07-100873Community •
Development Services
of
Community Mechanical Permit #• 07- 100873 -00 -ME
P.O. Box 9718
Federal Way, WA , 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609 Inspection Request Line: (253) 835 -$050
Project Name: MOSS
Project Address: 32812 7TH AVE SW ,t ; Parcel Number: 683782 Q050
Project Description: Remove and replace gas water heater
Owner
Applicant
Contractor
SCOTT & ALICIA MOSS
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
32812 7TH AVE SW
12601132ND AVE NE
FASTWWH948BC 1/3/2008
FEDERAL WAY WA 98023 -5234
KIRKLAND WA 98034
12601 132ND AVE NE
KIRKLAND WA 98034
Additional Permit Information
Mechanical Valuation ................. ...........................1090 Over the Counter Permit ? ...................................... Yes
Hot Water-Tank..
I her
the
Mechanical Fixtures
Owner or agent: In"12 .• Date:
I b�
0
t
THIS CARD IS TO REMAIN ON -SITE f
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 100873 -00 -ME
Owner: SCOTT & ALICIA MOSS
Address: 32812 7TH AVE SW
FEDERAL WAY, WA 98023 -5234
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) Gas Piping (4125) Final - Mechanical (4065)
Approved Approved to release test Approved
r�
By Date By Date By G. L\ Date .3 ,
• �► RECEIVED BY
• • =IWoF .. COMMUNITY DEVELOPMENT
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COMNHITY DEVELOPMENT SERVICES FEB � - -
33325 AVENUE SOUTH • BOX 9718
FED ERAL WAY, WA 98063 .9718. APPLICATION
253.835.2607• FAX 253.835 -2609
www dtwlicrl nahyn u mm
- an incomplete application will not be
SITE ADDRESS 32812 7 AVE SW, FEDERAL WAY, WA 98023
ASSESSOR'S TAX /PARCEL# 6837820050
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
jo - -o a 35U68
SF MF CO EL PL DE EN FP
Ited. Please print legibly (in ink) or type.
SUITE /UNIT ti
LOT SIZE (sf)
µHach aeparnte page for lenglly/ legd deeaipltonJ .
• 1 DIM ia R141)00 1114 9 CON
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING K MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT. DESCRIPTION (Provide detailed description of work included on this permit only
Remove/Renlace Gas Water Heater
PROJECT NAME (Name of Business or Owner Last Name) MOSS. ALICIA
PEOPLE •- •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
NAME PRIMARY PHONE
MOSS. ALICIA ((2531661 -76-72
MAILING ADDRESS CITY, STATE, ZIP
32812 7 AVE SW FEDERAL WAY, WA 98023
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
FAST WATER HEATER COMPAN
V
((425814 -3124
MAILING ADDRESS
12601 132ND AVE NE
'CITY, STATE, ZIP
KIRKLAND. WA 98034
CELL PHONE
-
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
FAX NUMBER
Z - Q A 7 0 0 -
(425 ) 814 -9516
-8 —0 -30- -0 B L
CONTRACTOR'S REGISTRATION NUMBER (copy of card required with each application) _. EXPIRATION DATE
/01/0312008
'�YIIS48BC_ _
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
❑ Architect 0-Tenant ❑ Agent ❑ Other (Describe)
FAX NUMBER
( -
EXISTING USE PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK
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 (SEPTIC)
� _.\ t •� a
that the information furnished by me is true and correct to the best of my knowledge, and further, that I
r certgV under penalty of perjury of
am authorized by the owner of the above premises to perform the work for which the a s�tees incurred insthe nvestigationrand defense Of only where harmless the City of Federal Way as to any claim (including costs, exp uses, and attorney ' f
su
such claim), which may be made by any person, including the undersigned, and filed against of that noormation supplied to he ity as apart o
arises out of the reliance of the pity, in
its off{cets and employees, upon the accuracy f f
this application.
RATE 2/15/07
NAME /TITLE (Signature) Iuuei
RELATIONSHIP TO PROJECT 0 Owner o Agent A Contractor D Architect O Other
of each type of fixture to be installed or relocated as part of ihis'project. Do not include existing fixtures to remain.
Indicate number
6IEcuAMCAL
Value of Mechanical Work $
EVAPORATIVE COOLERS
GAS LOGS
REFRIG. SYSTEMS
AIR HANDLING UNITS
HOODS (c— mlal)
WOODSTOVES
BBQS
FANS
FIREPLACE INSERTS
RANGES
MISC (Describe)
BOILERS
FURNACES
_ X„ GAS WATER HEATERS
COMPRESSORS
DUCTS
GAS PIPE OUTLETS
pLUMBING
SHOWERS
WATER CLOSETS (T -il-I
MISC (Describe)
BATHTUBS iorTnb /Sh-w Combo)
DRINKING FOUNTAINS
DISHWASHERS
SINKS
RAINWATER SYST
GAS PIPE OUTLETS
SUMPS
HOSE BIBBS
WASHING MACHINES
URINALS
ELECTRIC WATER HEATERS
VACUUM BREAKERS
aroom Sinka)
LAVE iDDi
� _.\ t •� a
that the information furnished by me is true and correct to the best of my knowledge, and further, that I
r certgV under penalty of perjury of
am authorized by the owner of the above premises to perform the work for which the a s�tees incurred insthe nvestigationrand defense Of only where harmless the City of Federal Way as to any claim (including costs, exp uses, and attorney ' f
su
such claim), which may be made by any person, including the undersigned, and filed against of that noormation supplied to he ity as apart o
arises out of the reliance of the pity, in
its off{cets and employees, upon the accuracy f f
this application.
RATE 2/15/07
NAME /TITLE (Signature) Iuuei
RELATIONSHIP TO PROJECT 0 Owner o Agent A Contractor D Architect O Other