08-100089- City of Federal Way Mechanical Permit #r: 08-100089�-00-ME
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718 Inspection Request Line: (253) 835-3050
Ph: (253) 835-2607 Fax: (253) 835-2609 256
Project Name: MARSHALL
Project Address: 29811 25TH PL S Parcel Number: 768220 0180
Project Description: Remove/replace gas water heater w
Owner Applicant Contractor
KIM D MARSHALL FAST WATER HEATER COMPANY FAST WATER HEATER COMPANY
ALYCE S MARSHALL 12601 132ND AVE NE FASTWWH948BC 1/4/2010
29811 25TH PL S KIRKLAND WA 98034 12601 132ND AVE NE
FEDERAL WAY WA 98003-4274 KIRKLAND WA 98034
Additional Permit Information
Mechanical Valuation............................................1816 Over the Counter Permit?. ................................... .Yes
Mechanical Fixtures
Hot Water Tank ........................,.... 1
PERMIT EXPIRES Thursday, January 7, 2010
Permit Issued on Monday, January 7, 2008
I hereby certify that the above information is correct and that the construction on the above described property arid
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington
See ¢� �y WW69g6Wral Way. See qt plioetion
Owner or agent: _� _. Date: _ __
JAN 0 7 2008 JAN 0 7 2008
A�k THIS CARD IS TO MAIN ON -SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 08-100089-00-ME
Owner: KIM D MARSHALL
Address: 29811 25TH PL S
FEDERAL WAY, WA 98003-4274
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on -site. DO NOT LOSE THUS 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.
�] Mechanical Rough -in (4165) ❑ Gas Piping (4125) ❑ Final - Mechanical (4065)
Approved Approved to release test Approved
By Date By Date By Date
For inspector
❑ Rough Electrical
Approved
By Date
reference onl
❑ FINAL - Electrical
Approved
By Date
REC
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F911MUL WAY, WA, 980s3.971A - APPLTICAT
2S2.83S-2607• PAX 253.835.2609 EDF RAI rW:A
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The folloWireg is required information —an incomplete application will not be accepted. Please print kgiblg in irlkj or tripe,
■ "I, ■ a
SITE ADDRESS 2981125 PL S, FEDERAL WAY, WA 98003 SUITE/UNIT #
ASSESSOR'S TAX/PARCEL #
7682200180 -
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach aepamte page jar leaglhy legal deaaiptionj
LOT SIZE (D
`�e°:`i?�"�`�a�?��.��•�:��[��t;���,I�;��ssw�;��::FRd�TIHFi7RMA�'iQN=�:.�.er�.�;���xr=. �.��:�,.::�->2s�'R.sr�as;,�'�is;� �,.ar;�:ti.;.,�•
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING X MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT. DESCRIPTION (.Provide detailed description of work &:eluded on this: nermP. only)
Remove/ReDlaee Gas Water Heater
PROJECT NAME (Name of Business or Owner Last Name) MARSHALL. DAVID
e. PEOPLE a -
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE•
NAM& PRIAIARY PHONE
MARSHALL. DAVID ((2531941-675.6
MAILING ADDRESS CITY, STATE, ZIP
FEDERAL WAY, WA 98003
2981125 PL S
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
FAST WATER HEATER COMPAN
.V
( 800-454-8955
MAILING ADDRESS
12601 132ND AVE NE
CITY, STATE, ZIP
KIRKLAND. WA 98034
CELL PHONE
( ) -
61W O FF8DERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
FAX NUMBER
0 4 7 0 0- / /
(425 ) 814-9516
S 7- �-
CONTRACTOR'S REGISTRATION NUMBER [copy of emd requlsal with apeh appllcativa} WIRATION DATE
W 4&BC_ _ _ (W0312008
COMPANY NAME
APPLICANT NAME
OFFICE PHONE "
See Contractor
( ) -
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE'
( )
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑: Tenant ❑ Agent ❑ Other (D'escribe)
( )
NAMP
PRIMARY PHONE E-MAIL ADDRESS 1
Carol Randall
800 454-8955 JI
3
NAME
MAILING ADDRESS
CITY, STATE, ZIP
III ONE:
EXISTING ASSESSED/APPRAISED VALUE
PROPOSED USE
VALUE OF PROPOSED WORK O
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED % REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
Indicate number of each type offxture to be instaitcd or relocated as part of �hisproject. Do not irzehtde existing factures to remain.
E7ECRAMCAL
Value of Mechanical Work__
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS LOGS
REFRIG, SYSTEMS
FANS
HOODS Ic.—miq
WOODSTOVES
_ BBQS
FIREPLACE INSERTS
RANGES
MISC (Describe(
BOILERS
FURNACES
X_ GAS WATER HEATERS
COMPRESSORS
_
DUCTS
__ _ GAS PIPE OUTLETS
.IrLLFMI37NQ
SHOWERS
WATER CLOSETS (roucq
MISC (Describe)
BATHTUBS lor7ub/shawercomtro) �_
DRINKING FOUNTAINS
DISHWASHERS
SINKS
GAS PIPE OUTLETS
SUMPS
RAINWATER SYST
WASHING MACHINES
URINALS
HOSE BIBBS
VACUUM BREAKERS
ELECTRIC WATER HEATERS
LAVE
_
I cerft under pan Ling of perjury that the tijformatlan furnished by me is true and correct to the best of my knowle aver and further, that I
am authorirerl by the owner of the abova premises to parform the work for which the permit application is in ado. I furthar agree to hold
harmless the Clty of Federal. Way as to any claim lincluding casts, expenses, and attoretays' fees incurred in the let vestige' UPri and defense of
1 led no afnst t he City
arfsea Diet of the retiawhich in a nee of the c ty,#ng p ers on, in eluding the t cl'uding its officers and mploycas,tupon the aeau acy of the Wermatlun suppli d to he ay, but only where
as a poRtaf
this application.
_DATE 1 /4/08
NAME/TITLE
(Signsturel (Pule)
RELATIOIJ81 IP TO PROJECT 4 Owner ❑ Agent Al Contractor ❑ Architect 0 Other