02-101237City of Federal Way f
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Mechanical Permit #: 02 -101237 - 00 - ME
Inspection request line: 253.835.3050
Project Name: HILL Q\
Project Address: 30016 1ST'S Parcel Number: 891420 0080
Project Description: HVAC - Remove/replace gas water heater
Owner
Applicant
Contractor
Charles E & Sheila G Hill
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
30016 1ST PL S
12601 132ND AVE NE
12601 132ND AVE NE
FEDERAL WAY WA
KIRKLAND WA 98034
KIRKLAND WA 98034
98003-4301
(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. ,t
Owner or agent: Date: �I 7Z/Ov
Mechanical rough -in:
Gas pipe:
FINAL MECHANICAL:
Date:
Date:
Date:
RECEIVED
`ft APPLICATION NUMBER -?2_ _
APPLICATION NUMBER:--- ---
�,r� � � 2 2002
CITY OF MMRtgbMV required information - Please print (in ink) or type** 691361
Please note: 8WWaAAiQWiTy9ntion Systems and Engineering permits may require a separate application.
■ PROPERTY INFORMATION
SITE ADDRESS: 30016 1 PL S, FEDERAL WAY, WA 98003
ASSESSOR'S TWPARCEL #: 8914200080
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ® MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGWEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
Remove/Replace Gas Water Heater
PROJECT NAME: HILL, CHARLES
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
■ PEOPLE INFORMATION
NAME: HILL, CHARLES 7DAYTIME253 529-4695 PHONE:
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP):
30016 1 PL S FEDERAL WAY, WA 98003
NAME:
FAST WATER HEATER COMPANY
DAYTIME PHONE:
(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:
I "7000047-00-b1
425 814-9516
CONTRACTORS REGISTRATION NUMBER:
EXPIRATION DATE:
(copy of card required) FASTWHC052DF
02/16/2003
INAME: I DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP):
EVENING PHONE:
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑TENANT ❑OTHER (DESCRIBE):
E-MAIL ADORi
CONTACT PERSON FOR THIS PR03ECT: ❑ PROPERTY OWNER ❑ APPLICANT M CONTRACTOR
DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ $449.00
SPRINKLED BUILDING? [I YES C] NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑HIGHLINE ❑TACOMA L3 PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑HIGHLINE ❑ PRIVATE (SEPTIC)
W-7/6
**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 ❑ W
COMP PLAN DESIGNATION
0
CNO
SEC.00N TOWNSHIP RANGE
0
YES ❑ NO ❑
PLATTED LOT? ❑ YES ❑ ND
0
ado
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 INSERT(S) RANGE(S) MISC. ( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: O ELECTRIC ❑ G AS
PLUMBING
BATHTUB(S) LAVATORY(S) URINALS) I WATER HEATER(S)
DISHWASHERS) 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)
•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 suoolied to the citv as Dart of this application.
NAME/TITLE. �� '`�''� Permit Mgr DATE: 03/18/2002
❑ PROPERLY OWNER ❑ APPLICANT ZI CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION
❑ ALTERATION ❑ REPAIR
❑ TENANTIMPROVEMENT
CENSUSCODE:
LOT SIZE:
ZONING DESIGNATION:
iBUILDING SHELL ONLY?
❑ YES ❑ W
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES
CNO
SEC.00N TOWNSHIP RANGE
NEW ADDRESS REQUIRED?
YES ❑ NO ❑
PLATTED LOT? ❑ YES ❑ ND
I CHANGE OF USE? ❑ YES
ado