06-105383Jr 0%
City of Federal Way
Community Development Services Mechanical Permit #• 06 -105383 -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: ADAMS
Project Address: 33421 41ST AVE SW Parcel Number: 327900 0220
Project Description: Remove/Replace GAS Water Heater
Owner
Applicant
Contractor
PAUL ADAMS
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
KATHLEEN ADAMS
12601 132ND AVE NE
FASTWWH948BC 1/3/2008
3342141 ST AVE SW
KIRKLAND WA 98034
12601 132ND AVE NE
FEDERAL WAY WA
KIRKLAND WA 98034
98023
Additional Permit Information
Mechanical Valuation............................................1259 Over the Counter Permit? ...................................... Yes
Plumbing Fixtures
Water Heaters ................................ 1
PERMIT EXPIRES Monday, October 20, 2008
Permit Issued on Friday, October 20, 2006
1 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 the City of Federal Way.
Owner or agent:S- Date: N'7VA/
1.0 �.
CITY OF s
Federal Way
THIS CARD IS TO REMAIN ON-SITE
Community Development Inspection Record
IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -105383 -00 -ME
Owner: PAUL ADAMS
Address: 33421 41 STAVE SW
FEDERAL WAY, WA 98023-2918
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 -4AII)i
Date j4
RECEIVED BY CK213 i
"TM ofMENT DEPARTMENT MUNITY DEVELOP
/ Federalay RECEIVED
5�rT 1 9 2m PERMIT SF MFC ME LPL DE EN FP
COMMUNITY DEVELOPMENT SERVICE ,) ti.., .
33325 STN AVENUE SOUTH • PO BOX 9718 •r O 200F,
0 O �'
FEDERAL WAY, WA 2 53-898063-9718.-260 A P P L I C AT I � U o /
253-835-2607• FAX 253-835-2609 /
www.dlvolFedemhunv mm
CITY
RR 'O'fF❑❑FEDERAL W
The following is required Information -an incomplete applicatiAl442Ytb 'A` FgY epted. Please print legibly (in ink) or tune.
SITE ADDRESS 3342141 AVE SW, FEDERAL WAY, WA 98023
SUITE/UNIT #
ASSESSOR'S TAX/PARCEL # 3279000220 _
— —' —. — LOT SIZE (sfl
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
'�:�s' ='a c. ;;„�;=� � ^;.•;ti=:r�i, ;.� ;... - ;� ;.<:t_L ;�: �=PROJEC - _
-t TINFORMATION� `�:s�:t;:.:ati ' ..y::f:4!•::i-z.j�i j. 1'��, H.r!P r.C:'v sYy<niS :..: .
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING X MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only
Remove/RCDlace Gas Water Heater
PROJECT NAME (Name of Business or Owner Last Name) ADAMS. KATHLEEN & PAUL
PROPERTY NAME
OWNER ADAMS. KATHLEEN & PAUL
CONTRACTOR
APPLICANT
CI IY, STATE, ZIP
3342141 AVE SW FEDERA
1 ((2531838-3625
WAY, WA 98023
COMPANY NAME
APPUCANT NAME
OFFICE PHONE
FAST WATER HEATER COMPAN
V((425814-3124
MAILING ADDRESS
12601 132ND AVE NE
CITY, STATE, ZIP
KIRKLAND. WA 98034
CELL PHONE
( _
CITY OF FEDERAL WAY BUSINESS LICENSE NUI,IBER EXPIRATION DATE
FAX NUMBER
S L--0 -- -0 0 4 7 0 0- B z / /
(425 814-9516
CONTRACTOR'S REGISTRATION NUMBER (copy of cud required with each ePpllcation) _. EXPIRATION DATE.
FASTWWH_q48.BC_. _ / 01/03/2008
1-1.1Ir NAMV;
MAILING ADDRESS CITY, STATE, ZIP CELL PHONE
❑ Architect ❑ Tenant ❑ Agent ❑ Other (Describe) I ( V _ _ ` _
r
•t• .ar, .a' ,q•!i.• .. ,, is •Y• "ti hy• ��t'"�` jA „.
ti"i.J,'i �,},, � 1.V„'Z:. .,�.y:,�ry .r:: •+t G'.... .,t -a,•,••. •. .. ... .. _- :.. .`.ry SrI GS"n 4i 14 c.o- +i,;:.w•^ E'=r •.t °?.�.�•:; ;.
�bFr, :rX �� r '•�L�.S.W:,.:.�•:f:�i'�::;i4.7n,•:.:•+y.••' :'r'..� •iY.�'.;-: 1���yaR'AR11A9 t YYY, ,r7;� fi.,'. � s.
AREA DESCRIPTION
EXISTING
Sq. FT.
PROPOSED
SQ. FT.
TOTAL
SQ, FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK(COVERED7)
GARAGE CJ CARPORT ❑
aaaarnra-ecresao TOTAL 'Mp, 5 ems,
NUMBER OF FLOORS
��.,..,.......,.�a Harr VK* hnTaARP17 nT: RrnRmms, ESTIMATED SELLING PRICE
number of each type of fixture to be installed or relocated as part of this project. Do not include existing ftxtures to remain.
Value of Mechanical Work
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
BATHTUBS I., Tub/show. C --b-)
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
LAVS jeath—m Si k.)
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
GAS LOGS
HOODS commercial)
RANGES
X GAS WATER HEATERS
WATER CLOSETS Iraavl _
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
REFRIG. SYSTEMS
WOODSTOVES
MISC (Describe)
MISC (Describe)
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 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 ^rC -'' Permit Mur DATE 10/18/06
(Signature( (mile"
RELATIONSHIP TO PROJECT Q Owner 13 Agent 1 Contractor o Architect 11 Other