02-100818City 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: LODELL e/
i
Project Address: 28115 29TH S
Mechanical Permit #:02 -100818 - 00 - ME
Project Description: HVAC - Remove/replace gas water heater
Inspection request line: 253.835.3050
Parcel Number: 356820 0110
Owner
Applicant
Contractor
Duane W Lodell
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
28115 29TH AVE S
12601 132ND AVE NE
12601 132ND AVE NE
FEDERAL WAY WA
KIRKLAND WA 98034
KIRKLAND WA 98034
98003-3387
1 (425)814-8381
Mechanical Valuation..........................................449 Over the Counter Permit ...................................... Yes
PERMIT EXPIRES August 21, 2002, IF NO WORK IS STARTED.
Permit issued on February 22, 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:��'iL�% - ���i Date: �j�ZZ I U 2
4;2
APPLICATION NUMBERZ2 _ — — — — — —
M-014
-- - - - - - --
*TlfplloGnng information is required infoation - Please print (in ink) or type" 680240
Please note: EISEQl, Fire Prevention Systems and Engineering permits may require a separate application.
_–es%_WAY
SITE ADDRESS: 28115 29 AVE S, FEDERAL WAY, WA 98003
ASSESSOR'S TA)VPARCEL #: 3568200110
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ® MECHANICAL ❑ DEMOLITION
Q ELECTRICAL ❑ 04MEERM ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
Remove/Replace Gas Water Heater
PROJECT NAME: LODELL, DUANE
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
■ PEOPLE INFORMATION
NAME:LIDDELL, DUANE DAYTIME PHONE:
(253)941-5179
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, IIP):
28115 29 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:
19-67000047-00-bl
425 814-9516
ODNTRACTORS REGISTRATION NUMBER:
EXPIRATION DATE:
(copy of card required) FASTWHC052DF
02/16/2002
NAME:
DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS, QTY, STATE, IIP):I EVENING PHONE:
<Street> <City> <Zio>
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑TENANT ❑OTHER(DESCRIBE):
CONTACT PERSON FOR THIS PROSECT: ❑ PROPERTY OWNER ❑ APPLICANT M CONTRACTOR!
0 DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION S
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ $449.00
SPRINKLED BUILDING? Q YES (❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: QYES Q NO
WATER SERVICE PROVIDER: Q LAKEHAVEN ❑HIGHLINE ❑TACOMA Ll PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑HIGHLINE ❑ PRIVATE (SEPTIC)
MO -716
M
"**NEW RESIDENTIAL
NUMBER OF BEDROOMS ESTIMATED SELLING PRICE:
FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED . FT.
TOTAL
BASEMENT
❑ ALTERATION ❑ REPAIR
❑ TENANT IMPROVEMENT
CENSUSCODE:
LOTSIZE:
ZONING DESIGNATION:
0
FIRST
COMP PLAN DESIGNATION
BASIC PLAN? OYES
ENO
SELTX)N TOWNSHIP RANGE
NEWADDRESSREQUIRED?
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. 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) URINALS) 1 WATER HEATER(S)
DISHWASHERS) RAIN WATER SYS. VACUUM BREAKERS) ❑ ELECTRIC 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
Weral 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 suDolied to the citv 4s.a Dart of this application.
.,� �• .� w=c�.";r , Permit Mgr
NAME/TITLE. DATE: 02/18/2002
❑ PROPERLY OWNER ❑ APPLICANT $0 CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION
❑ ALTERATION ❑ REPAIR
❑ TENANT IMPROVEMENT
CENSUSCODE:
LOTSIZE:
ZONING DESIGNATION:
BUILDING SHELL ONLY?
❑ YES ❑ N:)
COMP PLAN DESIGNATION
BASIC PLAN? OYES
ENO
SELTX)N TOWNSHIP RANGE
NEWADDRESSREQUIRED?
YES ❑ NO ❑
PLATTED LOT? ❑ YES ❑ ND
I CHANGE OF USE? ❑ YES
EM