02-101236City of Federal Way
Community DeSe!opritnt Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
I ,
Mechanical Permit #:02 - 101236 - 00 - ME
Inspection request line: 253.835.3050
Project Name: HEROLD 0
Project Address: 30627 15TH SW Parcel Number: 514930 0200
Project Description: HVAC - Remove/replace gas water heater
Owner
Applicant
Contractor
Elizabeth Cecilia Herold
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
30627 15TH PL SW
12601 132ND AVE NE
12601 132ND AVE NE
FEDERAL WAY WA
KIRKLAND WA 98034
KIRKLAND WA 98034
98023-3447
1 (425)814-8381
Mechanical Valuation..........................................449
Over the Counter Permit ...................................... Yes
PERMIT EXPIRES September 18, 2002, IF NO WORK IS STARTED.
Permit issued on March 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: LZ I L' c k 1 Date: .3 ? L Gi_
Mechanical rough -in:
Gas pipe:
FINAL MECHANICAL:
Date:
Date: /
Date:�l ®�
N �t RECEIVED BY APPLI TION NUMBER _ — — — L
COMMUNITY DEV7i.0 °HENT D — — — _ — — — —
APPLIMON ---------
"The following is requirm&�li on200 - Please print (in ink) or type" 691362
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
■ PROPERTY INFORMATION
SITE ADDRESS: 30627 15 PL SW, FEDERAL WAY, WA 98023
ASSESSOR'S TWPARCEL #: 5149300200
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ® MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
Remove/Replace Gas Water Heater
PROJECTNAME: HEROLD, ELIZABETH
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
■ PEOPLE INFORMATION
NAME:HEROLD, ELIZABETH DAYTIME PHONE:
(253)946-3225
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP): -
30627 15 PL SW FEDERAL WAY, WA 98023
NAME:
FAST WATER HEATER COMPANY
DAYTIME PHONE:
(425)814-3124
MAILING ADDRESS (STREET ADDRESS, CIN, STATE. IIP):
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
02/16/2003
DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS, cny,, STATE, ZIP): -- EVENING PHONE:
<Street> <City> <7i n>
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑TENANT ❑OTHER (DESCRIBE);
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT M CONTRACTOF
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION S
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 ❑HIGHLINE ❑ PRIVATE (SEPTIC)
"NEW RESIDENTIAL
NUMBER OF BEDROOMS' ESTIMATED SELLING PRICE:
BASEMENT
DECK
HOW MANY FLOORS?
TOTAL:
FLOOR AREAS
EXISTING SQ. FT.
PROPOSED Sq. FT.
TOTAL
❑ NEW ❑ ADDITION
0
❑ TENANTIMPROVEMENT
CENSUSCODE:
0
ZONING DESIGNATION:
0
❑ YES ❑ PD
COMP PLAN DESIGNATION
0
CVO
SECrM TOWNSHIP RANGE
0
YES ❑ NO ❑
PLATTED LOT? ❑ YES ❑ ND
0
EM
0
0
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) URINALS) I WATER HEATER(S)
DISHWASHERS) RAIN WATER SYS. VACUUM BREAKERS) ❑ ELECTRIC b GAS
DRINKING FOUNTAINS)-- SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINKS) WATER CLOSETS) 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 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 suoolied to the citv 4s,.o oart of this application.
YAM E/TITLE.'°'�Jr'`T "�, Permit Mgr DATE: 03/18/2002
❑ PROPERLY OWNER ❑ APPLICANT :U CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION
❑ ALTERATION O REPAIR
❑ TENANTIMPROVEMENT
CENSUSCODE:
LOT SIZE:
ZONING DESIGNATION:
BUILDING SHELL ONLY?
❑ YES ❑ PD
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES
CVO
SECrM TOWNSHIP RANGE
NEW ADDRESS REQUIRED?
YES ❑ NO ❑
PLATTED LOT? ❑ YES ❑ ND
CHANGE OF USEi' ❑ YES
EM