05-104306 City of Federal Way , Mechanical Permit #: 05 - 104306 - 00 - ME
CoMmuhity Development Services
P.O Box 9718
Federal Way,WA 98063-9718
Ph.(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
Project Name: SAVAGE QA
Project Address: 33536 29TH SW Parcel Number: 010060 0890
Project Description: Change out(1)Gas Water Heater.
Owner Applicant Contractor
MATTHEW SAVAGE WASHINGTON WATER HEATERS WASHINGTON WATER HEATERS
33526 29TH PL SW 32015 56TH AVE S 32015 56TH AVE S
FEDERAL WAY WA 98023 AUBURN WA 98001 AUBURN WA 98001
(800)978-8588
Mechanical Valuation 795. Over the Counter Permit Yes
PERMIT EXPIRES February 20,2006.
Permit issued on August 24,2005
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. f 1
Owner or agent: See Application . . Date:. 13L'N/ts
(.10vcode
- �
THIS�CARD IS TO REMAIN ON-SITE
CITY BFB Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-104306-00-ME
Owner: MATTHEW SAVAGE
Address: 33536 29TH PL SW
FEDERAL WAY, WA 98023-2717
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) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By Date
P ' V, A .
curer RECEIVED BY 05 - / 0 3042
Federal WW)MMUNITY DEVELOPMENT DEVEIRI
M I T
COMMUNITY DEVELOPMENT SERVICES SF MFC ME EL PL DE EN FP
33325 8Th AVENUE WAYSOUTH• 3 9718 AUG 1 k013 LI C AT I O N
FEDERAL WAY,WA 98063-9718 TD /
253-835.2607•FAX 253-835-2609 f
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The Olio , , , Is -, tri • • •,• • -an , • , •Zeta • •lira tion will not be •.•- .• , • Please •
�y 2(� I. PROPERTY(..4_.)
PEINFORMATION
SITE ADDRESS 3 35 3 7 �^ael ,l V. -M ""0 z3 SUITE/UNIT i
ASSESSOR'S TAX/PARCEL* V / d 0 C/ - O T 7 0 LOT SIZE(sJ)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Andel separate Page forlengthy kW.,desutP )
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING n .. HANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit Grail)
04 C -y- 07A11 (i ) 7a5 C,o61--6( luzilia___
PROJECT NAME(Name of Business or Owner Last Name)I—
• PEOPLE INFORMATION y�
PRIMARY PHONE
WNEPROPERTY N' En �,``�z� ,o ( 4AnaI /e (�(ft,Js) (GGY)3/c U-
MAILING ADDRESS CITY,STATE,ZIP
- 3353, a-7---e 5r4) riecL4_4( (Lii,i, (,(1a 95013
CONTRACTOR COMPANYNAME
` / 4-k G( CV Lsy
APPLICANT NAME OFFICE PHONE
J(144\1 NI ` 2tA 4e - -L v\e". (j r c (ft )q -�5'
MAILING ADDRES CITY,STATE,ZiP CELL PHONE
'3-20 V3 `5C A-L- ' 4oki_ o .,.1 k ( `&c ,1 (x-(2.3) -) -`1otc6
CITY OF FEDERAL WAYBUSINESSLICENSE NUMBER EXPIRATION DATE FAX NUMBER
L -L Q-1 a L Q a-B L /2 /5% /Z' 5 - -)`-(5"1
CONTRACTORS REGISTRATION NUMBER icop7 of card required with each application) RATION DATE
,l‘- t -1 -;-` 1 .ifl_ cL C-9 g 17/7/7 /U)
APPLICANT C MP NAM APPLICANT NAME / OFFICE PHONE G
W tD Willi( /-L a/al5 a'a 4Lif1 A 0-4;"/`'_` ( 8a )`17 - 5��
MAILING
/3 564"' 14-E 5 /lchcu t.,Aft,ZIP iA- 1806/ CELL
)NE
357- -Wi'
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect 0 Tenantti-4-;;:t 0 Other(Describe) (`� ).375 - 7Y5Y
CONTACT Wag PRIMARY PHONE E- AD
&- Li vt e. tea./. ( v 1 Gi 7 c -`-&-.5b55he i .c q 1otcc yck..14
LENDER per RCW 19.27.095: Lender Information is NAME 0
required if project value exceeds 115,000
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? 0 YES a NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE El TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKERAVEN a HIOHLINE 0 PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
BASEMENT SQ.FT. SQ.FT. SQ.PT.
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS ICOOTING TOTAL TOTAL COSMO OF TOTAL IPTIOPOSEDW TOTAL IT
**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.
ValueC of Mechanical Work $ 79 CAL
4 -(JP
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES j GAB WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS oorTUb/Snowe,Combs) SHOWERS WATER CLOSETS[mulct MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(sat„oom sink.) VACUUM BREAKERS ELECTRIC 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
em authorised by the owner of the above premises to perform the work for which the permit application is made. I farther agree to hold
harmless the City of Federal Way as to any claim(including costs, expense; and attorneys'fess incurred in the investigation and defense of
such claim),which may be made by any person,including the undersigned,andied
f4 against the City of Federal Way,but only where such claim
arises out of the reliance of the city,including its of/Tears and employees,upon the accuracy of the information suppli to the city as a part of
this application.
NAME/TITLE 0 & DATE tP (O 5
(Sign-tare) (Me)
RELATIONSHIP TO PROJECT a Owner gent 0 Contractor ❑ Architect 0 Other
FOR OFFICE USE ONLY
❑NEW o ADDITION ❑ALTERATION ❑REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES ❑NO BASIC PLAN? o YES ❑NO
ZONING DESIGNATION • CHANGE OF USE? ❑YES ❑NO
NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SUP ❑YES ❑NO
PLATTED LOT? ❑YES ❑NO DEMO PERMIT REQUIRED? ❑YES ❑NO
Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application