05-106237 City of Federal Way echafical Permit #: 05-106237-00-ME
Community Development Services
P.O.Box 9718 F L
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: SCHOLZ
Project Address: 4732 SW 313TH PL Parcel Number: 211570 0070
Project Description: Install of gas water heater
Owner Applicant Contractor
WILLIAM J SCHOLZ WASHINGTON WATER HEATERS WASHINGTON WATER HEATERS
4732 SW 313TH PL 32015 56TH AVE S WASHII*9800P 9/17/06
FEDERAL WAY WA AUBURN WA 98001 32015 56TH AVE S
98023-2031 AUBURN WA 98001
Additional-Permit Information •
Mechanical Valuation 971 Over the Counter Permit? Yes
Plumbing Fixtures
Water Heaters 1
CONDITIONS:
PERMIT EXPIRES Monday, June 5, 2006 ,
Permit Issued on Wednesday, December 7, 2005
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: ,4e_ Vppti en" Date: 1 Z,///65—
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THIS CARD IS TO REMAIN ON-SITE , ,
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CITY OF 1/4 Community.Community, Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE# (253) 835-3050
PERMIT#: 05-106237-00-ME
Owner: WILLIAM J SCHOLZ
Address: 4732 SW 313TH PL
FEDERAL WAY, WA 98023-2031
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 Fj,r Date 4/24/6
•
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„, RECEIVED BY
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_J COMMUNITY DEVELOPMENT DEPAIt i,,__...
cm of AQ E C O 7Q05-1
� � 23 -7
Federal way PERMIT
COMMUNTYDEVELOPMENT SERVICES
SF MF CO L PL DE EN FP
33325 8"i AVENUE SOUTH•PO 9718 APPLICATION
FEDERAL WAY, 98063-9718 TD / /
253-835-2607•FAXX 253-835-260-2609
WW aluoffedernlurati cpm
The is fined -an late lication will not be Please in or
SITE ADDRESS 117 ✓ 44” 7 /d( d 2-3 SUITE/UNIT•
ASSESSOR'S TAX/PARCEL• .z 7 / 5 7 d - !> U 76.2 LOT SIZE(sf1
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach aePrae Pwl.Io'Ince l dna
• PROJECT INFORMATION //
TYPE OF PERMIT 0 BUILDING 0 PLUMBING F91 HANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detaileduj
description of work included on this permit onl
1344-K426-LA O-U-1- 6 ) Q 5 (I/u. -( ke--e(-4"fi—
PROJECT NAME(Name of Business or Owner Last Name) SC `O /2
in PEOPLE INFORM\TION
PROPERTYE ql PRIMARY PHONE
OWNER (r ,aro /'l!) /Z_- ( 7-
- -2. . 3r3t (1/ 7.z.z..;,,,, 6,017oz 3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING j(1_ JV\l Of \e _ W cLA tett',u-`1,-"S ( G v-,,,,-, (j� "lL14 (.1X-0 ) '. 553s
!
ADDRE..SSI J �1t�,,r\` cm,STATE,Z G, CELL PHONE
L
0k 7 �(OC— v ,t4 LI..JL%-^i'1 CI (�Z.5) .J � CC15106
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
-L Q-5. 2 L cL - B L /Z / 51 /Z rl'(t) 3 - �`t5Y
CONTRACTOR'S REGISTRATION NUMBER)copy of card required with each application) RATION DATE
(.A 'f `2 t -E - - . 1-"1 `t (2. U 17/7 /d
APPLICANT cprAny NAME 1 APPLICANT NAME / OFFICE PHONE
JV 5 lin'JI i V(''1( yi(-E ai-ef 5 66,-4,,)/ L`-L)t°�" ( ga )4/ /6 - Si:SS'
MAILING AD lT�RESS 1,�,` C�1'Y,ST ,ZIP G CELL PHONE
, -G/5 5 Y-!""� 5 i-fetbc4-S7 ttJ,L '/&G)t'J/ ( 9Z5) 3 (7- - h-"x
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant ent 0 Other(Describe) (46k,) 375 - 7y5/
CONTACT N E PRIMARY PHONE E-M/UL ADD ESS
t,t.�in a� (
� � ) 97� - _5b-O he fujo- Q.�ipti.0 ycdtt
LENDER Per RCW 19.27.095: Lender information is NAME f_(
required If project value exceeds 95,000
MAILING ADDRESS CITY,STATE,ZIP
U DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES a NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE ❑ TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
• •s
FROJFC 1"FLOOR AREAS
AREA DESCRIPTION E7QSTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS ro*SToro MOMS= 1OTAL TOTAL a701sa
1TOTAL lmOrOQD er TOTAL Or
**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 $ 17/- Sae__ a l '`�
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS wcemm.raw) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES I GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS SHOWERS WATER CLOSETS(Tones MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS Isethreem 6dW VACUUM BREAKERS tLLCTRIC WATER HEATERS
DISCLAIMERiSIGNATURE 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 hold
harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'foss incurred in the investigation and defense of
such dairy,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 C1.v DATE \Z1',—US
(Signature) �tle)
RELATIONSHIP TO PROJECT ❑ Ownert 0 Contractor 0 Architect 0 Other
FOR OFFICE USE ONLY
❑NEW o ADDITION ❑ALTERATION ❑REPAIR ❑TENANT IMPROVEMENT •
BUILDING SHELL ONLY? ❑YES ❑NO BASIC PLAN? ❑YES ❑NO
ZONING DESIGNATION • CHANGE OF USE? ❑YES ❑NO
NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? o YES ❑NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? ❑YES ❑NO
Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application