00-100436City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name: NORRIS (HVAC)
Project Address: 4027 SW 334TH
Project Description: Retrofit of gas water heater
Mechanical Permit #:00 -1004 - 00 -
qC
Inspection request lime: 253. . 140
(3:30pm cut-off for next day inspections)
Parcel Number: 327900 0600
Owner
Applicant
Contractor
Colleen Norris
NONE
FAST WATER HEATER
4027 SW 334TH PL
FEDERAL WAY WA
12601 132ND AVE NE
98023-2925
NONE
KIRKLAND WA 98034
Mechanical Valuation..........................................450 Over the Counter Permit ...................................... Yes
Mechanical Fixtures
Description Quant' Description QuantiI Description JQuanti
Water Heaters I
CONDITIONS:
OL - D- C,
r•
PERMIT EXPIRES August 13, 2000, IF NO WAS STARTED..
��.• Permit issued on February 15, 2000
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:C�,��'"'�/��-�-�1 ' Date: z�� j LO -7)
'BiM 1XGD1MoN ;
G • 33530 First Way South
Federal Way, WA 98003
ISE PRINT
flet: ;• ..
Tenant (if known)
Building Owner's Name
City
Nature of Work
Name (F,M,L)
Address
Fax(206)661-4129c
APPLICATION FOR BUILDING PES ®ePLT�AV
APPLICATION # M —
y Address tw
Lot # Asa ssor's ex #
r�
Address
J
�, i21 M—z MA '
'° State , ZIP
Contact Person Day Phone Other Phone Fax
Company Name
Address
City
Contact Person
Contractor's # (card must be presented)
Name
Address
Contact Person
LEGAL DESCRIPTION
State Zi
Phone Fax
Expiration Date Verified 0 Yes 13 No
State
Phone
Fax
.,�
Gas Dryer
2wo Usesed
Use
Air Handling > s 10,000 CFM
Permit includes:
Furn <100K BTUs
-�
O Building
-..
O Plumbing
Mechanical
O Other
Type of Work:
O Residential
O Commercial
❑ New
❑ Addition
❑ Remodel
❑ Garage
O Number of Units _
O Shed
O Dock
O Other
Enter 1st Floor
Area Basement
sq ft
sq ft
2nd Floor eq ft
Decks sq ft
3rd Floor sq ft
Garage eq ft
Existing Floor Area
Pro osed Total Area
sq ft
sqfl
Water Availability
❑ Sewer Avallabl1
O On -Site Septic S
tem Availabili
Project Valuation
8
2onine
Contractor Name
Contact
Water Clos
Electric
)Lavatories
Address
Phone
Lawn
Fax
FM
`"s%.......
Fuel Type (electric/other)
Gas Dryer
MECHANICAL EVALUATION ONLY $
Air Handling < e 10,000 CFM 15-30 Tons
Length of Gas Piping
Range
Air Handling > s 10,000 CFM
30-50 Tons
Furn <100K BTUs
Gas Lao
Unit Heater
50+ Tons
Furn > 100 BTUs
Fans
Miscellaneous
Fuel Tanks
Gas Hwt
Hood
Boilers
Above Ground
Conv Burner
Duct Work
0-3 Tons
Underground
BBQ's
Wood St
Stoves ov
3-15 Tons
n
:Tota ::;::::>::>:>.
... 1..43.nit:Csrunt .............................
DISCLAIMER: I certify under penalty
the above premises to perform the work
attorneys fees
where such cl ' arises out of the re
Owner/Agent:
Maw. "
R"o 1211 IM
`J
that the information Runished by me is true and owed to the best of my knowledge, and further, that I am authorized by the owner of
appl' I further agree to save harmless the City of Federal Way as to any cl#m (ut luding costs, expenses, and
e of claims which y be made by any person, includingthe undersigned, and filedof Federal Way, but only
ding its o8ioers and employees, upon the accuracy of the information supplied to th7,;O�
as a of this application.
Date: ` P