07-104186a
City of Federal Way
Community bevelopment Services
P.O. Box 9718
V Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Project Name: GREENLEAF
Project Address: 28801 14TH AVE S
r' �r
Mechanical Permit #: 07-104186-00-ME
Project Description: Remove /replace gas water heater
Inspection Request Line: (253) 835 -3050
Parcel Number: 516210 0650
Owner
Applicant
Contractor
DANIEL P GREENLEAF
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
28801 14TH AVE S
12601132ND AVE NE
FASTWWH948BC 1/3/2008
FEDERAL WAY WA 98003 -3783
KIRKLAND WA 98034
12601 132ND AVE NE
KIRKLAND WA 98034
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Mechanical Valuation .................... ........................1746.90 Over the Counter Permit? ...................................... Yes
il?lumbing Fixtures
Water Heaters . ............................... 1
PERMIT EXPIRES Thursday, July 30, 2009
Permit Issued on Monday, July 30, 2007
1 hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws, rules and regula*ms of the State of Washington
and the C C )
ity of Federal Way.
Owner or agent: � � AF MI LI t I 1 M Date:
t
THIS CARD IS TO REMAIN ON -SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 104186 -00 -ME
Owner: DANIEL P GREENLEAF
Address: 28801 14TH AVE S
FEDERAL WAY, WA 98003 -3783
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 !a a.7b
For inspector reference only _
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
CITI OF RECEIVED BY 'FIEGEIvED _
Federal UNITY pEVELOPMENTDEPARTMENT O T _ — — 73 (O -
' COMMUM7YDBVELOpMEKTSERVICES JUL P E R M I 2007 2 7 2007 - SF MF CO 0EL PL DE EN FP
33325 D AYENAB, WA- 9. 63 BOX 4718 A p p L I C 1
FEDERAL WAY, WA 98063.9718 , T ( ^{
253- 835 -2607• PAX 253-835 -2609 a.i r�l�g�� �(�
wwm.dtvoffedernlconu.mm BUILDING DEPT.
The following is required information — an incomplete application wal not be accepted. Please print legibly in ink/ or type.
.•, •, •
SITE ADDRESS 28801 14 AVE S, FEDERAL WAY, WA 98003
SUITE /UNIT S -
ASSESSOR'S TAX /PARCEL # 5162100650 4 _ _ LOT SIZE (s�
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Aftoeh aeparnfe page for Ienglhg lagai d ripflonf
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING Yj MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING O FIRE PREVENTION SYSTEM
PROJECT. DESCRIPTION (Provide detailed description of work included on this Permit onlul
Remove/Renlace Gas Water Heater
PROJECT NAME (Name of Business or Owner Last Name) GREENLEAF. DAN
PROPERTY
OWNER
CONTRACTOR
APPLICANT
NAME PRIMARY PHONE
GILING AF, DAN ((2531946 -0306
MAILING ADDRESS CITY, STATE, ZIP
28801 14 AVE S FEDERAL WAY, WA 98003
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
FAST WATER HEATER COMPAN
V
((4251814 -3124
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
12601 132ND AVE NE
KIRKLAND. WA 98034
( -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER - EXPIRATION DATE
FAX NUMBER
Z - 3- 0 4 7 0 0 - /
(425 )
-8 —0 -0 B L'
814 -9516
CONTRACTORS REGISTRATION NUMBER (coP7 of cvd equized with each applleatioa) EXPIRATION DATE
TWWH -q 8 _ /01/03/2008
COMPANY NAME
See Contractor
APPLICANT NAME
OFFICE PHONE
( ) _
MAILING ADDRESS
CITY, STATE, ZIP
!CELL PHONE'
RELATIONSHIP TO PROJECT
FAX
❑ Architect o: Tenant ❑ Agent ❑ Other (Describe)
NUMBER
( _
r
AREA DESCRIPTION EXISTING PROPOSED TOTAL
S . FT. S . FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK (COVERL+D7)
GARAGE 0 CARPORT ❑
NUMBER OF FLOORS e'7Q MQ rnaroesn roser
**NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
► •�
I NINE
Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to•remdin.
MECITAMCAL
- —_
Value of Mechanical Work $
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS LOGS
REFRIG, SYSTEMS
13BQS
FANS
HOODS (commmeiq
WOODSTOVES
BOILERS
.FIREPLACE INSERTS
RANGES
MISC ( Dascribe)
COMPRESSORS
FURNACES
X— GAS WATER HEATERS
.DUCTS
GAS PIPE OUTLETS
PLUMBING
BATHTUBS forTabjehmor Combo)
SHOWERS
WATER CLOSETS (r.nq
MISC (Describe)
DISHWASHERS
SINKS
DRINKING FOUNTAINS
GAS PIPE OUTLETS
SUMPS
RAINWATER SYST
WASHING MACHINES
URINALS
HOSE BIBBS
LAVS 1Bthrom Sink.)
VACUUM BREAKERS
ELECTRIC WATER HEATERS
► e
I cerHfy 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 lincluding 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 officers and employees, upon the accuracy of the i4ormation supplied to the city as a part of
this application.
NAME /TITLE -- y . Permit Mgr DATE 7/26/07
(Signature) (Title)
RELATIONSHIP TO PROJECT Q Owner ❑ Agent X Contractor ❑ Architect ❑ Other