08-102572Federal Mechanical PermiiO: 08- 102572 -00 -RAE
Community 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: MAISONNUVE
Project Address: 739 SW 298TH PL Parcel Number: 201970 0010
Project Description: Remove and replace gas water heater d'?
Owner
Applicant
Contractor
BRENDA MAISONNUVE
ACTION WATER HEATERS ONLY INC
ACTION WATER HEATERS ONLY INC
739 SW 298TH PL
12704 NE 124TH ST SUITE #43
ACTIOWHO55DP (1/17/09)
FEDERAL WAY WA
KIRKLAND WA 98034
12704 NE 124TH ST SUITE #43
98023 -3566
KIRKLAND WA 98034
MAY 2 3 2008
GOV
THIS CARD IS TO MAIN ON -SITE
CITY OF Pommunity Developm t p
Ins ection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 08- 102572 -00 -ME
Owner: BRENDA MAISONNUVE
Address: 739 SW 298TH PL
FEDERAL WAY, WA 98023 -3566
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
By Date
Gas Piping (4125)
Approved to release test
By Date
Final - Mechanical (4065)
Approved
By C► W \ Date S"-CA
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
RECEIVE Y
CQMIIiIUNR DEVELOPMQPEPARTMENT
[ITY O F
Pk-
MV
Federal Way
MAY 2 3 2008PERMITc
�
CITY O U EXPIRATION DATE
KIRK.i..AND WA. 98034
COMMUN17Y DEVELOPMENT SERVICES
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE
A<7-/o w No 5 5 0 P 1-1-7-07 teexw G
SF MF CO
LPL DE EN FP
33325 8TM AVENUE SOUTH - PO BOX 9718
4 FEDERAL WAY, WA 98063 -9718
253 - 8.35- 26Cy- FAX253- 835 -2609
APPLICATION
AP Z ANT NAM ems
� .-
www. ctwoffedera(wau. com
CM, STATE, ZIP
CELL PHONE
ppT�� ��
❑ .9ii rc'hitecctt e a V " %4 ❑ Other
The following is required information - an incomplete application will not be accepted. Please print legibly (in ink) or type.
�JZ PROPERTY y�•. •
SITE ADDRESS 1 CJ .2 t p� SUITE /UNIT #
ASSESSOR'S TAX /PARCEL # - j0) LOT SIZE (sffl
LEGAL. DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach sepowfe pagefn iengft legal descrWaorJ
PROJECT • •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING A MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only)
PROJECT NAME (Name of Business or Owner Last Nan k Ad U VF- It I ATPP-_ A i-1 -TC-
PROPERTY
OWNER
CONTRACTOR
COPY of card required
with each application
APPLICANT A
-i
PROJECT
CONTACT
LENDER
EXISTING USE
NAME
56 A JA) U V&
Y PHONE
(Z5 ) -296(0
MV
C
( CU C wl 1
E -MAIL ADDRESS
to
COMPANY NAME
T' , .rj WATER HEATER ONLY IN,
APPLICY4T NAME
KPM ee
OFFICE PHONE
( 715—) rw
"i p7V M ER CIAL CENTER
CITY, STATE. ZIP
CELL PHONE -
(
CITY O U EXPIRATION DATE
KIRK.i..AND WA. 98034
FAX NUMBER
( ) -
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE
A<7-/o w No 5 5 0 P 1-1-7-07 teexw G
E -MAIL ADDRESS
Arlhaiu*f l�oa$Rs , co
76rf"ATER HEATER ONLY I PA
AP Z ANT NAM ems
� .-
OFFICE PHONE
(�s
127 04 NE 12.4teeh
CM, STATE, ZIP
CELL PHONE
ppT�� ��
❑ .9ii rc'hitecctt e a V " %4 ❑ Other
FAX NUMBER -
NAME
C
BINARY PHONE a O D7 k, E-MAIL ADDRESS aerial WdAllj
Win kyL
NAME
Per RCW 19.27.095:
Lender information is required {f project value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $ Z�o � 3 1 02-
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHIdNE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHIdNE ❑ PRIVATE (SEPTIC)
.comb
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
+ S . FT. S . FT. S . FT.
BASEMENT
FIRST
r
SECOND
THIRD
ADDITIONAL FLOORS (DESCRIBE)
DECK (❑ COVERED OR ❑ UNCOVERED ?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS EXISTDYG PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED Sr TOTAL SF
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include extsting fixtures to remain.
Value of Mechanical Work
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
BATHTUBS (or'Nb /Shower Combo)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
(A COPY OF BID OR ESTIMATE MUST BE INCLUDED WrrH APPLICATION)
EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
FANS GAS WATER HEATERS MISC (Describe)
FIREPLACE INSERTS HOODS (commerdal)
FURNACES RANGES
GAS LOG SETS REFRIG. SYSTEMS
LAVS (Bathroom Sinks)
RAINWATER SYST
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
WATER CLOSETS rr ii t)
WASHING MACHINES
MISC (Describe)
I certVy 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 made. I further agree to hold
harmless the City of Federal Way as to any claim (including 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, i lading its officers and employees, upon the accuracy of the information supplied to the city as a part of
this application.
NAME /TITLE DATE . �17 O
(Signature) (Mae)
RELATIONSHIP TO PROJECT
O Owner o Agent
Contractor o Architect o Other
mooffillEffillm
D NEW ❑ ADDITION
❑ ALTERATION
o REPAIR D TENANT IMPROVEMENT
BUILDING SHELL ONLY?
D YES ❑ NO
BASIC PLAN?
D YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE?
D YES
D NO
NEW ADDRESS REQUIRED?
D YES D NO
UP /SEPA /SU?
D YES
❑ NO
PLATTED LOT?
❑ YES ONO
DEMO PERMIT REQUIRED?
D YES
ONO
Bulletin #100 - January 1, 2007 Page 2 of 4 k\Handouts\Permit Application