02-100628e
City 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 -100628 - 00 - ME
Project Name: MATHUR r✓)(
Project Address: 33504 4TH'SW
Project Description: HVAC - Remove & replace gas water heater
Inspection request line: 253.835.3050
Parcel Number: 729805 0370
Owner
Applicant
Contractor
Raj K & Anju Mathur
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
33504 4TH CT SW
12601 132ND AVE NE
12601 132ND AVE NE
FEDERAL WAY WA
KIRKLAND WA 98034
KIRKLAND WA 98034
98023-6201
(425)814-8381
Z
Mechanical Valuation..........................................449 Over the Counter Permit........... ....................Yes
PERMIT EXPIRES August 7, 2002, IF NO WORK IS STARTED.
Permit issued on February 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: �2��0A Date:
Mechanical rough -in: Date:
Gas pipe: Date:
FINAL MECHANICAL: Date: 3 O L
r�
APPLICATION NUMBERL—'
RECENED BY��PAR — _ — — —
COMMt1NIT`/ �FvFLnnPMQQFN��T�� APPLICATION — —
"The following is rfri$dvhlHFrl:�t - Please print (in ink) or type** 674601
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
PROPERTY INFORMATION
SITE ADDRESS: 33504 4 PL SW, FEDERAL WAY, WA 98023
ASSESSOR'S TAY4PARCEL #: 7 2 9 8 0 5 0 3 7 0
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ® MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGMEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
PROD ECT NAME: MATHUP RAJ
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
Remove/Replace Gas Water Heater
■ PEOPLE INFORMATION
NAME: MATHM RAJ DAYTIME PHONE:
- 7(253)874-7835
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP): ^-
33504 4 PL 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-bl
425 814-9516
CONTRACTORS REGISTRATION NUMBER:
EXPIRATION DATE:
(copy of card required) FASTWHC052DF
02/16/2002
NAME:
DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP): EVENING PHONE:
<Street> <Cit > <Zi >
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑TENANT ❑OTHER (DESCRIBE):
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT M CONTRACTON
INFORMATIONN DETAILED BUILDING
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 El PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑HIGHUNE ❑ PRIVATE (SEPTIC) '
PAO-7/6
**NEW RESIDENTIAL
NUMBER OF BEDROOMS' ESTIMATED SELLING PRICE:
FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED Sq. FT.
TOTAL
BASEMENT
❑ ALTERATION ❑ REPAIR
❑ TE UMI14PROVEMENT
CENSUS CODE:
LOT SIZE:
ZONING DESIGNATION:
0
FIRST
COMP PLAN DESIGNATION
BASIC PLAN? O YES
ONO
SECrMN TOWNSHIP RANGE
NEW ADDRESS REQUIRED?
YES ❑ NO ❑
0
SECOND
X10
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 UNrr(S) EVAPORATIVE COOLERS) GAS LOG(S) REFRIG. SYSTEMS)
BBQ(S) FAN(S) HOODS) WOODSTOVE(S)
BOILERS) FIREPLACE INSERT(S) 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)
DISHWASHERS) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC El GAS
DRINKING FOUNTAINS) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINKS) WATER CLOSET(S) MISC. (__)
INTERCEPTORS) SUMP(S)
BLOCKDISCLAIMER/ SIGNATURE
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowiedge,and
further, that 1 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 suDDlied to the city as , -a, Dart of this application.
YAM E/TITLE''<."''� Permit Mgr DATE' 02/04/2002
❑ PROPERLY OWNER 0 APPLICANT ZICONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW O ADDITION
❑ ALTERATION ❑ REPAIR
❑ TE UMI14PROVEMENT
CENSUS CODE:
LOT SIZE:
ZONING DESIGNATION:
BUILDING SHELL ONLY?
❑ YES ❑ W
COMP PLAN DESIGNATION
BASIC PLAN? O YES
ONO
SECrMN TOWNSHIP RANGE
NEW ADDRESS REQUIRED?
YES ❑ NO ❑
PLATTED LOT? 0 YES ❑ ND
I CHANGE OF USE? ❑ YES
X10