06-105651City of Federal Way
Community Development Services • Mechanical Permit #• 06-105651-00-M t
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: BRAWNER
Project Address: 33043 19TH CT SW
Project Description: Remove/Replace GAS Water Heater
Parcel Number: 010457 0770
Owner
Applicant
Contractor
LIBBIE BRAWNER
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
ARLEEN BRAWNER
12601 132ND AVE NE
FASTWWH948BC 1/3/2008
33043 19TH CT SW
KIRKLAND WA 98034
12601 132ND AVE NE
FEDERAL WAY WA
KIRKLAND WA 98034
98023-6476
Additional Permit Information
Mechanical Valuation............................................1926 Over the Counter Permit? ...................................... Yes
Plumbing Fixtures
Water Heaters ............................... 1 -
PERMI EXPIRES Sunday, November 2, 2008 11
P
r
THIS CARD IS TO REMAIN ON-SITE '
Cl" OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -105651 -00 -ME
Owner: LIBBIE BRAWNER
Address: 33043 19TH CT SW
FEDERAL WAY, WA 98023-6476
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 11Afla�
p� CK2168
RECEIVED BY Q 1 V
CITY OF S9MMUNITYDEVELOPMENTDEPARTME � RECEIVED - v/
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COAwUN11YD=Lo%fENrsERV10ES NDV 0 1 2 ?006 SF MF CO., PL DE EN FP
33325 B FEDERAL
A , WA • PO BOX 9718 A �sp LI C AT I 1°
FEDERAL WAY, WA "0047" p
253-835.2607• FAX 253,835-2609
wwtu.dIu*ffcderniwnu.wm CITY OF FEDERAL
BUIL IN EPT
The following is required Information - an incomplete application wil�not�D
e accepted. Please print legibly (in ink) or time.
SITE ADDRESS 33043 19 CT SW, FEDERAL WAY, WA 98023 SUITE/UNIT #
ASSESSOR'S TAX/PARCEL # 0104570770 — _ — .— LOT SIZE (sfl
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach separate page/or U g ft Iegal dee pHonJ
TYPE OF PERMIT ❑ BUILDING . ❑ PLUMBING X MECHANICAL
O DEMOLITION ❑ ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT. DESCRIPTION (Provide detailed description of work included on this hermit onlul
Remove/ReDlace Gas Water Heater
PROJECT NAME (Name of Business or Owner Last Name) BRAWNER. LIBBIE
PEOPLE• •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
NAME
PRIMARY PHONE
BRAWNER. LIBBIE ((2531288-3557
MAILING ADDRESS CITY, STATE, ZIP
6782 MONTEVISTA DR SE AUBURN, WA 98092
COMPANY NAME _
FAST WATER HEATER COMPAN
APPLICANT NAME
V
OFFICE PHONE
((425814-3124
MAILING ADDRESS
12601 132ND AVE NE
'CITY, STATE, ZIP
KIRKLAND. WA 98034
CELL PHONE
( _
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
B Z - .0 -0- -0 0 4 7 0 0 - B L' / /
FAX NUMBER
(425 ) 814-9516
CONTRACTOR'S REGISTRATION NUMBER (copy of card required with each application) _. EXPIRATION DATE -
WWH448BC / O1/03nOO8
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
(
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE'
1
_
(
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑: Tenant
❑ Agent ❑ Other (Describe)
( _
EXISTING USE- PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ 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 ❑ HIGHLINE 0 PRIVATE (SEPTIC)
ROJECT FLOOR AREAS
P
AREA DESCRIPTION
EXISTING
SQ. FT.
PROPOSED
SQ. FT.
TOTAL
S . FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK (COVERED?)
GARAGE ❑ CARPORT ❑
s�aernro rnoroaw Tatni,
NUMBER OF FLOORS
""NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of f�xhtre to be fristalied or relocated as part of this'project. Do not include ezisiing fixtures to remain.
Value of Mechanical Work
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG. SYSTEMS
$BQS FANS HOODS )c—emial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC (Describe)
COMPRESSORS FURNACES X GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
BATHTUBS )n1Tub/5h-M1Cumbo) SHOWERS WATER CLOSETS (rniloj MISC (Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS pahr—siva) VACUUM BREAKERS ELECTRIC WATER HEATERS
I certify under penalty of parjury that the information furnished by me is tree 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 Federat 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 MrDATE 10/25/06
ISignaturel (title}
RELATIONSHIP TO PROJECT q Owner o Agent :6 Contractor 13 Architect 0 Other