08-100590 City of Federal Way • Mechanical Permit 4411)8-100590-00-ME
Community Development Services ^� p
P.O.Box 9718 09 - DlS3"-oc-A
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection ReqUest Line: (253) 835-3050
Project Name: DEHRKOOP ,_,,,
Project Address: 1123 SW 333RD PL Parcel Nu s '6 0560
Project Description: Remove/replace gas water heater
Owner Applicant C• •ct. `
DONNA J DEHRKOOP FAST WATER HEATER COMPANY FA , ' ' ATER• 'A `
TERRY L DEHRKOOP 12601 132ND AVE NE • - H948B /4/ 010
1123 SW 333RD PL KIRKLAND WA 98034 32'" E NE
FEDERAL WAY WA 98023-5315 I• . WA 98034
Addition I Perm forrnatiain VII 6
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ermnit ed on Thury, February 7, 2008
I here, =reify t. i e above i atlo,...,.;_s_,,,_.4,_,.„..7_,:,,,,,: and tot construction.on the above describedlnr p rty and
the oc• : - d the use will bein ac lance ” the la , rules and regulations of the S ofWashington
14e City Of Federal Way.
Owner or ageSee Application Date:See Application
FEB 0 72008 FEB 0 7 2008
THIS CARD IS TWEMAIN ON-SITE
CITY OF , \ , Community Developarent Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 08-100590-00-ME
Owner: DONNA J DEHRKOOP
Address: 1123 SW 333RD PL
•
FEDERAL WAY, WA 98023-5315
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 C. Date,.$ 7—
For inspector reference only
❑ Rough Electrical ❑ • FINAL-Electrical
Approved Approved
By Date By Date
RECEIVED BY• 0
RECEIVED COMMUNITY DEVELOPMENT DEP / 0 C
�m or J
Federal )LAITY DEVELOPMENOA TMENT 200 _
_ RPERMIT �1 r � C• L PL DE EIV FP
1` 333 51877E UE 30 S BOX 97 E p O O t C E
FEDERAL WAY,WA 97!8 APPLICATION Np / /
253-835-2607e oFAX 253-835-2609 D 0 7_2408
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The following is required information-an incomplete application will not be accepted. Please print legibly an ink)or type.
OK • ■
Mi PROPERTY INFORMATION _
SITE ADDRESS 1123 SW 333 PL SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 9264960560 - LOT SIZE(41)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Hawn separate pope far length!legal description)
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING $( MECHANICAL
0 DEMOLITION Q ELECTRICAL 0 ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Protide detailed description of work included on this permit onlu)
Remove/Replace Gas Water Heater
PROJECT NAME(Name of Business or Owner Last Namel _ 1 .�Or
NI PEOPLE INFORMATION
PROPERTY NAME DEHRKOOP, DONNA&TERRY PRIMARY PHONE
OWNER ( (253)925-8622
MAILING ADDRESS CITY,STATE.ZIP E-MAIL ADDRESS
1123 SW 333 PL FEDERAL WAY, WA 98023
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
FAST WATER HEATER COMPANY Carol Randall ( 800454-8955
OK
MAILING ADDRESS
CITY,STATE,ZIP CELL PHONE
�/ 12601 132ND AVE NE KIRKLAND, WA 98034 ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
19-87-000047-00-BL 12/31/08 ( 425-314-9516
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
FASTWWH948BC 1/4/2010 12:00:00AN
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
FAST WATER HEATER COI ( 800-454-8955 _
MAILING ADDRESS CnY,STATE.ZIP CELL PHONE
12601 132ND AVE NE KIRKLAND, WA 98034 ( ) - _
RELATIONSHIP TO PROJECT FAX NUMBER
O Architect 0 Tenant ❑Agent ❑ Other ( 425-$14-9516
PROJECT NAME PRIMARY PHONE E-MAILADDRESS
CONTACT ( ) -
LENDER NAME Per ROW 19.27.095:
Lender information is required(f project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE _
•
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORE $ '
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE a TACOMA ❑PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
• PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR ❑UNCOVERED?)
GARAGE 0 CARPORT 0
n num PROPOSED TOTAL rorAE=MVO 8F TOTAL PROPOSED SF TOTALS?
NUMBER OF FLOORS
**NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
■ FIXTURES
Indicate number of each type offixture ixture to be installed or relocated as part of this project. Do not Include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BagS FANS 1 GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(commensal)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING URINALS MISC(Describe)
BATHTUBS�ar'Ibb/shower Combol LAVS(Bathroom Sinks)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS mull
°ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
I certify under penalty of perjury that I ant the property owner or authorized agent of the property owner.I certify that to the best of my
knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with all applicable
City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that the issuance of this permit
does not remove the owner's responsibility for compliance with local,state,or federal laws regulating construction or environmental laws.
I further agree to hold harmless the City of Federal Wag 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,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.
SIGNATURE: DATE 1/31/08
Property Owner and/or Authorized Agent
)''to +; AJC a e(i ei
a NEW a ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES o NO BASIC PLAN? a YES o NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES o NO
Bulletin#100'—January 1,2008; Page 2 of 4 k\Handouts\Permit Application