00-100437City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
•
Mechanical Permit #: 00 -100437 - 00 - ME
Inspection request line: 253.661.4140
(3:30pm cut-off for next day inspections)
Project Name: CULLEY (HVAC)
Project Address: 2840 SW 341ST
Project Description: Retrofit of gas water heater
Parcel Number: 010921 0160
Owner
Applicant
Contractor
Robert L & Kristy A Culley
NONE
FAST WATER HEATER
2840 SW 341 ST CT
FEDERAL WAY WA
12601 132ND AVE NE
98023-7604
NONE
KIRKLAND WA 98034
Mechanical Valuation..........................................550
Over the Counter Permit ...................................... Yes
Mechanical Fixtures
Description 7PUawi Description Quanti Description Quanti
Water Heaters 1
CONDITIONS:
PEA EXPIRES August 13, 2000, IF NO woos 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: lJ-�:�C•�Gc_, Date: Lo
ci^0r G
AY
Tenant (if known)
Building Owner's Name
• M. 13b"Il!WGpIVfSIvON
33530 First Waq South
Federal Way, WA 98003
(206) 6614000
Fax (206) 661-4129c
APPLICATION FOR BUILDINGPE-F �y
APPLICATION # 6)b 7( VU
a Address l� -
Lot # Assess is Tex iF
Company Name
Addresm
City
State Zi
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No
Name
Address
Vll
State zi
Contact Person Phone Fax
LEGAL DESCRIPTION
23a lPhcne —
Nature of Work
Name (F,M,L)
Address
State
a
Contact Person
I
I
Day Phone
Other Phone
Fax
Company Name
Addresm
City
State Zi
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No
Name
Address
Vll
State zi
Contact Person Phone Fax
LEGAL DESCRIPTION
,vim ..u,ay.,,�:•. .�.
Contractor Name
Contact
I Address
Phone
Fax
Yes 0 No
Water
Length of Gas Pipit
Furn <100K BTUs
Furn > 100 BTUs
Gas Hwt
Conv Burner
DISCLAIMER: I oatify under penalty
the above premises to perform the w
attomeys' fees incurred - stiga
where such c ses out of the re
era OCA"
Dish Washers
Electric Water
Urinals
MECHANICAL EV
Air Handling < - 10,
Air Handiino > m 10
8
CFM 30-50 Ton
50+ Tons
Fuel Tanks
Hood Boilers Above Ground
Duct Work 0-3 Tons Under round
Wood Stoves 3-15 Tons T:.titil131att:L'Air[tx•>::;:;:.»:.:«:>::<::::>::.:::::;<::::.
that the information furnished by rue is true and owed to the best of ray knowledge, and further, that I ant authorized by the owner of
permit ' is made. I further agree to save harmless the City of Federal Way as to any claim Cmccluding costs, expenses, and
of olaimX 'ch maybe made by any Person. including the undersigned, andfiled against the ity Federal Way, but only
ty, ' ding' ons and employees, upon the accuracy of the information supplied to the cityas part this application.
11 Date: I
b'
g Use
sed Use
Permit includes:
O Building
Plumbing
Machanical
O Other
Type of Work:
Residential
O New
O Remodel
O Number of Units
O Dock
O Commercial
O Addition
O Garage
_
O Shad
O Other
Enter lot Floor
sq ft
2nd Floor eq ft
3rd Floor sq ft
Exlsting Floor Area
sq ft
Area Basement
s ft
Docks sq ft
Garage eq ft
Proposed Total Area
sq ft
Water Availability
C3 Sewer Availabili
O On -Site Septic System
I
Availability O
'Pro ect Valuation
8
Zoning
Lot Size
Existing Bldg Valuation
Is
Contractor Name
Contact
I Address
Phone
Fax
Yes 0 No
Water
Length of Gas Pipit
Furn <100K BTUs
Furn > 100 BTUs
Gas Hwt
Conv Burner
DISCLAIMER: I oatify under penalty
the above premises to perform the w
attomeys' fees incurred - stiga
where such c ses out of the re
era OCA"
Dish Washers
Electric Water
Urinals
MECHANICAL EV
Air Handling < - 10,
Air Handiino > m 10
8
CFM 30-50 Ton
50+ Tons
Fuel Tanks
Hood Boilers Above Ground
Duct Work 0-3 Tons Under round
Wood Stoves 3-15 Tons T:.titil131att:L'Air[tx•>::;:;:.»:.:«:>::<::::>::.:::::;<::::.
that the information furnished by rue is true and owed to the best of ray knowledge, and further, that I ant authorized by the owner of
permit ' is made. I further agree to save harmless the City of Federal Way as to any claim Cmccluding costs, expenses, and
of olaimX 'ch maybe made by any Person. including the undersigned, andfiled against the ity Federal Way, but only
ty, ' ding' ons and employees, upon the accuracy of the information supplied to the cityas part this application.
11 Date: I