06-102238 ■
City of Federal Way
J Community Development Services Plumbing Permit #: 06-102238-00-PL i
P.O.Box 9718
I Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: WEYAND
Project Address: 36822 5TH AVE SW Parcel Number: 218820 0660
Project Description: Replace Electric Hot Water Heater
•
Owner Applicant Contractor
TED P WEYAND ACTION WATER HEATERS ONLY INC ACTION WATER HEATERS ONLY INC
NATALIE L WEYAND 12704 NE 124TH ST SUITE#43 ACTIOWH055DP 1/17/07
36822 5TH AVE SW KIRKLAND WA 98034 12704 NE 124TH ST SUITE#43
FEDERAL WAY WA KIRKLAND WA 98034
98023-7345
Plumbing Fixtures
Water Heaters I
PERMIT EXPIRES Sunday, May 18, 2008
Permit Issued on Friday, May 19, 2006
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
nd the City of Federal Way.
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Owner or agent: See Appl r' Date: 51I 1 /0
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THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06-102238-00-PL
Owner: TED P WEYAND
Address: 36822 5TH AVE SW
FEDERAL WAY, WA 98023-7345
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.
El Plumbing Groundwork(4190) EI Rough Plumbing(4230) '0 Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date By Date By Date
•
0 Final-Plumbing (4075)
Approved
By Date
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CITY OF O-'°:;,�,+' l�E`V GO��Ep t8-law V ke - ff (ri f/ \V V FederahW���Ia� DEVELovoENS� PERMIT — CEIVI - - - -
COMMUNiTYDEVELOAML"MSERVICES q Z��Fj SF MF CO ME EL ODE EN FP
3JJ258Ta AVENUE 80UTH•P0 BOX,9j}8V • APPLICATION MAY 17 2006 /
PEDERAL WAY,WA 98063.971A��1�� 1 D
253-835-2607.FAX 253-835.2609
urww.ciluofedendwau.corn
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The ofowing is re.uired in ormation-an incom.fete a••iication will not be acce.ted. : ; AL; -_ in in or . r e.
Q y� /� •, PROPERTY INFORMATION �}�/ 2
SITE ADDRESS 3�' 22 6 10 clA �,.t! 4-_,d. on •7 0 O2-J SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# � d g" 2- q5 - 0 (2 Q LOT SIZE(sfl
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
■ PROJECT INFORMATION
TYPE OF PERMIT O BUILDING X PLUMBING ❑ MECHANICAL
0 DEMOLITION ❑ ELECTRICAL O ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
/acr 1ecXocrc. /4o7- )at 75.12
PROJECT NAME(Name of Business or Owner Last Name) i.C/ /J A)Z)
IN PEOPLE INFORMATION
1 PROPERTY NAME
�- PRIMARY PHONE
OWNER 7F7? /l1 A / l L r&---
V&--, k 1) (253 £/5 -072,0
MAILING ADDRESS CITY,STATE,ZIP
36822 577' A-lre-_SW Pe-7)&12A/ IdAtY t )4 9 S'643
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
A,7v Y1 Wale/ f Oar l (4zs)s& -�'
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
/270' /(/F/0-e/(ST X43 /4a/K/ /A ( ) -
CITY OF FEDpAL WAY BUSINESS LICENSE NUMBE EXPIRATION DATE FAX NUMBER
I 9-Y5.- 1 6 0 C¢ B L /2-/ 3/ 146 0e2e 7 .6
CONTRACTOR'S REGISTRATION NUMBER loopy of card required with each application) EXPIRATION DATE
ACt W
L 4_ il06. 6.D_Pi / 1 /7 /O7
APPLICANT I COMPANY Y' O86 VIA t V N c 1)ii .. . NAME OFFICE PHONE
pEQVpF�#�$ISLfb€1. RN VOL Zt ACTION WATER HA ROI)ILYINC
MALIN611V7✓ 1VIDti3W.00 W3101 CITY,STAT4'(91-EM COMMERC,ALLEA TER
R,61 I H 831dM NOIIOV 12704 NE 124th tT # 43
❑ Architect ❑ Tenant ❑Agent ❑ Other(Describe) . KIRKLAND, WA. (�84 -
CONTACT NAME /5/.0 PRIMARY PHONE E-MAIL ADDRESS
911(—° (412(l &2t7 - e7E'
LENDER ' ; +( ) NAME
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
El DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE �j�
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 96 7 7+ '/
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? O YES 0 NO .
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
/ m
PROJECT FLOOR AREAS
AREA DESCRIPTION ■ PROPOSED TOTAL
e Se. FT. Se.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT❑
SXIMTIRO PROPOSED TOTAL FSt• .�• * 1i
NUMBER OF FLOORS _ I! a
"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 GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commercial) WOODSTOVES
_ BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS 1.s-rub/shower combo) SHOWERS WATER CLOSETS troaes MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(BathroomSirum) VACUUM BREAKERS . ELECTRIC WATER HEATERS /'/21%0
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 authorized 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. / / /f
NAME/TITLE ��1 � �_ DATE • 1 Z� l/4
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner 0 Agent ❑ Contractor 0 Architect ❑ Other
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Bulletin#100—January 1,2006 Page 2 of 4 k\Handouts\Permit Application