05-104549 City of Federal Way Mechanical Permit #: 05 - 104549 - 00 - ME
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax (253)835-2609 S Inspection request line: (253)835-305C
Project Name: MUSCUTT
Project Address: 1109 S 313THS1' Parcel Number: 787540 0160
Project Description: Replacing gas water heater
Owner Applicant Contractor
W L Muscutt WASHINGTON CORROSION SRVC INC WASHINGTON CORROSION SRVC INC
110 SW 313TH ST 1425 BLAINE AVE NE 1425 BLAINE AVE NE
FEDERAL WAY WA RENTON WA 98056-2774 RENTON WA 98056-2774
98023-4628 (425)228-1393
Mechanical Valuation ... . 779 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 ill be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Wa
Owner or agent: U"1 Date: 4 . 010s-
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-104549-00-ME
Owner: W L MUSCUTT
Address: 1109 S 313TH ST
FEDERAL WAY, WA 98003-5316
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) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By G 63 Date S .C6
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FederalWa EP 7 20 5 Z2 5- + (f61(4 C'
COMMUNITY DEVELOPMENT SER ERALW PERMIT SF MF C LPL DE EN FP
333251TM AVENUE SOUTTT•� U A P P L I C ATI fEDERALWAY,WA 9d 9�i�p NG DEPT, O
253-135-2607•FAX 253-835- /
Joww.aiyofederolwau.com
The ollowi • is • fired in ormation-an Inco •fete • ••fication wilt not be acce•ted. Please •rint Ie•ibl in or
S IN PROPERTY INFORMATION
SITE ADDRESS 1 'C)'1 31 3 5t- 'of. "....4 _�(ut (.,,,D4SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _ LOT SIZE(sJ)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
TAaad,aqa rat.Faee far Iowew legal do a,J
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PRO DESCRIPTION(Provide detailed description of work included on this permit only)
PROJECT NAME(Name of Business or Owner Last Name) /"`IA S tA` l
• • PEOPLE INFORMATION
PROPERTY NAME ,Ce I .C^ + (MARY;ONE -
OWNER l v se_t&
I ��r`�ADDRESS S �� � CITY,STATE.ZIP �
VSd- C le-te0 t...�. t./.7 (TSoo3
CONTRACTOR COMPANY�,, NAME APP CANT NAME OFFICE PHONE
a-44S1�1 c�1 orf•pv) COY rd S 1.rvk Stk.V X. l 1,.,, K 2-5) 2 .-s . .S )3
LNG ADD .sed CITY,STATE,ZIP CELL PHONE
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COY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE - FAX NUMBER {
CONTRACTORS REGISTRATION NUMBER(copy of card required with each a Uca/ / ( )
� PP n�I EXPIRATION DATE
6IA .1C .0S.'Sg-C-- / /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
.�t pX,-e. �s C OrVi'ler�c .Nr- ( ) -
MAILING ADDRESS CITY,STATE,ZIP - CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
❑Architect 0 Tenant 0 Agent 0 Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
( ) -
LENDER :'_- v• . , •.•, ,,,..;- ,,;r, -,. NAME
_-.,. e, , .,,,,r .,, ,•:F„_ ,..;,i•c. ;K•:.'rt'
MAILING ADDRESS CITY.STATE,ZIP
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE i
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $41171 '
, r 7
•
SPRINKLERED BUILDING? a YES a NO FIRE SUPPRESSION SYSTEM PROPOSED
• /REQUIRED? OYES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE O TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE . 0 PRIVATE(SEPTIC) I.
•
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH .
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS manure PROPOSED TOTAL
"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.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS OAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(pmmae14 WOODSTOVES
BOILERS - FIREPLACE INSERTS RANGES MISC(Describe)
• COMPRESSORS FURNACES I GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Show.rCombo) SHOWERS WATER CLOSETS(tone) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathreoea3 oko) 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
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 Federa •y as to any claim(including costs, expenses, and attorneys'fees incurred in the investigation and defense of
such claim),which may be • • 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 ty,including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLEet
I
Ad, 0DATE � o-I U -
(S ature) (Title)
RELATIONSHIP TO PROJECT a Owne ❑Agent ❑ Contractor ❑Architect a Other
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Bulletin#100—January 7,2005 - Page 2 of 4 k\HandoutskPermit Application