02-100106City 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: GILMORE
Project Address: 1105 SW 352ND''
Project Description: MECH - Water heater installation
Mechanical Permit #:02 -100106 - 00 - ME
Inspection request line: 253.835.3050
Parcel Number: 502860 1380
Owner
Applicant
Contractor
James M & Thompson Wend Gillmore
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
1105 SW 352ND ST
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
FEDERAL WAY WA
12601 132ND AVE NE
12601 132ND AVE NE
98023-6921
KIRKLAND WA 98034
(425) 814-8381
Mechanical Valuation..........................................449 Over the Counter Permit ...................................... Yes
PERMIT EXPIRES July 7, 2002, IF NO WORK IS STARTED.
Permit issued on January 8, 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: Sene— l 6p[ir j�� Date:
14
`Tw APPLICATION NUMBERLC : = l 0-C1
• �� ------ -----
"The following is required information - Please print (in ink) or type** 659005
t Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
PROPERTY INF.
MATION
SITE ADDRESS: 1105 SW 352 ST, FEDERAL WAY, WA 98023
ASSESSOR'S TAX/PARCEL #: 5028601380
. RECEIVED IV
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): C()MVUNr1Y DEVFi np�.r7tiT T)Epp,RTMENT
JAN 0 7 2002
■ PROJECT INFORMATION
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ® MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGMEERM ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): Water Heater Installation
PROJECT NAME: Gilmore
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
■ PEOPLE INFORMATION
NAME: GILMORE, TIM DAYTIME PHONE:
(253)838-3490
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, IIP):
1105 SW 352 ST Federal Way WA 98023
NAME. FAST WATER HEATER COMPANY
D(425)8 14 -31Z4
MAILING ADDRESS (STREET ADDRESS, CITY, STATE. ZIP):
EVENING PHONE:
12601 132ND AVE NE
KIRKLAND WA 98034
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
19-87000047-DO-bi
425 814-9516
OONWCTORS REGISTRATION NUMBER:
EXPIRATION DATE:
FASTWHC052DF
02/16/2002
(copy of card required)
NAME: DAYTIME PHONE:
838-3490
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP): EVENING PHONE:
<Street> <City>
RELATIONSHIP TO PROJECT:
❑ ARCHITECT C
ER (DESCRIBE):
FAX NUMBER:
CONTACT PERSON FOR THIS PR03ECT: ❑ PROPERTY OWNER ❑ APPLICANT M CONTRACTORS
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)
10716
**NEW SIDENTIAL
10
NUMBER OF BEDROOMS' ' ESTIMATED SELLING PRICE:
14 FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED Sq. FT.
TOTAL
BASEMENT
❑ ALTERATION ❑ REPAIR
❑ TENANTIMPROVEMENT
CENSUS CODE:
LOT SIZE:
ZONING DESIGNATION:
0
FIRST
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES
LINO
SECOON TOWNSHIP RANGE
NEW ADDRESS REQUIRED?
YES ❑ NO ❑
0
SECOND
LM
0
THIRD
0
FOURTH
0
OTHER FLOORS (DESCRIBE)
0
DECK
0
GARAGE
HOW MANY FLOORS?
0
TOTAL:
0
0
0
AIR HANDLING UN1T(S)
BBQ(S)
BOILERS)
COMPRESSOR(S)
DUCT(S)
FIXTURES
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLERS) GAS LOG(S) REFRIG. SYSTEM(S)
FAN(S) HOOD(S) WOODSTOVE(S)
FIREPLACE INSERT(S) RANGE(S) MISC. ( )
FURNACE(S)
GAS PIPE OUTLETS) HEAT SOURCE: ❑ ELECTRIC ❑ G AS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) I WATER HEATER(S)
DISHWASHERS) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC 6 GAS
DRINKING FOUNTAINS) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINKS) 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 as_a hart of this application.
NAME/TITLE.' �w C "'� Permit Mgr DATE: 12/31/2001
❑ PROPERLY OWNER ❑ APPLICANT $] CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION
❑ ALTERATION ❑ REPAIR
❑ TENANTIMPROVEMENT
CENSUS CODE:
LOT SIZE:
ZONING DESIGNATION:
BUILDING SHELL ONLY?
❑ YES ❑ ND
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES
LINO
SECOON TOWNSHIP RANGE
NEW ADDRESS REQUIRED?
YES ❑ NO ❑
PLATTED LOT? ❑ YES ❑ ND
I CHANGE OF USE? ❑ YES
LM