05-104170 City of Federal Way Mechanical Permit #: 05 - 104170 - 00 - ME
Community 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: PATCH
Project Address: 1839 SW 324TH St- Parcel Number: 010454 0530
Project Description: Remove/replace Gas water heater
Owner Applicant Contractor
DAVID J PATCH &DANIELLE R PATCH FAST WATER HEATER COMPANY FAST WATER HEATER COMPANY
1839 SW 324TH ST 12601 132ND AVE NE 12601 132ND AVE NE
FEDERAL WAY WA 98023 KIRKLAND WA 98034 KIRKLAND WA 98034
(425)814-8381
Mechanical Valuation .... 1387 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.
Owner or agent: See Application Date: 61/1105
THIS CARD IS TO REMAIN ON-SITE
CITY OFagA. Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-104170-00-ME
Owner: DAVID J PATCH
Address: 1839 SW 324TH ST
FEDERAL WAY, WA 98023-5451
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 G W` Date 2. ( 3• d e,„,,
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DISC'LAIM'ER/SIGNAT'1J BLOCI
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f certify under penalty of perjury that the Information furnished by me tV ue and correct to Mt best of my knowfrdge, and further, that I
am authurtxrd by the owner of the above pretenses to perform the work fur r,hieh the permit trispti..utlo,t'Is made. I further agree tp hold
( harm?.sI the City of Federal Way os to any claim(including coots, expenses. A-t4 attorneys'foci incurred in the tnueltigatton and detrniee ort
oath them?, rrhtch may be made by any person, Inchtding the undersigned,qnd 'nett against the City of redo-rat Wu., bus only,,,,erre PCI,rh rimier :
cari,rs out of(ht reltunre of Lhc city, in,rlu,llny IN officers and corp;ogees. upon •h•accuracy of the information<applr,.a(i the esty cit i,part of
Alts nrppticatrun.
NAM1,!'l1'1'Ll y-�- .---re',:-.-1.1... r ," ,Permit.Msr... DATE, 08/15/20.05 .
•Rt-1.ATEON:SE11P TO PROJECT r•1 0.,,,,.:.: cT A.;rllt X. t'.- ta;wilt• : Afe l)11.v; 1.1 hart,•:'..__, - . . .... I
F'OR OFFICE USI:ONLY
,,NCA,$: r ADDITION ,i ALTERATION t i Rl:}%I"'AII: r TE?4AN'T IfM11'ROVEMLNT •
BUILDING SHELL.ONLY? t+YES t.;NO .- UNI.IC FLAN? r,YFS • NO
ZONING I)F:SIGNATION CHANGE Or USE? r-;17,5 - No
NEW AI)DREESSREQUIRED? ,I YES :,NO P SEPh SU? is l ss Y 1:NC)
i PLATTED LtYE7 ..... ,,.11•',5 ee NU uEliO PERMIT REQUIRED? ...,YES . ....- NO
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