06-105050.A
City of Federal Way
Community De?velopment Services Mechanical Permit #: 06 -105050 -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: PAULSEN
Project Address: 34510 8TH AVE SW Parcel Number: 132170 0720
Project Description: Remove / Replace GAS Water Heater
Owner
Applicant
Contractor
LOUIS W PAULSEN
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
MARIA P PAULSEN
12601 132ND AVE NE
FASTWWH948BC 1/3/2008
34510 8TH AVE SW
KIRKLAND WA 98034
12601 132ND AVE NE
FEDERAL WAY WA
KIRKLAND WA 98034
98023-8402
Additional Permit Information
Mechanical Valuation............................................1102 Over the Counter Permit? ...................................... Yes
Plumbing Fixtures
Water Heaters ................................ 1
PERMIT EXPIRES Saturday, October 4, 2008
Permit Issued on Wednesday, October 4, 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
�'aQ�and tCl ®al Way. (�)
Owner or agent: ii�� 1�p Date. I 0,6
THIS CARD IS TO REMAIN ON-SITE
,•
CITY OF Community Development Inspection Record
�;
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -105050 -00 -ME
Owner: LOUIS W PAULSEN
Address: 34510 8TH AVE SW
FEDERAL WAY, WA 98023-8402
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) E] Final - Mechanical (4065)
Approved Approved to release test Approved
By Date By Date By G. W Date /V . lL�y.V
I
C1 Y OF DECEIVED CK2046
PERMIT" RECEIVED &�L_ —
Federal Way- -- —'— — — —
j 0 4 2006 gUNIT1'DEVELO? M ME L PL DE EN FP
COhfhfUMTY DEVELOPMENT SERVICE3
33325AVEM/E, WA 9• PO BOX 9718 L p I C AT I O r 3 z
FEDD ERAL WAY, WA 980G7-9718 /
253-835-2607•FAX 253-835-2609 FEDERA
wwwcitupfPedemlcnnit— jUILDING DEPT.
The following is required information —an incomplete application will not be accepted. Please print legibly (in ink) or tune.
SITE ADDRESS 34510 8 AVE SW, FEDERAL WAY, WA 98023
ASSESSOR'S TAX/PARCEL # 1321700720
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
SUITE/UNIT N
LOT SIZE (so
?�i•'Lrh:-, .:%;v�f! s�•yt;+;�ti•;1:;Ij:; i. �. c.: -- �� L. �4=:` ,•i:�, ■ � -
`PROJECT INFORMAI`ION-:" ;s:r.-s. .e�.?. •, -�<.. •a��,=s:°�.:,r.r' ::;v`•,::'s�i,.: .
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING XMECM&NICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this Dermit onlul
Remove/ReDlace Gas Water Heater
PROJECT NAME (Name of Business or Owner Last Name) PAULSEN. LOU & MARIE
PE
• i • •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
NAME
PAULSEN. LOU & MARIE
PRIMARY PHONE
((2531952-58$2
MAILING ADDRESS
34510 8 AVE SW
CITY, STATE, ZIP
FEDERAL WAY, WA 98023
COMPANY NAME
FAST WATER HEATER COMPAN
APPLICANT NAME
V
OFFICE PHONE
((425814-3124
MAILING ADDRESS
12601 132ND AVE NE
-CITY, STATE, ZIP
KIRKLAND. WA 98034
CELL PHONE
( _
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER _ EXPIRATION DATE
S 7-- —0 A- -0 0 4 7 0 0- B L /
FAX NUMBER
(425 ) 814-9516
CONTRACTOR'S REGISTRATION NUMBER (copy or card required with each application) _ EXPIRATION DATE.
FASTWWR948BC_ _ 01/0312008
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent ❑ Other (Describe)
FAX NUMBER
( _
NAME
PRIMARY PHONE
E-MAIL ADDRESS
•K f3 Q. d _.fn
e -ut d tjp .pj�e v e �DOQ�
NAME
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
EXISTING ASSESSED/APPRAISED VALUE
PROPOSED USE
t�j
VALUE OF PROPOSED WORK $ $'// D;,Z __
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED%REQUIRED? o YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 PRIVATE (SEPTIC)
;+ '•: 5 i. ;n t .'.'i : •f.: .a: C; : y:'- 5 r r Y s i;•t4 „ � •4:.�p3" •:i'•'�-,'k >
r � '' �t '' :fir .:;�.. �? �:� � �- •�'�:� .. � .. .1. PROJECT FLOOR AREAS ,.�? . t •,.. , .
AREA DESCRIPTION
EXISTING
S . FT.
PROPOSED
S . FT.
TOTAL
SQ. FT._
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK (COVERED?)
GARAGE Q CARPORT ❑
�,�pyq��p
NUMBER OF FLOORS
PROPa9Eb
TOTAL
""NEW HOMES ONLY''" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE
number of eacn type ofiuuwe w 1. : ,•..•�� �-
Value of Mechanical Work
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
PLUMBING
BATHTUBS I.,T-b/shewercombol
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
LAVE (Bathroom sink-) _-
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
GAS LOGS
HOODS (commr vd)
RANGES
X GAS WATER HEATERS
WATER CLOSETS {roarq _
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 '� Permit Al2r DATE --
(Signaturei (Tale)
RELATIONSHIP TO PROJECT ❑ Owner 0 Agent X Contractor ❑ Architect O Other
10/2/06