06-102735City of Federal Way chanical Permit #• 06 -102735 -00 -ME
Community Development Services •
P.O. Box 9718 F:ILE
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
Project Name: GIBSON
Project Address: 2004 S 301ST ST
Project Description: Remove/Replace Gas Water Heater
Parcel Number: 798300 0140
Owner
Applicant
Contractor
RICHARD H GIBSON
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
2004 S 301ST ST
12601 132ND AVE NE
FASTWWH948BC 1/3/2008
FEDERAL WAY WA
KIRKLAND WA 98034
12601 132ND AVE NE
98003-4237
KIRKLAND WA 98034
Additional Permit In#c�rmation ,
Mechanical Valuation............................................1370 Over the Counter Permit? ...................................... Yes
Plumbing Fixtures
see S
Owner or agent: AL AL ~' Date: Z ��
THIS CARD IS TO REMAIN ON-SITE A
. CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -102735 -00 -ME
Owner: RICHARD H GIBSON
Address: 2004 S 301 ST ST
FEDERAL WAY, WA 98003-4237
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 l Approved
By Date By Date By G (/V Date .. d00
BY CK 1577
RECEIVE
anoF
COMMUNITY DEV OPMD TUPARTMENT RECSIV 102-7-3 e
Federafflay JUN 0 x 21?ERMIT — — — — — — — —
COMMUATIYD8VE&0J'=RrSERVICES 2 ZO SF MF CO `IQV E PL DE EN FP
r 333258TMAVENUE SOUM R,iLWA,WA.9•63BOX 9718 APPLICATIO `
FEDERAL WAY, WA. 98463-718 .
253.835.2607• FAX Z53.835-2609
www.dttolfederghuott.com - CITY ()F peC)E
I1Ult �t
The following is required information -an incomplete application will not be d�L2Ye�• p d. Please print Iepibir! lin ink) or tune.
SITE ADDRESS 2004 S 301 ST, FEDERAL WAY, WA 98003
SUITE/UNIT #
ASSESSOR'S TAX/PARCEL # 7983000140 — - LOT SIZE (sf)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
/Attach aeparote page for lengthy tegd deeaWON
�FROJECT INFORMATION
TYPE -OF PERMIT ❑ BUILDING . ❑ PLUMBING X MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT. DESCRIPTION (Provide detailed description of work included on this permit onlul
Remove/Renlace Gas Water Heater
PROJECT NAME (Name of Business or Owner Last Name) GIBSON. RICHARD & KATHY
PEOPLE• •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
NAME PRIMARY PHONE
GIBSON. RICHARD & KATHY ((2531941-3397
MAILING ADDRESS CITY, STATE, ZIP
2004 S 301 ST FEDERAL WAY, WA 98003
COMPANY NAME _
FAST WATER HEATER COMPAN
APPLICANT NAME
V
OFFICE PHONE
((425814-3124
MAILING ADDRESS'CITY,
12601 132ND AVE NE
STATE, ZIP
KIRKLAND. WA 98034
CELL PHONE
( -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
S Z--0 -0- -0 0 4 7 0 0- B L
FAX NUMBER
425 ) 814-9516
CONTRACTORS REGISTRATION NUMBER (copy of cud required with each application) _. EXPIRATION DATE.
FASTWAH-248RC _ /01/0312008
COMPANY NAME
APPLICANT NAME
OFFICE PHONE '
MAILING ADDRESS
CITY, STATE, ZIP
CELLPHONE'
RELATIONSHIP TO PROJECT
❑ Architect ❑:Tenant ❑ Agent ❑ Oth6r (Describe)
FAX NUMBER
( -
NAME PRIMARY PHONE E-MAIL ADDRESS
PROPOSED USE
r
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED%REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN . 11 HIGHLINE ❑ PRIVATE (SEPTIC)
PRQJECT FLOOR AREAS
AREA DESCRIPTION
EXISTING PROPOSED
SQ. FT. $ . FT.
TOTAL
SQ. FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT ❑
suerma
NUMBER OF FLOORS raoroexn roan.
-NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of f idure to be installed or relocated as part of thisproject. Do not inclRde
Value of Mechanical Work $
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
PLUMBING
BATHTUBS (or Tub/shw Combo)
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
LAVS (pwp,room shake)
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
GAS LOGS
HOODS (eommereia�
RANGES
X GAS WATER HEATERS
WATER CLOSETS Iroa.q
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
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 further, that I
am authorized by the owner of the above premises to perform the work for which the permit application is .inade. I further agree to hold
harmless the City of Federal -Way as to any claim lincludirig 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 filed 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.
NAME/TITLE Permit Mur DATE 5/31/06 (Slgnaritrel (Title)
RELATIONSHIP TO PROJECT D Owner 0 Agent A Contractor O Architect D' Other