08-101089City of Federal Way ec�hani+. • .48- 101089 -00 -M E
Community Development Services M
� �eal Permit #
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: PALMER
Project Address: 30628 2ND AVE SW Parcel Number: 556000 0770
Project Description: Remove /replace gas water heater
Owner
Applicant
Contractor
TAMI L PALMER
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
30628 2ND AVE SW
12601 132ND AVE NE
FASTWWH94SBC 1/4/2010
FEDERAL WAY WA 98023 -3906
KIRKLAND WA 98034
12601 132ND AVE NE
KIRKLAND WA 98034
Additional Permit information
Mechanical Valuation ................. ...........................1476
Over the Counter Permit ? .......... ............................Yes
Mechanical Fixtures
MAR 0 3 2008
MAR 0 3 2008
A
THIS CARD IS TJEMAIN ON -SITE
��rroF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 08- 101089 -00 -ME
Owner: TAMI L PALMER
Address: 30628 2ND AVE SW
FEDERAL WAY, WA 98023 -3906
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 V 02�
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
�>na RECEIVED BY Oft - 0 8"- C7
Federal t1ITY DEVELOPMENT DO�D�, IT, 392958 R
cDar +IUnrmoEVELOPerEm sEev/ iZlvl l �L PL DE M FP
333758mAVENUE90UfH•POBOX97 �� ""APPLICATION
FEDEkAL WAY, FAX M o 3 200a/
26E-8E6 2607• FAX Z53 835•Z608 /
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The following is required it1 formation - an incomplete application will not b0UW4b E V "A"gibtg ({n inks or type.
PROPERTY •• •
SITE ADDRESS 30628 2 AVE SW SUITE/UNIT #
ASSESSOR'S TAX /PARCEL # 5560000770_ — _ _ LOT SIZE IV
LEGAL DESCRIPTION (e.g. Acme Estates, Lot I)
(AUndr -P—W Pogelar urodU LY99 d-&0-0
PROJECT • •
TYPE OF PERMIT O BUILDING ❑ PLUMBING )13 MECHANICAL
0 DEMOLMON 0 ELECTRICAL 0 ENGINEERING 13 FIRE PREVENTION SYSTEu
PROJECT DESCRIPTION (Provde detaUed descr(pt(on of work included on M Detnnit onhg!
Remove /Replace Gas Water Heater
PROJECT NAME (Nome ofd or Owner Last Name1
PEOPLD INFORMATION
PROPERTY
OWNER
NAME
PALMER, TAMI & NICK
PRIMARY PHONE
( (250941 -7414
FAST WATER HEATER COMPANY
MAILING ADDRESS
CITY, STATS. ZIP
E-MAIL ADDRESS
CITY. STATE. ZIP
30628 2 AVE SW
FEDERAL WAY, WA 98023
KIRKLAND, WA 98034
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
FAST WATER HEATER COMPANY
Carol Randall
( 800454 -8955
MAQ.WO ADDRESS
CITY. STATE. ZIP
CELL PHONE
12601 132ND AVE NE
KIRKLAND, WA 98034
( _
CtIY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
19 -87- 000047 -00 -BL
12/31/08
( 425 -$14 -951-6
CONTRACTOR '8 REGISTRATION NUMBER
EXPIRATION DATE
E-MAA. ADDRESS
FASTWWH948BC
1/4/2010 12:00:00AN
COMPANY NAME
FAST WATER HEATER COI
APPLICANT NAME
OFFICE PHONE
( 800454 -8955
MMUNG ADDRESS
CrM STATE, ZIP
CELL PHONE
12601 132ND AVE NE
KIRKLAND, WA 98034
) -
RELATIONSHW TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent 0 Other
( 425 -$14 -9516
NAME PRIMARYPHONE E•MAMADDRESS
NAME
Per RCW 19.27.095.
Lender iq brmaiion is required (jproject value exceeds $6,000
MAnJNG ADDRESS
CnY, STATE, ZIP
PHONE
EXISTING USE PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $. l Lo (0
SPRUMERED BUILDING? O YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? 0 YES O NO
WATER SERVICE PROVIDER ❑ *AKER VEN
O LAKEHAVEN
❑ HIGLUMM ❑ TACOMA O PRIVATE (WELL)
❑ HIGHLINE O PRIVATE (SEPTIC)
J a
AREA DESCRIPTION
EXISTING
S . FT.
PROPOSED
S . FT.
TOTAL
S . FT.
BASEMENT
CHANGE OF USE?
D YES
D NO
FIRST
UP /SEPA /SU?
D YES
a NO
SECOND
DEMO PERMIT REQUIRED?
D YES
o NO
THIRD
ADDITIONAL FLOORS (DESCRIBE)
DECK (❑ COVERED OR ❑ UNCOVERED ?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
E1"°TlMO
PAOM10
"ernL
mretsmramer
r mpaora mer
roreMer
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate nwnber of each type off inure to be installed or relocated as part gjthis project. Do not tnclude ex(sting, f sutures to remain.
Value of Mechanical Work $ !A COPY Or BID OR ESTWA1E MUST BE INCLUDED WITH APPLTCATI0IM
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
BATHTUBS W7r A /Sho vrcambo)
DISHWASHERS
DRIM43NG FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS LOG SETS
LAVS (eathmamslnko
RAINWATER SYST
SHOWERS
SINKS
SUMPS
GAS PIPE OUTLETS
GAS WATER HEATERS
HOODS (c mngmeu9
RANGES
REFRIG. SYSTEMS
URINALS
VACUUM BREAKERS
WATER CLOSETS cimba
WASHING MACHINES
WOODSTOVES
MISC (Describe)
MISC (Describe)
T certjjy under penalty qr perfury that i am the property owner or authorized agent qr the property owner. Y cart(& that to the best of my
knowledge, the ftformation submitted in support of this permit application is true and correct I certify that I will comply with all applicable
City qr Federal Way regulations pertaining to the work authorized by the issuance qr a permit. I understand that the issuance qr this permit
does not remove the owner's responsibility J& compliance with local, state, orfederal laws regulating construction or environmental Laws.
Y further agree to hold harmless the City of Federal Way as to any cialm (including casts, expenses, and attomeys' fees incurred in the
investigation and dgrense grsuch cla(m), which may be made by any person, including the undersigned, and filed against the city, but only
where such claim arises out qr the reliance qr the city, including its officers and employees, upon the accuracy qr the Wormatton supplied to
the city as apart of this application.
BUILDING SHELL ONLY? DYES D NO
BASIC PLAN?
D 'YES
a NO
ZONING DESIGNATION
CHANGE OF USE?
D YES
D NO
NEW ADDRESS REQUIRED? o YES ti NO
UP /SEPA /SU?
D YES
a NO
PLATTED LOT? o YES D NO
DEMO PERMIT REQUIRED?
D YES
o NO
Bulletin #I00'- 3antzary 1, 200$; Page 2 of Q an outs ermit Application