07-102215.A
City of Federal Way
dh6munity Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: ELLOWAY
Project Address: 33119 11TH AVE SW
Mechanical Permit #: 07-102215-00-ME
Project Description: Remove/replace gas water heater
Inspection Request Line: (253) 835-3050
It Parcel Number: 926495 0900
Owner
Applicant
Contractor
DAVID S ELLOWAY
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
LILA A ELLOWAY
12601 132ND AVE NE
FASTWVVFH948BC 1/3/2008
33119 11TH AVE SW
KIRKLAND WA 98034
12601 132ND AVE NE
FEDERAL WAY WA
KIRKLAND WA 98034
98023-5322
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THIS CARD IS TO REMAIN ON -SITE• -
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 102215 -00 -ME
Owner: DAVID S ELLOWAY
Address: 33119 11TH AVE SW
FEDERAL WAY, WA 98023 -5322
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 `. L.P,_) Dat� -_Z —
RECEIVED BY "`�'� OMf UNITY DEVELOPMENT D�:P�,Fi1'Mi,1d i R EC E I V� _ 57
Federal w. - fERMIT
• COMMUNI7YDEVELOPMBJPrSEEV10ES APR I_ � ?0I APR 2 4 20OF MF CO - ME EL PL DE EN FP
33325 8M D AVENUB, WA. 9- 63 BOX 97I8 A p p L I C AT I
FEDERAL WAY, WA 98063.9718 , n
253. 835.2607• PAX 253 - 835 -2609
wwm.divgffedamhuou.rnm C O FEDERA WAY
BUILDING DEm
The following is required information — an incomplete application will not be accepted. Please print IegibW (in ink) or tune.
SITE ADDRESS 33119 11 AVE SW, FEDERAL WAY, WA 98023
SUITEJITNIT # ;
ASSESSOR'S TAX /PARCEL # 9264950900 _ _ i LOT SIZE (sf)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot I)
IAKach..pant.pagejarI ft legal dmrnpdoN
PROJECT INFO ATIO
TYPE OF PERMIT ❑ BUILDING . El PLUMBING X MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING p FIRE PREVENTION SYSTEM
PROJECT. DESCRIPTION (Provide detailed description of work included on this permit only
Remove/ReDlke Gas Water Heater
PROJECT NAME (Name of Business or Owner Last Name) ELLOWAY. SCOTT
PEOPLE •- •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE'
NAME
PRIMARY PHONE
ELLOWAY. SCOTT
See Contractor
((2531835 -5875
MAILING ADDRESS
3311911 AVE SW
CITY, STATE, ZIP
FEDERAL WAY, WA 98023
MAILINO ADDRESS
-
CITY, STATE, ZIP
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
FAST WATER HEATER COMPAN
V
((4251814 -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
Z - 0 A 7 0 0 -
(425 ) 814 -9516
-8 -0 -0- -0 B
L
CONTRACTORS REGISTRATION NUMBER (coP7 of eard regl&ed With each application)
_ EXPIRATION DATE.
WAH44811C
/01/03/2008
COMPANY NAME
APPLICANT NAME
OFFICE PHONE '
See Contractor
( j -
MAILINO ADDRESS
-
CITY, STATE, ZIP
CELL PHONE'
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑:Tenant
❑ Agent ❑ Other (Describe)
( -
EXISTING ASSESSED /APPRAISED VALUE $.
SPRINKLERED BUILDING? ❑ YES ❑ NO
PROPOSED USE
VALUE OF PROPOSED WORK $ � 4 '
FIRE SUPPRESSION SYSTEM PROPOSED) REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN . ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
r
e
rr�esessre
number of each type of fixture to be installed- or relocated as part of this project. Do not include existing fixtures to remdin
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG. SYSTEMS
BBQS FANS HOODS tc...rdq WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC (Describe)
COMPRESSORS FURNACES X_ CIAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
BATHTUBS (orrub /8howercomb -)
SHOWERS
WATER CLOSETS (roiw) MISC (Describe)
DISHWASHERS
SINKS
DRINKING FOUNTAINS
GAS PIPE OUTLETS
SUMPS
RAINWATER SYST
WASHING MACHINES
URINALS
HOSE BIBBS
LAVS 1eAtMoom sinks)
VACUUM BREAKERS
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 Federat 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 gity, including its officers and employees, upon the accuracy of the information supplied to the city as apart of
this application.
NAME/TITLE '' ' � td PerIriiej
( Misr _DATE 4118/07
(Signature( (l
RELATIONSHIP TO PROJECT q Owner ❑ Agent )fl Contractor ❑ Architect 11 Other