02-102952City Federal Way
Community Development Services Mechanical Permit #: 02 - 102952 - 00 - ME
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050
Project Name: LEE P;J�
• Project Address: 34712 18TH'SW Parcel Number: 742800 0290
Project Description: MECH - Remove/replace gas water heater
Owner
Applicant
Contractor
Harvey L Lee
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
34712 18TH AVE SW
12601 132ND AVE NE
12601 132ND AVE NE
FEDERAL WAY WA
KIRKLAND WA 98034
KIRKLAND WA 98034
98023-7012
(425)814-8381
Mechanical Valuation..........................................449 Over the Counter Permit ...................................... Yes
PERMIT EXPIRES January 8, 2003, IF NO WORK 1S STARTED.
Permit issued on July 12, 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. See Application
Owner or agent: IJ Date: •' �Q
r
1 APPLICATION NUMBER&j _ LDS ,: a– CDC)
P.ECEI� ED 9Y �r�,� :— — — — — — — -- —
coti�Munlm� NT n=PaR�'n rAPPLICATION NUMBER: — — -- — — — — — — -
-The folio 1n1 i repuIttii,formation - Please print (in ink) or type" 729996
Please note: Electrical, Fire Pre�6�i �ys ems and Engineering permits may require a separate application. AA
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SITE ADDRESS: 34712 18 AVE SW, FEDERAL WAY, WA 98023
ASSESSOR'S TAX/PARCEL #: 7428000290
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROTECT INFORMATION
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ® MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
PROJECT NAME: LEE, HARVEY
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
Remove/Replace Gas Water Heater
■ PEOPLE INFORMATION
NAME: LEE, HARVEY DAYTIME PHONE:
(253)838-0935
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, IIP):
34712 18 AVE SW FEDERAL WAY, WA 98023
NAME:
DAYTIME PHONE:
FAST WATER HEATER COMPANY
(425)814-3124
MAILING ADDRESS (STREET ADDRESS, QTY, STATE, IIP):
EVENING PHONE:
12601 132ND AVE NE
KIRKLAND WA 98034
CiTY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
19-87000047-00-b1
425 814-9516
CONTRACTORS REGISTRATION NUMBER:
EXPIRATION DATE:
(copy of card required) FASTWHC052DF
02/16/2003
NAME:
DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, IIP): EVENING PHONE:
<Street> <Cit > <Zi >
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑TENANT ❑ OTHER (DESCRIBE):
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT M CONTRACTOR
INFORMATION0 DETAILED BUILDING
EXISTING USE: EXISTING BUILDING ASSESSEDIAPPRAISED 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 E3 PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑HIGHLINE ❑ PRIVATE (SEPTIC)
W706
1W
**NEVV;RESIDENTIAL CONSTRUCTION ONLY"
NUMBER OF BEDROOMS ESTIMATED SELLING PRICE: $
FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED Sq. FT.
TOTAL
BASEMENT
❑ ALTERATION ❑ REPAIR
❑ TENANTIMPROVEMENT
CENSUS CODE:
LOT SIZE:
ZONING DESIGNATION:
0
FIRST
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES
CNO
SCCEON TOWNSHIP RANGE
NEW ADDRESS REQUIRED?
YES ❑ NO ❑
0
SECOND
LM
0
THIRD
0
FOURTH
0
OTHER FLOORS (DESCRIBE)
0
DECK
0
ARAGE
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. SYSTEMS)
BBQ(S) FAN(S) HOODS) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERTS) RANGES) MISC. ( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ G AS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) 1 WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC 6 GAS
DRINKING FOUNTAIN(S) 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 knowledge,and
further, that I am authorized by the owner of the above premises to perform the work for which the permit application is made. I
further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fee incurred in the
investigation and defense of such claim), which may be made by any person, including the undersigned, and Fled against the City of
Federal Way, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy
of the Information suDolied to the city as...a Dart of this application.
NAME/TITLE. ``` `� "'y" '' Permit Mgr DATE: 07/03/2002
❑ PROPERLY OWNER ❑ APPLICANT $] CONTRACTOR
FOA OFFICE USE ONLY:
❑ NEIN ❑ ADDITION
❑ ALTERATION ❑ REPAIR
❑ TENANTIMPROVEMENT
CENSUS CODE:
LOT SIZE:
ZONING DESIGNATION:
BUILDING SHELL ONLY?
Ll YES ❑ N:)
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES
CNO
SCCEON TOWNSHIP RANGE
NEW ADDRESS REQUIRED?
YES ❑ NO ❑
PLATTED LOT? ❑ YES ❑ ND
I CHANGE OF USE? ❑ YES
LM