05-104219 4.
City otivederal Way Mechanical Permit#: 05 - 104219 - 00 ME
Commuhitb Development Services
P.O.Box 4718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
Project Name: DAHLIN
Project Address: 444 SW 305TH SI' Parcel Number: 178890 0120
Project Description: Install remove/replace gas water heater
Owner Applicant Contractor
Susan M Dahlin FAST WATER HEATER COMPANY FAST WATER HEATER COMPANY
444 SW 305TH ST 12601 132ND AVE NE 12601 132ND AVE NE
FEDERAL WAY WA KIRKLAND WA 98034 KIRKLAND WA 98034
98023-3951 (425)814-8381
Mechanical Valuation 2446 Over the Counter Permit Yes
PERMIT EXPIRES March 6,2006.
Permit issued on September 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.
See �, q l /o5
Owner or agent: ppllcati Date:
• THIS CARD IS TO REMAIN ON-SITE
CITYOF
Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-104219-00-ME
Owner: SUSAN M DAHLIN
Address: 444 SW 305TH ST
FEDERAL WAY, WA 98023-3951
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 /f��✓/ Date/�` a
cirt ow 4111.1""••••••••"4":" 0 ‘- 4- a__E-L. a 41541
Federal Way PERMIT Eco - or co tilp EL PL, DI?, IN FI
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APPLICATION Y ,,
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444,-iv OW/kik:x.44mi,m,.. AUG 1 9
The otIourlri is rwr- etred in oryreation-an tricorn Wk.a• .fication wilt net b.•acce-Gad. Please .Hat Le.:ILI: in ink or tsi .
' PROPERrit INTORIVATZON
BUI . 1 • ' .
SITE Am DR r.ss .444 sw..305.ST,FEDKR ea,W AV,.WA 9R071..____. ,._ ...____ .... SUITE/VINT # - -----
•
ASSMSSOI•I'S TAX/PARCEL # 1.7889001-20- _
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I,F.',GAI. DI-;SCRIPTION j:ii Ani P,.ice:i,:, f.,;It J) _ ____. . . ___,,,...„,„....., ,„ , __ _ , ,„_,.. ___ __ _. _. -....
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$.'.P'4,14,4,11,..lotoi rteir,I,)04,
. . PROJECT INFORMATION
TYPE or'PERMIT ri In ILDING ;A PLUMEING X MECHANICAL
Li DEMOLITION 0 ELECTRICAL r ENGINEERING i,:i EIRE PREVENTION SYSTEM
pRoJEC T ptscRuTroft(Po ovulv derailed desexitAion of work indudetl On 143,p,r1.11 I'Oran)
Remove/Replace Gas Water Heater
_
..„.„
...„ . ......_......._,.....______ —.-.
rROJECT NAME (Nome of'Au sinr,,:l;or Owner(„rmt Nome)
PE
„..
PROPERTY iiii4T,.--- ppriivittfroir- ----- ..1
OW ti ER DAHLIN. SUSAN (2531941-7256
hi A!LIAO AV 1:1RF4i$ CrTY,ISTATIZ,7.'
444 SW 305.gr..... ____ _ _____ _____ _FEDERA 1.,_WAYA_9_8.023 ._. _____
CON TRACTOR 4'4)MPANY NA)44 li: AFRICANT NA`,.g '1 r*TICE:I'S iOrit. 1
FAST WATER HEATER COMPANY (4251814-3124
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cm.oy)Eio.,...WAY tm.n3INENa LICEHalr NUMEIP:lz F.XPIPATION DA7F, FAR IW.P.A!if:1•' :
-8 7- -.0 A-0. 0-4-7— -0 .0 -a. L 425 814-9516 i
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— 02/16/2007
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LENI.)EN ,• .. ... .4.81.0.
Per RCE11 19.27.095: Linder inforsm:raa is.;1 "
rfrqu4i-Ed If project ratite et cards$5040
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DETAILED BUILDING MON:MAT/ON . .
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USE PROpOSICD USE 1
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EXIsT tic, AS ESS ED/h Pt'RAI SSD VALUE S -___ . ..... . ___, VALVE('P PROPOSED WORK- $ zitn
,,,,.„,N EU ERED BUILDING? u TES i3 NO FIRE SUPPRESSION SYSTI.:M PROPOSED/RE:Or/MEI' ri yEs n NO i
WATER SERVICE PROVIDER. ri LAKEHAVIIN CI MORLINE r TACOMA . n PRIVATE(WELL)
sEviCR SERVICE PROVIDER rl LAKENAVEN U HIGHLINE U pRivA.TP.:(SErriC) 1
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AREA DESCRIPTION EXISTING Sq, FT. PROPgSED SQ.FT,..__ --TOTq
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__ ., .._,..._ _ • DISCLAIMER/SIONATURE BLOCK -
'
f ce-ttfir under penarry of perjury that the information furnished by meIi true pet,' correct Le the best of my knololodge, arul further, that I
am authorized by the owner of the ((boon jrrerrttses to perform. the work for which the permit opphcatton ii made, I further aelrre to hold
harmless the City of Federal Way n% to any elaim (ineli dietg rotes, expenses, and ott.rneys'fres ineurrcrl in the irmettigation rind defense of
I surh clown), toht.;h etay be made by any person, including the undersrynerl, nnrlillrfd ae,.rins•t Che City of Federal Wny,but only,..herr tt.ch einem
I arises or.t of the rrlianre of tTie rity., irtrtudiny its Officers arid employees, upon the wee.:ear•y of the information supplied Co !he rd by res a part of
Chit apprtc.rtt.tn.
I NAME/TITLE :•.... .r er ATL 08/1.8/2
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RELATIONti1UCP TO PROJECT I..i Owner ii nrr"IIL X t'nr11ra1,1CeII• Aeeil •.,•,:':. LI Other
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AT•'FIC:F: US-E ONLY'
t,NEW :1 ADDITION t)ALTERATION REPAIRr TENANT IM.PROV>::M.J.,NT
BUILDING Si1IELL.ONLY? II YES ;r NO _— ',LAN? _..._..........._. ..__.. S __
BASIC Ir
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ZONING DESIGNATION CITANQE(uF USE? E^�;__.___
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T'LA.TTt;li LOT? n YE-9T:M
rt NO II) O P)✓'t'MI'T REQUIRED? -•YES Nth
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