02-102532City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Mechanical Permit #:02 - 102532 - 00 - ME
Project Name: SHELL
Project Address: 550 SW 305TH 5t
Project Description: MECH - Remove/replace gas water heater.
0
Inspection request line: 253.835.3050
Parcel Number: 178880 0960
Owner
Applicant
Contractor
Michael K & Barbara E Shell
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
550 SW 305TH ST
12601 132ND AVE NE
12601 132ND AVE NE
FEDERAL WAY WA
KIRKLAND WA 98034
KIRKLAND WA 98034
98023-3952
(425) 814-8381
Mechanical Valuation..........................................449
Over the Counter Permit ...................................... Yes
PERMIT EXPIRES December 15, 2002, IF NO WORK IS STARTED.
Permit issued on June 18, 2002
I hereby certify that the above information is correct and that the construction on the above described property and
the &cupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington and
theCity of Federal Way. See Application
Owner or agent: Date: 7-(9-02-
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"The following is required ilj"Z-o�auase print (in ink) or type** 723215
Please note: Electrical. Fire Prevention Systems and Engineering permits may require a separate application.
PROPERTY INFORMATION
SITE ADDRESS: 550 SW 305 ST, FEDERAL WAY, WA 98023
ASSESSOR'S TAY4PARCEL *: 1788800960
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ® MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
PRO] ECT NAME: SHELL, MIKE
PROPERTY OW NER:
CONTRACTOR:
APPLICANT:
Remove/Replace Gas Water Heater
■ PEOPLE INFORMATION
NAME: SHELL, MIKE DAYTIME PHONE:
(206)786_-2181
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP):
550 SW 305 ST 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:
19-87000047400-b1
425 814-9516
CONTRACTORS REGISTRATION NUMBER:
EXPIRATION DATE:
(copy of card required) FASTWHC052DF
02/16/2003
NAME:
DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP): EVENING PHONE:
<Sireet> <City> <Zi >
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑TENANT ❑OTHER (DESCRIBE):
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT M CONTRACTOf
DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED 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 (3 PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑HIGHLINE ❑ PRIVATE (SEPTIC)
W-7/6
.•*NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS' ESTIMATED SELLING PRICE:
BASEMENT
THIRD
HOW MANY
TOTAL:
FLOOR AREAS
EXISTING SQ. FT.
PROPOSED . FT.
TOTAL
❑ NEW ❑ ADDITION
0
❑ TENANTIMPROVEMENT
CENSUSCODE•
0
ZONING DESIGNATION:
0
❑ YES ❑ N:)
OOMP PLAN DESIGNATION
0
Qd0
SECMN TOWNSHIP RANGE
0
YES ❑ NO ❑
PLATTED LOT? ❑ YES ❑ N:)
0
ado
0
0
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 OUTLETS) HEAT SOURCE: ❑ ELECTRIC ❑ G AS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) I WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC] GAS
DRINKING FOUNTAINS)-- SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINKS) WATER CLOSET(S) MISC.
INTERCEPTORS) SUMP(S)
DISCLAIMER/ SIGNATURE BLOCK
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,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 as . -A oart of this application.
NAME/TITLE."' ' �� Permit Mgr DATE' 06/13/2002
❑ PROPERLY OWNER ❑ APPLICANT Z) CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION
❑ ALTERATION ❑ REPAIR
❑ TENANTIMPROVEMENT
CENSUSCODE•
LOT SIZE:
ZONING DESIGNATION:
BUILDING SHELLONLY?
❑ YES ❑ N:)
OOMP PLAN DESIGNATION
BASIC PLAN? ❑ YES
Qd0
SECMN TOWNSHIP RANGE
NEWADDRESSREQUIRED?
YES ❑ NO ❑
PLATTED LOT? ❑ YES ❑ N:)
I CHANGE OF USE? ❑ YES
ado