02-100155City of Federal Way •
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name: LEE 0
Project Address: 32241 11TH SW
Project Description: MECH - Change gas water heater
Mechanical Permit #:02 -100155 - 00 - ME
Inspection request line: 253.835.3050
Parcel Number: 926493 0680
Owner
Applicant
Contractor
Scott E & Susan M Lee
NONE
PLUMBING JOINT INC, THE
32241 11 TH PL SW
351 UNION AVE NE
FEDERAL WAY WA
RENTON, WA
98023-5558
NONE
(206) 228-3204
Mechanical Valuation..........................................1400 Over the Counter Permit ...................................... Yes
PERMIT EXPIRES July 10, 2002, IF NO WORK IS STARTED.
Permit issued on January 11, 2002
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. '-7 /2 _ /-) /%
Owner or agent: �i/�Z� Date: /
r 1 �� 47
ERTY
L P/ S'n.O. INFORMATION
SITE ADDRESS: �" `� t / l/ I a L/ " %' , ASSESSOR'S TAX/PARCEL #:
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PR03ECT INFORMATION
TYPE OF PROJECT (This application): ❑ BUILDING P9 PLUMBING ` P4 MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENG//-INEERING❑ FIRE PREVENTION
/ SYSTEM
PROJECT DESCRIPTION (Provide detailed description): {�CLIL �S �/�it/(,, ,
PROJECT NAME:
■ PEOPLE INFORMATION
PROPERTY OWNER: N '
; 5 u �� �• lr.�
ADDRESS`STREET "`1TM�3)�qj iiii 5&Y -
CONTRACTOR:
Irlll� (M_l►tf1
DAYTIME PHONE:
(153 ) 173 Y-
NAME:�� �
iW
l! ��II
V V
DAYTIME PHONE:
( Y? --5) O 9 (��J
-
MAILING ADDRESS ET ADDRESS; QTY, STATE, ZIP):
357/ 4/()Ave, 1UE. Ae,�bn ?%o5`l
EVENING PHONE:
0 )
-M-Q"-
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER:�
! L / /'�{EXPIRATION
'� `
(copy of card required
— ,U
NAME: � / ,/� , w / DAYTIME PHONE: -
MAILING ADDRESS (STREET ADDREESS; C YO,,YSTAITE, ZIP):EVENIN
Ar
RELATIONSHIP TO PROJECT: FAX NU R:
❑ ARCHITECT ❑ TENANT ❑ OTHER( DESCRIBE): -
E -MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT 10 CONTRACTOR
EXISTING USE:
PROPOSED USE: )
i EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
SPRINKLERED BUILDING? ❑ YES N NO
WATER SERVICE PROVIDER:
SEWER SERVICE PROVIDER:
PROPOSED VALUATION FOR IMPROVEMENTS:
FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES N NO
❑ LAKEHAVEN N HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ LAKEHAVEN i HIGHLINE ❑ PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
Y ` ■ PROTECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
AIR HANDLING UNIT(S)
FIRST
GAS LOG(S)
REFRIG. SYSTEM(S)
BBQ(S)
SECOND
HOOD(S)
WOODSTOVE(S)
BOILERS)
THIRD
RANGE(S)
MISC. ( )
COMPRESSOR(S)
FOURTH
DUCT(S)
OTHER FLOORS (DESCRIBE)
HEAT SOURCE:
❑ ELECTRIC ❑ GAS
DECK
GARAGE
HOW MANY FLOORS?
BATHTUB(S)
TOTAL:
URINAL(S)
WATER HEATER(S)
DISHWASHER(S)
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 the permit application is made. I
further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in the
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 the 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.
NAME/TITLE: 6r'� e,Q' / X1 5,71? Q DATE: 1 /( ✓�/J�
❑ PROPERTY OWNER ❑ APPLICANT 9 CONTRACTOR
COMMUNITY DEVELOPMENT SERVICES - 33530 FIRST WAY SOUTH - PO BOX 9718 - FEDERAL WAY, WA 98063-9718 - 253-661-4000 - FAX: 253-661-4129
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)
HOOD(S)
WOODSTOVE(S)
BOILERS)
FIREPLACE INSERT(S)
RANGE(S)
MISC. ( )
COMPRESSOR(S)
FURNACE(S)
DUCT(S)
GAS PIPE OUTLET(S)
HEAT SOURCE:
❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S)
LAVATORY(S)
URINAL(S)
WATER HEATER(S)
DISHWASHER(S)
RAIN WATER SYS.
VACUUM BREAKER(S)
❑ ELECTRIC GAS
DRINKING FOUNTAIN(S)
SHOWER(S)
WASH MACHINE OUTLET
GAS PIPE OUTLET(S)
SINKS)
WATER CLOSET(S)
MISC. ( )
INTERCEPTOR(S)
SUMP(S)
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 the permit application is made. I
further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in the
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 the 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.
NAME/TITLE: 6r'� e,Q' / X1 5,71? Q DATE: 1 /( ✓�/J�
❑ PROPERTY OWNER ❑ APPLICANT 9 CONTRACTOR
COMMUNITY DEVELOPMENT SERVICES - 33530 FIRST WAY SOUTH - PO BOX 9718 - FEDERAL WAY, WA 98063-9718 - 253-661-4000 - FAX: 253-661-4129