06-102726City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: CLARK
FILEhanical Permit #: 06 -102726 -00 -MF
Inspection Request Line: (253) 835-3050
Project Address: 28923 15TH PL S
Project Description: Remove/Replace Gas Water Heater
Parcel Number: 516210 0310
Owner
Applica0t
Contractor
JESSE T MORALEX
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
SHANNON P MORALEX
12601 132ND AVE NE
FASTWWH948BC 1/3/2008
29026 19TH AVE S
KIRKLAND WA 98034
12601 132ND AVE NE
FEDERAL WAY WA
KIRKLAND WA 98034
98003-3872
Additional Permit Information
Mechanical Valuation............................................1753
Rluimta'l�i9 Fires
Water Heaters ................................ 1.00
Owner or agent: see Lw.puco lion Date: �/�06
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -102726 -00 -ME
Owner: CLARK DOUGLAS
Address: 28923 15TH PL S
FEDERAL WAY, WA 98003-3757
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 j4 Date 6
COMMUNITY'EVELOPMo BDEPAKMENT RECEIVES I cx1577
CITY OF 0
Federal Way •(Ung 0 1 2006 PERMIT, --
COMMUM7YDEVELOPMWSERVICES JUN Q 2 ZQ�� SF MF CO vIE�L PL DE EN FP
3992E D AVENUE SW . 9. 63 BOX 4718 A p p L I C A N
FEDERAL WAY, WA. 98063-9718, yTf��Q p
253www.d07• FAX hvaii.5-4609 (1 Y (JF FEDERAL W Y /
www.dtwftedemhvaii.com
BUILDING DEPT,
The following is required information –an incomplete application will not be accepted. Please print legib4i (in ink) or tune.
SITE ADDRESS 28923 15 PL S, FEDERAL WAY, WA
ASSESSOR'S TAX/PARCEL # 5162100310 _
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
separate page fw lengthy legal demlplionj
-� •:� ,.:.;� ,::. , �. , .:. � ,� .r : � s.,PROJECTINFORI4IATION .; .;�
TYPE OF PERMIT ❑ BUILDING . ❑ PLUMBING X MECHANICAL
SUITE/UNIT #
LOT SIZE (sfl
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlul
Remove/Replace lamas Water neater
PROJECT NAME (Name of Business or Owner Last Name) CLARK, DOUGLAS
PEOPLE•- •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
NAME
PRIMARY PHONE
CLARK. DOUGLAS ((2531945-09-72
MAILING ADDRESS CITY, STATE, ZIP
2892315 PL S FEDERAL WAY, WA 98003
COMPANY NAME APPLICANT NAME
FAST WATER HEATER COMPANY
OFFICE PHONE
((425814-3124
MAILING ADDRESS CITY, STATE, ZIP
12601 132ND AVE NE KIRKLAND. WA 98034
CELL PHONE
( _
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
B Z--0 .¢ -0 0 4 7 0 0- B L' / /
FAX NUMBER
(425 814-9516
CONTRACTORS REGISTRATION NUMBER (coPy of card required with each application) EXPIRATION DATE.
TWWH_q48BC_ _ /01/0312008
COMPANY NAME
APPLICANT NAME
OFFICE PHONE '
(
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑:Tenant ❑ Agent ❑ Other (Describe)
NAME - - PRIMARY PHONE E-MAIL ADDRESS
EXISTING ASSESSED/APPRAISED VALUE $_
SPRINKLERED BUILDING? ❑ YES ❑ NO
PROPOSED USE
VALUE OF PROPOSED WORK $ -//
;�ArJ—
FIRE SUPPRESSION SYSTEM PROPOSED%REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN . ❑ HIGHLINE 0 PRIVATE (SEPTICI
PROJECT FLOOR AREA9
AREA DESCRIPTION
EXISTING
SQ. FT.
PROPOSED
§9. FT.
TOTAL
SQ. FT.
BASEMENT
HOODS (c.—..iei) WOODSTOVES
BBQS
FIREPLACE INSERTS
FIRST
BOILERS
SECOND
COMPRESSORS
FURNACES
THIRD
DUCTS
GAS PIPE OUTLETS
FOURTH
ADDITIONAL FLOORi (DESCRIBE)
DECK(COVERED7)
GARAGE 0 -CARPORT ❑
�pr�e reorosSP TOTAL
NUMBER OF FLOORS
....nnwxo PCTTMATTUI FF.I.IdNG PRICE
--
number of each type of fixture to be installed or relocated as part of this project. Do not
Value of Mechanical Work $
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS LOGS REFRIG, SYSTEMS
FANS
HOODS (c.—..iei) WOODSTOVES
BBQS
FIREPLACE INSERTS
RANGES MISC (Describe)
BOILERS
GAS WATER HEATERS
COMPRESSORS
FURNACES
_X_
DUCTS
GAS PIPE OUTLETS
ODescribe
BATHTUBS ior7nb/Show c—bo) SHOWERS WATER CLOSETS (rwley MISC (Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS pRwoom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
I certify underpenalty of perjury that the irtformation furnished by me is true and correct to the best of "W knowledge, and further, that 1
am authorised by the owner of the above premises to perform the work for which the permit application is .made. 7 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 filen against the City of Federal Way, but only where such claim
cers and employees, upon the accuracy of the information supplied to the city as a part of
arises out of the reliance of the city, including its offi
this application.
-.
�. ; ,...,. Permit Mar DATE 5/31/06
NAMEITITLE ITitlel
(Slgnaturel
RELATIONSHIP TO PROJECT D Owner 0 Agent A Contractor I] Architect 0 Other