06-102885It ' / 1 t t
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ComCity ofPederalWay Mechanical Permit #• 06 -102885 -00 -ME
munity Development Services •
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 8355-3050
Project Name: SHEPHERD
Project Address: 29214 13TH PL S
Project Description: Remove/Replace Gas Water Heater
Parcel Number: 720560 0060
Owner
Applicant
Contractor
GRACE SHEPHERD
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
29214 13TH PL S
12601 132ND AVE NE
FASTWWH948BC 1/3/2008
FEDERAL WAY WA
KIRKLAND WA 98034
12601132ND AVE NE
KIRKLAND WA 98034
Additional Permit Information
Mechanical Valuation............................................1197 Over the Counter Permit? ...................................... Yes
pphcaVol io�u...u,.
Owner or agent: Qe Date:
N0
A
THIS CARD IS TO RtMAlN ON-SITE
OCITY OF Community Development Inspection Record ;
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -102885 -00 -ME
Owner: GRACE SHEPHERD
Address: 29214 13TH PL S
FEDERAL WAY, WA 98003-3743
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 _Z7014
cin of
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-Federal PERMIT
33L FED "� B o , 9 2Q0E APPLICATION
FEDERAL WAY, WA- 9 0 18.
253-8352607• FAX 253-83S-2609
H,H .di ol �. FEDERAL WAY
an
will not be
SITE ADDRESS 29214 13 PL S, FEDERAL WAY, WA 98003
0� 102g'gs07
SF MF CO IDL PL DE EN FP
ited. Please print legibly (in ink) or tune.
SUITE/TTMr At
ASSESSOR'S TAX/PARCEL # 7205600060 _
LOT SIZE (sf)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot I)
/AHach eeporatepage far lengthy legal deaoipdcN
TYPE OF PERMIT ❑ BUILDING . ❑ PLUMBING X MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT. DESCRIPTION (Provide detailed description of work included on this Dermit onto)
Remove/ReDlace Gas Water Heater
PROJECT NAME (Name of Business or Owner Last Name) SHEPHERD, GRACE
••MUM=•.
PROPERTY
OWNER
CONTRACTOR
APPLICANT
/ ^"- A n.n
NAME'
PRIMARY PHONE
SHEPHERD, GRACE ((8311239-0624
MAILING ADDRESS CITY, STATE, ZIP
2921413 PL S FEDERAL WAY, WA 98003
APPLICANT NAME OFFICE PHONE
FAST WATER HEATER COMPA ((425814-3124
MAILING ADDRESS 'CITY, STATE, ZIP CELL PHONE
12601 132ND AVE NE KIRKLAND. WA 98034 ( _
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
S Z - —0 -0- -0 Q 4 7 0 0-B L . / / (425 ) 814-9516
CONTRACTORS REGISTRATION NUMBER lcopy of card required with each appllcanon) EXPIRATION DATE.
( .FASTWWH448BC- / 01/03/2008
COMPANY NAME
APPLICANT NAME
OFFICE PHONE '
MAILING ADDRESS
CITY, STATE, ZIP -
CELL PHONE"
RELATIONSHIP TO PROJECT
❑ Architect ❑:Tenant
❑ Agent ❑ Other (Describe)
FAX NUMBER
( � _
PROJECT FLOOR AREAE
AREA DESCRIPTION
EXISTING
PROPOSED
TOTAL
SQ. FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK (COVERED?)
GARAGE ❑ CARPORT O
t7Oene0
NUMBER OF FLOORS IROPMR0 TOTAL
"•NEWHOMES ONLY- NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate numberof each type of fudure to be installed or relocated as part of this project. Do not include existing fixtures to remain.
Value of Mechanical Work
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG. SYSTEMS
BBQS FANS HOODS (c._.'.iell WOODSTOVES
BOILERS ,FIREPLACE INSERTS RANGES MISC (Describe)
COMPRESSORS FURNACES X— GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
BATHTUBS *Tub/3ho rCo bo) SHOWERS WATER CLOSETS honey MISC (Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYS (paihroom, sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
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 iinctuding 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 filen 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 [gr DATE 6/8/06
(Signature] (Title)
RELATIONSHIP TO PROJECT Q Owner 0 Agent Ai Contractor ❑ Architect 0.Other