02-100509City of Federal Way
Conununity Development Services
33530 1 st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name: BARTELS 1J�
Project Address: 27907 21SA
Mechanical Permit #: 02 -100509 - 00 - ME
Project Description: HVAC - Remove/replace gas water heater
Inspection request line: 253.835.3050
Parcel Number: 757562 0530
Owner
Applicant
Contractor
Belinda J Bartels
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
27907 21 ST AVE S
12601 132ND AVE NE
12601 132ND AVE NE
FEDERAL WAY WA
KIRKLAND WA 98034
KIRKLAND WA 98034
98003-6949
(425)814-8381
Mechanical Valuation..........................................449 Over the Counter Permit...................................... Yes
PERMIT EXPIRES July 31, 2002, IF NO WORK IS STARTED.
Permit issued on February 1, 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: L,�' it C(y��T Date:
C'AV ce
1� �� '`►� o �1'b r` t/
Mechanical rough -in:
Gas pipe:
FINAL MECHANICAL:
Date:
Date:
Date: v l�'
APPLICATION NUMBER _ APPLICATION
NUMBER:_ -_
—-
"The following is'rd'4uire� information - Please print (in ink) or type" 671374
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
PROPERTYINFORMATION
SITE ADDRESS: 27907 21 AVE S, FEDERAL WAY, WA 98003
ASSESSOR'S TAX/PARCEL #: 7575620530
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION
TYPE OF PROJECT (This application): O BUILDING ❑ PLUMBING ® MECHANICAL Q DEMOLITION
Q ELECTRICAL Q ENGDVEERUC ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
Remove/Replace Gas Water Heater
PROJECT NAME: BARTELS, BELINDA
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
■ PEOPLE INFORMATION
NAME: BARTELS, BELINDA DAYTIME PHONE:
(253)839-1955 _
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, IIP): —'
27907 21 AVE S FEDERAL WAY, WA 98003
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:
19-87000047-DO-bi
425 814-9516
CONTRACTORS REGISTRATION NUMBER:
EXPIRATION DATE:
(copy of card required) FASTVMC052DF
02/16/2002
NAME:
DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP): EVENING PHONE:
<Street> <City> <Zi >
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑TENANT ❑ OTHER (DESCRIBE):
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER Q APPLICANT M CONTRACTOR
INFORMATIONE DETAILED BUILDING
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ $449.00
SPRINKLED BUILDING? Q YES Q NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: QYES Q NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑HIGHLINE ❑TACOMA E3 PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑HIGHLINE Q PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
0 1
NUMBER OF BEDROOMS' ESTIMATED SELLING PRICE: $
FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED Sq. FT.
TOTAL
BASEMENT
❑ ALTERATION ❑ REPAIR
❑ TIENANTIMPROVEMENT
CENSUSCOOE:
LOT SIZE:
ZONING DESIGNATION:
a
FIRST
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES
CNO
SECMN TOWNSHIP RANGE
NEW ADDRESS REQUIRED?
YES ❑ NO ❑
0
SECOND
EM
0
THIRD
0
FOURTH
0
OTHER FLOORS (DESCRIBE)
0
DECK
0
GARAGE
HOW MANY FLOORS?
0
TOTAL:J
0
0
0
FIXTURES
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLERS) GAS LOG(S) REFRIG. SYSTEMS)
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) 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/ 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
;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 suoDlied to the city as . -a oart of this application.
NAME/TITLE.'''`�'''=� Permit Mgr DATE: 01/28/2002
❑ PROPERLY OWNER ❑ APPLICANT :0 CONTRACTOR
FOR OFFICE USE ONLY:
❑ NBN ❑ ADDITION
❑ ALTERATION ❑ REPAIR
❑ TIENANTIMPROVEMENT
CENSUSCOOE:
LOT SIZE:
ZONING DESIGNATION:
BUILDING SHELL ONLY?
El YES ❑ m
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES
CNO
SECMN TOWNSHIP RANGE
NEW ADDRESS REQUIRED?
YES ❑ NO ❑
PLATTED LOT? ❑ YES ❑ ND
I CHANGE OF USE? ❑ YES
EM