07-106506City of Fedxyal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Project Name: COVELL
Project Address: 1334 SW 350TH ST
Mechanical Permit #: 07-106506-00-ME
Project Description: Remove /replace gas water heater
Inspection Request Line: (253) 835 -3050
FILEParcel Number: 502860 0760
Owner
Applicant
Contractor
BOB S COVELL
ACTION WATER HEATERS ONLY INC
ACTION WATER HEATERS ONLY INC
PATRICIA A COVELL
12704 NE 124TH ST SUITE #43
ACTIOWHO55DP 1/17/09
1334 SW 350TH ST
KIRKLAND WA 98034
12704 NE 124TH ST SUITE #43
FEDERAL WAY WA 98023 -6940
KIRKLAND WA 98034
�tir�lt Pe%Iltormation''S v
FIVALED
THIS CARD IS TO REMAIN ON -SITE
C1WOF Community Development Inspection Record -
Federai Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 106506 -00 -ME
Owner: BOB S COVELL
Address: 1334 SW 350TH ST
FEDERAL WAY, WA 98023 -6940
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on -site. DO NOT LOSE TIiIS 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 br 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 Auproved
By Date By Date B Date ,�z -- 7
For inspector reference only
O Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
COMMUNrry E EEOPMD By EPA 1 {J/
QTY QP / O /J
Feder�at Way �j T RECEIVED— � - — —
DEC 0 4 q 1\1'11T SF MF CO. EEL PL DE EN,,FP
COMMUNITY DEVELOPMENT SERVICES L- �Q
33325 8tH AVENUE SOUTH • 63 971 9778 APPLICATION 0 4 200
FEDERAL WAY, X 98063 -260 0 ( /
253- 835.2607• FAX 253- 835 -2609 f/
urtutu.ctluu/1`etienrtlnul. t»m
CITY OF FEE)ERAL MAY
The following is required information - an incomplete application rl3dlklWM &&Wted. Please print legibly (in ink) or type.
PROPERTY 22•- •
SITE ADDRESS G� J � -' S % SUITE /UNIT #
ASSESSOR'S TAX/ PARCEL # �Q - LOT SIZE (,fl
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
.. (Attach separate Pagefor lengthy legal deaa pd-j
PROJECT • •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only)
-- - WlC37J 4 G�A5 L 1,A -r-ac. GIP2ILP�
PROJECT NAME (Name of Business or Owner Last Name) � � Cep
PEOPLE •- •
PROPERTY
OWNER
CONTRACTOR
COPY of cod regalred
with each appli -0—
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
NAME �
PRIMARY PHONE
M l RE IµS 2�1 0 s-
CITY, STATE, ZIP
E -MAIL ADDRESS
CELL PHONE
-
RELATIONSijylp�,Pi20pigpfD W
❑ ATchitec enanf Y• g n they (@6nrr -4C+?f 46,M%"
FAX NUMBER
COxtT WA
11 1 lJ
LICANT NAME
OFFICE PHONE
/ Imo_ k�, - ^, -
iC
MAILINII�+
2704 N E 124th =#43
CITY, STATE, ZIP
CELL PHONE -
CITY OF FEDIgyJcy BJl19IINL�65 SE
it {CSi\1L11 -{VLds - o
EXPIRATION DATE
12-&1-v:7
FAX NUMBER
(06 -) V;-10
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE
Z42 Acr
E -MAIL ADDRESS
cAr- rCMEWA ER ONLYI
L PLICA T NAME
1.
OFFICE PHONE
125) k2o -
MAIL
12704 NE 124th ST 1143
CITY, STATE, ZIP
CELL PHONE
-
RELATIONSijylp�,Pi20pigpfD W
❑ ATchitec enanf Y• g n they (@6nrr -4C+?f 46,M%"
FAX NUMBER
NAME
PRIMARY PHONE
12
(e f) k2a Srfleli�
E -MAIL ADDRESS
cs
NAME
Per RCW 19.27.095:
Lender information is required if project value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
EXISTING ASSESSED /APPRAISED VALUE $
SPRINKLERED BUILDING?
PROPOSED USE
VALUE OF PROPOSED WORK $ / -J / , / �^
❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
kr
AREA DESCRIPTION EXISTING PROPOSED ,r TOTAL
S . FT. SR. . FT. S . FT.
BASEMENT
FIRST
,SECOND
THIRD
ADDITIONAL FLOORS (DESCRIBE)
DECK-(0 COVERED OR ❑ UNCOVERED ?)
GARAGE ❑ CARPORT ❑
4.
NUMBER OF FLOORS sarsrame rxorosm TOTAL roracrarrsrmesr Ton Atrxorossssr TWALer
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part of this project: Do not include existing fixtures to remain.
Value of Mechanical Work $- (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS OAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC (Describe)
BOILERS FIREPLACE INSERTS HOODS (commerdan
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG. SYSTEMS
13ATHTUBS (or Tub /Shower Combo) LAV.S (Bathroom Si.,ks)
DISHWASHERS RAINWATER SYST
DRINKING FOUNTAINS SHOWERS
ELECTRIC WATER HEATERS SINKS
HOSE BIBBS SUMPS
URINALS MISC (Describe)
VACUUM BREAKERS
WATER CLOSETS (Toilet)
WASHING MACHINES
i Kam"
I certify under penalty of perjury that the information furnished b; &lind 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, inclut)#ng its officers and employees, upon the accuracy of the information supplied to the city as a part of
this application. / n `
r
NAME /TITLE
�;i -- ".,,
! t : DATE
(Signature)
RELATIONSHIP TO PROJECT o Owner o Agent
,m (Title)
fXContracipr' a Arthitect 0 Other
E) NEW a ADDITION
a ALTERATION
o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o YES o NO .
BASIC PLAN?
a YES a NO
ZONING DESIGNATION
CHANGE OF .USE?
q YES o NO
NEW ADDRESS REQUIRED?
o YES a NO
UP /SEPA /SU?
a YES ONO
PLATTED LOT?
a YES a NO
DEMO PERMIT REQUIRED?
o YES a NO
Bulletin #100 — .April 2, 2007 .
Page 2 of 4
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