05-103103 City of Federal Way Mechanical Permit#: 05 - 103103 - 00 - ME
Community Development Services
PO.Box 9718
Federal Way,WA 98063-9718
Ph (253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
Project Name: HERNANDEZ
Project Address: 4264 SW 337TH PI Parcel Number: 921152 0080
Project Description: Replace gas hot water tank.
Owner Applicant Contractor
Lawrence Hernandez Jr. &Yong Suk Hemande FAST WATER HEATER COMPANY FAST WATER HEATER COMPANY
4264 SW 337TH PL 12601 132ND AVE NE 12601 132ND AVE NE
FEDERAL WAY WA KIRKLAND WA 98034 KIRKLAND WA 98034
98023-3200 (425)814-8381
Mechanical Valuation 1747 Over the Counter Permit Yes
PERMIT EXPIRES January 4,2006.
Permit issued on July 8,2005
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: 4/3(d�
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-103103-00-ME
Owner: LAWRENCE HERNANDEZ JR.
Address: 4264 SW 337TH PL
FEDERAL WAY, WA 98023-3200
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) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By . CA) Dateg • YOLT
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SrTE ADDRESS 4214-SW 337 EL,.FED.E1tAL.NAY,_WA__98023-___ ..____. ____ . SIIITE/IINIT I
ASgT-',SSOWS TAX/PARCEL It 9211520080 --- - .
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1FAST WATER HEATER COMPANY1 (4251814-3124
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1 FN DER Per RCW 19.27.495: f..eniier information it‘, • N"'n" ;
required if project min.ascends$5,000'
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L certify under penalty of perjury informationthat thinformationJutntshed by lee Intrete and correct to the best of my knowledge, and further, that r
autltartzed by the owner of the pilon premises to perforin the wwrk far w•eich the permit applicutdorr it rind.. I fr,rther nnrer f 1...1,1
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1 Iiur•rntcai the. City of Federal Wui nt CO any ctatm 1Lncludtng cost}, expenses. a.•d attorneys'fens Incurred in the tnt.w.ttryptla,r and defren.r n,l
i zwc•h elrrinr), which play be'made by any person,including the undersigned, rind pled against the Cety of Fettrral Way,but only u•h..,. >ercl. .Ll.rr,
t ore srs out of the reliance of the reify, tnrlt,Qtng it•c officers accct employee-supon tie nrcurricy of the 1,144017/15.1544 14 SUpf.l>rd t., the eiry.rr t,t,.,rt n
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