06-100973 t �
City of Federal Way Mechanical Permit #: 06-100973-00-ME
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: FOUNTAINE
Project Address: 34016 30TH AVE SW Parcel Number: 010921 0080
Project Description: Replace Gas Hot Water Heater
Owner Applicant Contractor ,
WILLIAM E FOUNTAINE ACTION WATER HEATERS ONLY INC ACTION WATER HEATERS ONLY INC
12704 NE 124TH ST SUITE#43 ACTIOWHO55DP 1/17/07
KIRKLAND WA 98034 12704 NE 124TH ST SUITE#43
KIRKLAND WA 98034
Additional Permit Information
Mechanical Valuation 1299 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
See and the City of Federal Way.
Owner or agent: See ' � picatio Date:
Nto
THIS CARD IS TO REMAIN ON-SITE
CITY OF r .. Community Development Inspection Record ,
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06-100973-00-ME
Owner: WILLIAM E FOUNTAINE
Address: 34016 30TH AVE SW -
FEDERAL WAY, WA 98023-7719
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 Wo-k 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) f►:1 Final-Mechanical (4065)
Approved Approved to release test Approved
By Date By Date B ��t\ Date 3 `r 111
C000EPEES 9y RECEIVED BY
• �C ��NI RFC NTg COMMUNITY DEVELOPMENT DEPART
- 10 ° EZ- .
CFederal Way -
',P /$t; ,en
p 2� g 2 1 2006
�jY I's' SF MF CO lE EL PL DE EN FP
COAVENUE SOUTH
•T PO 971 p I CATI O N
33325 AVENUE SOUTH•PO BOX 97 8 2O�
r
FEDERAL WAY, X 98069.97/8 / /
253,835.2607•FAX 253835.2609
www.cituotrecieltiway.coni
The ollowin• is re•u" -• •• ormation-an incom•lete a••iication will not be acce•ted. Please •rint le•"•I (in ink)or .
/ • PROPERTY� � INFORMATION
SITE ADDRESS 3V(.4"..),f� 30 7 (T��� -- /� SUITE/UNA EC E I V E D
ASSESSOR'S TAX/PARCEL* 6 q 0 I 2 i.- o 6 �CJ LOT SIZEt('sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) MAR p 1 2006
attach separate melte len"legal deacrtptbnl
r
• PROJECT INFORMATION
-. . , ' PT.
TYPE OF PERMIT 0 BUILDING 0 PLUMBING A<MBCHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included conn this permit[itonly)
j2°�//t I'� S to br t [1-e- T-
46o2 ac„).
PROJECT NAME(Name of Business or Owner Last Name) 1�W r l �''(_o__• PEOPLE INFORMATION
PROPERTY NAME / // PRIMARY PHONE
��
OWNER `/[/ ,-rY► �i 7`11/A/& (2s5 -g35- 3/2
4.776CONTRACTOR COMPANY NAMENAME OFFICE PHONE
ACTION WATER HEATER ONL c 42C) g' Cr
MAILING TIOTE6M COMMERCIAL CENT STATE,ZIP ELL PHONE
12704 NE 124th ST#43 ( ) -
CrrY OF FEDERAL.}1{gS�uSyl1IIC1�]I TIUA98034 EXPIRATION DATE FAX NUMBER
1499 --1 o<la b- B L /L / f /O$ ( ) -
A-C r L lL W 0 5f _ lati� //q_
q with each application) /EXP DATE
/d
APPLICANT
-c WATERHEATER ONLY I1PCNNAg - OFFICE HONE 4`�mAniNgfa COMMERCIAL CCNTEBrr,STATE.Z SEPHONE
12704 NE 124th ST # 43 l ( ) -
REIATIONSI D• WA. ?SOM. „, i„`�/yA FAX NUMBER
❑Architect 0 Tenant 0 Agen 0 other(Describe) 5JZ Z6 /1�/�_ ( ) -
CONTACT NAME RIMARY PHONE EMAIL ADDRESS
GcJt/f! 1 jritntra� (P�3� 3,
LENDER 'e;:'', :,...:• • '.),,,y,•';(;), ";, •1;'',,—,,,,,, , N
'*MAILING ADDRESS CTIY.STATE.ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE • PROPOSED USE
Gj IEXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ / / �-
a
SPRINKLERED BUILDING? ❑YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES - o NO
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL) .
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
• • e h
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.PT. sg.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
MOMIIM° PROPOSED TerM. .`J,L.^.f: i.r, • •.4,.. ` '
••NUMBER OF FLOORS .`.rr= , :�:: ,;; .'.;
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of 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(Commerclai) WOODSTOVES
BOILERS FIREPLACE INSERTS /') RANGES MISC(Describe)
COMPRESSORS FURNACES (�l/� GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS(roseU 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
DISCLAIMER/SIGNATURE BLOCK
I cert(fy 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 coats. 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 i officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE DA /E
7
(Signatu (Title)
RELATIONSHIP TO OJECT ❑ Owner o Agentntractor 0 Architect 0 Other
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Bulletin#100-January 7,2005 Page 2 of 4 k\Handouts\Permit Application