07-104556a . r r••'in::
City of Federal Way
Community Development Services Mechanical Permit #: 07 -104556 -00 -ME
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: ACUFF
Project Address: 34825 11TH AVE SWcel Number: 542242 0650
Project Description: Remove/replace gas wa <heakir/
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A- t,I rm
Mechanical Valuation............................................1249 Over the Counter Permit? ...................................... Yes
l?lurribia�g IFixt"ti i
Water Heaters ................................ 1
0
Owner
ca
Contractor
MICHELLE M GALLEGOS
R HEATE CO
FAST WATER HEATER COMPANY
CYNTHIA L ACUFF
34825 11TH AVE SW
FEDERAL WAY WA 98023
g126 1 132
A 98 4
FASTWWH948BC 1/3/2008
12601 132ND AVE NE
KIRKLAND WA 98034
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A- t,I rm
Mechanical Valuation............................................1249 Over the Counter Permit? ...................................... Yes
l?lurribia�g IFixt"ti i
Water Heaters ................................ 1
0
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07 -104556 -00 -ME
Owner: MICHELLE M GALLEGOS
Address: 34825 11TH AVE SW
FEDERAL WAY, WA 98023-7014
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.
E]
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
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
RECEIVED BY
CITY of COMMUNITY DEVELOPMENT DEPARTMENT
Federa(1Nay. Sr�7�" _ f
COMMUMTY DEVELOPMEMW SERVICES AUG 16 Z o 0 7 P E R M I TECEIVEF MF CO l�E� EL PL DE EN FP
3332 W Y, WA- 98 - PO063-9718,D
FEDEAU A p p L I C A T I OP'l� 20n
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CITY OF FEDER�A WA=Y
Thefollowing is required information — an incomplete application �Blr�ttL'c�epted. please print Iegibty in ink) or type.
SITE ADDRESS 34825 11 AVE SW, FEDERAL WAY, WA 98023
SUITE/UNIT #
ASSESSOR'S TAX/PARCEL # 5422420650 _
— —. — LOT SIZE (sfl
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(n¢oat aepere- P-9-1- U-04 (seal dvo"P N
TYPE -OF PERMIT ❑ BUILDING . ❑ PLUMBING X MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT. DESCRIPTION (Provide detailed description of work included on hermit onlul
Remove/Realke Gas Water Heater
PROJECT NAME (Name of Business or Owner Last Name) ACUFF. CINDY
PROPERTY
OWNER
CONTRACTOR
APPLICANT
NAME
PRIMARY PHONE
ACUFF. CINDY ((2061818-1272
MAILING ADDRESS CITY, STATE, ZIP
3482511 AVE SW FEDERAL WAY, WA 98023
COMPANY NAME APPLICANT NAME
OFFICE PHONE
FAST WATER HEATER COMPA
((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
B Z- Jl Q 4 7 0 0- /
(425 )
-0- -0 B L
814-9516
CONTRACTORS REGISTRATION NUMBER (copy of card re;u- ed- with each application) •, EXPIRATIONDATE.
WWH448BC- _ /01/03/2008
COMPANY NAME
APPLICANT NAME
OFFICE PHONE '
. See Contractor
MAILING ADDRESS
CITY, STATE, ZIP
(CELL PHONE'
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect O:Tenant ❑ Agent ❑ Other (Describe)
_
12
PROJECT FLOOR AREAS
AREA DESCRIPTION
EXISTING PROPOSED
S . FT. S . FT.
TOTAL
SQ. FT.
BASEMENT
RANGES
MISC {Describe)
FIRST
WATER CLOSETS rr.aeq
SECOND
DRINKING FOUNTAINS
THIRD
HOSE BIBBS
FOURTH
ELECTRIC WATER HEATERS
ADDITIONAL FLOORS (DESCRIBE)
DECK(COVERED?)
GARAGE la CARPORT 0
z�rnro
NUMBER OF FLOORSreoraszo rarer
-NEWHOMES ONLY*,' NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of f Xture to be kstalled or relocated as part of Oris project. Do not include ex&ting
Value of Mechanical Work $
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
BATHTUBS for rub/shower Combo)
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
LAVS pathr om sinks)
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
SHOWERS
SINKS
r_T SUMPS
URINALS
VACUUM BREAKERS
GAS LOGS
REFRIG. SYSTEMS
HOODS (commerdel)
WOODSTOVES
RANGES
MISC {Describe)
_X _ GAS WATER HEATERS
WATER CLOSETS rr.aeq
MISC (Describe)
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
I cert(fy 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 Federat Way as to arty 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 filen 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 DATE 8/15/07
(Signature( (Tide)
RELATIONSHIP TO PROJECT Q Owner 0 Agent )6 Contractor n Architect 0 Other