02-102632City 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: RUCH .1C/
Project Address: 31809 53RD SW
Mechanical Permit #:02 - 102632 - 00 - ME
Project Description: HVAC - Remove/replace gas water heater
Inspection request line: 253.835.3050
Parcel Number: 189860 0050
Owner
Applicant
Contractor
Douglas & Renea Ruch
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
31809 53RD AVE SW
12601 132ND AVE NE
12601 132ND AVE NE
FEDERAL WAY WA
KIRKLAND WA 98034
KIRKLAND WA 98034
98023-2014
(425) 814-8381
Mechanical Valuation..........................................449
Over the Counter Permit ...................................... Yes
PERMIT EXPIRES December 21, 2002, IF NO WORK IS STARTED.
Permit issued on June 24, 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: Lp Date: "14J
Mechanical rough -in: Date:
Gas pipe: Date: i l
FINAL MECHANICAL: / Date: /
04
APPLICATION NUMBER
�ErE1��CUY APPLICATION NUMBER: ----- ----
COM�1UNinELOP��IENT DFRA' T E��TAPPLICATION NUMBt:K: — — — — — — — —
"The foliowi� + �?ulfe��mation - Please print (in ink) or type** 725295
Please note: Electrical, Fire Pre G� 5ys a and Engineering permits may require a separate application.
PROPERTY INFORMATION
SITE ADDRESS: 31809 53 AVE SW, FEDERAL WAY, WA 98023
ASSESSOR'S TAX/PARCEL #: 1898600050
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ® MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENMEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
Remove/Replace Gas Water Heater
PRO,] ECT NAME: RUCH, DOUGLAS
10 PEOPLEO• •
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
NAME: RUCH,DOUGLAS DAYTIME PHONE:
(253)874-3453
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP):
31809 53 AVE SW FEDERAL WAY, WA 98023
NAME:
DAYTIME PHONE:
FAST WATER HEATER COMPANY
(425)814-3124
MAILING ADDRESS (STREET ADDRESS, CIT, STATE. ZIP):
EVENING PHONE:
12601 132ND AVE NE
KIRKLAND WA 98034
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
19-87000047.00-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, IIP): EVENING PHONE:
<S1reet> <Ci > <Zi >
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT OTENANT [3 OTHER f'DESCRIBE):
CONTACT PERSON FOR THIS PR07ECT: ❑ PROPERTY OWNER ❑ APPLICANT M CONTRACTON
0 DETAILED 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 ❑PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑HIGHLINE ❑ PRIVATE (SEPTIC)
W-7/6
?:NEVINESIDENTIAL
NUMBER OF_BEDROOMS• ESTIMATED SELLING PRICE:
FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED . Fr.
TOTAL
BASEMENT
❑ ALTERATION ❑ REPAIR
❑ TF.NANTIMPROVEMENT
CENSUSCODE•
LOT SIZE:
ZONING DESIGNATION:
0
FIRST
OOMP PLAN DESIGNATION
BASIC PLAN? ❑ YES
CNO
SECTION TOWNSHIP RANGE
NEW ADDRESS REQUIRED?
YES ❑ NO ❑
0
SECOND
EM
0
THIRD
0
FOURTH
0
OTHER FLOORS (DESCRIBE)
0
DECK
0
ARA E
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. SYSTEMS)
BBQ(S) FAN(S) HOODS) WOODSTOVE(S)
BOILERS) FIREPLACE INSERT(S) RANGES) MISC. ( }
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) 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 6 GAS
DRINKING FOUNTAINS) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.
INTERCEPTORS) SUMP(S)
•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
�urther 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;i o part of this application.
NAME/TITLE. %'` 9 Permit Mgr DATE: 06/20/2002
❑ PROPERLY OWNER ❑ APPLICANT gI CONTRACTOR
FOR OFFICE USE ONLY:
❑ NBN ❑ ADDITION
❑ ALTERATION ❑ REPAIR
❑ TF.NANTIMPROVEMENT
CENSUSCODE•
LOT SIZE:
ZONING DESIGNATION:
BUILDING SHELL ONLY?
❑ YES ❑ N:)
OOMP PLAN DESIGNATION
BASIC PLAN? ❑ YES
CNO
SECTION TOWNSHIP RANGE
NEW ADDRESS REQUIRED?
YES ❑ NO ❑
PLATTED LOT? 0 YES ❑ 10
1 CHANGEOFUSE? DYES
EM