07-103928r s
CiV of Federal Way
r3ommunity Development Services
P O. Box 9718
Federal' ay, WA 98063 -9718
Ph: (25$) 8354,2607 Fax: (253) 835 -2609
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Mechanical Permit #: 07- 103928 -00 -ME
Project Name: GIBSON
Project Address: 213 S 316TH PL t r
Project Description: Remove /replace gas hot water heater
Inspection Request Line: (253) 835 -3050
Parcel Number: 337530 0320
Owne
Applicant
Contractor
JULIUS F GIBSON
ACTION WATER HEATERS ONLY INC
ACTION WATER HEATERS ONLY INC
213 .SW 316TH CT
12704 NE 124TH ST SUITE #43
ACTIOWHO55DP 1/17/09
FEDERAL WAY WA 98003 -5238
KIRKLAND WA 98034
12704 NE 124TH ST SUITE #43
KIRKLAND WA 98034
Addit onal 'permit Informatio l
Mechanical Valuation .................... ........................1607.51 Over the Counter Permit ? ...................................... Yes
t'
Pjumbloo�f -tur ps
Water Heaters ...............................
Vill
1
PERMIT EXPIRES Friday, July 17, 2009
Permit Issued on Tuesday, July 17, 2007
Owner or agent: kiee Application
the
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THIS CARD IS TO REMAIN ON -SITE
CITY GF Community Development Inspection Record
A.' Federal Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 103928 -00 -ME
Owner: JULIUS F GIBSON
Address: 213 S 316TH PL
FEDERAL WAY, WA 98003 -5238
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 fc`1 22 "7
For in_ pector reference only ^_
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
Cl 9,
- _ ( v -- -
CITY a'
071-
Federal ��UNTY DEVELOPMENT DEPAR E RM ITECEIVED - -
COMMUNITY DEVELOPMENT SERVICES SF MF CO EL -PL
DE EN .FP
3332 FEDERAL AVENUE SOUTN • 63 971 9718) U L 1 z p p L I C ATE J
-2607- FAX 98063.9718 2007 TD
253. 835.2607• FAX 253 - 835 -2609 1
unaw.tddlo-Qyde ralwatl.com
CITY OF FEIDE L air
The following is required information -`an incomplete applicA"(WINI CCtpted. Please print legibly (in ink) or type,
SITE ADDRESS 2
ASSESSOR'S TAX /PARCEL #
,$ -S i & PI<
73
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
0tk` 79-605 SUITE /UNIT #
3 2— 0 LOT SIZE (s, f)
(Attach separate page for lengthy legal description)
PROJECT • ' f
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING XMECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ENGINEERING ❑ FIRE PREVENTION SYSTEM
(Provide detailed description of work included on
f?-0 t let C-C-- L) V G A-3
PROJECT NAME (Name of Business or Owner Last Name)
PROPERTY
OWNER .
CONTRACTOR
COPY of card regWnd
with *.b aPP11C.Hoa
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
0 PEOPLE INFORMATION
7`e e
NAME t + , � �' 0�
J � t v1
PRIMARY PHONE
(z5) 791 -.5-34f9
MAILING ADDRESS
CITY, ST TE, ZIP
9ffee
E -MAIL ADDRESS
cCXMM WATER
LICANT NAME
PHONE
Lender information is required if project value exceeds $5,000
(t
CITY, STATE, ZIP
(OFFFICE
{ �fi ) S?210
V
MAIILLIIIN�
704 � `E 1-2-4th ST L
#
CITY, STATE, 21P
CELL PHONE
.
-
CITY OF FEDFK[�ty BIk193i9IL�SG SE
EXPIRATION DATE
FAX NUMBER
1 9 . 96 d
/2
7'9(.
CONTRRA�CTTOO•R/'S REG
EXPIRATION DATE
E -MAIL ADDRESS
/ISTRATION�NUMBER J� %
/ W s,+ P -1
1. 4— I V lJ I
r%
C A)C}' E1 j HEATER 1 y )
1.
ePLICR T NAME
G
OFFICE PHONE
OMMERG
1, .
(42s) .��
- &'
MAIL
12704 N E 124th ST # 43
CITY, STATE, ZIP
CELL PHONE
-
RELATIONSjj� eTSO BC7T� ,A,e �j
❑ thchitcc D ef{nV�anf Y�b�i; "tither ri179rXdC'kl r 46 -CV'r
FAX.NUMHER
(42-1-
NAME
Per RC 19.27.095:
Lender information is required if project value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
EXISTING ASSESSED /APPRAISED VALUE $�
SPRINKLERED BUILDING? ❑ YES ❑ NO
PROPOSED USE 1,`i'0-71
VALUE OF PROPOSED WORK $ S f
FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
Bloom
AREA DESCRIPTION EXISTING PROPOSED TOTAL
• S . FT. S q . FT. S . FT.
BASEMENT
FIRST
,SECOND
THIRD
ADDITIONAL FLOORS (DESCRIBE)
DECK•(❑ COVERED OR ❑ UNCOVERED ?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS ZXam "o. rxososED TOTAL TorAL Zarsrn+o sr •T07ACr,Vosaeanar roL�c ar
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part'of this project. Do not include existing fixtures to remain.
MECHANICAL �+ r� t
Value Mechanical Work S. tJ
COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
of
(A
RAINWATER SYST
VACUUM BREAKERS
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS PIPE OUTLETS
WOODSTOVES
BBQS
FANS
GAS WATER- HEATERS
MISC (Describe)
BOILERS
FIREPLACE INSERTS
FURNACES
HOODS (Co .mj.r)
RANGES
CHANGE OF.USE?
COMPRESSORS
ONO
NEW ADDRESS REQUIRED?
90
DUCTS
GAS LOG SETS
REFRIG. SYSTEMS
a IRO
BATHTUBS {or7ub /Shower combo)
LAV.S (8a+broow Sink.)
URINALS MISC (Describe)
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
DRINKING FOUNTAINS
SHOWERS
WATER CLOSETS jroilet)
ELECTRIC WATER HEATERS
SINKS
WASHING MACHINES
HOSE BIBBS
SUMPS
ZONING DESIGNATION
• � Wes` �.
I certify under penalty of perjury that the Information furnished b�'" (;;kind correct to the best of Tny 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
hannless the City bf Federal Way' as to any claim lincluding costs, expenses, and attorneys' fees incurred in the investigation and•$sfense of
such claim), which may be made by any person, including the undersigned, and jiied'against the City of Federal Way, but only where such claim
arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information supplied to the city as a part of
this application.
NAME /TITLE
griatute)
RELATIONSHIP TO PROJECT O Owner 0 Agent
DATF. 7
a,c „" (Title)
❑ Contradict' 'tie Q•,$rthitect 0 Other
Bulletin #.100- April 2, 2007 .
Page 2 of 4
I
k\HandoutsTermit Application
o NEW o ADDITION
o ALTERATION
o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o YES ONO .
BASIC PLAN?
o YES
a NO
ZONING DESIGNATION
CHANGE OF.USE?
o, YES
ONO
NEW ADDRESS REQUIRED?
a YES o NO
UP /SEPA /SU?
a YES
a IRO
PLATTED LOT?
o YES 'o NO
DEMO PERMIT REQUIRED?
o YES
o NO
Bulletin #.100- April 2, 2007 .
Page 2 of 4
I
k\HandoutsTermit Application