06-106129.t wo •
City of Federal Way Mechanical Permit #• 06-106129-00-M E
Community Development Services •
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: MARTIN
Project Address: 2021 SW 353RD PL
Project Description: Remove/Replace GAS water heater;
Parcel Number: 926975 0020
Owner
Applicant
Contractor
ANGELA MARTIN
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
2021 SW 353RD PL
12601 132ND AVE NE
FASTWWH948BC 1/3/2008
FEDERAL WAY WA
KIRKLAND WA 98034
12601 132ND AVE NE
98023-6927
KIRKLAND WA 98034
Additional Permit Information
Mechanical Valuation............................................921 Over the Counter Permit? ...................................... Yes
Plumbing Fixtures
Water Heaters ..............................
PERMIT EXPIRES Thursday, December 4, 2008
Permit Issued on Monday, December 4, 2006
1 hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
A imlidwa •
Owner or agent: Date:
FI�'1�=ED
THIS CARD IS TO REMAIN ON-SITE t
CITY UP Community Development Inspection Record
Federal inlay IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -106129 -00 -ME
Owner: ANGELA MARTIN
Address: 2021 SW 353RD PL
FEDERAL WAY, WA 98023-6927
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)
E]
Final - Mechanical (4065)
Approved
Approved to release test
Approved
By
Date
By
Date
B
S Date, ---Z _ i;/
a RECEI QED �j CK2325
city OF RECEIVED BY y O - l 12
q
Federal VftIMMITYDEVELOPMENTDEPMr MIT
i DEC 0 4 2•00�F MF CO ME L PL DE EN FP
COMMUMTY DEVELOPMEM' SERVICES
33325AVENUE SOUTH- PO BOX 9718 UEC 0 4 p L I C AT
FEDD ERAL WAY, WA98063-9718 �
253-835-2607' FAX 253-835-2609 i F R O FA R.Ak
wwwdLaffcdemhunu.wm BUILDING DEP
The following is required information- an incomplete application will not be accepted. Please print legibly in ink) or type.
SITE ADDRESS 2021 SW 353 PL, FEDERAL WAY, WA 98023
SUITE/UNIT R
ASSESSOR'S TAX/PARCEL # 9269550020 _ - LOT SIZE (sf)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
��;y���:::;��:'��?;�,.��:�i�:.�:r,�•iM�.- .-:C.•.�•'Si+��i'��t'Yt:: -,� /YPROJECTINFORMATION; �:•:. 4. t...: -..- �::,.:. �•..,;..�;.. . _.... .
.;i.i .T..•`: �[., tr4. p.:>'t�i'l-ia�, 9. Y `=cV'';r OYrr;S�7..;•.S•
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING X MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu)
Remove/Replace Gas Water Heater
PROJECT NAME (Name of Business or Owner Last Name) MARTIN. ANGELA
PEOPLEMFOPXATION
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
NAME-
MARTIN. ANGELA
PRIMARY PHONE
((2531 141-8548
MAILING ADDRESS
2021 SW 353 PL
CITY, STATE, ZIP
FEDERAL WAY, WA 98023
COMPANY NAME
FAST WATER HEATER COMPAN
APPLICANT NAME
V
OFFICE PHONE
((425814-3124
MAILING ADDRESSCITY,
12601 132ND AVE NE
STATE, ZIP
KIRKLAND. WA 98034
CELL PHONE
( -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
S Z- 0 ..9- -0 0 A 7 0 0- B L /
FAX NUMBER
(425 ) 814-9516
CONTRACTOR'S REGISTRATION NUMBER (coPy of card required with each applIcatlon) -. EXPIRATION DATE
-FAS1WWH448BC- _ /01/0312008
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
(
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE'
(
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent ❑ Other (Describe)
FAX NUMBER
( -
NAME -
PRIMARY PHONE
E-MAIL ADDRESS
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 ❑ LAKEHAVEN . 11 HIGHLINE 0 PRIVATE (SEPTIC)
.f
t.::::a - �:... ,•' s.. .. a'.t ,, •. a i
-�+. 1 j�` � ,'y'tS f ;�.� .tj'�.o-'d�YI.'4 t:t:Yir•i.K•?�'' r .q! PAQ�T �Q�O4�A�7 s s r at'% s t i'°�4I k'�t�.t .+"t'rit % y,1k ''h" a t t . a �Z i�%i w�' �e
AREA DESCRIPTION
EXISTING
SQ. FT.
PROPOSED
SQ. FT.
TOTAL
BASEMENT
FIRST
SECOND
i
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK (COHERED?)
GARAGE ❑ CARPORT ❑
�,,p�Mp rRoro9aC TarAY
NUMBER OF FLOORS
A
rr . i5
""NEWHOMES ONLY-- NUMBER OF BEDROOMS ESTIMA'T'ED SELLING PRICE
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to
Value of Mechanical Work
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
LUMBING
BATHTUBS Ior Tub/Shower Combo)
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
LAVS (Bathroom sink-)
EVAPORATIVE COOLERS
FANS
^� FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
GAS LOGS
HOODS Icomm—jq
RANGES
X GAS WATER HEATERS
WATER CLOSETS rr.iie j
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
REFRIG. SYSTEMS
WOODSTOVES
MISC (Describe(
MISC (Describe)
I certify 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 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.
.rte Permit Mur DATE
NAME/TITLE (Title)
(Signature)
RELATIONSHIP TO PROJECT 0 Owner O Agent )0 Contractor 0 Architect n Other_
12/1 /06