06-101965w ,
City ityDe FederalWayy Mechanical Permit #• 06 -101965 -00 -ME
� Community Development Services •
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
R
Project Name: FERRELL
Project Address: 31114 11TH PL SW Parcel Number: 525980 0480
Project Description: Remove/Replace Gas Water Heater
Owner
Applicant
Contractor
DERICK M FERRELL
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
WILLIETTE FERRELL
12601 132ND AVE NE
FASTWWH948BC 1/3/2008
31114 11TH PL SW
KIRKLAND WA 98034
12601 132ND AVE NE
FEDERAL WAY WA
KIRKLAND WA 98034
98023-4532
Additional Permit Information
Mechanical Valuation............................................957 Over the Counter Permit? ...................................... Yes
PERMIT EXPIRES Tuesday, October 17, 2006
Permit Issued on Thursday, April 20, 2006
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington
and I
11e City, 0f Federal Way.
AlaiW.i®h 4/7n/o�
Owner or agent: Date:
r
THIS CARD IS TO REMAIN ON-SITE
,CITY OF Community Development Inspection Record;
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -101965 -00 -ME
Owner: DERICK M FERRELL
Address: 31114 11 TH PL SW
FEDERAL WAY, WA 98023-4532
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 By<f tjDate -7•/ V . O
cot?i✓,��polTY RECEIVE CK 13 80
DEVEtOPn D g
Cirw OF ENT DEP
RECEIVED s -9—
Federalway.r0
PERMITP 2
COMMUNITY D8VnQPAffWT SERVICES oory SF MF CO LPL DE EN FP
33325 8FEDERAL
WAY,
WA- 9 • PO 8OX 718. APR 2 0 AIP P LI C �,I, I O N
FEDERAL WAY, WA 98063.97!8.
253.8352607• FAX 253.835-2609
www.dtuolkdera wpo.tam
_ CITY OF FEDERAL WAY
SITE ADDRESS 31114 11 PL SW, FEDERAL WAY, WA
SUITE/UNIT #
ASSESSOR'S TAX/PARCEL # 5259800480 _
— —•--. LOT SIZE(sfl
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
. (Attach aeparatepapefar fenglhy legal daeotpNonJ
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING YL MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT. DESCRIPTION (Provide detailed description of work included on this nennit onlul
Remove/ReDlke Gas Water Heater
PROJECT NAME (Name of Business or Owner Last Name) FERRELL. DERICK & WILLETTE
PEOPLEINFORMATION
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
NAME PRIMARY PHONE
FERRELL. DERICK & WILLETTE ((2531941-4865
MAILING ADDRESS CITY, STATE, ZIP
3111411 PL SW FEDERAL WAY, WA 98023
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
FAST WATER HEATER COMPAN
V
((4251814-3124
MAILING ADDRESS
'CITY, STATE, ZIP
CELL PHONE
12601 132ND AVE NE
KIRKLAND. WA 98034
_
CrrY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER -
.8 7- - —0 -0- ..0 0 4 7 0 0 = B
L •J.
(425 ) 814-9516
CONTRACTORS REGISTRATION NUMBER (eop7 of card required with each application)
_ EXPIRATION DATE.
WWH248BC_ _
/01/03/2008
COMPANY NAME
NAME
OFFICE PHONE '
MAILING ADDRESS
EIPTI—LICANT
ATE, ZIP
CELL PHONE'
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑:Tenant
o Agent ❑ Other (Describe)
EXISTING ASSESSED/APPRAISED VALUE $—
SPRINKLERED BUILDING? ❑ YES ❑ NO
PROPOSED USE
VALUE OF PROPOSED WORK $ iT
FIRE SUPPRESSION SYSTEM PROPOSED%REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN . ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
each type of fixture to be installed- or relocated as part of this'project. Do not
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOOS REFRIG, SYSTEMS
BBQS FANS HOODS (comae]) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC (Describe)
COMPRESSORS FURNACES X _ GAS WATER HEATERS
.DUCTS GAS PIPE OUTLETS
BATHTUBS *Tnb/shawe r --W) SHOWERS WATER CLOSETS Iroueq MISC (Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVE pahrom Swcc t VACUUM BREAKERS ELECTRIC WATER HEATERS
I certify 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 authorised 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 linctuding 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 emptoyees, upon the accuracy of the information supplied to the city as a part of
this application.
p 4/19/06
Permit Mur DATE
NAME/TITLE (TtUe)
(Signature)
RELATIONSHIP TO PROJECT 0 Owner 13 Agent X Contractor 0 Architect E]* Other