07-102212City of federal Way
Community Development Services
P.Q. Box 9718
Federal Way, WA 98063 -9718
Ph: (25�1) 835 -2607 Fax: (253) 835 -2609
a
Project Name: ATKINS
Project Address: 3738 SW 332ND PL
Mechanical Permit #: 07-102212-00-ME
inspection Request Line: (253) 835 -3050
Project Description: Remove /replace gas water heater
Parcel Number: 1099610110
Owner
Applicant
Contractor
BENJA Y ATKINS
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
CYNTHIA ATKINS
12601 132ND AVE NE
FASTWWH948BC 1/3/2008
3738 SW 332ND PL
KIRKLAND WA 98034
12601 132ND AVE NE
FEDERAL WAY WA 98023 -2922
KIRKLAND WA 98034
"Pry a' A ddEtlgnal P66n t Infar'r�ri�at I,
Mechanical Valuation ................. ...........................1275 Over the Counter Permit? ...................................... YeS
U �umoing FiXtU�BS
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Water Heaters . ............................... 1
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PERMIT EXPIRES Friday, April 24, 2009
I hereby
the occ
Owner or agent:
infgYlation` i
will l din acc
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on
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THIS CARD IS TO REMAIN ON -SITE -
CITY OF 4A Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 102212 -00 -ME
Owner: BENJA Y ATKINS
Address: 3738 SW 332ND PL
FEDERAL WAY, WA 98023 -2922
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 s" -2,� •. O
RECEIVED BY RECEIVED � - / D 2- o77�
�i.r OF MUNITY DEVELOPMENT DES PERMIT ` !l
` - FederaIi H'E`RMIT - - - - - -
COMMUNITYDEVELOPMEIPFSERVICES APR 9 APR 2 4 2009F MF CO ME LPL DE EN FP
33325 FEDERAL AY, WA. 98063-9718,
- PO BOX 9718 p L I C AT � �T
FEDERAL WAY, WA�98063.97t8
253- 835 -2607• FAX 253 -835 -2609 FEDERAL AY
www.dlyoffiederuhacn.-in BUILDING DEPT.
The following U irequired information— an incomplete application will not be accepted. Please print legibly (in ink) or tune.
SITE ADDRESS 3738 SW 332 PL, FEDERAL WAY, WA 98023
SUITE /UNIT # -
ASSESSOR'S TAX /PARCEL # 1099610110 4 — _ — _ .— LOT SIZE (sf)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach eeparafe page for t-gfhg legai deaaip -q
TYPE OF PERMIT ❑ BUILDING . ❑ PLUMBING X 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) ATKINS. BENJA -VALIN
PEOPLE •- •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
NAME'
APPLICANT NAME
OFFICE PHONE
PRIMARY PHONE
ATKINS. BENJA -VALIN
( ) -
MAILING ADDRESS
((2531661 -8107
MAILING ADDRESS
3738 SW 332 PL
CITY, STATE, ZIP
FEDERAL WAY, WA
98023
❑ Architect ❑: Tenant o Agent ❑ Other (Describe)
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
FAST WATER HEATER COMPANV
((425814 -3124
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
12601 132ND AVE .NE
KIRKLAND. WA 98034
( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
7- - 0 4 7 0 0 -
(425 ) 814 -9516
-8 -0 -0- -0 B
L
CONTRACTORS REGISTRATION NUMBER (coPy Of eard required with each application)
- EXPIRATION DATE
FASTWAR948-11C _
/ 01/03/2008
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
See Contractor
( ) -
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE'
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑: Tenant o Agent ❑ Other (Describe)
EXISTING USE PROPOSED USE jp t l/ f-'). —^
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $ $449.00 —
SPRINKLEREDBUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED %REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAREHAVEN . ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
of each type of fi ture to be itistailed or relocated as part of ihis project. Do not include
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS
BBQS FANS
BOILERS FIREPLACE INSERTS
COMPRESSORS FURNACES
DUCTS GAS PIPE OUTLETS
BATHTUBS )or Tub /fte Cumbo)
SHOWERS
DISHWASHERS
SINKS
GAS PIPE OUTLETS
SUMPS
WASHING MACHINES
URINALS
L.AVS (n.wo mshks)
VACUUM BREAKERS
GAS LOGS
REFRIG. SYSTEMS
HOODS pom rci l)
WOODSTOVES
RANGES
MISC (Describe)
X _- _- GAS WATER HEATERS
WATER CLOSETS rrana)
MISC (Describe)
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
I certify under penalty of perjury that the in formation furnished by me is true and correct to the best of my knowledge, and further, 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 linciuding costs, expenses, and attorneys' fees incurred in the investigation and defense of
such claim), which may be made by o!ny person, including the undersigned, and filed against the City of Federal Way, but only where such claim
arises out of the reliance of the pity, including its officers and employees, upon the accuracy of the information supplied to the city as a part of
this application.
NAME /TITLE •°'+� r ''� `'' ' PCPrillt M r DATE 4/18/07
(Signature( (title)
RELATIONSHIP TO PROJECT Q Owner 13 Agent )6 Contractor 13 Architect L7 Other