07-103649s
Ci.ity be Federal pram y Mechanical Permit #: 07- 103649 -00.48
Communi�y Development 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: HOLLIDAY
Project Address: 30444 8TH PL S Parcel Number: 174510 0030
Project Description: Remove /replace gas water heater;
Owner
Applicant
Contractor
GARY I HOLLIDAY
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
SUSAN K HOLLIDAY
12601 132ND AVE NE
FASTWWH948BC 1/3/2008
30444 8TH PL S
KIRKLAND WA 98034
12601 132ND AVE NE
FEDERAL WAY WA
KIRKLAND WA 98034
98003 -4136
ridifianal Pel�nit Iriforma #iOn
Mechanical Valuation ................. ...........................1012
Over the Counter Permit ? ........... ...........................Yes
E
Rltimbirlg Fixtures
Water Heal ................................ 1
a � _, THIS CARD IS TO REMAIN ON -SITE
MY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 103649 -00 -ME
Owner: GARY I HOLLIDAY
Address: 30444 8TH PL S
FEDERAL WAY, WA 98003 -4136
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 C- CAJ Date P-6 - 23— ea
For inspector reference oAly
O Rough Electrical FINAL - Electrical
Approved Approved
By Date By Date
t'71yY OF ( 3
. derat RECEIVED BY �p 7 ECEI�JE
�tINrry DEVELOPMENT DEP14H)1\ M i
COMd1UN11YD8VBLOPMEAT38RVlCES � 2Q07 SF MF CO �L PL DE EAT FP
33325 8TM AYBNUB, WA. 9 • 63 BOX 9718 JUL 0 6AP P L I C AT I 1'�
S IIBRAL WAY, WA 98063.9718 ,
253.835.2607• FAX 2S3 -83S -2609
www.dttrolTcdemhunn,mm
CITY OF FEDERAL W
The foliowiftg is required information— an incomplete
SITE ADDRESS 30444 8 PL S, FEDERAL WAY, WA 98003
SUITE /UNIT S
ASSESSOR'S TAX /PARCEL # 1745100030 _ LOT SIZE (sf)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attadi separatepV..ro I -9ft 1,Vd desaWW4
TYPE OF PERMIT ❑ BUILDING . ❑ PLUMBING YL MECHANICAL
0 DEMOLITION O ELECTRICAL ❑ ENGINEERING D 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) HOLLIDAY. GARY & SUSAN
0 PEOPLE INFORMATION
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
NAME' PRIMARY PHONE
HOLLIDAY. GARY & SUSAN 42531529 -1229
MAILING ADDRESS CITY, STATE, ZIP
30444 8 PL S FEDERAL WAY, WA 98003
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
FAST WATER HEATER COMPAN
V
((4251814 -3124
MAMINO ADDRESS
12601 132ND AVE INE
'CITY, STATE, ZIP
KIRKLAND, WA 98034
CELL PHONE
( _
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
,8 7- - _.0 -.0- -0 Q 4 7 0 0 - B L / /
FAX NUMBER
(425 ) 814 -9516
CONTRACTORS REGISTRATION NUMBER (copy Of card required with •aeh appUcattau) __ EXPIRATION DATE.
WWHg4gg� /01/0312008
COMPANY NAME
APPLICANT NAME
OFFICE PHONE '
See Contractor
) _
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE'
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑:Tenant
0 Agent ❑ Other (Describe)
EXISTING USE. PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $ �Dl �✓`-�
SPRINKLERED BUILDING? q YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA C PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN . ❑ HIGHLME o PRIVATE ►SEPTIC)
Value of Mechanical Work $
AIR HANDLING UNITS
EVAPORATIVE COOLERS
_
BBQS
FANS
BOILERS
,FIREPLACE INSERTS
COMPRESSORS
FURNACES
.DUCTS
GAS PIPE OUTLETS
BATHTUBS I., Tub /sfww f Cumbo)
SHOWERS
DISHWASHERS
SINKS
GAS PIPE OUTLETS
SUMPS
WASHING MACHINES
URINALS
LAVS (BW1W"ms1-z-)
VACUUM BREAKERS
GAS LOGS
HOODS lc..traq
RANGES
X GAS WATER HEATERS
REFRIG, SYSTEMS
WOODSTOVES
MISC (Describe)
WATER CLOSETS (rend MISC (Describe)
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
I cert{ fy under penatty of perjury that the WormaRon furnished by me is true and correct to the best of my knowledge, and further, that l
am authorized by the owner of the above premises to perform the work for which the permit application is .mods- I further agree to hold
harmless the City of Federal, Wag as to any claim (including costs, expenses, and attorneys' fees incurred in the investigation and defense of
such claim), which may be made by dny person, including the undersigned, and f dell 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 accuracy of the information supplied to the city as a part of
this application.
NAME /TITLE Ptyi'ijj Mgr DATE 7/5/07
(Signature) (Title)
RELATIONSHIP TO PROJECT p Owner O Agent ;5 Contractor n Architect l7 Other