05-103140 s
City of Federal Way Mechanical Permit #: 05 - 103140 - 00 - ME
Community Development Services
P.O.Rox 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
Project Name: HEARD
Project Address: 1904 SW 307TH 51 Parcel Number: 770380 0210
Project Description: Remove and replace gas water heater
Owner Applicant Contractor
MICHAEL HEARD WASHINGTON WATER HEATERS INC WASHINGTON WATER HEATERS INC
1904 SW 307TH ST 8714 59TH DR NE 8714 59TH DR NE
FEDERAL WAY WA 98023 MARYSVILLE WA 98270 MARYSVILLE WA 98270
(360)653-6429
Mechanical Valuation 696.43 Over the Counter Permit Yes
PERMIT EXPIRES December 27,2005.
Permit issued on June 30,2005
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: See Application Date: CY?—
4.
THIS CARD IS TO REMAIN ON-SITE"
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-103140-00-ME
Owner: MICHAEL HEARD
Address: 1904 SW 307TH ST
FEDERAL WAY, WA 98023
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) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By C AJ Date4
RECEIVED BY
COMMUNITY DEVELOPMENT DEPOT av
6
�„„ JUN 2 4 2005 T - ( 0 ( f _
Federal Way PERMIT SF MF CO ME EL PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES
33325 AVENUE SOUTH• BOX 9718 APPLICATION ^ r -
FEDERAL WAY,WA 9806363.9718 / /
253-835.2607•FAX 253.835-2609
unvu,c Itof edernUuatl coin
The ,IID Ia trod , -QIt , „bis ..'ficadion will tot be «.... . , Please . In , Or .r
y MI PROPERTY INFORMATION
/� ^, SITE ADDRESS ‘ 0 L( 5 0- 5 24 C9JJ- ,AJ-, ( ck�3 SUITE/UNIT#
"��N w ASSESSOR'S TAX/PARCEL# /f 1 D f — � - . ��1_—,/— tiiu C �'✓t LOT SIZE)SfJ
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Math Wow,.Pone for lengthy legal descriptioN
al PROJECT INFORMATION
TYPE OF PERMIT ❑BUILDING 0 PLUMBING B'IItECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
V�lI c 6 /lC( ( v( `t,'a_
. ,
PROJECT NAME(Name of Business or Owner Last Name)fiiaiii5gek \I _O-A--'s-CA
MI PEOPLE INFORMATION
PROPERTY NAME I )h�[JLJ �- PRIMARY PHONE
OWNER �M'
LL ✓ 1 / /( i p-s (Zda ) —771 -C>Vo&O
MAILING ADDRESS C STATE,ZIP
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CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
W(151\‘ LV Cl- “r 60(x-es 6 c, l 1.."'t (yo --, ( 'j ) t--i - 5*
MAILING ADDRESS CITY,STATE,dr' CELL PHONE
- --.1C)1`5 t--- S 44-30 L;tl t,k.--k,Z cibc 1 (`-(25) }1-) -C*46 t`6
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
Q -L Q-5 L L Q a- B k /z l5- /Zr,5 (`6-0 3)5 -.7`t5/
CONTRACTORS REGISTRATION NUMBER(copy of card required with each appleation) EXPIRATION DATE
c)J eV . 7 _.iii v P q '77 t'9 #
APPLICANT C MP NAML1 (/ /, 46,_ / APPLICANT NAME OFFICE PHONE _ C
( 'DMZ VlLI `r ct L'u/�jrl �`'G'". " ( )G77& - 3a
YO/5 56 � f�t�`e- 5 F"Lbcuo i,�t 806/ (i%Z5)NC V e
RELATIONSHIP TO PROJECT FAX NUMBER -7
0 Architect ❑ Tenantgent 0 Other(Describe) ( ,) 375 - /y(,
CONTACT re_ (\(� " .!� PRIMARYAPHONE {� tE-N4r1IL ADD ESS / t
u-\ -vr Vl e\ C, V Q.1 ( t1LJ 7 )9 / - ,J��� I lti't/.i U--T`.^-1 i(Jac y��1
LENDER Per RCW 19.27.095:11Lander information is NAME 0
required ifpnt)ect vah[e exceeds 95,000
MAILING ADDRESS CITY,STATE,ZIP
• 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 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC) -
0
.
• PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTUIG PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
COSMO pswo D • TOTAL TOTAL COMM W TOTAL TsOTOem W TOTAL
NUMBER OF FLOORS
**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.
MECI ANICAL60 y '' o Q/ "g
�
Value of Mechanical Work $ S!�/5� ' / e `
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(com,n'ru.ii WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES / GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS tor Tub Munro comb.) SHOWERS WATER CLOSETS(rode) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS 09.tbr«m snit* VACUUM BREAKERS IMECTRIC WATER HEATERS
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 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. '/� q
NAME/TITLE (Sign
`// LI :Y� 1�. V I5 S DATE Co�P —
(Sign tune) (Title)
RELATIONSHIP TO PROJECT a Owner ret ❑ Contractor 0 Architect 0 Other
FOR OFFICE USE ONLY
o NEW ❑ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES ❑NO BASIC PLAN? a YES a NO
ZONING DESIGNATION • CHANGE OF USE? ❑YES a NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES a NO
PLATTED LOT? a YES o NO DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application