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02-100112City Federal Way Community Development Services Mechanical Permit #:02 -100112 - 00 - ME 33530 1 st Way S Federal Way, WA 98003-6210 Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050 Project Name: GEORGE Project Address: 3907 SW 328TH St Parcel Number: 873195 0210 Project Description: MECH - Remove/replace gas water heater Owner Applicant Contractor Derek K & Carloyn S George FAST WATER HEATER COMPANY FAST WATER HEATER COMPANY FAST WATER HEATER COMPANY FAST WATER HEATER COMPANY 12601 132ND AVE NE 12601 132ND AVE NE KIRKLAND WA 98034 1 (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: CS5�7 1 f pC-�C�iT1d II22I DZ 94— �INA�, Date: w � MEQ ` APPLICATION NUMBER;Lq: `APPLICATION NUMBER: — — 0 L2-'©_ _ AM ------- "The following is required information - Please print (in ink) or type` 1 647791 Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. PROPERTY INFORMATION SITE ADDRESS: 3907 SW 328 ST, FEDERAL WAY, WA 98023 ASSESSOR'S TAX/PARCEL #: 8731950210 LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): ■ PROJECT INFORMATION TYPE OF PROJECT (This application): Q BUILDING Q PLUMBING ® MECHANICAL Q DEMOLITION ❑ ELECTRICAL Q ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description): Remove/replace gas water heater PROJECT NAME: George PROPERTY OWNER: CONTRACTOR: APPLICANT: ■ PEOPLE INFORMATION NAME: GEORGE, DEREK DAYTIME PHONE: (253)661-6128 MAILING ADDRESS (STREET ADDRESS, aTY, STATE, 2IP): 3907 SW 328 ST Federal Way WA 98023 NAME: FAST WATER HEATER COMPANY D24Z5) 144 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: 19-87000047-00-bl 425 814-9516 CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE: FASTWHC052DF 02/16/2002 (copy of card required) Men TNr- ennQFcz-, (STREET ADDRESS, CITY, STATE. IIP): DAYTIME PHONE: EVENING PHONE: RELATIONSHIP TO PROJECT: FAX NUMBER: ❑ ARCHITECT ❑TENANT ❑OTHER (DESCRIBE): E-MAIL ADDRI CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT M CONTRACTOR 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: Q LAKEHAVEN ❑HIGHLINE C]TACOMA Ll PRIVATE (WELL) SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑HIGHLINE ❑ PRIVATE (SEPTIC) W-:74 4 *'SNE SIDENTIAL CONSTRU NUMBER OF BEDROOMS' ESTIMATED SELLING PRICE: FLOOR AREAS FLOOR EXISTING SQ. FT. PROPOSED S . FT. TOTAL BASEMENT GAS PIPE OUTLET(S) SINKS) INTERCEPTORS) SUMP(S) ZONING DESIGNATION: 0 FIRST OOMP PLAN DESIGNATION BASIC PLAN? ❑ YES CNO SEC.TRIN 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 COOLERS) GAS LOG(S) REFRIG. SYSTEM(S) BBQ(S) FAN(S) HOODS) WOODSTOVE(S) BOILERS) FIREPLACE INSERTS) RANGE(S) MISC. ( ) COMPRESSOR(S) FURNACE(S) DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ G AS PLUMBING BATHTUB(S) LAVATORY(S) DISHWASHERS) RAIN WATER SYS. DRINKING FOUNTAINS) SHOWER(S) GAS PIPE OUTLET(S) SINKS) INTERCEPTORS) SUMP(S) DISCLAIMER/ SIGNATURE RLC URINAL(S) 1 VACUUM BREAKER(S) CQ WASH MACHINE OUTLET WATER CLOSET(S) WATER HEATER(S) ELECTRIC 6 GAS 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 =ederaI 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 sunohed to the citv as_a part of this application. NAME/TITLE.''"� `w'' � Permit Mgr DATE: 12/24/2001 ❑ PROPERLY OWNER ❑ APPLICANT $I CONTRACTOR FOR OFFICE USE ONLY: ❑ NBN ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TFNANTIMPROVEMENT CENSUSCODE: LOT SIZE: ZONING DESIGNATION: BUILDING SHELL ONLY? ❑ YES ❑ ND OOMP PLAN DESIGNATION BASIC PLAN? ❑ YES CNO SEC.TRIN TOWNSHIP RANGE NEW ADDRESS REQUIRED? YES ❑ NO ❑ PLATTED LOT? ❑ YES ❑ N:) I CHANGE OF USE? ❑ YES EM