06-102631t
•uCi;yof De edpmentWay echanical Permit #• 06-102631-0(f-'ME
` Community Development Services •
P.O. Box 9718 FILe
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
h
Project Name: LEE
Project Address: 32211 16TH PL SW
Project Description: Remove/Replace Gas Water Heater
Parcel Number: 010450 0350
Owner
Applicant
Contractor
SUNG LEE
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
YUNG LEE
12601132ND AVE NE
FASTWWH948BC 1/3/2008
32211 16TH PL SW
KIRKLAND WA 98034
12601 132ND AVE NE
FEDERAL WAY WA
KIRKLAND WA 98034
98023-5417
Additional Permit Information
Mechanical Valuation............................................819 Over the Counter Permit? ...................................... Yes
Mechanical Fixtures
Hot Water Tarek ............................. 1.00
4%L THIS CARD IS TO REMAIN ON-SITE
CITY OF4:t� Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -102631 -00 -ME
Owner: SUNG LEE
Address: 32211 16TH PL SW
FEDERAL WAY, WA 98023-5417
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 CIj Date to •�j • O
CK1552
AL
bryOF �E�vEo B QEPAR
�M T RECEIVEDO (_ 1 0 2 6
Federal vv� E Ev°PME"j PERMIT
COMMuxrlY VICES �0�� O Z��6 SF MF CO (DEL PL DE EN FP
333253tto BOX
035- WAY, WA 980&
82607 FAX 3.83 182 A P P LI C AT I 6
www.dtWMbderchtmg.cnm CITY OF FEDERALAl
BUILDINIDEFT.
The following is required in — an incomplete application wUl not a accepted. Please print legibly /in 1nld or tune.
SITE ADDRESS 3221116 PL SW, FEDERAL WAY, WA 98023
SUITE/UNIT #
ASSESSOR'S TAX/PARCEL # 0104500350 _ _ _ _ — LOT SIZE (sf
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach aeparnte page for 1—Why legal desoW.V "
• • •
TYPE OF PERMIT ❑ BUILDING . ❑ PLUMBING Yj MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT. DESCRIPTION (Provide detailed description of work included on this permit onlu)
Remove/Renike Gas Water Heater
PROJECT NAME (Name of Business or Owner Last Name) LEE. SUNG
PEOPLE:•• •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
NAME PRIMARY PHONE
LEE. SUNG 142531838-76-33
MAILING ADDRESS CITY, STATE, ZIP
3221116 PL SW FEDERAL WAY, WA 98023
COMPANY NAME APPUCANT NAME
FAST WATER HEATER CONWA
OFFICE PHONE
814-3124
((42M814-3124
MAILING ADDRESS CITY, STATE, ZIP
12601 132ND AVE NE KIRKLAND. WA 98034
CELL PHONE
( _
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
-8 7- - -0 -0- • 0 0 4 7 0 0 - B L
FAX NUMBER
(425 ) 814-9516
CONTRACTOR'S REGISTRATION NUMBER (copy of card required with each application) _. EXPIRATION DATE.
.FASTWWH-g48BC- _ /01/03/2008
COMPANY NAME
APPLICANT NAME
OFFICE PHONE '
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE '
1
_
(
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑_Tenant
❑ Agent ❑ Other(Describe)
EXISTING ASSESSED/APPRAISED VALUE
PROPOSED USE
VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED%REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN . 11 HIGHLINE 0 PRIVATE (SEPTIC)
Zi K44 V 0
Indicate number of each type of fudure to be installed or relocated as part of ihisproject. Do not inchide existing fixtures to- remain.
Value of Mechanical Work
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS LOGS
REFRIG. SYSTEMS
BHQS
FANS
HOODS (commcrdA
WOODSTOVES
BOILERS
FIREPLACE INSERTS
RANGES
MISC (Describe)
COMPRESSORS
FURNACES
X._ GAS WATER HEATERS
DUCTS
GAS PIPE OUTLETS
PLUMBING
SHOWERS
WATER CLOSE, {ronu)
MISC (Describe)
$ATHT>;JB3 (or Tub/9hm�-r Combo)
DISHWASHERS
SINKS
DRINKING FOUNTAINS
GAS PIPE OUTLETS __^
SUMPS
RAINWATER SYST
WASHING MACHINES
URINALS
HOSE BIBBS
LAVE jiuwom sink-)
VACUUM BREAKERS
ELECTRIC WATER HEATERS
I certify under penalty of perjury that the irtformation 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 arty 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.
r r- Permit M¢r DATE 5/24/06
NAME/TITLE (Title}
(Signature(
RELATIONSHIP TO PROJECT p Owner 0 Agent )5 Contractor D Architect O Other
CITY OF
Fedemo0r l Way
DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES
RECEIVED 33325 8`h Avenue South
PO Box 9718
JUN 0 8 2006Federal Way WA 98063-9718
253-835-2607; Fax 253-835-2609
AY www.ciiyoffederalway.com
CITY UILDING DEPTF FEDERAL `.
Affidavit in Lieu of. General Contractor Registration
State of Washington
County of King
state as follows:
(Print name as sign d)
I have made application for a building permit from the City of Federal Way, Washington.
2. I understand that state law requires that all building construction contractors be registered with the
State of Washington. The exceptions to this requirement are stated under Section 18.27.090 of the
Revised Code of Washington (RCW), a copy of which is printed on the reverse side of this affidavit.
3. I understand that prior to issuance of a building permit for work that is to be done by any contractor,
the City of Federal Way must verify either that the contractor is registered by the State of
Washington, or that one of the exemptions stated under RCW 18.27.090 applies.
4. In order to provide verification to the City of Federal Way of my compliance with this requirement, I
hereby attest that after reading the exemptions from the registration requirement of RCW 18.27.090, I
consider the work authorized under this building permit to be exempt under No., and will
therefore, not be performed by a registered contractor.
I understand that I may be waiving certain rights that I might otherwise have under state law in any
decision to engage an unregistered contractor to perform construction work.
APPLICA T'S SIGNATURE
Signed and sword to before a this
Day of , 20 QL
�IA V1 L . <i rn7V
Notary's Name (Print)
Notary's Signature
NOTARY PUBLIC in and for the State of
Washington, residing at aL County
My Commission expires: 211H Loa)
Bulletin # 116 — October 1, 2004 Page 1 of 2 k:\Handouts\Contractor's Affidavit