07-103334City ofFed y Mechanical Permit #• 07- 103334 -00 -ME
Community Development pment Services •
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609 Inspection Request Line: (253) 835 -3050
Project Name: NIELSON
Project Address: 29726 9TH PL S Parcel Number: 515160 0270
Project Description: Remove /replace 50 gallon gas to gas water heater
Owner
Applicant
Contractor
SANDRA J NIELSON
NORTHWEST PERMIT INC
WASHINGTON ENERGY SERVICES CO
29726 9TH PL S
1345 GULF ROAD
(WESCO)
FEDERAL WAY WA
POINT ROBERTS WA 98281
WASHIES9710B 9/2/07
98003 -3747
2800 THORNDYKE AVE W
SEATTLE WA 98199
Additional Permit Information
Mechanical Valuation ................ ............................950 Over the Counter Permit? ...................................... Yes
Plumbing Fixtures
Water Heaters . ............................... 1
PERMIT EXPIRES Saturday, June 20, 2009
Permit Issued on Wednesday, June 20, 2007
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent:
f
Date:
THIS CARD IS TO REMAIN ON- SITE,. : ,
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 103334 -00 -ME
Owner: SANDRA J NIELSON
Address: 29726 9TH PL S
FEDERAL WAY, WA 98003 -3747
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)
Approved
Gas Piping (4125)
Approved to release test
Final - Mechanical (4065)
Approved
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
06- 19 -'07 15;34 FROM-
CI,ya,A RECEIVED
Federal way PERMIT
CMM8ULL" N1 tA VU Y CfllBq( (C[O
SO�C/ =.,,
ERICS0OXB
7� U N 2 0 2007
FEnEaL WA r,wA as63 -9718
553835.207• FAX -'5�PY O F F E D E R
A LI CATI D N
P
UILDING DEPT.
The.fallowirta is Mau red information - an incomplete application will n,
T -336 P008/010 F -570
0-7-- /o -3r- 3'f
SF MF C j ME L PL DE EN FP
ited. Please print leaiblu fin ink) or tupe.
SITE ADDRESS 29726 9th PI S SUITWUNIT #
ASSESSOR'S TAX /PARCEL # 5 1 5 1 6 0 _ 0 2 7 0 LOT SIZE i$fl
LEGAL DESCRIPTION (e,g. Acme Estates, Lot 1)
IArtooh sepmnlc 109Cj2W UWy ttpnl Qesajpt 0(V
PROjrCT INFORMATION
TYPE OF PERMIT O BUILDING a PLUMBING MECHANICAL
O DEMOLITION 0 ELECTRICAL ❑ ENGINEERING 0 I DIE PREVENTION SYSTEM
PROJECT DESCRIPTION Wrouide dekdleci de*scriotion of work included on Ut(s permit oniul
Replace 50 gallon gas to gas water heater
PROJECT NAME Wame of Business or Owner Last Atdme)
PEOPLE INFORMATION
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
NAME PRIMnRY PHONE
Sandra Nielson (253 ) 941 - 6134
MNLINO ADDRgSS Cmr. STATE. ZIP
29726 9th PI S Federal Way, WA 98003
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
WESCO
(206 ) 378 - 6608
MAIILI NO ADDRESS
CtrY. STATE, 21P
CELL PHONE
2800 Thorndyke Ave W
Seattle WA 98199
( ) -
CITY OF FEDERAL WAY BUSINEW LICENSE NUMBER 'EXPIRATION DATE
FAX NUMBER
2- Q-Q -3- i 9 4 ? -3 -4 12 / 31 /07
1 ( ) -
CONMACrORS T"YT'*M&MON NUMBER (copy of curd requlmd vtith each v*VUc4LUop) &XPiRAMON DATE
W A S H I E S 9 7 1 0 B 09 /02 /07
NAMk
APPLICANT NAME
OFFICE PHONE
Northwest Permit Inc
Melissa Croda
( 360 ) 945 -2787
"LINO ADDRgS3
CITY. STATE. ZIP
CELL PHONE
1345 Gulf Road
Point Roberts, WA 98281
( ) -
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ ArcWt.eet O Tenant Agent 0 Other (Describe)
( ) -
NAME PRIMARY PHONE E-MAIL AD
Melissa Croda (360 ) 945 - 2787 1 melissaampermit.com
r u
,
J i ...
