06-100745 -r
1
City of Federal Way
Community Development Services •Mechanical Permit #• 06-100745-00-M E
P.O.Box 9718
Federal Way,WA 98063-9718
�y Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: WALKER
Project Address: 30825 4TH PL S Parc- - • 41330 0880
Project Description: Replace Gas Hot Water Heater
,
Owner Applicant on tor
LYNN W WALKER ACTION WATER HEATERS ONLY INC TIO •TER HE RS 0 INC
GERALDINE F WALKER 12704 NE 124TH ST SUITE#43 IOWHO55D'
30825 4TH PLS KIRKLAND WA 98034 •704 NE 124TH T E#43
FEDERAL WAY WA KIRKLA ' 'A '8034
98003-4044
IV.
Additional Pe mit lnformatio
Mechanical Valuation 1142.38 Over the Counter t7 1916 Yes
ing Fixture
Water Heaters 1 ,
• DITI• -
P IT EXPIRES Monday, August 14, 2006
*1611
Perm sued on Wednesday, February 15, 2006
reby ce hat the abo formation is correct and that the construction on the above described property and
cc cy and the use be in accordance with the laws, rules and regulations of the State of Washington
ii
and the Cit4 of Federal Way.
Owner o ent: See Application Date: 2115/06
THIS CARD IS TO REMAIN ON-SITE
arr OF P P P ulikk Community Development Inspection Record
s•
Federal WayIVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-100745-00-ME
Owner: LYNN W WALKER
Address: 30825 4TH PL S
FEDERAL WAY, WA 98003-4044
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) ❑ Gas Piping(4125) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By Date
V
E
'-OMMUNITYDEVELEO'PME TOEPA T _
t RECEIVED MENT
��,oF� . • FEE 1 5 20j, - l 0 0 71-5
Federal Wayr 1 5 2006 PERMIT
COMMUNITY DEVELOPMENfsER SF MF CO L PL DE EN FP
333258TMAVENUESOU2H•POBOX9718 APPLICATION
FEDERAL WAY,WA�F FEDERAL TD / /
253-835-2607•FAX 25
www.dtuotrederalwau.co ILDIN3 DEPT.
The ollowin. is -.wired in ormation-an incom.fete a'.((cation will not be acce•ted. Please •rint le, .1 (in ink)or
..CC,,,� g. '2•5 • PROPERTY INFORMATION
✓
SITE ADDRESS 0 11 pf.' .' SUITE/UNIT#
1 --� /� kyr+/ )
ASSESSOR'S TAX/PARCEL# Li / . . 0 - x �`C C LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
Mach separate page for lengthy legal description)
• 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 onit{)
Ri fc c % GJcf--�i2- /4(5---7 '7 a
PROJECT NAME(Name of Business or Owner Last Name) Li /4 I AZ 6=C
• PEOPLE INFORMATION
PROPERTY NAME /-/ r— � -6
PRIMARY PHONE
C;67--.) _,4
OWNER . / G7 ,',v& loA t.-iLe� (25MDIG ADDRESS CITY,STATE.ZIP
-3)
/
CONTRACTOR COMPAKMO N WAT c. F 7 8,TE R ON L1YP Irt NAME OFFICE PHONE
a) e
MAILING RESS M C)M M E R C IAL C E N� ,LATE.ZIP C) PHONE
ADD
12704 NE 124th ST # 43 (42-0 -
cOF FEDERAIY I E M798034 EXPIRATION DATE FAX NUMBER
3- > U- lrD 0-B L /z. / 13j / C i (42 i7kl2-) - 727e,
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
6 L t-�-'J /W .c� �'_5"D E / / 7 /C 7
APPLICANT COMPAGILO N WA, _ wT t R ON ■Pail Qr NAME OFFICE PHONE
TOTEM C,. .iMERCIAL CENTER ( ) -
MAILING ADDRE6��((Sn��7r�70[[4�/N E 124theST # 4 3m STATE,ZIP CELL PHONE
RELATIONSHIP TlTPRO.i1S '•'�ND, WA. 38034 FAX NUMBER
o Architect ❑Tenant 0 Agent o Other(Describe) ( ) -
CONTACT NAME 7 PRIMARY PHONE E-MAIL ADDRESS
�� (0c) >2 '- —4
LENDER t..i».'>.' ;ate• - ::.x 'f;+ ..,r,+rr .::,. NAME
• ,r .•.!.,; '�r.TI f: :.5,-,,t <4.1,,:,t ,,
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE f�
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ I I L7 'i3 J
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES ' o NO
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
•
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
Sg.FT. Sg.FT. Sg.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS COMMrlcoroaso Tow. r t '' ic " ti ;1,,IIprn°, `,
**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(commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES, GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(orlub/Shower Combo) SHOWERS WATER CLOSETS crouch) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Scare) 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 its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application. ` J�
NAME/TITLE tzZ�'ZC�; 1 e,�" DATE
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner o Agent Contractor 0 Architect ❑ Other
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Bulletin#100-January 7,2005 Page 2 of 4 k\Handouts\Permit Application