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00-104722i City of Federal Way Conutaaury I)evetopment Services Mechanical Permit #: 00 -104722 - 00 - ME - 335301st Way S Fedmat Way, WA 98003-6210 Inspection request line: 253.661.4140 Ph 253.661.4000 Fax: 253.661.4129 (3:30pm cut-off for next day inspections) Project Name: MIDDLETON Project Address: 36529 2ND SW Parcel Number: 113960 0270 Project Description: MEC - Retrofit of gas water heater Owner Applicant Contractor Jack D & Kathryn J Middleton NONE FAST WATER HEATER COMPANY 36529 2ND AVE SW FEDERAL WAY WA 12601 132ND AVE NE 98023-7376 NONE 2601 1332ND AVE NE Mechanical Valuation.........................................450 Over the Counter Perntit...................................... Yes PERMIT EXPIRES March 12, 2001, IF NO WORK IS STARTED. Permit issued on September 13, 2000 I hereby certify that the above information is correct and that the construction on the above described propert3 the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washingt( the City of Federal Way. Owner or agent ��lA�i�i - t,��� i Date: a �� BuIIAING DIVISION 33530 FmsT WAY SOUTH 4R SEP ��j q FEDERAL WAY, WA 98003 c� t @ (253) 6614000 Fax (253) 6614129 C:IFEt1L 1, AL bby APPLICATION FC� hMUMAb PERMIT PLEASE PRINT APPLICATION # 0 0 Z S1T #�ftN„ Y Site address 36529 2nd awe sw Tenant name Lot # Assessor's Tax # Building Owner's Name Jack Middleton Address 6529 2nd ave sw City Federal Way State WA Zip 98023 Phone 253-874-1850 Description of Work Retro fit of gas water heater Name (F, M, L). NetClerk Inc Address City South San Francisco I State CA7jp 94080 Contact Person Day Phone I Other Phone I Fax Federal Way Business License # Company Name Fast Water Heaters Company Address 12601 132nd Ave. N.E. City Kirkland State WA Zip 98034 Contact Person Jeff Gross Phone 4258143124 Fax Contactor's # (Card must be presented) FASTWHCO52DF Expiration Date Verified []Yes[] No Name Address •.7 city 57� / c. �o�.c•-� Contact Person Legai Description tUCTtJf#E'0 All Existing Use Address 12601 132nd ave no City Kirkland Proposed Use ZJp 98034 Permit Includes ❑ Building ❑ Plumbing License # fastwhco52df B Mechanical ❑ Other Type of work: 10 Residential ❑ Commercial 10 New ❑ Addition ❑ Remodel ❑ Repair ❑ # of bedrooms_ ❑ Garage ❑ Deck ❑ Shed Enter 1 st Floor Area Basement sq It 2nd Floor sq ft Decks sq ft sq ft 3rd Floor Garage sq ft sq ft Existing Floor Area Proposed Total Area sq ft sq ft Water Availability E3 Sewer Availability [3 On site Septic System Availability [3', Project Valuation $ 450. Zoning Conv Bumer 0 Lot Size 0 - 3 Tons 0 Underground 0 Existing Bldg Valuation BBQ's 0 ' For new residential only - Proposed selling cost: $ flame Address City I State IMP NfECt#AlY1AL LO CR Contractor Name Fast Water Heater Co Address 12601 132nd ave no City Kirkland State WA ZJp 98034 Contact Jeff Gross Phone 4258148381 Fax License # fastwhco52df Expiration 1AtA Verified ❑Yes ❑ No RLtlNf����O1�TRA'JR Contractor Name Address City State Zip Contact Phone Fax License # Expiration Date verified ❑Yes'❑ No Water Closets 0 Sinks 0 Urinals 0 Lawn Sprinklers 0 Bathtubs 0 Dish Washers 0 Drinking Fountains 0 Other 0 Showers 0 Electric Water Heaters 0 Sumps 0 Unit Heater 0 Lavatories p Washing Machine 0 Drains 0 k' iotal�dure Count Ip Y_fiAP11G�1L 1tNi7 r{iti '; MECHANICAL EVALUATION ONLY $ Fuel Type (gas/electric/other) p Gas Dryer 0 Air Handling < = 10,000 CFM 0 15 - 20 Tons 0 Length of Gas Piping 0 Range 0 Air Handling > = 10,000 CFM 0 30 - 50 Tons 0 Fum <100K BTUs 0 Gas Log 0 Unit Heater 0 +50 Tons 0 Frun >100 BTUs 0 Fans 0 Miscellaneous 0 Fuel Tanks 0 Gas Hwt 1 Hood 0 Boilers 0 __....... _....... __......... _._..._....... ......... -- Above Ground 0 Conv Bumer 0 Duct Work 0 0 - 3 Tons 0 Underground 0 BBQ's 0 Wood Stoves 0 3 -15 Tons 0ttt; 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 1 am authorized by the owner of the above premises to perform the work for which permit application is made. I further agree to save harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees Incurred in Investigation and defense of such claim), which may be made by any person, including the undersigned, against the City of Federal Way, but only where such claims arises out of the reliance of the city, including its offi- cers and employees, upon the accuracy of the information supplied to the city as a part of this application. Owner/Agent: "•"`"!- Date: 09/01/2000 BUILDING/APP REVISED 5118188