08-102571 ctrof Federal Way • Mechanical Permit #08-102571 -00-M
Community Developont Services
P.O.Box 9718m
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: SMITH
Project Address: 31431 13TH AVE SW Parcel Number: 416810 0430
Project Description: Remove and replace gas water heater
Owner Applicant ractor ,
WANDA SMITH ACTION WATER HEATERS ONLY INC ION TE' "TERS • Y INC
31431 13TH AVE SW 12704 NE 124TH ST SUITE#43 WHO5
FEDERAL WAY WA KIRKLAND WA 98034 4 NE 124 SUI 4 y
98023-4507 KIR ND W 9.
Additional Permit Info ation
Mechanical Valuation 1653.23 Is this a line or Yes
Mechanicsures
Hot Water Tank 1
i/
PERMIT EXPIRE ' - - day, November 19, 2008
• mit lss " on •y, May 23, 2008
I hereby certify that the a•• .;ati. "a • and that the construction on the above described property and
the occupancy and the use •- -ride with the laws,rules and regulations of the Stateof Washington
• the City of Federal Way.
Owner o nt: Date:
See App t On
,MAY 2 3 2008
1116, THIS CARD IS T MAIN ON-SITE
CITY OF r r* � - 4/Community Develop ent Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-102571-00-ME
Owner: WANDA SMITH
Address: 31431 13TH AVE SW
FEDERAL WAY, WA 98023-4507
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.
0 Mechanical Rough-in(4165) ' D Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By cAi Date 6 ..Z. (',
For inspector reference only
0 Rough Electrical ❑ FINAL-Electrical
Approved Approved
By Date By Date
F�IVED 8Y •
• J CITY OF010
OMMUN[f1(D' OPMENT DEPARTMENT 0g - 1 0 /
f Federal V1�ay /// — - `�
COMMUNITY DEVELOPMENT SERVICES MAY 2 3 2008 PERMIT SF MF CO ME EL PL DE EN
33325 en AVENUE SOUTH•PO$OX 9718 C{�/
FEDERAL WAY,WA 98063-9718 APPLICATION T,��7 I-
iv /253.835-2607•FAX 253.835-2609 "✓uuw.dtuof(edentlwau.com /�t `
The following is required information-'an incomplete application will not be accepted. Please print legibly(in ink)or typ
MI PROPERTY INFORMATION
SITE ADDRESS 3I.431 13 b A-VP A -VPS'u) reilaieledWati SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 4 .I. & b ' e)- 0 4 3 6 LOT SIZE(s,/)
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal desaiption)
IN PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING Cl PLUMBING Ur MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
.Q.vnt5Lli cf etftite LS &AS ukL1 k 0 .
•
PROJECT NAME(Name of Business or Owner Last Name) .5.01,1114 1.() e4. 6Gt r-QA .
. IN PEOPLE INFORMATION
PROPERTY NAME
1 /� I'1t y� C i PRIMARY PHONE 8y
OWNER WfTn�Ufy J (LSCS)�?� '0�-O.Z
MAILING ADDRESS I CITY, TATE,eZIP E-MAIL ADDRESS
3311 51,J33l1) Sr.ONLY r q'rv23
CONTRACTOR coly(PpNy� 4 WATER HEATER tNGLICANTNAME '
AU 11 [-r��+ /� CENTER OFFICE/� PHONEe+� r+ 1J �+
MAILINT� COM MERL'1A�-yam` TERM (`fi- )Lr�C) -.O�a i�.t7
12704 NE 124th ST CITY,STATE,ZIP CELL PHONE
CITY OF FEDF gL.. p1 B�IAIMEES L1IY#tSE 9a03w EXPIRATION DATE FAX NUMBER
I�JY1t\LGl1yiV95 Y'"/Otio�_r7'$� -e5c) iso' i 2.-3J -a' (1/4`)--)P.2--0 - 7 '$ho
COPY olesrd required
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
.rith ese��ppllestlon � ��77 ))
C-77‘) l V 1-� 055 Dt7 - // 7/8 9
/le4704 wtLTC72.aka-%art s-�CDi
APPLICANT CAr}'tNEIA/ ,TR HEATER ONLY IN(r„ PLICA T NAME
OFFICE PHONE
MAIL�N9lgasarOMMERCIALCENTER 1 .mac. (Or) .6% -(- '
CITY,STATE,ZIP CELL PHONE
12704 NE 124th ST#43 ( )
RIDELATIONSIi O/ l Tfn ,A' nh^!
FAX NUMBER
f�chitei�c �TelnV LrD Y II g aT((�C4lther COeirrAc'1 t 46v- (12-r )v20 - 75,96
PROJECT NAME I PRIMARY PHONE E-MAIL ADDRESS
CONTACT ( /- e'y l ( S-) Z �s ll l� �a=TRT/�v GS !!
llrttr, sc 'iiic
LENDER • NAME Per RCW 19.27.095: n
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
I (PHONE
) -
■::DETAILED BUILDING.INFORMATION
EXISTING USE PROPOSED USE
•
EXISTING ASSESSED/APPRAISED VALUE$ `f,jQ fro, '/j(� VALUE OF PROPOSED WORK $ 1(c,5 3,2-3
SPRINKLERED BUILDING? D YES D NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? D YES 0 NO
WATER SERVICE PROVIDER D LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER• o LAKEHAVEN 0 HIGHLINE D PRIVATE(SEPTIC)
„...,H,.,,,...��. AREA
DRIPTION ,,<,� EX (},.�.m...� PROPOSED TOTAL,.,
S SQ. FT. SQ.FT.
BASEMENT
FIRST
•
.SECOND '
•
THIRD , , • • . •
ADDITIONAL FLOORS(DESCRIBE) _ •
•
DECK.(0 COVERED OR 0 UNCOVERED?) '
GARAGE 0 CARPORT 0
•
•
NUMBER OF FLOORS MUMPS PROPOSED TOTAL • TOTAL=STING Sr TOTAL 74107055D Sr TOTALS?
•
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• ■ FIXTURES . 4
Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existing fvctures to remain.
•
MECHANICAL • i //
Value of Mechanical Work$. 1 (05 _,;5t �-' (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS . EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS• • . FANS GAS WATER HEATERS • MISC(Describe)
• BOILERS . FIREPLACE INSERTS HOODS(Commercial)
COMPRESSORS FURNACES • , RANGES
DUCTS ' . • GAS LOG SETS REFRIG.SYSTEMS .
PLUMBING .
• BATHTUBS(or Tub/Shower Combo) LAV.S(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS route
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BUMS $LIMPS '
.R
SIGNAIIRIE
I certify under penalty of perjury that the information furnished bj' &'`ii u z d 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 application.
NAME/TITLE Kret
w ' ., •s )1. DATE 577 D�
Title
/ (Title)
RELATIONSHIP TO PROJECT 0 Owner 0 Agent IS Contrac on- hitect 0 Other •
•
° "� ' WPyam{ •
o NEW o ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO . BASIC PLAN? . • o YES a NO ' '
ZONING DESIGNATION •• CHANGE OF USE? .
• q YES a NO
NEW ADDRESS REQUIRED? . a YES a NO UP/SEPA/SU? • a YES a NO
PLATTED LOT? •
o YES 'o NO ` DEMO PERMIT REQUIRED? o YES o NO
•
Bulletin#100—April 2,2007 . Page 2 of 4 k\Handouts\Permit Application