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07-100242
City of Federal Way Community Development Services P.O. Box 9718 Federal Way, WA 98063 -9718 Ph: (253) 835 -2607 Fax: (253) 835 -2609 Mechanical Permit #: 07- 100242 -00 -ME Project Name: LOORI Project Address: 33062 16TH PL SW Project Description: Remove /replace gas water heater; Inspection Request Line: (253) 835 -3050 Parcel Number: 010457 0260 Owner Applicant Contractor DAVID M LOORI FAST WATER HEATER COMPANY FAST WATER HEATER COMPANY RITA K LOORI 12601 132ND AVE NE FASTWWH948BC 1/3/2008 33062 16TH PL SW KIRKLAND WA 98034 12601 132ND AVE NE FEDERAL WAY WA KIRKLAND WA 98034 98023 -6461 Additional Permit 4nf ©rmation Mechanical Valuation ................. ...........................1081 Over the Counter Permit? ...................................... Yes Water hereby cerfity- the occupancy Owner or agent: I ............................ 1 PERMITaCPIRES S. ` THIS CARD IS TO REMAIN ON -SITE CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050 PERMIT #: 07- 100242 -00 -ME Owner: DAVID M LOORI Address: 33062 16TH PL SW FEDERAL WAY, WA 98023 -6461 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) 13 Gas Piping (4125) Final - Mechanical (4065) Approved Approved to release test Approved By Date By Date By G Dat —Z 4f - 0 i cir,}"F RECEIVED C7 / Federal Way RECEIVED BY _ — - ! O 0 G P E RP DEVELOPMENT DEPARTMENT z L 'OMMUMTYDEVELOPMEA7.3ERVICESi�N 7 2007 SF MF C _ME LPL DE EN FP 33325 8TM AVENUE SOUTH • PO BOX 9 0 O FEDERAL WAY, WA- 53.8 3 -9718 'y' L I C AT I 1 U 253 - 835.2607• FAR 253.83��Q�/ WWvdtgoffcdemhono Ael••7 OF FEDERA BUILDING DEPT. The following is required Information - an incomplete application will not be accepted. Please print legibly (in ink) or type. SITE ADDRESS 33062 16 PL SW, FEDERAL WAY, WA 98023 SUITE /UNIT # ASSESSOR'S TAX /PARCEL # 0104570260 _ _ LOT SIZE (sf) LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) IAttach separate pane! lengthy legal desoo won/ • 1 • it • TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING O DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this Hermit onto) Remove/Renlace Gas Water Heater PROJECT NAME (Name of Business or Owner Last Name) LOORI. DAVID PROPERTY OWNER CONTRACTOR APPLICANT CONTACT LENDER EXISTING USE NAME PRIMARY PHONE LOORI. DAVID ((2531874 -2563 MAILING ADDRESS CITY, STATE, ZIP 33062 16 PL SW FEDERAL WAY, WA 98023 COMPANY NAME . . APPLICANT NAME - OFFICE PHONE FAST WATER HEATER COMPANY CITY, STATE, ZIP ((4251814 -3124 MAILING ADDRESS CITY, STATE, ZIP CELL PHONE 12601 132ND AVE NE KIRKLAND. WA 98034 ( � _ CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER S 7- - 0 4 7 0 0- (425 ) -0- .-4 B L. 814 -9516 CONTRACTORS REGISTRATION NUMBER 1copy of card required with each application) _. EXPIRATION DATE. FASTWWH_q48BC_ _ /01/0312008 COMPANY NAME s.M APPLICANT NAME OFFICE PHONE ( - MAILING ADDRESS CITY, STATE, ZIP CELL PHONE' RELATIONSHIP TO PROJECT FAX NUMBER ❑ Architect ❑:Tenant o Agent ❑ Other (Describe) ( � _ NAME PRIMARY PHONE E -MAIL ADDRESS p NAME . MAILING ADDRESS CITY, STATE, ZIP PHONE PROPOSED USE EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $ c� SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑TACOMA ❑PRIVATE (WELL) SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE tBEPTtr.1 PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING 8 . FT. PROPOSED S . FT. TOTAL SO. FT. BASEMENT FIRST SECOND THIRD FOURTH ADDITIONAL FLOORS (DESCRIBE) DECK(COVERED ?) GARAGE 11 CARPORT ❑ NUMBER OF FLOORS awsnio rnOrosaO TOTAL " "NEWHOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ Indicate number of each type of future to be installed or relocated as part of this project. Do not include existing fixtures to remdin. Value of Mechanical Work AIR HANDLING UNITS BBQS BOILERS COMPRESSORS DUCTS BATHTUBS (or Tub /$howerCombo) DISHWASHERS GAS PIPE OUTLETS WASHING MACHINES LAVS (eathro.m sink.) EVAPORATIVE COOLERS FANS FIREPLACE INSERTS FURNACES GAS PIPE OUTLETS SHOWERS SINKS _ !_T SUMPS URINALS VACUUM BREAKERS GAS LOGS HOODS (Commcmiei) RANGES X GAS WATER HEATERS WATER CLOSETS rroilrq DRINKING FOUNTAINS RAINWATER SYST HOSE BIBBS ELECTRIC WATER HEATERS REFRIG. SYSTEMS WOODSTOVES MISC (Describe) MISC (Describe) 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 dny 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. NAME /TITLE off c Permit Mgr DATE 1/12/07 (Signature( (Tillel RELATIONSHIP TO PROJECT Q Owner o Agent At Contractor 13 Architect ❑ Other