07-101892t �
a .a
unity a Federal Way
lopmentS Mechanical Permit #• 07- 101892 -00 -ME
Community Development Services •
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253)835 -2607 Fax: (253) 835 -2609 Inspection Request Lille: (253) 835 -3050
Project Name: SMITH �..
Project Address: 32728 36TH AVE SW Parcel N 5 0430
Project Description: Remove /replace gas water heater; "w
Owner Applicant ntr V
WANDA J SMITH FAST WATER HEATER COMPANY V2601113JW) HEAT 32728 36TH AVE SW 12601 132ND AVE NE VH948B
FEDERAL WAY WA KIRKLAND WA 98034 A 98D34
98023 -2614
Mechanical Valuation .............. ..............................1
Over the Coun? if ?._A .............. I........... Yes
V
Friday, A 1 , 2009
ltlay. April 10. 2007
THIS CARD IS TO REMAIN ON -SITE
CITY Of Community Development Inspection Record
Federal lay IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 101892 -00 -ME
Owner: WANDA J SMITH
Address: 32728 36TH AVE SW
FEDERAL WAY, WA 98023 -2614
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 Date ,5 346
r,rYpr RECEIVED BY
red CraI IUNITY DEVELOPMENT DEPI� T RECEIV0 - _ —
COMAIDNr1YDEFELOPAIEAT SERFICEs� Tt R M I T MF CO .4��L PL DE EN FP
33325D AVENUE ,WA.9•63 BOX 97i$ 1 R n XPPLICATIOW° zo
FEDERAL WAY, WA 98063.9718 ,
253 - 835 -2607• FAX 253 -835 -2609
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CITY
RRllOF p EN G P v
The .oilowing is required information - an incomplete application ttltil not lie accepted. Please print leg{biy in ink) or type.
PROPERTY •, •
SITE ADDRESS 32728 36 AVE SW, FEDERAL WAY, WA 98023 SUITE /UNIT #
ASSESSOR'S TAX /PARCEL # 8731950430 _ _ LOT SIZE (sfl
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
/Attooh separate page for t-oN Iegat deacip -4
• 17 • ZI ! IN 0 •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING X MECHANICAL
❑ DEMOLITION Q ELECTRICAL O ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT. DESCRIPTION (Provide detailed description of work included on this permit on(u)
Remove/Renlace Gas Water Neater
PROJECT NAME (Name of Business or Owner Last Name) SMITH. WANDA
PEOPLE •- •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
NAME
PRIMARY PHONE
SMITH. WANDA (12531838 -1892
MAILING ADDRESS CITY, STATE, ZIP
32728 36 AVE SW 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
-8 Z - -0 ...9- -0 0 4 7 0 0 - B L - / /
FAX NUMBER
(425 ) 814 -9516
CONTRACTORS REGISTRATION NUMBER (copy of card required with each application) EXPIRATION DATE.
WWH948BC- _ /01/03/2008
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
. See Contractor
( _
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect O: Tenant
❑ Agent ❑ Other (Describe)
( -
EXISTING ASSESSED /APPRAISED VALUE
PROPOSED USE
7
VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED %REQUIRED? ❑ YES Cl NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHA'VEN . ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION
EXISTING
SQ. FT.
PROPOSED
S . FT.
TOTAL
3 . FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK (COVERED ?)
GARAGE 11 CARPORT 0.
e,7eDTieO !aDloeKD TOTA4
NUMBER OF FLOORS
*"NEW HOMES 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 inchide existing fixtures to remain.
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG. SYSTEMS
BBQS FANS HOODS (Commemiq WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC (Describe)
COMPRESSORS FURNACES X 4AS WATER HEATERS
DUCTS GAS PIPE OUTLETS
UMBING
BATHTUBS (.,Tub /Shower combo)
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
WATER CLOSETS {roum) MISC (Describe)
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
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 any 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 accuracg of the information supplied to the city as a part of
this application.
NAMEITITLE r " "," ramit MU DATE 4/5/()7
(signature( �Ifl °(
RELATIONSHIP TO PROJECT 0 Owner ❑ Agent )I Contractor ❑ Architect 0 Other
0