06-100974 IP
City°f Fedora'Way
Community Development Services Mechanical Permit #: 06-100974-00-ME
PO Box9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: FOLSTER
Project Address: 3947 SW 316TH ST Parcel Number: 873198 2130
Project Description: Replace Gas Hot Water Heater
Owner Applicant Contractor
HARRY FOLSTER ACTION WATER HEATERS ONLY INC ACTION WATER HEATERS ONLY INC
SHARON FOLSTER 12704 NE 124TH ST SUITE#43 ACTIOWHO55DP 1/17/07
5113 CHINOOK DR NE KIRKLAND WA 98034 12704 NE 124TH ST SUITE#43
TACOMA WA KIRKLAND WA 98034
98422-1953
Additional Permit Information
Mechanical Valuation 1573 Over the Counter Permit? Yes
Plumbing Fixtures
Water Heaters 1
CONDITIONS:
PERMIT EXPIRES Tuesday, August 29, 2006
Permit Issued on Thursday, March 2, 2006
I 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.
g Sit' AiCatiO
Owner ora agent: pp Date:
THIS CARD IS TI? REMAIN ON Sd"I E
"CtTTY OF '.' Community Development Inspection Record
.Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-100974-00-ME _
Owner: HARRY FOLSTER
Address: 3947 SW 316TH ST
FEDERAL WAY, WA 98023-2151
"fiiis 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
he 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) 0 Gas Piping(4125) ❑ Final- Mechanical(4065)
Approved Approved to release test Approved
;y_ Date - By Date By G CA) Date3. /7- v Sp
RE
RY
COMMUNITY DEVELOPMENTD DEPARTMENT
' RECEIVE® O q
gym. 7:to 8 2006 00 - 1_ 107z
Federal WayMAR 0 r 2006 PERMIT
COMMUMTYDEVELOPMENT SERVICES SF MF CO SEL PL DE EN FP
333258TMFEDERALAVENUEWAY.WSOUfN•O618
PEDERA PLICATION TD
A 98
259-835-2607•FAX 253-835-26°90U I WING DE . / /
www.dtuo(federolwau.conl
The ollowin, is re•aired i ormation-an incom•lete a••lication will not be acce•ted. Please •rint le•'•1 (in ink)or .
- C� '] • PROPERTY INFORMATION
SITE ADDRESS 3c1-7 y / f 3 GLJ 314,P/P/ �t- SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# L/ 1 3 ( 9 1<"- Z i 3 Q LOT SIZE(sJ)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal desalpt(ot
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
(Zt 1(a Ce (--;-14-3 1, t,t c'c,.( IQ-r 515 -c&t4''
PROJECT NAME(Name of Business or Owner Last Name)
• PEOPLE INFORMATION
PROPERTY NAME iPRIMARY PHONEa
OWNER I IN' R Y 0 1 S (2,59 �!Z`T, -eO 2 02—
MMIG DRESS ,STATE,ZIP
1 L1 1 S uS 3/18Th SI
---rc IA-1 LFA l'O 2
CONTRACTOR COMPANY�N �(TO N WA : —A?t.3 O Mir-NAME OFFICE PHONE l�
FFaa�rffi55',JEi M C i'r�E r ':IAL C �Wl Mir-NAME
(EZ �C., - ((�/
MAII,ING AD 1E,ZIP CELL PHONE
127 1 4th ST # 3 ( ) -
Cr`1Y O/F1FEDDERAL WAY BOSINESS I(N ffiE9 g0 4 EXPIRATION DATE FAX NUMBER
i q -e' --er 11-�7/�4 _ c? L>B L /2 /,3 / 'o ( ) -
C NTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
TI OWk0 f F--) )f / / /7 /07
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS ACT1,0NCl�f,STATE.ZIP' oCELL PHONE
TOTEM C Mc r CIAL CENTER( ) -
RELATIONSHIP TOPROJECT 127. 1: 4th ST # 43 FAX NUMBER
0 Architect 0 Tenant 0 Agent 0 Other()esp,ribe) ..D WA- 98034 ( ) -
CONTACT N // ,_, //� -� PRIMARY PHONE
(4)--�) 2O- '54/t5�/ EMAIL ADDRESS
4Q l9
LENDER ' ":,:l;. ,'' '•z.,': +a?%rr NAME
MAILING ADDRESS. CrrY,STATE.ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE • PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ /f.) 7
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL) A
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS snrrrno PROPOSED
"NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type offixture fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(cameo—ciao WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES ) GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(orThb/Shower Combo) SHOWERS WATER CLOSETS(Toilet) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS _ RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sims) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
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 is officers and employees,upon the accuracy of the information supplied to the city as a part of
this application. ./�
`VR
NAME/TITLE Qv� '� DATE .2—/ '
Signature) (Title)
RELATIONSHIP TO PROJECT a Owner ❑Agent Contractor 0 Architect a Other
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Bulletin#100-January 7,2005 Page 2 of 4 k\Handouts\Permit Application