NAME
ILIN
MAG ADDRESS
Cfi Y , STATE, ZIP
PHONE
SMSTING USE .SFR
PROPOSED USE
EXISTING ASSEMED /APPRAISED VALUE $ VALUE oI+ PROPOSED WORK $
SPRINXLERED BUILDING? ❑ YES ❑ No DIRE SUPPRESSION SYSTEM PROPOSED /REgUIRED? o YES C NO
WATER SERVIC$ PROVIDER O LARRHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE (WELL)
SEWER SERVICE PROVIDER 0 LA"HAVEN ❑ MGMINE ❑ PRIVATE (SEPTIC)
06- 19 -'07 15;34 FROM- T -336 P009/010 F -570
PROJECT FLOOR AREAS l
AREA DESCRIPTION
EXISTING
69. FT.
PROPOSED
8 . FT.
TOTAL
S . FT.
BASEMENT
FANS
HOODStconvnomm>
WOODSCOVES
FIRST
FIREPLACE INSERTS
RANOF.S
MISC (Describe)
SECOND
FURNACES 1
GAS WATER HEATERS
THIRD
OAS PIPE OUTLE'T'S
FOURTH
ADDITIONAL FLOORS (DFSCR]BE)
SIiOW2;RS
WATER CLOSL'fS P1buc4
MISC (Deserlbe)
DECK (COVERED ?)
SINKS
DRINKING FOUN'T'AINS
GARAGE D CARP012•r O
tl]OLI'Ya70 PROP08Fa T0•tAY.
NUMBER OF FIAORS
',4id::r . m:i:aE.
:... „s :::::::• �� >
,...:.,,;i, •a:u:- •;a�,i
f;:i�r;n�,:: �: ,..,..... • i!'�t,n..,
a �u;;:i�vq'!Ayi...... 011, b4
• • - ; „)...._.;.,,.. , r
- �•.�•., n �:: �;;rtr °:; "
.:.:,, rf •::r- . L � .;
U
i��n K:,•::;� Wit, ..:;;6
Glryt):::::,, . :. +�.:�,,,,i).r)•a:, 4.i„
r MW HOMES ONLY” NUMBER OF BEDROOMS. MnMATED SELUT40 PRICE $
Indicate number of each type of fixture to be installed or relocated as
m5t:r1elc Av-' t. 950.00
Value of Mechanical 'Work $
AIR KANDLING UNITS
EVAPORATIVE COOLERS
GAS LOOS
_ REFfilG. SYSTEMS
BBgS
FANS
HOODStconvnomm>
WOODSCOVES
BOILERS
FIREPLACE INSERTS
RANOF.S
MISC (Describe)
COMPRESSORS
FURNACES 1
GAS WATER HEATERS
DUCTS
OAS PIPE OUTLE'T'S
G
SATi'1TU9S toe luelUoarorCn,ntoJ
SIiOW2;RS
WATER CLOSL'fS P1buc4
MISC (Deserlbe)
DISHWASHERS
SINKS
DRINKING FOUN'T'AINS
GAS PIPL OUTLETS
SUMPS
RAINWATER SYST
WASHING MACHINES
URINALS
HOSE BIBBS
LA'Y'S tanutroom SmW
VACUUM BREAKERS
ELECTWO WATER HEATERS
I certt& under penalty 4f perjury/ that the Irtformatfortfumtshed by me is true and correct to the best of my knowledge, aced, farther, that I
am authorized by the owner of the above premises to perform the work for which the perrriit application is made. r,>iirther agree to hold
harmteas the City of F*deral way as to any elabn flncluding costs, expenses, and attorneys' fees incurred in the Investigation and defanse 4f
such claim), which may be made by any person, including the undersigned, andjiLed against the City Qf rederal Way, bAt only where such claim
arises out of the refiance Qf the city, including its oBtacts and employees, upon the accuracy 4f the infarmation suppited to tha city as a part of
dais application.
NAME /TXTLE
tstgns[uro) t""
RELATIONSHIP TO PROJECT o Owner Agent o Contractor 0 Architect a other
Bulletin #100 - January 1, 2006 Page 2 of 4 k\RandoutslPermit Application
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