06-100972 City of Federal Way Mechanical Permit #: 06-100972-00-ME
Community Development Services
P O.Box 9718 ,1
Federal Way,WA 98063-9718
I Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: BELL
Project Address: 2303 SW 350TH PL Parcel Number: 176110 0440
Project Description: Replace Gas Hot Water Heater
Owner Applicant Contractor
ERIC D BELL ACTION WATER HEATERS ONLY INC ACTION WATER HEATERS ONLY INC
CHRISTINA BELL 12704 NE 124TH ST SUITE#43 ACTIOWHO55DP 1/17/07
2303 SW 350TH PL KIRKLAND WA 98034 12704 NE 124TH ST SUITE#43
FEDERAL WAY WA KIRKLAND WA 98034
98023-3084
Additional Permit Information
Mechanical Valuation 1160 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.
Owner or agent: See Application Date: /2��K�
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
• Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-100972-00-ME
Owner: ERIC D BELL
Address: 2303 SW 350TH PL
FEDERAL WAY, WA 98023-3084
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.
0 Mechanical Rough-in (4165) El Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test ) Approved
By Date By Date Bye (, Date3•Z '0,(95
R
, ... . A RECEIVRECEIVED BY v _ 1 0 a 17 2
COMMWmrpEVEIOPMD BY COMMUNITY DEVELOPMENT DEPART
I6
Federal Way E'� I -FEB2006
J_ NOVO SF MF COL PL DE EN FP
3325 8 AV DEVELOPMENTUSOUTH•POSERVICES APPLICATION
3325 STM AVENUE SOUTH•PO BOX 9718
j FEDERAL WAY.WA 98063-9718 TD / /
Cr 253-835.2607•FAX 253-835.2609
W www.cituolkderalwau.com
).- .
03i .p e ollowin• is -•uired ormation-an incom•lete a,'licatlon will not be acce•ted. Please •rint le• •1 (in ink)or •-.
Q
• PPR�OPPEERJTTY INFORMATION
OS co
ADDRESS (Z 3e S� v` ( l p` �) SUITE/UNIT#
-p CQISSESSOR'S TAX/PARCEL# / 2 6 / / `/- L2 41 41C) LOT SARI 0 1 2006
tU
j �LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) CITYOFF
a Jorlrrod,ylegal desaiptbnl BUILDING A
EP W
Z
8 R 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 incllirlvd on this .-rmit onl
,
PROJECT NAME(Name of Business or Owner Last Name) ,E --z (e
z-/
IIIA PEOPLE INFORMATION
PROPERTY N ) PRIMARY PHONE
OWNER 6r
-/cST, , ka / a3-3)e74/ `/ )
MAILING
ITY,STA1M.ZIP
230 3 Sw .3�011PL creat S cv G . 7.r0 2-3
CONTRACTOR COMPANY NAME APPLICANT NAME -.f OFFICE PHONE
ACTION WATER HEATER ONLY INC /16--)j 62.e.....
(1V - (7C/
MAQ. UT1E1�COMMERCIAL CENTER.STATE.ZIP CELL PHONE
lJ 1I Z�4 N E 1?4th ST# 43 ( ) -
CITY OF FE A BU I SE EXPIRATION DATE i— FAX NUMBER
- KIRKLAN WA "98034 j /3/ /os ( )
/9-95-10 qdlo !4,06 Lr B L -
C NTRACTOR'S REGISTRATION NUMBER(copy of card nquirad with each application) EXPIRATION DATE
Ac 'r-1v a1L-105 1� �' l '/ 'd7
APPLICANT C a /E Y 1 4 APP I i NAME OFFICE PHONE - �
G� I(�'I I ', � Vfl�ip/ rr�
MAILING ALJRNSS ITY� ' CNE
/ Z7�L✓ Alt/2V�.S'T W4/3 //litle6 e,G/�1 gcfd3cf ( ) -
RELATIONSHIP TO PROJECT ` FAX NUMBER
//
0 Architect 0 Tenant 0 Agent -9 u1Ler(Describe) (mil
t!-/ ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
(/i,wt7/✓4 ( 3) g-741- — O
LENDER < ";•, ;;":"..W1 1,;:.f:}'.. + NAME
,,, _ tt' ,t. ...• ,K ,,1.r 1+± s,",
MAILING ADDRESS CITY.STATE.ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE J
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 4/ /CP 0 ------
.
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES 0 NO ,
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL) '
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
S$.FT. S$.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
mrrrna PROPOSED TOTAL :.�_ z- !$" I $i x FIct4Oprt,.7
NUMBER OF FLOORS itWFArtifg
**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 protect. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSI r.MS
BBgS FANS HOODS(commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS _V_ RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or 1Lb/ShawerCombo) SHOWERS WATER CLOSETS Guile) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Stoical 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 flied 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 DATE ji s/��S
' (Signature) (ntle) /�(
RELATIONSHIP TO ROJECT 0 Owner 0 Agent contractor 0 Architect Other
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Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application