07-100874City of Federal Way Mechanical Permit #• • 07- 100874 -00 -ME
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718 4 4
Ph: (253) 835 -2607 Fax: (253) 835 -2609 Inspection Request Line: 253) 835 -3050
Project Name: SMITH
Project Address: 33208 32ND PL SW Parcel Number: 954280 0840
Project Description: Remove and replace gas water heatee w 4
Owner
Applicant
Contractor
BERNICE SMITH
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
33208 32ND PL SW
12601 132ND AVE NE
FASTWWH948BC 1/3/2008
FEDERAL WAY WA 98023
KIRKLAND WA 98034
12601 132ND AVE NE
KIRKLAND WA 98034
Additional Permit Information
Mechanical Valuation .................. ..........................1584 Over the Counter Permit? ...................................... Yes
Owner or agent: Date:
3�;1°
THIS CARD IS TO REMAIN ON -SITE
•r .
AITY of Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PRONE # (253) 835 -3050
PERMIT #: 07- 100874 -00 -ME
Owner: BERNICE SMITH
Address: 33208 32ND PL SW
FEDERAL WAY, WA 98023 -2751
'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
By Date By Date By G. Date
r
RECEIVED BY
s r COMMUNITY DEVELOPMENT DEPARTMENT Q
�tiry of
FederaCWay FES 1 6 2B
ERNIIT
SF MF CO ME EL PL DE EN FP
COMMUNITY DEVELOPAIEWSERVICES
33325 8- AVENUE SOUTH, 63 BOX 9718 APPLICATION
FED fiRAL WAY, WA- 98063.9718 ,
253.835.2607 FAX 253435 -2609
yt, dtualTcrlemhanv.mm
Thp iellowina is reauired information — an incomplete application will not be accepted. Please print legibly (in ink) or type.
SITE ADDRESS 33208 32 PL SW, FEDERAL WAY, WA 98023 SUITE /UNIT #
ASSESSOR'S TAX /PARCEL # 9542800840 - LOT SIZE (sfl
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
/Anach aeparatelw9elor I-Why legal d— ipdonl
Is 10 • • ) • •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING X MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT. DESCRIPTION (Provide detailed description of work included on this permit on[u)
Remove/Renlace Gas Water Heater
PROJECT NAME (Name of .Business or Owner Last Name) SMITH. BERNICE
PEOPLD INFORMATION
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
NAME
1.((2531838-479
PRIMARY PHONE
SMITH. BERNICE
CITY, STATE, ZIP
CELL PHONE'
(
MAILING ADDRESS
33208 32 PL SW
CITY, STATE, ZIP
FEDERAL WAY, WA 98023
NAME
COMPANY NAME
FAST WATER HEATER COMPAN
APPLICANT NAME
V
OFFICE PHONE
((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
425 ) 814 -9516
-8 Z - —0 -Q 0 4 7 0 0 - B
L
CONTRACTORS REGISTRATION NUMBER 1coP7 of card required with each appUcation)
EXPIRATION DATE.
O1 /03!1008
WWH248BC_
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE'
(
RELATIONSHIP TO PROJECT
❑ Architect ❑:Tenant O Agent ❑ Other (Describe)
FAX NUMBER
( "
NAME
PRIMARY PHONE
E -MAIL ADDRESS
NAME
MAILING MADDRMS CITY, STATE, ZIP PHONE
EXISTING ASSESSED /APPRAISED VALUE
SPRINKLERED BUILDING? ❑ YES ❑ NO
PROPOSED USE
VALUE OF PROPOSED WORK $
FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES 1 ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE
SEWER SERVICE PROVIDER ❑ LAREHAVEN ❑ HIGHLINE
p TACOMA ❑ PRIVATE (WELL)
❑ PRIVATE (SEPTIC)
of each type of fixture to be installed - or relocated as part of this project. Do not include existing fixtures to remain.
Value of Mechanical Work $
GAS LOOS REFRIG, SYSTEMS
AIR HANDLING UNITS EVAPORATIVE COOLERS WOODSTOVES
FANS HOODS (eumn,ere +vl
BBQS RANGES MISC (Describe)
BOILERS FIREPLACE INSERTS
COMPRESSORS
FURNACES —X -_ GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
SHOWERS
BA.THT�IBS {orTub /sh- MrC -1--)
DISHWASHERS
SINKS
GAS PIPE OUTLETS
SUMPS
WASHING MACHINES
URINALS
VACUUM BREAKERS
LAVS (90e,r.nm sbuc -)
WATER CLOSETS ¢uuoq MISC (Describe)
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELFMIUC WATER HEATERS
I certgy under penalty of perjury that the igformation furnished by me r true and perm to the best of is knowledge, and further, that I
am authorized by the owner of the above premises to perform the work for which the eyrmieey incu incurred ins the a investigation cued defense oof
harmless the City of Federal Way as to any claim linciuding costs, expenses, and attorn s f
such claim), which may be made by any person, including the undersigned, and filed a the City of Federal Way, but only where such claim
gainst
arises out of the reliance aJ the Ftty, in its officers and employees, upon the accuracy of the information supplied to the city as a part of
this application.
Per DATE 2/15/07
NAME /TITLE (Title)
(Signature)
Other
Contractor ❑Architect CI
RELATIONSHIP TO PROJECT Q Owner ❑ Agent )0