02-101436` �,WRECEIVED
;;V� e-rXFRV-
41 1 WA I W, ,�..
APR 0 5 2002 -------
"The following is required information - Please print (in ink) or type" 696712
Please note: E0q")FFKMf0"iW%stem9 and Engineering permits may require a separate application.
BUILDING DEPT.
PROPERTY O.
SITE ADDRESS: 32414 50 PL SW, FEDERAL WAY, WA 98023
ASSESSOR'S TAX/PARCEL #: 8732190350
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PR03ECT INFORMATION
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ® MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERM ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
Remove/Replace Gas Water Heater
PROJECT NAME: MCKELL, KRISTINE & GARY
PROPERTYOWNER:
CONTRACTOR:
APPLICANT:
■ PEOPLE INFORMATION
N11NICKELL, KRISTINE & GARY DAYTIME PHONE:
—1 (253)815.1965
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP):
32414 50 PL SW FEDERAL WAY, WA 98023
NAME
DAYTIME PHONE:
FAST WATER HEATER COMPANY
(425)814-3124
MAILING ADDRESS (STREET ADDRESS, CITY, STATE. IIP):
EVENING PHONE:
12601 132ND AVE NE
KIRKLAND WA 98034
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
19-87000047-00-bl
425 814-9516
CONTRACTORS REGISTRATION NUMBER:
EXPIRATION DATE:
(copy of card required) FASTVMC052DF
02/16/2003
NAME:
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP):
DAYTIME PHONE:
EVENING PHONE:
IELATIONSHIP TO [3 ARCHITECT❑PROJECT: TENANT ❑OTHER (DESCRIBE): I FAX NUMBER: TENANT
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT M CONTRACTO
0 DE I LED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSEDIAPPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ $449.00
SPRINKLED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑HIGHLINE ❑TACOMA E3 PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑HIGHLINE ❑ PRIVATE (SEPTIC)
R40 -71b
*:MEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS' ESTIMATED SELLING PRICE:
FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
❑ ALTERATION ❑ REPAIR
❑ TENMIMPROVEMENT
CENSUS CODE:
LOT SIZE:
ZONING DESIGNATION:
0
FIRST
COMP PLAN DESIGNATION
BASIC PLAN? 0 YES
EINO
SEC.MN1 TOWNSHIP RANGE
NEW ADDRESS REQUIRED?
YES ❑ NO ❑
0
SECOND
X10
0
THIRD
0
FOURTH
0
OTHER FLOORS (DESCRIBE)
0
DECK
0
GARAGE
HOW MANY FLOORS?
0
TOTAL:
0
0
0
FIXTURES
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
BBQ(S) FAN(S) HOODS) WOODSTOVE(S)
BOILERS) FIREPLACE INSERT(S) RANGE(S) MISC. ( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC Q G AS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) I WATER HEATER(S)
DISHWASHERS) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC e] GAS
DRINKING FOUNTAINS) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINKS) WATER CLOSET(S) MISC. ( )
INTERCEPTORS) SUMP(S)
BLOCKDISCLAIMER/ SIGNATURE
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowiedge,and
urther, that I am authorized by the owner of the above premises to perform the work for which the permit application is made. I
vrther agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fee incurred in the
nvestigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the City of
=ederal Way, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy
)f the information suoolied to the citv a o nart of this application.
NAME/TITLE.'"' JJ tw"'� ° Permit Mgr DATE:
03/29/2002
Q PROPERLY OWNER ❑ APPLICANT $] CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEIN ❑ ADDITION
❑ ALTERATION ❑ REPAIR
❑ TENMIMPROVEMENT
CENSUS CODE:
LOT SIZE:
ZONING DESIGNATION:
BUILDING SHELL ONLY?
L] YES ❑ N:)
COMP PLAN DESIGNATION
BASIC PLAN? 0 YES
EINO
SEC.MN1 TOWNSHIP RANGE
NEW ADDRESS REQUIRED?
YES ❑ NO ❑
PLATTEDLCm L] YES ❑ ND
I CHANGEOFUSE? DYES
X10