06-100971 City of Federal Way Mechanical Permit #: 06-100971-00-ME
1 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: BARNETT
Project Address: 4633 SW 328TH PL Parcel Number: 802950 0150
Project Description: Replacing Gas Water Heater
,
Owner Applicant Contractor
PHILLIP R BARNETTE ACTION WATER HEATERS ONLY INC ACTION WATER HEATERS ONLY INC
SUSANNA L BARNETTE 12704 NE 124TH ST SUITE#43 ACTIOWHO55DP 1/17/07
4633 SW 328TH PL KIRKLAND WA 98034 12704 NE 124TH ST SUITE#43
FEDERAL WAY WA KIRKLAND WA 98034
98023-1925
•
Additional Permit Information
Mechanical Valuation 1409 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.t le Ci ,pf Federal Way.
Owner or agent: See k4 ialica iofl Date: . 72706.
THIS CARD IS TO REMAIN ON-SITE
• CITY OF -"41.4100' Community Development Inspection Record
' Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-100971-00-ME
Owner: PHILLIP R BARNETTE
Address: 4633 SW 328TH PL
FEDERAL WAY, WA 98023-1925
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
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.
0 Mechanical Rough-in (4165) ❑ Gas Piping(4125) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved 42106,
By Date By Date By Date
RECEIVED BY RECEIVED g�' i
• "'COMMUNITY DEVELOPMENT DEPARTMEN f COMMUNITY DEVELOPMENT Dap..5 'i - / 0 gi_i_
CITY O/
Federal ay NOV o 9 2005 PERMITcEB 2 1 ZOQb
COMMUNITY DEVELOPMENT SERVICES
SIF CO EL PL DE EN FP
33325 D AVENUE scum PO 99718 APPLI CATI ' '�M_ g"v
FEDERAL WAY.WA 98063-9718 :. _ � / /
253www.607•FAX 253$35.2609 �N 0 � `O
www.dtuotTederalwau.mm A., 03
The ollowin• is 'wired ormation-an incom•lete .,;s` . ation •r,, l acce•ted. Please •rint le•ibl (in ink)or .
• PROPERTY INFORIVIAHON
%
SITE ADDRESS 17/ 33 SGV 3..2 cc-- /ax., SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# G /J Z 9 S . O- () / C LOT SMi(Tpf 0 1 2006
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) CITY lF FEf1FRAI WAY
Mach separateP forlengthy'eg°" 'P"°" BUILDING DEPT.
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING AMECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
Pep C /Al6- �'s-AS GSA Z7 A49 - h z 6-cod-tom
y
CR.-IgD.C '
PROJECT NAME(Name of Business or Owner Last Name) ! ,?A,11 T7'
• PEOPLE INFORMATION
PROPERTYNAME /1 /� �/� PRIMARYRI -PHONE
OWNER p12/ /J p•`
IG
L / U(/v) 3/D -9/O�j bO
MAILING 4i '33 S W 3Z Pi STAGE,Z L t/ 9 �D 23
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
N WATFH HFATFR nhLY INC 12 I2 mzb
MAILINGATE,ZIP CELL PHONE
TOTEM COMMERCIAL CENTE ) _
CITY OF FEDERAI�M7 14I FIC .. 1h56T# 43 EXPIRATION DATE FAX NUMBER
/1--/r-VIMbs'-ol8,L-- _KilaKl.AN.p,JvA. 984134 12 /3/ 'es 0-Si20 - 7
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
A-LTL Q II) (-4D .5.SVt / //7 /o 4'
APPLICANT COME 1 w 1 ide e 1., ",
AP ( E_
N
-
,c_ v�
MAILING ADDRESS CRYATE.ZIP CnPHON
/u 76q A () v7?i.C./-43 !(/tcL€ die �n4
PROJECT FAX NUMBER
❑Architect 0 Tenant ❑Agent Oter(Describe) IL!nevi Qvv ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
/ 61f2 2C)�j -gieve
,
LENDER , '3•5 .^%+..- Ei iil,it,si',t= NAME
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $67-40 9 92
SPRINKLERED BUILDING? 0 YES O 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 IIIGHLINE 0 PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.PT. SQ.PT.
BASEMENT
FIRST
a
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT 0
EIISTRlO PROPOS= TOTAL x•�s}.``_✓ i t�,s : i'..'.. tYl'
NUMBER OF FLOORS + ="-i1 �'
�,•."?� " �'� �;�;r.�rr�e�,r.x� l€�t:....
**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
Valli'.of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commerc€ai WOODSTOVES
BOILERS FIREPLACE INSERTSRANGES MISC(Describe)
COMPRESSORS FURNACES QI GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or7Lb/Shower Combo) SHOWERS WATER CLOSETS(mks 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 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.
NAME/TITLE r
DATE / d J
Slgnaturef (nue)
RELATIONSHIP T ROJECT o Owner ❑Agent contractor 0 Architect ❑ Other
355
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Bulletin#100-January 7,2005 Page 2 of 4 k\Handouts\Permit Application