02-101752City on Federalway
CommunitytyDevelopment Services Mechanical Permit #:02 -101752 - 00 - ME
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050
Project Name: ALISON
Project Address: 1322 SW 355TH Pi
Project Description: MEC - Replace eas water heater
Parcel Number: 502860 0080
Owner
Applicant
Contractor
NORMAN ALISON
ACTION WATER HEATERS ONLY INC
ACTION WATER HEATERS ONLY INC
1322 SW 355TH PL
12704 NE 124TH ST SUITE 43
12704 NE 124TH ST SUITE 43
FEDERAL WAY WA 98023
KIRKLAND WA 98034
KIRKLAND WA 98034
(425) 820-8848
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Mechanical Valuation..........................................1139.8 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 ::;ity of Federal Way.
Owner or agent: Date: 2
RECEIVED BY
cCEIVEDB UY DEVELOPMENTDEPARTME►CONSTRUCTION PERMIT APPLICATION
ow COMMNIT
pnRTn�=N7- _
R ��002 APPLICATION NUMBER: 6-- 1 Q z_
APR J ZQQZ COMMUNITY DEVELOPMENT DEPARTMEN APPLICATION NUMBER: - _
APR 5 2002
APPLICATION NUMBER:-
athe following is required information — Please print (in ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
�
SITE ADDRESS: , .�ZZ (AD ' "t a�L ASSESSOR'S TAX/PARCEL #: l� (!% D
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBINGMECHANICAL ElDEMOLITION
El ELECTRICAL ElENGINEERIN ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
h
PROJECT NAME:
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
•40 1o]•
NAM DAYTIME PHONE:
-Al C5 0�
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
N � I (� �- ��j
I .ice
DAYTIME PHON-E7:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
2�z�
3 Vii,` V �C �' ` 50
EVENING PHONE: i
(?�)
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
1
-9 Q3L-
—
FAX NUMBER:
(4z) I
! Z: '
FCONNTRACTOR'S REGISTRATION NUMBER:
y of card required)
c
_ — _ _ LDe
EXPIRATION DATE: /
12 0 `5
NAME:
MAILING
ZI
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR
EXISTING USE:
PROPOSED USE:
SPRINKLERED BUILDING?
WATER SERVICE PROVIDER:
SEWER SERVICE PROVIDER:
DAYTIME PHONE:
EVENING PHONE:
FAX NUMBER:
E-MAIL ADDRESS:
EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED VALUATION FOR IMPROVEMENTS: $ t 1
❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO
❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
El LAKEHAVEN LAKEHAVEN HIGHLINE PRIVATE (SEPTIC) / /✓1
1
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROTECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
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 INSERTS) RANGE(S) MISC. ( )
COMPRESSOR(S) FURNACE(S)
i_ DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) 1 WATER HEA )
DISHWASHER(S) RAINWATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OIJTLET(S) SINK(S) WATER CLOSET(S) MISC. ( )
INTERCEPTORS) 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
Inv an defense o uch dai which may be made by any person, including the undersigned, and filed against the City of
Federal bu e u im rises out of the reliance of the city, including its offic employees, upon the accuracy
e inforrna d su lie t a s part of this aop
NAME/TITLE: _ DATE: I �I oz
PERTY OWNER ❑ APPLICANT Q'CONTRACTOR
FOR OFFICE!USE ONLY:
COMMUNITY DEVELOPMENT SERVICES - 33530 FIRST WAY SOUTH - PO BOX 9718 - FEDERAL WAY, WA 98063-9718 - 253-661-4000 - FAX: 253-661-4129
www.dtvoffederalway.com