08-101987 s'
City of Federal Way Mechanical Permit #: 08-101987-00-114E
Co,munity l?tvelopment Services
P.O.Box 9718
,
Ph:(253)Federal 835-26Way07WA Fax:(253)98063-9718 835-2609 Inspection Request Line: (253) 835-3050
Project Name: LEE
Project Address: 2630 SW 340TH PL Parcel Number: 010920 0470
Project Description: Remove and replace gas water heater
Owner Applicant Contractor
BRIAN LEE ACTION WATER HEATERS ONLY INC ACTION WATER HEATERS ONLY INC
2630 SW 340TH PL 12704 NE 124TH ST SUITE#43 ACTIOWHO55DP 1/17/09
FEDERAL WAY WA KIRKLAND WA 98034 12704 NE 124TH ST SUITE#43
98023-7733 KIRKLAND WA 98034
Additional Permit I ation
Mechanical Valuation 1493 • • he Counter Permit? Yes
chanic= rxture-
Hot Water Tank 1
PERMIT EX RES W dnesda • t. r - 2008
Perm Is on ' ri• '5 r 8
I hereby certify that the above information is • -ct - th e : c on . e above described property and
the occupancy and the use will be in accordan - e aw~ • es ,)• reg - of the State of Washington
e w "Wr F .eral Wa
- - V • ..
Owner or agent: ate:
;APR 2 5 2008
• THIS CARD IS TO REMAIN ON-SITE
CITY OF '
Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-10198.7-00-ME
Owner: BRIAN LEE
Address: 2630 SW 340TH PL
FEDERAL WAY, WA 98023-7733
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.
•
El Mechanical Rough-in(4165) Gas Piping(4125) Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By Date
I
For inspector reference only _ _ _
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
S•Y OF RECO!!!!) BY S _0 - a l Tg7
.
Federal UNITY DEVELO NT DEPART yL
COMMUNITY DEVELOPMENT SERVICES R M I T t.- � SF MF CO LPL DE EN FP
33325 8*H AVENUE SOUTH•PO 60X A p R 2 4 20D
8
2 3-835 2607•FAX 253 835 2609 WAY,WA 98063-9718 TD
www.cituot►ederuh,,au.cora / / `
The following is required information—'an incomplete application will not be accepted. Please print legibly(in ink)or type.
/, • PROPERTY INFORMATION
SITE ADDRESS_ 2( 3O SW 341-0-2:' Pk', re i tilteet7 (,, 9S102-3 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 0. ( (/J q Z 0 - 0
-�- LOT SIZE(sj)
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
N PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 9eMECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
R.,24-yLe.-e + l 1 a - s )az. & t59-x_,
PROJECT NAME(Name of Business or Owner Last Name) L-ee1. ee-Iew Ilea9(612-
IIII PEOPLE INFORMATION
PROPERTY NAME
PRIMARY PHONE
OWNER L,- (14-3 ) 5' 449(1
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
21,3e) su.,34'o P t.f Factfai ti 0
CONTRACTOR CO11(Ppt�► I HEATER ONLY INKYLICANTNAME
P�"4tillrr 11 11 VV�I�� WATER OFFICE PHONE
MAILING EEM COMMERCIAL CENTER (9zi ) 2cJ 5'�
12704 N E 124th
2^th ST# CITY,STATE,ZIP CELL PHONE
CITY OF FEDF TAYLI3 Y S 't SE 9903 EXPIRATION DATE FAX NUMBER '
It 1 Ct t�����F �"Ii��1
/y.. cry - /o11oc6-On 'Si 12--31 -0-7 (Os) 'i ` 7M,
COPY or cord rognired CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
with eaeh applleation = 4c--77o Lit/1t4 0 55, D
P " 0VD-9 Acrlcm eticer�--,z.45-4-.�zs.aCvm
APPLICANT cAtArrsirIEWATER HEATER ONLY 1N APPLICA TNAMEG OFFICE PHONE
MAI>>}, igkribCOMMERC(ALCENTEN CITY;1 —NP (42c) Prriter
CELL PHONE
12704 NE 124th ST#43 ( ) _
RELATIONSpliWARGAINTD w d , FAX NUMBER
❑ Archit f enant YY5Ag i X,�4ther f71Tif'4C'etr 4& u'r'
(12-r-NU BER - 7‘''96,
PROJECT NAMPRIMARY PHONE E-MAIL ADDRESS
-
CONTACT Yd -' W25-) lac" 6"ff 6' '7vh/sr 6- 4v +chtr,4,it kkleeiis40
LENDER NAME Per RCW 19.27.095: //
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE /
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ 1(7 3-43='
SPRINKLERED BUILDING? o YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER o LAKEHAVEN ❑ HIGHLINE 0 TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
' AREA Da,.�.,n„ PTION EXIS .,.,.G L
PROPOSED TOTAL
SQS SQ.FT. SQ. AL
•
FT.
F BASEMENT • • . • •
•
FIRST
,SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE) •
.
DECK.(0 COVERED OR 0 UNCOVERED?). •
GARAGE 0 CARPORT 0 .
..
NUMBER OF FLOORS I ExisnR1I o. PROPOSED I TOTAL TOTAL=WINO Sr TOTAL PROPOSLD ar TOTAL IT
•
•
""NEW HOMES ONLY'• NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
■ FIXTURES .
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
•
MECHAMCAL •
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS �/7��_ GAS PIPE OUTLETS WOODSTOVES
BBQS• FANS 1 1/ GAS WATER HEATERS • MISC(Describe)
•
BOILERS FIREPLACE INSERTS HOODS tcommercia))
COMPRESSORS FURNACES RANGES •
DUCTS GAS LOG SETS REFRIG.SYSTEMS ( ��
PLUMBING •
--~
BATHTUBS or Tub/shower combo) LAVS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER Ci.OSETs('oast)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS . BUMPS • •
•
• SIGNATURE
I certify under penalty of perjury that the information furnished 14;413aagrand 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,including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this applicdtion. /
NAME/TITLE ! i'Z 1 ...);j_
���" ' t, . • DATE 3 I 0
Si nature) • ..J,,a —, (Title)
RELATIONSHIP TO PROJECT 0 Owner 0 Agent Contractgti4 15.4ril itect 0 Other
•
z ad t r t.o „s-,.. •
4040,
Sx`-' '*. Y r U..S d ''4'
" •
_
o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES o NO . BASIC PLAN? , • o YES a NO
ZONING DESIGNATION CHANGE OF.USE? .
• Q YES a NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO •
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? a YES o NO
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Bulletin##100—April 2,2007 . Page 2 of 4 k\Handouts\Permit Application