07-102721� T
.City fit Federal Way
Community Development Services
,s ` P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Project Name: BOSTIC
Project Address: 811 S 301ST PL
IL- r
Mechanical Permit #: 07- 102721 -00 -ME
Project Description: Remove /replace gas water heater;
Inspection Request Line: (253) 835 -3050
Parcel Number: 515220 0080
Owner
Applicant
Contractor
LANA S BOSTIC
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
TIMOTHY R BOSTIC
12601 132ND AVE NE
FASTWWH948BC 1/3/2008
811 S 301ST PL
KIRKLAND WA 98034
12601 132ND AVE NE
FEDERAL WAY 98003
KIRKLAND WA 98034
i Add�tQnal Pltrlt �nf�a>I►aticrt
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Mechanical Valuation ................. ...........................2757 Over the Counter Permit? ..................................... .Yes
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the
Owner or agent:
will Win ac(
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•
the Ste' of
Date: U1
4
THIS CARD IS TO REMAIN ON -SITE s
C1W of � Community Development inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 102721 -00 -ME
Owner: LANA S BOSTIC
Address: 811 S 301 ST PL
FEDERAL WAY, WA 98003 -3752
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 4 Z Q
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
w
CITY of RECEIVED BY RECEIVED07 _ ( O 2 9&n
Fe! eral W89MMUNITY DEVELOPMENT D� T -
COMMUMMDEVELOPMEM3ERVICES jai 2 I 8 z0Q7SF MF CO L PL DE EN FP
933253-835-2607- AVENUE SOUM - PO BOX
AX 253-835 609718 �. P LI C AT I ��t
FEDERAL WAY, WA- 98063-9718, /
tuww.dJwffode�atl• CITY OF FEDERAL VVAY
Tr.e - _ BUILDING DEPT.
SITE AbDRESs 811 S 301 PL, FEDERAL WAY, WA 98003
SUITE /UNIT #
ASSESSOR'S TAX /PARCEL # 5152200080 _ LOT SIZE (sf)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
JAttwteepa fepVf- leagfAq 1.941de.smWO1
TYPE -OF PERMIT O BUILDING O PLUMBING XMECHANICAL
O DEMOLITION O ELECTRICAL O ENGINEERING D FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Prduide detailed description of work included on this hermit onlu
Remode/Renlace .Gas Water Heater
PROJECT NAME (Name of Business or Owner Last Name) BOSTIC. LANA & TIM
PEOPLE •- •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
NAME PRIMARY PHONE
BOSTIC. LANA & TIM ((2531941 -1647
MAILING ADDRESS CITY, STATE, ZIP
811 S 301 PL FEDERAL WAY, WA 98003
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
FAST WATER HEATER COMPA
CITY. STATE, ZIP
((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
1-3-9-JO 4 A 7 0 0- / i
(425 ) 814
-8 B L••
-9516
CONTRACTOR'S REGISTRATION NUMBER {copy of card required with each *pplicattou) EXPIRATION DATE.
FAST3V1WH948BC- _ /01/03/2008
COMPANY NAME
See Contractor
APPLICANT NAME
OFFICE PHONE '
( _
MAILING ADDRESS
CITY. STATE, ZIP
/CELL PHONE'
RELATIONSHIP TO PROJECT
FAX NUMBER
O Architect O:Tenant O Agent O Other (Describe)
( _
r
each type of fixture to be installed-or relocated as part of Uhis'project. Do not include existing fxtures to• remdin.
Value of Mechan.ical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS OAS LOOS REFRIG. SYSTEMS
BBQS FANS HOODS )CommereieA WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC (Describe)
COMPRESSORS FURNACES X GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
LX
BATHTUBS iorTub13h- e, comb+) SHOWERS WATER CLOSETS ( ii q MISC (Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
OAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYS a VACUUM BREAKERS ELECTRIC WATER HEATERS
i cert(fy under penalty of perjury that the information furnished by ms 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 appHcatian is inade. I further agree to hold
harmless the city of Federal Way as to any claim jineluding 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 eity, including its officers and employees, upon the accuracy of the information supplied to the city as a part of
this application.
NAME /TITLE ^� RATE 5/17/07
.(Signature) (Title)
RELATIONSHIP TO PROJECT Q Owner ❑ Agent .151 Contractor a Architect to Other