07-100618City 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 #: 07-100618=00-ME-
Project Name: BOGNER A/
Project Address: 36116 3RD PL S
Project Description: Remove/replace gas water heater;
Mechanical Valuation ............................................ 979
Inspection Request Line: (253) 835-3050,, ,
..... 7 ............... Yes
4
F1
THIS CARD IS TO REMAIN ON-SITE
'10 0
CITY OF Communi Development Inspect' n Rec rd
ity
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07-100618-00-ME
Owner: STEVE J BOGNER
Address: 36116 3RD PL S
FEDERAL WAY, WA 98003-8626
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. Workmust 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) Gas Piping (4125) Final - Mechanical (4065)
Approved Approved to release test Approved
% By Date By Date I % By Date
CITY OF RECEIVED BY EIVED
Federal VftmuNITY DEVELOPMENT DEFrIMAOF
COMMAMDEVELOPAIENrSERVICES
33325 firm AVENUE SOUTH - PO BOX 9718 M007
FEDERXf WAY. WA. 98063-9718, FEB 0 10PLICA11d
25S-835-2607- FAK 253-83S-2609
1--F-DER& WAY
&)IN D T
The followf�g is required In n Nh jfb�; c,,
- formation — an inc.mplete pplgk
SITE ADDRESS 36116 3 PL S, FEDERAL WAY, WA 98003
0 �L _ / C1 0 016r�>
SF MF CO (�L PL DE EN FP
)ted. Please print legibly fin Ink! or type.
SUITE/UNIT # .
ASSESSOR'STAX/PARCEL# _L137800100 LOT SIZE (SI)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
ffiffach amparatepVcf- I-oft fivad-aWaN
TYPE OF PERMIT 11 13ULLDING . [3 PLUME
ING K MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Prouide detailed deso*tion of work included on this verinit only
Remove/ReDla�e.Gas Water Heater
PROJECT NAME (Name ofBusiness or Owner Last Name) BOGNER. STEVE & MARY JO
PEOPLE INFORMATION
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USR
NAME' PRIMARY PHONE
BOGNER. STEVE & MARY JO ((2531838-77-23
MAILING ADDRESS CITY, STATE, ZIP
36116 3 PL S FEDERAL WAY, WA 98003
COMPANY NAME
APPLICANT NAME
O"ICE PHONE
FAST WATER HEATER COMPAN
V
((425*14-31-24
MAILING ADDRESS
12601 132ND AVENE
CITY, STATE, ZIP
KIRT(LAND. WA 98034
CELL PHONE
( -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
S I - -0 -0-- -0 �Q A Z Q k L
PAX NUMBER
(425 ) 814-9516
CONTRACTORS REGISTRATION NUMBER (copy of card required with eech application) - EXPIRATION DATE.
EASjWWH-q48BC- /01/0312008
PROPOSED USE
EXISTING ASSESSEDIAPPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES (3 NO FIRE SUPPRESSION SYSTEM PROPOSED)IREQUIRED? o YES . 0 740
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 RIGHLINE o TACOMA 0 PRIVATE (WELL)
SEWER SERVICE PR OVIDER. 0 LAKEHAVEN , 0 HIGHLINE o PRIVATE (SEPTIC)
0�
kOJECT FLOOR AREA
AREA DESCRIPTION
EXISTING
FT.
PROPOSED
SO. FT.
TOTAL
SQ. FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL -FLOORS (DESCRIBE)
DECK( D?)
GARAGE 0 CARPORTO
NUMBER OF FLOORS
roject. Do not
each t�pe ,fftxture to be ftistalled. or relocated as part of thisP '
Value of Mechanical Work
AIR HANDLING UNITS EVAPORATIVE COOLERS GASLOGS REFRIG. SYSTEMS
BBQS FANS HOODS jc..erej.4 WOODSTOVRS
BOILERS —,FIREPLACE INSERTS RANGES 0SC (Describe)
COMPRESSORS FURNACES X GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
9 SHOWERS WATER CLOSETS MISC (Describe)
B&TMVBS I.T.bl3hawcumbo
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS 40SE BIBBS
LAVS, jjawc*= s',&-) VACUUM BREAKERS ELECTRXC WATER HEATERS
i cerft under penalty . ofperjury that the irtformation furnished by me . Is true and correct to the best of i . ny knowledge, andjurther� that I
elm authorized by the owner of the above premises to perform the work for which the permit application isinede. I further agree to hold
harmless the City of Federal Way as to any claim lincluding costs, expenses, and attorneys'feas incurred in the investigation and defense of
such claim), which may be made by any person, including the undersigned, andfiled against the city of Federal way, but only where such claim
arises out ofthe reliance of the �jty, including its offleers, and employees, upon the accuracy of the information supplied to the city as a part of
this application.
njjLM2jr DATE 1/30/07
NAMBITITLE
RELATIONSHIP TO PROJECT 0 Owner 13 Agent )6 Contractor O.Architect. 0* Oth