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