02-101750City 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: CHASE Ql
Project Address: 36518 1ST SSW
Project Description: MEC - Replace gas water heater
Mechanical Permit #:02 -10175(f - 00 L ME
Inspection request line: 253.835.3050
Parcel Number: 113960 0070
Owner
Applicant
Contractor
Lewis D Iv & Nancy J Chase
ACTION WATER HEATERS ONLY INC
ACTION WATER HEATERS ONLY INC
36518 1ST PL SW
12704 NE 124TH ST SUITE 43
12704 NE 124TH ST SUITE 43
FEDERAL WAY WA
KIRKLAND WA 98034
KIRKLAND WA 98034
98023-7381
(425)820-8848
Mechanical Valuation..........................................1028.03
Over the Counter Permit......................................Yes
PERMIT EXPIRES October 23, 2002, IF NO WORK IS STARTED.
Permit issued on April 26, 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.
Owner or agent: Date:
�l
fl,0 Z ; �1`
0
CfTor GCONSTRUCTION PERMIT APPLI�AT.ION
R EIVED BY ENT RECEIVED E
� UNITY D I�Et-OPMENT DEMUMTY DEVELOPMEN NUMBER: -
Tffi
PLICATION NUMBER:
APR 2 5 2002- APR 15 2002 APR 08 2
LICATION NUMBER:
**The following is required information — Please print (in ink) or type**
n. note: Electrical, Fire PreventidS i
f sla n t eerin y
9' g permits may require a separate application.
SITE ADDRESS: 3( �il %{ 5 I f L 5 t J
ASSESSOR'S TAX/PARCEL #: ( I 45 1 f)_ 0 0 1
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): 11
TYPE OF PROJECT (This application):
PROJECT DESCRIPTION (Provide
BING ❑ PLUMBING` x r m m������'
DEMOLITION
❑ ELECTRICAL 11ENGINEERING FIRE PREVENTION SYSTEM
description):.9 �10 Lc�
PROJECT NAME: S'
PROPERTY OWNER:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER
EXISTING USE:
PROPOSED USE:
SPRINKLERED BUILDING?
WATER SERVICE PROVIDER
SEWER SERVICE PROVIDER
CONTRACTOR
EXISTING BUILDING ASSESSED/APPRAISED VALUATION
PROPOSED VALUATION FOR IMPROVEMENTS• $
❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO
❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
**NOW RESIDENTIAL CONSTRUCTION ONLY**
r
' NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: `
_ . ■ PROJECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
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 harmiess the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in the
Investigation and 4fense of su daim), w1jich may be made by any person, including the and ned and filed a lainst the City of
Federal Way, but o ly where su clai a s out of the reliance of the city, including its offi
of the info ' a .
NAME/TITLE: NEE DATE:
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 2S3-661-4000 • FAX: 253-6(i1-4129
www.citvoffederalwav com