06-105793City of Federal Way
Community Development Services Mechanical Permit #: 06-105793-00-M E
ti P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
Project Name: SAMUEL
Project Address: 3046 SW 346TH PL Parcel Number: 279150 0060
Project Description: Remove/Replace GAS Water Heater
Owner
Applicant
Contractor
GARY L SAMUEL
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
SHERRIE SAMUEL
12601 132ND AVE NE
FASTWWH948BC 1/3/2008
3046 SW 346TH PL
KIRKLAND WA 98034
12601 132ND AVE NE
FEDERAL WAY WA
KIRKLAND WA 98034
98023-3107
Additional Permit Information
Mechanical Valuation............................................1831 Over the Counter Permit? ...................................... Yes
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CITY OF
Federal Way
AV . %
THIS CARD IS TO REMAIN ON-SITE
Community Development Inspection Record
IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -105793 -00 -ME
Owner: GARY L SAMUEL
Address: 3046 SW 346TH PL
FEDERAL WAY, WA 98023-3107
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 �- CA) Date tZ-b-CQ%
RECEIVED RECEIVE / /� %C 2195
' an of
COMMUNITYDEVELOPME 7DEPAflTMENT!
Fede>Na(V�/ayn1(�V PERMIT - - � - - - - -
COMMURATY DEVELOPMENTS BOX 9 1 ®9 ? � � 6 N Q V 0 6sFO W CO �t�VlF�L PL DE EN FP
33325 8TM AVENUE SOU77f • PO BOX 97/8
FEDERALWAY,X
253.8352607•FAx?5 9 F FFp[;RAL, APPLI CATI O N
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The following is required information- an incomplete application will not be accepted. Please print legibly (in ink) or tune.
IMMEMEMiummunworm
SITE ADDRESS 3046 SW 346 PL, FEDERAL WAY, WA 98023
SUITE/UNIT #
ASSESSOR'S TAX/PARCEL # 2791500060 _
— —. — LOT SIZE (sfl
LEGAL DESCRIPTION (e.g. Acme Estates, Lot I)
q ■ VPROJECTINFORMATION:
TYPE OF PEKMIT ❑BUILDING ❑ PLUMBING YL MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only!
Remove/ReDlace Gas Water Heater
PROJECT NAME (Name of Business or Owner Last Name) SAMUEL. GARY & SHERRY
PEOPLE1 • •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE -
NAME
PRIMARY PHONE
SAMUEL. GARY & SHERRY ((2531835-4131
MAILING ADDRESS CITY, STATE, ZIP
3046 SW 346 PL FEDERAL WAY, WA 98023
COMPANY NAME APPLICANT NAME
FAST WATER HEATER COMPA
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
-8 Z - .0 _-9- -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.
1WWH248BC_ _ /01/0312008
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
(
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE'
RELATIONSHIP TO PROJECT
❑ Architect 0: Tenant ❑ Agent ❑ Other (Describe)
FAX NUMBER
( -
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 . 0 HIGHLINE ❑ PRIVATE (SEPTIC)
' PR03ECT FLOOR AFiEAB
AREA DESCRIPTION
EXISTING
SQ. FT.
PROPOSED
SQ. FT.
TOTAL
SQ. FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT ❑
e�umea
NUMBER OF FLOORS rxoroaao TOTAL
**NEWHOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing factures to remain.
Value of Mechanical Work $
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
BATHTPBS lnr Tnb/shower combo)
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
LAVS pathroom sinks)
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
GAS LOOS
HOODS (Commtniq
RANGES
X— GAS WATER HEATERS
WATER CLOSETS Iroue l _
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
REFRIG. SYSTEMS
WOODSTOVES
MISC (Describe)
MISC (Describe)
I cerHA 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. r 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 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 officers and employees, upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE= '�" Permit Misr DATE 11/2/06
(Signature) (thiel
RELATIONSHIP TO PROJECT Q Owner 0 Agent )I Contractor o Architect O' Other