04-103564 t
1101 -w
l City of Federal Way
Community Development Services Mechanical Permit #:04 - 103564 - 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: HOWELL
Project Address: 31729 4TH V.AUC S Parcel Number: 337530 0700
Project Description: Replacing gas water heater
Owner Applicant Contractor
Thomas J Howell &Kim Howell WASHINGTON CORROSION SRVC INC WASHINGTON CORROSION SRVC INC
31729 4TH AVE S 1425 BLAINE AVE NE 1425 BLAINE AVE NE
FEDERAL WAY WA RENTON WA 98056-2774 RENTON WA 98056-2774
98003-5235 (425)228-1393
Mechanical Valuation 199 Over the Counter Permit Yes
PERMIT EXPIRES March 6,2005.
Permit issued on September 7,2004
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 beccordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: i -ti e/{J Date: 9• 7 C�
l.J
1'7)41 o 't
//
THIS CARD IS TO REMAIN ON-SITE • ,
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-103564-00-ME
Owner: THOMAS J HOWELL
Address: 31729 4TH AVE S
FEDERAL WAY, WA 98003-5235
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 g Date ""2/-05,
Federal Way k-Li.:, I V I—=DPERM IT
_ _35 _ 1
SF MF Co M: EL PL DE EN FP
cOMMUNrIr DEVELOPMENT SERVICES
3332E D AVENUE LWAY,SOUTH• BOX 9718 ,. P L I C AT I 0 N - ° / /
FEDERAL WAY,WA 98063-9718 �i�.:!-J ,-1
253-835-2607•FAX 253-835-2609 `
www.d hrofederalwa tt con,
CITY or I-LPL:14, i
The following is require gida,;moi th omplete a••lication will not be accepted. Please •rint legibly(in ink)or type.
_ • PROPERTY INFORMATION
SITE ADDRESS 317 2a 4LIl Vl a itt- 81,44-1/) SUITE/UNIT M
ASSESSOR'S TAX/PARCEL# - LOT SIZE(sj)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
- ■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PRW.,C T pDESCRIPTION(Provide detailed description of work in uded on th' ermit onlu)
PROJECT NAME(Name of Business or Owner Last Name)
- - . - - U PEOPLE INFORMATION -
jir
OWNER 0 roil a S (t GO-id j ( 3 -f co 0351
MAILI'7 4411 ot(A S ADDRESS STATE,
cli eZ,-
3/ � Wcto wr4.90v0 3
CONTRACTOR CO PAN^NAME APPLI NT NAME OFF CE PHONE
1n ,_ v Co��n 5u v , �Va,v)s ( w 22v -13 l3
M L GADry ,. I , ATE,ZIP CELLPHONE
3 a•Uft (AAA- f ok) 1&)N oil. ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
- - - B L / / ( ) -
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
(Ai R S {-} 1. C- So S S ICC. 05 '(4 / 2coL
APPLICANT COMPANY NAME APP T NAME OFFICE PHONE
• 611i r ()IMO'S( Ste) n C/a h c LS) 223 - 13°13
lt�N DD a l IM CA V� /J� STAT ,ZIP / , � � CELL PHONE -
RELATIONSHIP TO PROJEICTT (I/�\Jl FAX NUMBER
❑ Architect 0 Tenant 0 Agent CVOther(Describ �Q"'f ( ) -
CONTACT LAM, P `dAR PH N E-MAIL ADDRESS
.. cuc,� ��,�,�� c�2.�) �� - 1383
LENDER Per RCW 19.27.095::Lender information is NAME
required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
.■ DETAILED BUILDING INFORMATION _
EXISTING USE PROPOSED USE r�)
ao
• EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 1 / 9 s
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO
i WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑ TACOMA 0 PRIVATE(WELL) *
SEWER SERVICE PROVIDER 0 LAKEHAVEN o HIGHLINE 0 PRIVATE(SEPTIC)
a:
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING ASO PROPOSED
HOW MANY FLOORS? EXISTING
"NEW HOMES ONLY" NUMBER OF BEDROOMS
ESTIMATED SELLING PRICE $
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 $
GAS LOGS REFRIG.SYSTEMS
AIR HANDLING UNITS EVAPORATIVE COOLERS WOODSTOVES
BBQS FANS HOODS(commorciat)
BOILERS MISC(Describe)
FIREPLACE INSERTS RANGES COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
SHOWERS WATER CLOSETS(roaeq MISC(Describe)
DISHWASHERSATHTUSH(or Tub/Shower combo) DRINKING FOUNTAINS
SINKS
SUMPS RAINWATER SYST
GAS PIPE OUTLETS HOSE BIBBS
WASHING MACHINES URINALS
LAVS(Bathroom Sinks)
VACUUM BREAKERS ELECTRIC WATER HEATERS
'---.='-.=-:---...-Z- _ -- :>< __ -:_ ; =- DISCLAIMER/SIGNATUREBLOCK- _ - _ . _;- T.-:: -•.-
dge, and
her, that I
certify yr penalty of perjury thaethe mi es information
perform the work for which the permit application isymade.leI further�ee to hold
m authorizedeby the owner of the abovep P
harmless the City of Fed--claim),
•he city,including its officers and employees,upon the accuracy of the information supplied to he city as a part of
this application. ` .-T.
9
1
1w DATE (J
NAME/TITLE (Talc)
(Signature)
i RELATIONSHIP TO PROJECT 0 ON, 0 Agent 0 Contractor o Architect ❑ Other
i
E FOR OFFICE USE ONLY I
o NEW a ADDITION o ALTERATION ❑REPAIR ❑TENANT IMPROVEMENT
( BUII.DING SHELL ONLY? o YES o NO
BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
t NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES a NO DEMO PERMIT REQUIRED? o YES o NO
•
Bulletin#100—March 30,2004 — Page 2 of 4 k\Handouts—Revised\Permit Application