06-105514f 4111111111111
City of Federal Way
CorSmuhity Development Services • Mechanical Permit #• 06-105514-00-M E
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: THOMPSON
Project Address: 2609 S 304TH ST Parcel Number: 092104 9077
Project Description: Replace (.62) GAS Hot Water Heate:
Owner
Applicant
Contractor
MARC W THOMPSON
ACTION WATER HEATERS ONLY INC
ACTION WATER HEATERS ONLY INC
SANDY L THOMPSON
12704 NE 124TH ST SUITE #43
ACTIOWHO55DP 1/17/07
2609 S 304TH ST
KIRKLAND WA 98034
12704 NE 124TH ST SUITE #43
FEDERAL WAY WA
KIRKLAND WA 98034
98003-4811
Additional Parmlt information
Mechanical Valuation............................................794.78 Over the Counter Permit? ...................................... Yes
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -105514 -00 -ME
Owner: MARC W THOMPSON
Address: 2609 S 304TH ST
FEDERAL WAY, WA 98003-4811
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 ByC, C.43 Dat ..3• Q
RECEIVED BY RECEIVE®
OOMMUNITY DEVELOPMENT DEPARTMENT
Federal Way OCT 2 6 2006 PERMUCT 2 7 2.00E
SF MFC , ME LPL DE EN FP
COMMUMIY DEVELOPMENT SERVICES
39325ETMAVEIYUYSOUM .WA9•POBOX9718 APPLICACI®fib
FEDERAL WAY. WA 93089.9718 E R A L W A
259maimc m FAx289.835.2809 BUILDING DEPT.
•„�.dh�Reder�!���. rom
The followinq is required in ormation - an incomplete application will not be accepted. Please print legibly (in ink) or type.
SITE ADDRESS-if���-� %-J r
ASSESSOR'S TAX/PARCEL # Q
D1l -P-) �
SUITE/UNIT #
10_q- '? D 7 7- LOT SIZE (Sj)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
Wrach separmr Proela �ro�Y �
PROJECT•• •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING 4If MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ,❑\ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit ontu)
e ,o f ar r
&Z dya t -c-12 V-552-2-71�
PROJECT NAME (Name of Business or Owner Last Name) -r `)% 14-e4 -e4 O -K--
PEOPLE•• •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
NAME PRIMARY A, hY tmm P � PHONE - g� !S
I
MAILING ADDRESS r COY. STATE. ZIP ? d o d3
;W51 57 3()4, Thi S / 21Pi?<< ( f't)ra
COMPANY NAME APPLICANT NAME
OFFICE PHONE
(' - ) k2,) -
MAILING ADDRESS I F -, s ,., ATE. ZIP
CELL PHONE
) -
y;4th ST #(
RELAMONSHIP TO PROJECT r Jy�
❑ Architect :❑ Tenatrita SCrtIIE/ �t �i-�=
FAX NUMBER
(Z/217)
EXISTING USE PROPOSED USE 7, I 76
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ /
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? O YES ' ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
TOTAL
FT.
BASEMENT
FIRST
FOURTH
FLOORS (DESCRIBE)
DECK (COVERED?)
GARAGE ❑ CARP
INUMBER OF FLOORS I `'a"'° I "`°'°'ID I 70TAI
••NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
type of f fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIECHANICAL
Value of Mechanical Work $_-7 9,q; /
L/G 7 .�G
��i� — !�[ ��Li �
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS LOGS
REFRIG. SYSTEMS
PROJECT
FLOOR
AREAS
TOTAL
FT.
BASEMENT
FIRST
FOURTH
FLOORS (DESCRIBE)
DECK (COVERED?)
GARAGE ❑ CARP
INUMBER OF FLOORS I `'a"'° I "`°'°'ID I 70TAI
••NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
type of f fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIECHANICAL
Value of Mechanical Work $_-7 9,q; /
L/G 7 .�G
��i� — !�[ ��Li �
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS LOGS
REFRIG. SYSTEMS
BBQS
FANS
HOODS (pommergsq
WOODSTOVES
BOILERS
FIREPLACE INSERTS
RANGES
MISC (Describe)
COMPRESSORS
FURNACES
CCAS WATER HEATERS
DUCTS
GAS PIPE OUTLETS
PLETWUNG
BATHTUBS (or TLb/SbowerCombo)
SHOWERS
WATER CLOSETS pmetl
MISC (Describe)
DISHWASHERS
SINKS
DRINKING FOUNTAINS
GAS PIPE OUTLETS
SUMPS
RAINWATER SYST
WASHING MACHINES
URINALS
HOSE BIBBS
LAVS (Bathroom Sinks)
VACUUM BREAKERS
ELECTRIC WATER HEATERS
I cert(jy 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. I 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 gfFederal Way, but only where such claim
arises out gf the reliance of the city, including its gdicers and employees, upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE DATE
(Signature) / Mtle)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent Coptraet-o❑ Architect ❑ Other
Bulletin #100 — January 7, 2005 Page 2 of 4 MandoutsTermit Application