07-101238City o�fec dal Way
Community D0elopment Services
. 11 P.O. Box 9718
Federal Way,WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Mechanical Permit #: 07-101238-00-ME
Inspection Request Line: (253) 835 -3050
Project Name: DICK
Project Address: 511 SW 324TH PL
Project Description: Remove /replace gas water heater;
6) 6
Parcel Number: 189831 0070
Owner
Applicant
Contractor
LAUREEN A DICKSON
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
PO BOX 24194
12601 132ND AVE NE
FASTWWH949BC 1/3/2008
FEDERAL WAY WA 98093 -1194
KIRKLAND WA 98034
12601 132ND AVE NE
KIRKLAND WA 98034
Owner or agent:
vill be acdblc)ance with the laws, rules and ul n of the State of
Nee anion ay.
/007
Date:
f
THIS CARD IS TO REMAIN ON -SITE
e„ry OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 101238 -00 -ME
Owner: LAUREEN A DICKSON
Address: 5112 SW 324TH PL
FEDERAL WAY, WA 98023 -3604
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.
0 Mechanical Rough -in (4165) Gas Piping (4125) Final - Mechanical (4065)
Approved Approved to release test Approved
By Date By Date By NA-11-- Date (,e
Cl" OF RECEIVED BY - Q 6
Fe&rat" +IUN(TY 0EVEL0P�1E1�T 0V T EC IV � 3
—
COMWNTYDEVELOPMEN'PSERWCES SF MF CO EL PL DE EN FP
t 33325 8- AVENUE sours • Po Box imM AR U $ AY)PLICAT16WO 2007 D FEDERAL WAY, WA2 93.8 3 -160 , 253.8352607• FAX 253.835 -2609 / /
"- www.dtvofredemhunv.rom '
The following is r fD � - C{�TY OF FEDERAL
�� equired in rntatioti = a�t'iricomplete applica or(i(! ®pied. Please print legibly (in ink) or tune.
SITE ADDRESS 5112 SW 324 PL, FEDERAL WAY, WA 98023 SUITE /UNIT #
ASSESSOR'S TAX /PARCEL # 1898310070 _
— — —, — LOT SIZE (sf)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
/Actoeh aepamte page for Imgt)ty legal deaaiptlonf
• • / 1A 0 •
TYPE OF PEi2MIT ❑ BUILDING . ❑ PLUMBING X MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT. DESCRIPTION (Provide detailed description of work included on this vermit or1y
Remove/Revlace Gas Water Heater
PROJECT NAME (Name of Business or Owner Last Name) DICKSON. LAUREEN
PEOPLE- • •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
NAME
PRIMARY PHONE
DICKSON. LAUREEN ((2531874 -0755
MAILING ADDRESS CITY, STATE, ZIP
5112 SW 324 PL FEDERAL WAY, WA 98023
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
S Z--0 A- -0 0 4 7 0 0- B L
FAX NUMBER -
(425 ) 814 -9516
CONT'RACTOR'S REGISTRATION NUMBER (coPy of card requixed with epch application) _._ EXPiRAT10N -DATE.
LFASTWWHAUBC _ /01/032008
COMPANY ! tom/
V ow MVD�
APPLICANT NAME
OFFICE PHONE _
CELL PHONE -"
MAILING ADDRESS
t CITY, STATE, ZIP
RELATIONSHIP TO PROJECT
❑ Architect ❑: Tenant o Agent ❑ Other (Describe)
FAX NUMBER
( -
NAME -
PRIMARY PHONE
E -MAIL ADDRESS
NAME
MIA !0A DDRES!S'
CITY, STATE, ZIP PHONE
PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 10 39.01D
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED %REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER O LAKEHAVEN ❑ HIGHLINE ❑ TACOMA O PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN . ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
number 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
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
BATHTUBS iorTub /Shower Combo)
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
LAVS jo.thram Sll k-)
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
GAS LOGS REFRIG. SYSTEMS
HOODS 1c.— miei) WOODSTOVES
RANGES MISC (Describe)
_X_ GAS WATER HEATERS
WATER CLOSETS (rm7eq MISC (Describe)
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
Z certify under penalty of perjury that the information furnished by me is true and correct to the best of rrry knowledge, and farther, that 1
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 f led 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 •' f �= = Perr!;�t MQr DATE 3/7/07
(Signaturtl (Title)
RELATIONSHIP TO PROJECT Q Owner 0 Agent .iii Contractor D Architect 11 Other