07-106146City of Federal Way
i Community Development Services Mechanical Permit #. 07- 106146 -00 -ME
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: MOORE
Project Address: 27901 21ST AVE S
Project Description: Remove /replace gas water heater
Parcel Number: 757562 0520
Owner
Applicant
Contractor
JOHN MOORE
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
27901 21ST AVE S
12601 132ND AVE NE
FASTWWH948BC 113/2008
FEDERAL WAY WA 98003
KIRKLAND WA 98034
12601 132ND AVE NE
KIRKLAND WA 98034
THIS CARD IS TO REMAIN ON -SITE V
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 106146 -00 -ME
Owner: JOHN MOORE
Address: 27901 21 ST AVE S
FEDERAL WAY, WA 98003 -6949
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.
0 Mechanical Rough -in (4165) [] Gas Piping (4125) Final - Mechanical (4065)
Approved Approved to release test Approved
By Date By Date By ate J L;4A7
For in_ pector reference only _
❑ Rough Electrical O FINAL - Electrical
Approved Approved
By Date By Date
RECEIVED BY
nrreF COMMUNPDEVELOPMENTDEPARTMENT` R' CEJVEQQ // 3
,y Federat'Wa (Q �
1 COMMUMIYDEVELOPMERTSERVICES NOV o 9 2oo)' E R M IT
333258ERA AVENUE
Y, WA- 8061.9718, APPLI�AT NOV O 9 ZQO�F MF CO( �iE LPL DE EN FP
FEDERAL WAY, WA- 98063A7t8 , /
253.835.2607 FAR 253- 835-2609 j QSg,, E�gL qY
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BUILDING DEP
The ollowing is required information — an incomplete application will not be accepted, Please print legibly in ink) or e.
SITE ADDRESS 2790121 AVE S, FEDERAL WAY, WA 98003
SUITE /UNIT #
ASSESSOR'S TAX /PARCEL # 7575620520 LOT SIZE (sfl
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach aepo W papa fw Iangthy Iva[ dwac Won)
TYPE OF PERMIT Q BUILDING ❑ PLUMBING X MECHANICAL
11 DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING O FIRE PREVENTION SYSTEM
PROJECT. DESCRIPTION (Prolride detailed description of work included on this permit only
Remove/ReDlace Gas Water Heater
PROJECT NAME (Name of Business or Owner Last Name) MOORE■ JOHN
PROPERTY
NAME'
PRIMARY
OWNER
MOORE
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
EXISTING ASSESSED/APPRAISED VALUE
PROPOSED USE
VALUE OF PROPOSED WORK
SPRMKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED %REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 11 TACOMA CI PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN . ❑ IHIGHLINE ❑ PRIVATE IRMPTTrI
a JOHN
6 ((2061250 -449
((2061250-44,69
MAILING ADDRESS
C1TY, STATE, ZIP
2790121 AVE S
FEDERAL WAY, WA 98003
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
FAST WATER HEATER COMPAN
V
( 800454 -8955
MAILING ADDRES3
-CITY, STATE, ZIP
CELL PHONE
12601 132ND AVE NE
KIRKLAND, WA 98034
( _
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
FAX NUMBER
Z- Q Q 4 7 0 0- / /
(425 (
.8 .-.0 .9- B L
814 -9516
CONTRACTORS REGISTRATION NUMBER (coP7 of cud lequieed with eaeh •ppllc■Hoa( EXPIRATION DATE.
fAS1WWHq4&BC_ T /01/0311008
COMPANY NAME
See Contractor
APPLICANT NAME
OFFICE PHONE '
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE'
RELATIONSHIP TO PROJECT
D Architect ❑:Tenant Cl Agent ❑ Other (Describe)
FAX NUMBER
( � _
NAME
Carol Randall
PRIMARY PHONE
&MAIL ADDRESS
800 454 -8955
NAME
MAILING ADDRESS CITY STATE, ZIP PHONE
EXISTING ASSESSED/APPRAISED VALUE
PROPOSED USE
VALUE OF PROPOSED WORK
SPRMKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED %REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 11 TACOMA CI PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN . ❑ IHIGHLINE ❑ PRIVATE IRMPTTrI
1
t
AREA DESCRIPTION EXISTING PROPOSED TOTAL
8 . FT. S . FT. S . FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK (COVERED?)
GARAGE ❑ CARPORT O.
ws rxorasso rarAL
rnra
NUMBER OF FLOORS
" "NEW XOMES ONLY"" NUMBER OF BEDROOMS .ESTIMATED SELLING PRICE $
number of each type of fodure to be instailed or relocated as part of thisproject. Do not
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG. SYSTEMS
BBQS FANS HOODS (cammerdq WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC (Dcsedbe)
COMPRESSORS FURNACES X _ GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
BATHT(JBS )or Tub /shnw,cnmbo) SHOWERS WATER CLOSETS Iroileq MISC (Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAV3 teahmw sbx"y VACUUM BREAKERS ELECTRIC WATER HEATERS
I cert(fy 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 ,inade. I further agree to hold
harmless the City of Federal Way as to any claim lnncluding 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 city, including its gfficers and employees, upon the accuracy of the h1formation supplied to the city as a part of
this application.
NAME /TITLE��P Permit Mgr DATE 1118/07
(Signaturq Tide)
RELATIONSHIP TO PROJECT q Owner ❑ Agent ill Contractor 13 Architect q. Other