06-105984A .,,
City of Federal Way Mechanical Permit #•• 06 -105984 -00 -ME
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
P+h: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
Project Name: CARLSON
Project Address: 151 S 357TH ST Parcel Number: 114000 0130
Project Description: Replace GAS to GAS 50 gallon water heater
Owner
Applicant
Contractor
TED M CARLSON
NORTHWEST PERMIT INC
WASHINGTON ENERGY SERVICES CO
DEBRA L CARLSON
1345 GULF ROAD
WESCO)
151 S 357TH ST
POINT ROBERTS WA 98281
WASHIES9710B (9/2/07)
FEDERAL WAY WA
2800 THORNDYKE AVE W
98003-8602
SEATTLE WA 98199
Additional Permit Information
Mechanical Valuation............................................950 Over the Counter Permit? ...................................... Yes
Plumbing Fixtures
.............................. 1
THIS CARD IS TO REMAIN ON-SITE ~`
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -105984 -00 -ME
Owner: TED M CARLSON
Address: 151 S 357TH ST
FEDERAL WAY, WA 98003-8602
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 By4::::(� Date �� ,�••C�
- RECEIVED
t Federal Way NOV 2 0 7QQfi PERMIT
com"nYDEVEIAPAIMSERYICES SF MF CO ME EL PL DE EN FP
33325 BmAYENUE SOi7nf • FO BOX 9718
FEDERAL WAY, WA 98089-970TY OF FEDEIARPLI CATI O N
253 wu,w28o7•FAX25s�35-2 BUILDING DEPT.
www.cltuof(ederalwau.com F I
The fel is firedinfarmation - an incom lets iication will not be SgWqfg& Pleaseprint bd4 or
SITE ADDRESS 151 S 357th Street SIIITE/UmT #
ASSESSOR'S TAX/PARCEL # 1 1 4 0 0 0- 0 1 3 0 LOT SIZE (sfi
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
lnt0od. xpm� P�Ja �
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING g(MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this hermit onW)
Replace Gas to Gas 50 Gallon water heater
PROJECT NAME (Name of Bus&wss or 0umer Last Name) Carron
PROPERTY
OWNER
CONTRACTOR
NAti>E Ted Carlson (253 6s; - 7086
MAILINGADDRESS CRY, STAM, ZIP
151 S 357th St Federal Way, WA 98003
COMPANY NAME
APPLICANT [NAME
OFFICE PHONE
WESCO
Melissa Croda
(206 ) 378 - 6608
MAILING ADDRESS
CRY, STATE, ZIP
CELLPHONE
2800 Thomdyke Ave W
Seattle WA 98199
( ) -
Cr1Y OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DAZE
FAX NUMBER
2.Q--0-3-"1-042.$-4- 12 /31 /06
( ) -
CONTRACTOR'S REGISTRATION NUMBER (copy of card required w1tA Neh appReadon) E)WmTION DATE
WAS H I E S 9 7 1 0 B 09 /02 / 07
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
Northwest Permit Inc
Melissa Croda
( 3W ) 945 -2787
MAILING ADDRESS
CRY, STAM, ZIP
CELL PHONE
1345 Gulf Road
Point Roberts, WA 98281
( 206) 388 - 9357
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant Agent ❑ Other (Describe)
( ) -
CONTACTNAME PRIMARY PHONE E-MAILADDRESS
Melissa Croda (360 ) 945 - 2787 melissa@Iwperml.com
J%r Am 19.27.090. zmldw born Wa t is
NAME
rvlquif+ed irpndea vahm owmedr $5,000
MAI1,ING ADDRESS
CRY, STATE, ZIP
PHONE
EEISTIING USE SFR
PROPOSED USE
ESISTINO ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGBIAM ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
AREA DESCRIPTION
EXISTING
. FT.
PROPOSED
SQ. FT.
TOTAL
SQ. FT.
BASEMENT
SUMPS
WASHING MACHINES
URINALS
FIRST
VACUUM BREAKERS
BASIC PLAN?
o TES
SECOND
ZONING DESIGNATION
CHANGE OF USE?
THIRD
o NO
NEW ADDRESS REQUIRED? o TES o NO
UP/SEPA,/R?
FOURTH
o NO
PLATTED LOT? o TES o NO
DEMO PERMIT REQUIRED?
ADDITIONAL FLOORS (DESCRIBE)
o NO
DECK (COVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
mon"'
rsoeaeeo
""L
20M Or
Tela twosmw
Tomw
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each hjpe of jirh,ue io be installed or relocated as part of dUs project Do not include ez(sting ftvtures to remain.
AWHANrcaL 950.00
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS
BBQS FANS
BOILERS FIREPLACE INSERTS
COMPRESSORS FURNACES
DUCTS GAS PIPE OUTLETS
BATHTUBS (or9Lb/Showercombo)
SHOWERS
DISHWASHERS
SINKS
GAS PIPE OUTLETS
SUMPS
WASHING MACHINES
URINALS
LAVS was„o� sww
VACUUM BREAKERS
GAS LOGS
HOODS (cow
RANGES
1 GAS WATER HEATERS
REFRIG. SYSTEMS
WOODSTOVES
MISC (Describe)
WATER CLOSETS Ubd.0 MISC (Describe)
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
I certify under penalty of perjury that the ir{%rmation furnished by me is true and correct to the best of my knowledge, and further, that I
am authorised by the owner of the above promises to perform the work for which the permit application is made. Z 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 Blab" 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 city, including Its g01cere and employees, upon the accuracy of the Wormation supplied to the city as a part of
this application.
NAME/TITLE
TO PROJECT ` ❑ Owner ❑ Contractor
❑ Architect ❑ Other
FOR OFFICE USE OALT
o NEW o ADDITION
o ALTERATION
o REPAIR o TENANT I101PROVEMENT
BUILDING SHELL ONLY? o TES o NO
BASIC PLAN?
o TES
o NO
ZONING DESIGNATION
CHANGE OF USE?
o TEB
o NO
NEW ADDRESS REQUIRED? o TES o NO
UP/SEPA,/R?
o TES
o NO
PLATTED LOT? o TES o NO
DEMO PERMIT REQUIRED?
o TES
o NO
Bulletin #100 — January 1, 2006 Page 2 of 4 k\Handouts\Permit Application