00-105457City 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 -105457 - 00 - ME
Inspection request line: 253.661.4140
(3:30pm cut-off for next day inspections)
Project Name: ANDERSEN
Project Address: 714 SW 296TH
Project Description: MECHANICAL - Replace gas hot water tank.
Parcel Number: 119600 4386
Owner
Applicant
Contractor
Gordon H & Edwina Andersen
NETCLERK, INC
FAST WATER HEATER CO
714 SW 296TH ST
880 DUBUQE AVE S
FEDERAL WAY WA
SAN FRANCISCO CA 94080
12601 132ND AVE NE
98023-3549
KIRKLAND, WA
Mechanical Valuation..........................................449.
Over the Counter Permit......................................Yes
PERMIT EXPIRES May 5, 2001, IF NO WORK IS STARTED.
Permit issued on November 6, 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: &e Date:
V--% 01 A.k I Z— (— 0 O GcJ
J
OQa g ® BUILDING DIVISION
o C 1U1 20M 33530 FIRST WAY SOUTH
FEDERAL WAY, WA 98003
6:t i Y OF I EULC RAL WAY (253) 661-4000
BUILDING DEPT. Fax (253) 661-4129
I
APPLICATION FOR MECHANICAL.PERMIT
Federal Way Business License Number.
%/' /���y MEC 00 %
PARCEL # R 6t✓ Jy 110 Single Family Q� Multi -Family ❑ Commercial ❑
SITE LOCATION
Tenant/Owner Gordon Andersen _ Phone 2539468920
Address/C4/State2ip 714 SW 296 St
Nature of work Remove/Replace Gas Water Heater Project Valuation: $ 449.00
APPLICANT NetClerk Inc.
880 Dubuque Ave
Name South San Francisco, CA 94080
65.0-624 •Q427
AddressICity/State2ip <street> <city> ST <zip>
Contact Person
MECHANICAL CONTRACTOR
Company Name Fast Water Heaters Company
Address/City/State2ip 12601 132nd Ave. N.E.
Contact Person
State L & I Contractor Registration # FASTWHCO52DF
(card must be presented)
MECHANICAL UNIT COUNT
Phone
Phone
Kirkland
Fax
WP 98034
Fax
Exp. Date 12/01/2000
Fuel Type (gas/other)
Gas Dryer
Air Handling <=10,000 cf n
Fuel Tanks:
Length of gas piping
Fum < l OOK BTUs
Range
Gas Log
Air Handling >= 10,000 cfin
Unit Heater
Above Ground
Underground
Furn > 100K BTUs
—..__. ..__—_.—..._...._..._
Gas Hwt 1
Fans
._..__...... _____......
Hood
Boiler BTU/H
Boiler BTU/H
Miscellaneous
Other
Conv Burner
Duct Work
A/C TONS
Other
BBQ's
Wood Stoves
A/C TONS
[fit Ciitt '
DISCLAIMER: I certify, under penalty of perjury, that the information furnished by me is true and correct to the best of my knowledge and further that I am authorized by
the owner of the above premises to perform the work for which this application is made. I further agree to save harmless the City of Federal Way as to any claim
(including costs, expenses, and attorney's fees incurred in investigation and defense of such claim), which may be made by any person, including the undersigned, and
filed against the City of Federal Way but only where such claim arises out of 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. A ,
Owner/Agent Date: 10/24/2000
MECH.APP
REVISED ll7/99