06-104521City of Federal Way Mechanical Permit #' 06-104521-00-M E
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: KIMBALL
Project Address: 32314 10TH PL S Parcel Number: 150240 0100
Project Description: ALT - replace gas to gas water heater
Owner
Applicant
Contractor
EMMA KIMBALL
WASHINGTON ENERGY SERVICES CO
WASHINGTON ENERGY SERVICES CO
32314 10TH PL S
(WESCO)
(WESCO)
FEDERAL WAY WA 98003
2800 THORNDYKE AVE W
WASHIES9710B (9/2/06)
SEATTLE WA 98199
2800 THORNDYKE AVE W
SEATTLE WA 98199
Additional Permit Information
Mechanical Valuation............................................950 Over the Counter Permit? ...................................... Yes
Mechanical Fixtures
Hot " lank .............................
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record,
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -104521 -00 -ME
Owner: EMMA KIMBALL
Address: 32314 10TH PL S
FEDERAL WAY, WA 98003-5968
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 nct
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 C- Cj Date • ZZ�
RECEIVED
cm or
Federal Way PERMIT
coAfb w YDEYEI.OPMENT sERwJ E P 0 % 200 SF MF CO �E LPL DE EN FP
33325 8WAVDEPAL WA , Wrlrl • 63 971 9718 P LI CATI O N
FEDERAL WAY, WA 98063-9718
253-845-2807• FAX 253 -WOW O F FEDERARAY
www.ettwffederaluau.mm BUILDING DEPT.
The folbnq is required in&rmatlon - an jflMmnlets9912
Aication will not be gompte& Please inkLor
PROPERTY INFORINIATION
SITE ADDRESS 3 � a 3 ( 4 10 tS- � I-- SUrM/UMT #
ASSESSOR'S TAX/PARCEL # 1 5 0 2 4 0- 0 1 0 0 Lot. SIZE (sfi
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
>��bgWd-oodaN
N PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING J(MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION /Provide detailed descrintfon of work included on this Dermit onlu)
Replace Gas to Gas water heater 50 Gallon 40,00 BTU
PROJECT NAME (Ncuw of Business or Owner Last Name) KkAb2n
PROPERTY
OWNER
APPLICANT
CONTACT
LENDER
NAME Emma Kimball
PRIMARY253 839 -5087
MAILM ADDRESS
CITY, STATE, zip
32314 10th PI S
Federal Way, WA 98003
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
WESCO
Melissa Croda
(206 ) 378 - 6608
MAILING ADDRESS
CITY. STATE, ZIP
CELLPHONE
2800 Thomdyke Ave W
Seattle WA 98199
( ) -
CrTY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
2 -0-10 -3- 1 -0 4 2. -3 A - B
L 12 / 31 / Ora
( ) -
CONTRACTOIZS REGISTRATION NUMBER (copy of card requlnd with each appNcation)
EXPIRATION DATE
W A S H I E S 9 7 1 0 B
09 /02 /07
COMPANY NAME
APPLICANTNAME
OFFICE PHONE
Northwest Permit Inc
Melissa Croda
(360 ) 945 -2787
MMM ADDRESS
CITY, STATE, ZIP
CELL PHONE
1345 Gulf Road
Point Roberts, WA 98281
( 206) 388 - 9357
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant Agent ❑ Other a)escrme)
( ) -
NAME PRIMARY PHONE E W& ADDRESS
Melissa Croda (360 ) say - 2787 melim@nwpermft.com
Per RLW 19.27.095: Lender iftformadon:s
regdred Vpndea salvo mvem b $5.000
NAME
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
FMSTING USE SFR
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAREHAVEN ❑ BIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
AREA DESCRIPTION
EffiSTIIYG
.FT
PROPOSED
SQ.FT.
TOTAL
SQ.FT.
BASEMENT
DRINKING FOUNTAINS
GAS PIPE OUTLETS
SUMPS
FIRST
WASHING MACHINES
URINALS
HOSE BIBBS
SECOND
VACUUM BREAKERS
ZLZCTRIC WATER HEATERS
CHANGE OF USE?
THIRD
o NO
NEW ADDRESS REQUIRED? o YES ❑ NO
UP/SEPA/SU?
FOURTH
o NO
PLATTED LOT? o YES o NO
DEMO PERMIT REQUIRED?
ADDITIONAL FLOORS (DESCRIBE)
o NO
DECK(COVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
�nro
rorUL
iorscsan<as
Tampaorom w
Torus
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of jixhue to be installed or relocated as part of this project Do not include extsffiV Ytures to rent&.
AncClu CAL 950.00
Value of Mechanical Work $
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
GAS LOGS
HOODS (commarW
RANGES
1 GAS WATER HEATERS
REFRIG. SYSTEMS
WOODSTOVES
MISC (Describe)
BATHTUBS (aiub/sho combo)
SHOWERS
WATER CLOSETS abiky MISC (Describe)
DISHWASHERS
SINKS
DRINKING FOUNTAINS
GAS PIPE OUTLETS
SUMPS
RAINWATER SYST
WASHING MACHINES
URINALS
HOSE BIBBS
IAVS m mhmom scowl
VACUUM BREAKERS
ZLZCTRIC WATER HEATERS
I cw tft under penalty of perjury that the information furnished by me is Mie 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 agrw 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 ciabn), 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, includi>Ag gdicers and —ploy—, upon the accuracy of the to —ation supplied to the city as a part of
this applicatiom n n
NAME/TITLE DATE l 71 U l_I7
TO PROJECT ❑
❑ Contractor ❑ Architect ❑
FOR OFFICE USE ONLY
o NEW o ADDITION
o ALTERATION
o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o TES o NO
BASIC PIAN?
o YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
❑ YES
o NO
NEW ADDRESS REQUIRED? o YES ❑ NO
UP/SEPA/SU?
❑ YES
o NO
PLATTED LOT? o YES o NO
DEMO PERMIT REQUIRED?
OYES
o NO
Bulletin #100 — January 1, 2006 Page 2 of 4 kAHandouts\Permit Application