - _ _ .. _ 02/16/2005
APPLICANT ('(tMt'AN1-NAME At`I:RANT NAME UI'h1C1.!VON!,
►.+AIL:!t",ANiia..:L:: CITY,:;TATC,SI' ._. } l'Lit.I'Iiuhl
7i
H1;ATtt iN:'1',Y iI,i't:rl•t"2 - __. ............ .. . ,-- .-- -- I A."i1Ai::r r
O At 4-1 l `t; Tenant 11 Agent i•• Othet (1)('N•7 b.)__ t
CctNTA( I AAM:: F9;IMAKY PII NI "i !A,l At Uk :'
1,.;
v ..._._ ,....�..__ • . _ _._.,. -- -.._.---'--• i
LENDER Per RCW 19.27.095: Lenderinforrnation is NAME' '
required If project value ex<eeds$5,000'
µµt IN+;.At1Ltt{E-S5; i STY,;"-I Al F„7.15' •
DETAILED BUILDING INFORMATION
EXISTING USE _ _ ... _.. _ n- __ PROPOSED USE _ ., __ __.__ .�_._ ._v} •`
EXISTING ASSESSED/APPRAISED VALUE $ v„ VALUE OF PROPOSED WORK $ $449.00. a2? TOO •
SPRI NEL ERE!) BUILDING? (.1 YES (1 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRE')? 11 YES '1 NO j
WATER SERVICE PROVIDER f1 LAKEIIAVEN L1 HIGIILINE H TACOMA ii PRIVATE(WELL)
SEWER SERVICE PROVIDER I•) LAKEHAVEN t 1 I11GHLINE 1 i PRIVATE(SEPTIC) ! 3 o 47.1-11?
PROJECT FLOOR AREAS
__AREA DESCRIPTION _^ EXISTING SQ. FT. PROPOSED SQ. FT._ I TOTAL
BASEMENT
FIRST _ _ __. . - I
SECOND _ .
SECOND
THIRD
FOUR"II
-A>•)DI`I'i+at.AI,F1OOI:s(Iil?, (.'Psl:I:1
DECK(f'OVI;REIYI
GARAUE/CARPORT
_
HOW MANY 1•LOORS.> TVTASLLvsr 4U TtrTAL►►+MViW T,riA,EXISIbrt:A►b ryC-r,,i a
••rib;W HOMES ONLY" KUMLiER OF I3EDROOMS ESTIMATED SF-LLINO PRICE $,.
FIXTURES
Indicate number of enrh type or fixture to he installed or relacat-'d as part of the:prof ct. Do urn Include ex/sivtrl frrturr;to rr;n0 Ut
t'.i1u.. ,,,r Ah ch(trt:cu! Work +S-.
AIR HANDLING UNITS ,__„_". EVAPORATIVE COOLERS - GAS LOC,S _ 1,..1.1'1(; SS:j P,M'i
Iii3QS _ FANS HOc71);:,<.ITP.I-,A4t'O'):)`;'1(A,E.1
�' FIREPLACE INSERTS r - ._"
BOILERS E, RANGES MIc;C(Scar ill/)
COMPRESSORS _ __ FURNACES ',.,V7.-- GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUM KING
I/M.11711.5:: wi Tut.JS)wr er<ca}m SID A F.RS W'A!ER CI )Si:` •; . MI::,'., r 1:r•;
DI;;II.'A::IiE:i.' SINKS DRINKING FYit,.^.;AIT+;
GA:.;PIPE OUTLETS SUMPS .,_,...._ RAINWATER SYST
— WASI(ING MACHINES URINALS ., , ... , HOSE 131BFS
L_1VS itt.ur n s .ky ... VACUUM BREAKERS ELECTRIC WATER I(r,AT i R., l
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 authorised by the owner of the above premises to perform the work for which the permit application Is made. I further agree to hod
harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred in the investigation and defense of
such claint) 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.
i NAME/TITLE - - 1__'-_--__ /xfe�'C:1-2:-_,,, .
.. ______ Permit Mir DATE 1/3Q/2004 _ _.___
Ngeu..''ci IT r;
RELATIONSHIP TO PROJECT LI Owner ti A1;c•ut x C'olttlartnr I. Arcluiect :.: Other ___
FOR OFFICE USE ONLY _ I -- _, _.__
ri NEW oo ADDITION t-I ALTERATION r.REPAIR (.:TENANT IMPROVEMENT
BUILDING SHELL ONLY? , YES s:NO ^— j BASIC PLAN? _ ,YES NO I
ZONING DESIGNATION CHANGE OF USE? r YES NO
NEW ADDRESS REQUIRED? rt YES r• NO UP/SEPA/SU? . YES t. NO
PLATTED LOT? f YES tI NO DEMO PERMIT REQUIRED? — YES , NO
__ --
ih:i<lIII k DX) March 30, 201)1 favi 2 o1 4 Ell;tmlotil- t ' i'..•.I I'.null Alyrin allot.