07-106210City Development Services • y of Federal Way
Commuhi Mechanical Permit #• 07- 106210 -00 -M E
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: GISH
Project Address: 30635 21ST AVE SW Parcel Number: 416770 0020
Project Description: Replace 50 gallon gas water heater
Owner
Applicant
Contractor
EVERETT GISH
NORTHWEST PERMIT INC
WASHINGTON ENERGY SERVICES CO
30635 21ST AVE SW
1345 GULF ROAD
(WESCO)
FEDERAL WAY WA 98023 -2376
POINT ROBERTS WA 98281
WASHIES9710B 9/2/07
2800 THORNDYKE AVE W
SEATTLE WA 98199
Additional Permit Information
Mechanical Valuation ................ ............................950 Over the Counter Permit ? ...................................... Yes
Mechanical Fixtures
Hot Water Tank ............................. 1
PE
I hereby certiN that the above
the occupancy apd the use v
Owner or agent:
R
0
S Sunday. Nove
City
nber 15, 2009
ber 15, 2007
ruction on the above described proms and
and regulations of the State of Washington
Date:
THIS CARD IS TO REMAIN ON -SITE
C1" OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 106210 -00 -ME
Owner: EVERETT GISH
Address: 30635 21 STAVE SW
FEDERAL WAY, WA 98023 -2376
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 y Date/,?—
For inspector reference onlx
O Rough Electrical 0 FINAL - Electrical
Approved Approved
By Date By Date
11- 14 -'07 11;40 FROM- T -831 P002/004 F -760
RECEIVED � 7" _ r� � 6_ 2-10
Federal Way NOV 1 4 2007 PERMIT sF MF CO��E EL PT. DE EN FP
CONMVMYV IakVAWdtED/I• SERVlCPS
33315 D IUL WA SO(1fCf • AO YsCLY 9716 , ' LI C ATI O 1�T
FEDfiRAL WAY. o l - po 976 9719 F p
353.835.3807• FAX 353 935 -2
BUILDING DEPT.
The followl is uired ! fhnnation - an incom late agplication will not be acce tad. Please orint Te ib an inkl or
PROPERTY •- •
SITE ADDRESS 30635 21 ST AVE SW SUITE /UNIT #
ASSESSOR'S TAX /PARCEL ii• 4 1 6 7 7 0 - 0 0 2 0 LOT SIZE (e
LEGAL DESCRIPTION (e.9. ACme Estates, Lot 1)
(Afueh sepwvw p4peJN Wngft le•cl Qect*I(OW
0 PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING O PLUMBING MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL 0 ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed descaDtion of work included on this Derma onlO
REPLACE 50 GALLON GAS WATER HEATER
PROJECT NAME (Name Qf Business or Owner Last Name) GiSH
PEOPLE INFORMATION
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LLNDER
14AMTO EVERETT GISH
APPUCANTNAME
(253 ) 9270167-
MNLYNO ADDRESS
Naida Khan
CITY, ATL 2rP
MAIUNO ADDRESS
30635 21 ST AVE SW
CELL PHONE
Federal Way, WA 98023
Point Roberts, WA 98281
RE AMONSHIP TO PROJECT
FAX NUMMR
❑ ArcMtcct ❑ Tenant Agent 0 Other (Describe)
COMPANY NAME
L CANT NAMZ
OFFICE PHONE
WESCO
(206 ) 378 6608
MAILWO ADDRESS
C11y, STATE, z(P
CELL PHONE
2800 Thorndyke Ave W
Seattle WA 98199
( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBS
2"IRAMON DATE
FAX NUMBER
2- -0 - D -3-1 -0 42 3 -4
L 12 131 /07
( ) -
QR'$ RROIRNUMON NUMBER (copy of alyd MQUir6d Tim eaep gpPlic4ti —)
EXPIR MON DATE
W A S H I E S 9 7
1 0 B
09 /02 /09
00—MPAW NAr&
APPUCANTNAME
OFFICE PHONE
Northwest Permit Inc
Naida Khan
( 360 ) 945 -2787
MAIUNO ADDRESS
CITY, 9'CATZ, UP
CELL PHONE
1345 Gulf Road
Point Roberts, WA 98281
RE AMONSHIP TO PROJECT
FAX NUMMR
❑ ArcMtcct ❑ Tenant Agent 0 Other (Describe)
( ) -
NAME PRIMARY PHONE MAIL ADDRESS
Naida Khan (360 ) 945 - 2787 mslissa @nwpermit.com
m
0
ry
LXISTING USE SFR
PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRIN'KISRED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /RE9UIRE1)3 ❑ YLS O NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ MGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAV19N ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
11- 14 —`07 11:40 FROM—
PROJECT FLOOR AREAS
T-831 P003/004 F -760
AREA DESCRIPTION
EXISTING
8, FT.
PROPOSED
5. F I.
TOTAL
S. FT.
8•ASEMENT
EVAPORATMe COOLERS
GAS LOGS
REFRIG. SYSTEMS
FIRST
FANS
HOODS tLymmntotarl
WOODSTOVES
SECOND
FIREPLACE INSERTS
RANGES
MISC (Describe)
THIRD
FURNACE$$
GAS WATER HEATERS
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FOURTH
GAS PIPE OUTLETS
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ADDITIONAL FLOORS (DESCRIBE)
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DECK (COVERED ?)
SHOWERS
WATERCLOSETS paikil
MISC (Deseribe)
GARAGE 0 CARPORT 0
SINKS
DRINKING FOVITrAINS
NUMBER OF FLOORS
saaaawa
arnosoaas
rbrnt.
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ate,:. ......... „sr -.,
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—NEW Y40MES ONLY” NUMBER OF BEDROOMS 9,srnMATED SELLING PRICE $
each type of fixture to be installed or relocated as part Qf this prQjectr Do not uwtude existing fxtures to remain.
bWCSANICAL
Value of Mechanical Work $ 950.00
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AIR HANDLING UNITS
EVAPORATMe COOLERS
GAS LOGS
REFRIG. SYSTEMS
BBQS
FANS
HOODS tLymmntotarl
WOODSTOVES
BOILERS
FIREPLACE INSERTS
RANGES
MISC (Describe)
COMPRESSORS
FURNACE$$
GAS WATER HEATERS
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DUCTS
GAS PIPE OUTLETS
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PLUMBING
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BATHTUBS t INA/Sh.-,,Cambo)
SHOWERS
WATERCLOSETS paikil
MISC (Deseribe)
DISHWASHERS
SINKS
DRINKING FOVITrAINS
OAS PIPE OUTLETS
SUMPS
RAINWATER SYST
WASHING MACHINES
URINALS
HOST; BIBBS
IAVS piatbr m Stnkar
VACUUM BR1 "RS
HLRCTRIC WATER HEATERS
I certVy under penalty of penury that the ir(formation jLrnished by me is true and correct to the best of my knowledge, andfurther, that l
am authorLted 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 dejbnse 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 8f the reliance of the city, including Its officers and employees, upon the accuracy of the iry'ormation supplied to the city as a part of
this application, "�_ NAMEITITLE w DATE 1
tSrgnacurel 'ntle)
RELATIONSHIP TO PROJECT b Owner la<ent O Contractor 4 Architect o Other
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Bulletin #100 —January 1, 2006 Page 2 of 4 k\Tandouts\Pcrmit Application