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06-102632e It City of Development chanical Permit #• 06 -102632 -00 -ME r Way Comrriunily Development Services • P.O. Box 9718FILIf Federal Way, WA 98063-9718 4Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050 Project Name: BORGESON Project Address: 30165 25TH AVE SW Parcel Number: 893760 0120 Project Description: Remove/Replace Gas Water Heater Owner Applicant Contractor LARRY R BORGESON FAST WATER HEATER COMPANY FAST WATER HEATER COMPANY 30165 25TH AVE SW 12601 132ND AVE NE FASTWWH948BC 1/3/2008 FEDERAL WAY WA KIRKLAND WA 98034 12601 132ND AVE NE 98023-2371 KIRKLAND WA 98034 Additional Permit Information 3. Mechanical Valuation............................................923 Over the Counter Permit? ...................................... Yes I hereby certify that the above informatic the occupancy and the use will be in a( Owner or agent: the above described property and tions of the State of Washington Date: ? v CJ THIS CARD IS TO RtMAIN ON-SITE CITY CP Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 l PERMIT #: 06 -102632 -00 -ME Owner: LARRY R BORGESON Address: 30165 25TH AVE SW FEDERAL WAY, WA 98023-2371 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 ByaL Date l2 • RECEIVED B3 ' CK1552 MMUNITY DEVELOPMENT DEPARTMENT RECEIVED y� / — 02/ 3 2- FecleralWay MAY 2 5 Zp06 PERMITS coMMUMTYDEvELOpAisNTSEEVlcE 20p SF MF CO ME EL PL DE EN FP 333258TH AVENUE SOUTH • PO BOX 97/8 FEDERAL.3WAY, AX25 43 09 APPLI CATI www.d(w/rcdemhuau.mm CITY OF FEDERAL WA BUILDING DEPT. The following is required information —an incomplete appiication will not be accepted. Please print legibly (in ink) or tune. SITE ADDRESS 30165 25 AVE SW, FEDERAL WAY, WA ASSESSOR'S TAX/PARCEL # 8937600120 LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) SUITE/UNIT # _ . LOT SIZE (sf) :< �,:��� �� ..�. :.. - -- � 1• PROJECTINFORNIATION . ... ... TYPE OF PERMIT ❑ BUILDING . ❑ PLUMBING Yk MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT. DESCRIPTION (Provide detailed description of work included on this Permit only Remove/Renlace Gas Water Heater PROJECT NAME (Name of Business or Owner Last Name) BORGESON. LARRY PEOPLE•• • PROPERTY OWNER CONTRACTOR APPLICANT CONTACT LENDER EXISTING USE NAME PRIMARY PHONE BORGESON. LARRY ((2531874-0726 MAILING ADDRESS CITY, STATE, ZIP 30165 25 AVE SW FEDERAL WAY, WA 98023 COMPANY NAME APPLICANT NAME FAST WATER HEATER COMPA tKIRKLAND. OFFICE PHONE ((425814-3124 MAILING ADDRESSCITY, STATE, ZIP 12601 132ND AVE NE WA 98034 CELL PHONE ( - C1TY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE -8 Z - —0 -0- -0 0 A 7 0 0 - B L / FAX NUMBER (425 ) 814-9516 CONTRACTOR'S REGISTRATION NUMBER (copy of card required with each application) _ EXPIRATION DATE. EAS1WWH948.BC- _ /01/03/2008 COMPANY NAME APPLICANT NAME OFFICE PHONE ' MAILING ADDRESS CITY, STATE, ZIP CELLPHONE' RELATIONSHIP TO PROJECT ❑ Architect ❑:Tenant ❑ Agent ❑ Other (Describe) FAX NUMBER ( - NAME _ PRIMARY PHONE E-MAIL ADDRESS EXISTING ASSESSED/APPRAISED VALUE $_ SPRINKLERED BUILDING? ❑ YES ❑ NO PROPOSED USE !!�� VALUE OF PROPOSED WORK $ FIRE SUPPRESSION SYSTEM PROPOSED%REQUIRED? ❑ YES ❑ NO WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER 0 LAKEHAVEN . 13 HIGHLINE 0 PRIVATE (SEPTIC) •' PROJECT FLOOR AREAS AREA DESCRIPTION EXIS'T'ING S -FT. PROPOSED SQ. FT. TOTAL SQ, FT. BASEMENT FIRST SECOND THIRD FOURTH ADDITIONAL FLOORS (DESCRIBE) DECK (COVERED?) GARAGE 0 -CARPORT O kMerteO lAOPOB=D TOTAL NUMBER OF FLOORS FRTTMATRIIRF.T.T.TNGPRICE _ Indicate numberof each type of fixture to be installed or relocated as part of this'project. Do not Value of Mechanical Work AIR HANDLING UNITS BBQS BOILERS COMPRESSORS DUCTS PLUMBING BATHT1IBS for Tub/Shower Combo) DISHWASHERS GAS PIPE OUTLETS WASHING MACHINES LAVs©■throoa sink-) EVAPORATIVE COOLERS FANS FIREPLACE INSERTS FURNACES GAS PIPE OUTLETS SHOWERS SINKS SUMPS URINALS VACUUM BREAKERS OAS LOGS HOODS (Commereiel) RANGES _�_ GAS WATER HEATERS WATER CLOSETS Ireuej _ DRINKING FOUNTAINS RAINWATER SYST HOSE BIBBS ELECTRIC WATER HEATERS remain. 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 furthe , 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 lincluelhig costs, expenses, and attorneys' fees incurred in the investigation and defense of such claim), which may be made by dny 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. Permit Mgr_DATE 5/24/06 NAME/TITLE llitle} '[Signeturel RELATIONSHIP TO PROJECT 0 Owner ❑ Agent X Contractor D Architect O Other