07-105499City of Nileral Way
omAwrilty Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
L
Mec
Project Name: STORM
Project Address: 27755 23RD AVE S
Project Description: 'Remove /replace gas water heater
r - y
ical Permit #: 07-105499-00-ME
Inspection Request Line: (253) 835 -3050
Parcel Number: 757561 0300
Owner
Applicant
Contractor
RON HARUTA
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
27755 23RD AVE S
12601132ND AVE NE
FASTWWH948BC 1/3/2008
FEDERAL WAY WA 98003 -6936
KIRKLAND WA 98034
12601 132ND AVE NE
KIRKLAND WA 98034
I '
Additica'nal Permit InforItl<
Mechanical. Valuation .................... ........................1397.66 Over the Counter Permit? ...................................... Yes
Hot Water Tank ............................. 1
PERMIT E
I hereby
the occ
Owner or agent:
Mechanical fixt+o- ;
IRES Sunday, October 4, 2009
1 on Thuraday. October 4. 2007
will bo in accordance with the laws, rules a
See A p I federal way:
OCT 0 42007
OCT 0 42007
THIS CARD IS TO REMAIN ON -SITE
CITY OF Community Development Inspection ke.Ord
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 105499 -00 -ME
Owner: RON HARUTA
Address: 27755 23RD AVE S
FEDERAL WAY, WA 98003 -6936
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 (� Dated . ..
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By . Date
AL
RECEIVED BY ' - / 0 5 7
CITY GP - COMMUNITY DEVELOPMENT DEPARTMENT R EC E I V E J
�FederalWay PERMIT
couwtmDEFuonaNrsERFlcEs OCT 0 3 20Q7 � � � � SF MF CO IE L PL DE EN FP
33325 8r" FEDERAL WAY, • 63 BOX 4718 APPLICATION
FEDERAL WAY, WA- 98063.97!8 -
253.835.2607- FAX 253-835 -2609
yn .dtrro/FedemhaauXam
CITY OF FEDERA
The fblloudng is required information — an incomplete application u*" ii 4,Q tld. Please print legibly (in ink) or type.
PROPERTY •, •
SITE ADDRESS 27755 23 AVE S, FEDERAL WAY, WA 98003 SUITE/UNIT # .
ASSESSOR'S TAX /PARCEL # 7575610300 - LOT SIZE (sfl
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
' IAttoeh aeparntepoge for Iengfhy legal deaaipHon/ -
TYPE-OF-PERMIT ❑ BUILDING ❑ PLUMBING X MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT. DESCRIPTION (ProLdde detailed description of work included on this hermit only
Remove/Renlace Gas Water Heater
PROJECT NAME (Name of Business or Owner Last Name) STORM. AYRIEL
PEOPLE •- •
PROPERTY
OWNER
CONTRACTOR
�1
APPLICANT
CONTACT
LENDER
EXISTING USE
NAME
PRIMARY PHONE
STORM. AYRIEL (12531946 -7772
MAILING ADDRESS CITY, STATE, ZIP
27755 23 AVE S FEDERAL WAY, WA 98003
COMPANY NAME
FAST WATER HEATER CONWAN
APPUCANT NAME
V
OFFICE PHONE
( 800454 -8955
MAILING ADDRESS
12601132ND AVE NE
'CITY, STATE, ZIP
KIRKLAND. WA 98034
CELL PHONE
( -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
-8 Z - A -0- -0 .4 A 7 0 0 - B L'
FAX NUMBER
(425 ) 814 -9516
CONTRACTORS REGISTRATION NUMBER (.-P7 of card t.gUIX64 With each applleatioa) _. EXPIRATION DATE
W�3Ii248BC_ _ 101/03/2008
COMPANY NAME
APPLICANT NAME
OFFICE PHONE '
. See Contractor
( _
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE'
t
� _
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect O: Tenant
o Agent ❑ Other (Describe)
( -
PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED %REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN . ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
Value of Mechanical Work $
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS LOGS
REFRIG. SYSTEMS
FANS
HOODS Icommeraq
WOODSTOVES
BBQS
BOILERS
FIREPLACE INSERTS
RANGES
MISC (Describe)
COMPRESSORS
FURNACES _X_
GAS WATER HEATERS
.DUCTS
GAS PIPE OUTLETS
PLETMBINa
SHOWERS
WATER CLOSETS (rsiwl
MISC (Describe]
BATHTUBS IwTub /sho ,c -mbo)
DRINKING FOUNTAINS
DISHWASHERS
SINKS
GAS PIPE OUTLETS
SUMPS
RAINWATER SYST
WASHING MACHINES
URINALS
HOSE BIBBS
VACUUM BREAKERS
ELECTRXC WATER HEATERS
LAV3 H thmomSinks)
I cert(fy under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and furthers that I
am authorixed 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 P�ederal- 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 pity, including its officers and employees, upon the accuracy of the information supplied to the city as a part of
this application.
NAME /TITLE Permit Mgr RATE 10/2/07
'(Signature] (Tiilej
RELATIONSHIP TO PROJECT- q Owner 0 Agent )I Contractor 0 Architect O Other