07-105260f
C*- of Federal Way
Car, imunity Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Mechanical Permit #: 07- 105260 -00 -ME
Project Name: SCOTT/
:3 8 ";t.
Project Address: 10TH PL SW
Project Description: Remove /replace gas water heater
Inspection Request Line: (253) 835 -3050
Parcel Number: 555730 0010
Owner
Applicant
Contractor
GREGORY A SCOTT
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
EMMA L SCOTT
12601132ND AVE NE
FASTWWH948BC 1/3/2008
31832 10TH PL SW
KIRKLAND WA 98034
12601 132ND AVE NE
FEDERAL WAY WA 98023 -4702
KIRKLAND WA 98034
Additional Perrri [nfor>natioti
Mechanical Valuation ................ ............................950 Over the Counter Permit ? ...................................... Yes
I hereby certify that, the above information Is correct and that the construction can the abo%04
the occuDancv and the use wig rrecchrdelasd LyWi-iMlawL rules and regulations of the
v '--'~'V &"W%%l Vlay.
SEP 242007
Owner or agent: Date:
11 FA
s
THIS CARD IS TO REMAIN ON -SITE
r
CITY OF Community Development Inspection Record'
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 105260 -00 -ME
Owner: GREGORY A SCOTT
Address: 4W 10TH PL SW
FEDERAL WAY, WA 98023 -4702
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
For inspector reference only
D Rough Electrical D FINAL - Electrical
Approved Approved
By Date By Date
Cry or RECEIVED O
Fe EV1rLtfPMElaiT I!} ,F;; `P E R X I V E D
COMMUNITYDEVELOM
h
3832 AVENUE 8
200
FED ERAL WAY, WA- 98 063.9718,
253.835.2607• FAX 20-835-2609 APPLICAIITONO07
I{WU&i lIm da"*(to11.cam
CITY OF FEDERAL WAY
The following is required information — an incomplete aVI)1WdWh'rih MrWhDBe a ne
SITE ADDRESS 31832 10 PL SW, FEDERAL WAY, WA 98023
0r,7_ /0S- "9®
SF MF CO UIE EL PL DE EN FP
ited. Please print legibly (in ink) or tune.
SMTE /AMT #
ASSESSOR'S TAX /PARCEL # 55573 010 LOT SIZE (sf)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attodi separa[eM9rfor -9 ft hgol doaotpffoy
TYPE OF PERMIT 0 BUILDING 0 PLUMBING YkmEcIIANICAL
O DEMOLITION ❑ ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed descri ption of work vee[ucied on this Dermit only)
Remove/RenWe Gas Water Heater
PROJECT NAME (Name of Business or Owner Last Name) SCOTT. GREG
PEOPLE •- •
PROPERTY
OWNER
CONTRACTOR
NAME PRIMARY PHONE
SCOTT. GREG 42531350 -3697
MAILING ADDRESS CITY, STATE, ZIP
3183210 PL SW FEDERAL WAY, WA 98023
COMPANY NAME
FAST WATER HEATER COMPAN
APPLICANT NAME
V
OFFICE PHONE
(800454 -8955
MAILING ADDRESS
12601132ND AVE NE
Cr", STATE, ZIP
KIRKLAND. WA 98034
CELL PHONE
( _
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
.S 7- - —0 --0- ..0 4 4 7 0 0
EXPIRATION DATE
FAX NUMBER
(425 ) 814 -9516
CONTRACTORS REGISTRATION NUMBER (copy of card required with each appucatioa)
1N M48BC
_ EXPIRATION DATE.
/01/03/2008
APPLICANT
COMPANY NAME
APPLICANT NAME
OFFICE PHONE '
See Contractor
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE'
(
1 -
RELATIONSHIP TO PROJECT
FAX NUMBER
0 Architect ❑:Tenant
❑ Agent 0 Other (Describe)
( -
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not
Value of Mechanical Work $
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
BATHTUBS jar Tub /Shower Combo)
SHOWERS
DISHWASHERS
SINKS
GAS PIPE OUTLETS _ _
__ SUMPS
WASHING MACHINES
URINALS
LAVS (Bathroom SWC4
VACUUM BREAKERS
GAS LOOS REFRIG. SYSTEMS
HOODS (comm m..4 WOODSTOVES
RANGES MISC (Describe)
_ dAS WATER HEATERS
WATER CLOSETS iraBe4 MISC (Describe)
DRINKING FOUNTAINS
RAINWATER SYST
ROSE BIBS$
ELECTRIC WATER HEATERS _
I certib under penalty of perjury that the ir;jormation furnished by ma 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 rederat Way as to any claim linciuding 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 flied 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 ir�ormation supplied to the city as a part of
this application.
NAME /TITLE Permit Mgr DATE 9118107
(Signature) Mue)
RELATIONSHIP TO PROJECT Q Owner 0 Agent A Contractor G Architect 17 Other