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02-101143City 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: DAVIS ""I& yr Project Address: 29035 19TH/S Mechanical Permit #: 02 -101143 - 00 - ME Project Description: HVAC - Remove/replace gas water heater Inspection request line: 253.835.3050 Parcel Number: 422300 0110 Owner Applicant Contractor Glenn R & Jan R Davis FAST WATER HEATER COMPANY FAST WATER HEATER COMPANY 29035 19TH AVE S 12601 132ND AVE NE 12601 132ND AVE NE FEDERAL WAY WA KIRKLAND WA 98034 KIRKLAND WA 98034 98003-3872 (425)814-8381 Mechanical Valuation..........................................449 Over the Counter Permit ...................................... Yes PERMIT EXPIRES September 11, 2002, IF NO WORK IS STARTED. Permit issued on March 15, 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: Date:�/o Z _ Mechanical rough -in: Gas pipe: Date: Date: FINAL MECHANICAL: �" t� % Date:.3 " 01; - d Z 4 0 - APPLICATION NUMBER• _ �` •r RECEIVED _ _ _ _ r COMMUNITY DEVELOPME 'The following is required ie{�atiQ 8P print (in ink) or type'- 685563 PI (�i66; it© cal, Fire Prevention Systems and Engineering permits may require a separate application. SITE ADDRESS: 29035 19 AV S, FEDERAL WAY, WA 98003 ASSESSOR'S TAX/PARCEL #: 4223000110 LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): ■ PROJECT INFORMATION TYPE OF PROJECT (This application): ❑ BUILDING O PLUMBING ® MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description): PROJECT NAME: DAVIS, JAN R PROPERTY OWNER: CONTRACTOR: APPLICANT: Remove/Replace Gas Water Heater ■ PEOPLE INFORMATION NAME: DAVIS, JAN R DAYTIME PHONE: (206)550-5657 MAILING ADDRESS (STREET ADDRESS, QTY, STATE, ZIP): 29035 19 AV S FEDERAL WAY, WA 98003 NAME DAYTIME PHONE: FAST WATER HEATER COMPANY (425)814-3124 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: (copy of card required) FASTWHC052DF 02-16-03 NAME: DAYTIME PHONE: MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP): EVENING PHONE: <Street> <City> <ZiD> I RELATIONSHIP❑ ARCHTECT ❑❑ ECT: TENANT OTHER (DESCRIBE): I FAX NUMBER: I CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT M CONTRACTOR DETAILED O• • EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ $449.00 SPRINKLED BUILDING? ❑ YES [j NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑YES ❑ NO WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑HIGHLINE ❑TACOMA C3 PRIVATE (WELL) SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑HIGHLINE ❑ PRIVATE (SEPTIC) 7/6 ANE1 iRESIDENTIAL CONSTRU NUMBER OF BEDROOMS' ESTIMATED SELLING PRICE: FLOOR AREAS FLOOR EXISTING SQ. FT. PROPOSED S2. FT. TOTAL BASEMENT ❑ ALTERATION ❑ REPAIR ❑ TENANTYMPROVEMENT CENSUS CODE: LOT SIZE: ZONING DESIGNATION: 0 FIRST COMP PLAN DESIGNATION BASIC PLAN? ❑ YES ENO SECrMN TOWNSHIP RANGE NEW ADDRESS REQUIRED? YES ❑ NO ❑ 0 SECOND EM 0 THIRD 0 FOURTH 0 OTHER FLOORS (DESCRIBE) 0 DECK U GARAGE HOW MANY FLOORS? 0 TOTAL: 0 0 0 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) URINAL(S) I WATER HEATER(S) DISHWASHERS) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC fj GAS DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUTLET(S) SINKS) WATER CLOSET(S) MISC. ( ) INTERCEPTORS) SUMP(S) DISCLAIMER/ SIGNATURE 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 suooiied to the city as a oart of this application. NAME/TITLE. "'� ���' Permit Mgr DATE' 03/04/2002 ❑ PROPERLY OWNER ❑ APPLICANT $] CONTRACTOR FOR OFFICE USE ONLY: ❑ NBN ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANTYMPROVEMENT CENSUS CODE: LOT SIZE: ZONING DESIGNATION: BUILDING SHELL ONLY? ❑ YES ❑ ND COMP PLAN DESIGNATION BASIC PLAN? ❑ YES ENO SECrMN TOWNSHIP RANGE NEW ADDRESS REQUIRED? YES ❑ NO ❑ PLATTED LOT? ❑ YES ❑ 10 1 CHANGE OF USE? ❑ YES EM