06-104743- `
City of Federal Way
Community Development Services MectIanical Permit #: 06 -104743 -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: GRAY
Project Address: 29870 10TH AVE SW
Project Description: Remove/Replace GAS Water Heater
Parcel Number: 195460 0185
Owner
Applicant
Contractor
ROBERT W GRAY
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
29870 10TH AVE SW
12601132ND AVE NE
FASTWWH948BC 1/3/2008
FEDERAL WAY WA
KIRKLAND WA 98034
12601 132ND AVE NE
98023-8206
KIRKLAND WA 98034
Additional it information
Mechanical Valuation............................................1015 Over the Counter Permit? ...................................... Yes
THIS CARD IS TO REMAIN ON-SITE r- 8,''
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -104743 -00 -ME
Owner: ROBERT W GRAY
Address: 29870 10TH AVE SW
FEDERAL WAY, WA 98023-8206
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 Date 11A Ek,
/ CK1991
C., OF - RECEIVED BY 0EC�i��C)
_ l0+ 7 �
Federal VAWMUNn DEVELOPMENT DEPM M I � —
COMMUNITY DSMOPMENrSERVICES SF MF CO ME L PL DE EN FP
33925 dM AVENUE, WA- 9. BOX 9718 SEP 1 s
FEDERAL WAY, WA�806363-9718,
253.835-2607• FAX 253.836=2609 o P L I C A'I` I l�T 9
www. dlvoffbderohuou.mm
CITY OI'F�FEnn''DrrERAL Y
The following is required information - an incomplete appiicatiW WW Hdt Se accepted. Please print leoibiy (in ink) or tune.
SITE ADDRESS 29870 10 AVE SW, FEDERAL WAY, WA
ASSESSOR'S TAX/PARCEL # 1954600185
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) _
SUITE/UNIT#
LOT SIZE (sf)
(Adach-P-M-Papef-I-Why legal dea-WeN
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING Yj MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT. DESCRIPTION (Provide detailed description of work included on this permit only
Remove/ReMace Gas Water Heater
PROJECT NAME (Name of Business or Owner Last Name) GRAY, ROBERT
PEOPLE•- •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
NAME
PRIMARY PHONE
GRAY, ROBERT ((253y839-39-77
MAILING ADDRESS CITY, STATE, Zip
2987010 AVE SW FEDERAL WAY, WA 98023
COMPANY NAME APPLICANT NAME
FAST WATER HEATER COMPA
OFFICE PHONE
((425814-3124
MAILING ADDRESS 'CITY, STATE, ZIP
12601 132ND AVE NE KIRKLAND. WA 98034
CELL PHONE
( _
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
-8 Z - —0 .9- -.0 0 4 7 0 0 -'33 L / /
FAX NUMBER -
(425 ) 814-9516
CONTRACTOR'S REGISTRATION NUMBER (copy of card required with each application) EXPIRATION DATE.
WAH-MBC _ /01/03/2008
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE'
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑: Tenant
❑ Agent ❑ Other (DescnT)e)
( _
EXISTING ASSESSED/APPRAISED VALUE
SPRINKLERED BUII.DING? ❑ YES ❑ NO
PROPOSED USE
VALUE OF PROPOSED WORK $_ ZOy r
FIRE SUPPRESSION SYSTEM PROPOSED%REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN . 0 HIGHLINE 0 PRIVATE iSEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION
EXISTING
SQ. FT.
PROPOSED
$ . FT.
TOTAL
80. FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT ❑.
m61Y110 reoroeLD TaeN,
NUMBER OF FLOORS
"•NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
number of each type of f eture to be installed or relocated as part of this •project. Do not
Value ofMechanicai Work $
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
BATHTUBS Inr Tnb/shower C --ba)
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
LAVS (eRwh sink-)
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
GAS LOGS
HOODS Ic—ercio)
RANGES
X— GAS WATER HEATERS
WATER CLOSETS iraueq
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
REFRIG, SYSTEMS
WOODSTOVES
MISC (Describe)
MISC (Describe)
i cert(fy under penalty of perjury that the irtformation furnished by me is true and correct to the best of rrw 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 flied against the City of Federal Way, but only where such claim
arises out of the reliance of the pity, including its officers and employees, upon the accuracy of the information supplied to the city as a part of
this application.
Permit Mfr DATE 9/15/06
NAME/TITLE -
(Slgnsturel (Tale)
RELATIONSHIP TO PROJECT 0 Owner 0 Agent )I Contractor 13 Architect tI Other