02-103016City of Federal Way
Applicant
Mechanical Permit #: 02 -103016 - 00 - ME
Community Development Services
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
33530 1st Way S
12601 132ND AVE NE
12601 132ND AVE NE
Federal Way, WA 98003-6210
KIRKLAND WA 98034
KIRKLAND WA 98034
Ph: 253.661.4000 Fax: 253.661.4129
Inspection request line: 253.835.3050
Project Name: LOBEJKO -\)C
Project Address: 27738 25TH'S Parcel Number: 757561 0750
Project Description: MECH - Remove/Replace gas water heater
Owner
Applicant
Contractor
Kenneth R & Barbara A Lobejko
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
27738 25TH DR S
12601 132ND AVE NE
12601 132ND AVE NE
FEDERAL WAY WA
KIRKLAND WA 98034
KIRKLAND WA 98034
98003-6928
(425)814-8381
Mechanical Valuation..........................................449
Over the Counter Permit......................................Yes
PERMIT EXPIRES January 12, 2003, IF NO WORK IS STARTED.
Permit issued on July 16, 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: See Application Date: — Z
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r APPLICATION NUMBERL0A _I q&OLIj— —
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APPLIMON NUMBE
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"The followingli0gg1irlo ration - Please print (in ink) or type" 731985
Please note: Electrical, Fire Preve i rrSystems and Engineering permits may require a separate application.
SITE ADDRESS: 27738 25 DR S, FEDERAL WAY, WA 98003
ASSESSOR'S TWPARCEL #: 7575610750
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION
TYPE OF PROJECT (This application): O BUILDING ❑ PLUMBING ® MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
Remove/Replace Gas Water Heater
PROJECT NAME: LOBEJKO, KENNETH & BARBARA
PROPERTY OW N ER:
CONTRACTOR:
APPLICANT:
■ PEOPLE INFORMATION
NAME: LOBEJKO, KENNETH & BARBARA DAYTIME PHONE:
(253)941-6504
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, IIP):
27738 25 DR 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
QTY 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
NAME:
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP):
DAYTIME PHONE:
EVENING PHONE:
IRELATIONSHIP❑ARCHITECiPROJE ❑TENANT ❑OTHER (DESCRIBE): I FAX NUMBER: I
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT M CONTRACTORS
DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ $449.00
SPRINKLED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑YES ❑ NO
WATER SERVICE PROVIDER: Q LAKEHAVEN ❑HIGHLINE ❑TACOMA El PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑HIGHLINE ❑ PRIVATE (SEPTIC)
W-7+6
"NEW tESIDENTIAL CONSTRUCTION ONLY"
NUMBER OF BEDROOMS' ESTIMATED SELLING PRICE: $
FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
❑ ALTERATION ❑ REPAIR
❑ TENANT IMPROVEMENT
CENSUS OODE:
LOT SIZE:
ZONING DESIGNATION:
0
FIRST
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES
ENO
SECTM TOWNSHIP RANGE
NEW ADDRESS REQUIRED?
YES ❑ NO ❑
0
SECOND
X10
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 UNITS) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG, SYSTEMS)
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: ❑ ELECTRIC ❑ G AS
PLUMBING
BATHTUB(S) LAVATORY(S) URINALS) I WATER HEATER(S)
DISHWASHERS) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC 6 GAS
DRINKING FOUNTAINS) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) 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, induding the undersigned, and filed 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 suoolied to the city as_a oart of this application.
NAME/TITLE.''" :__ f ..� � � Permit Mgr DATE: 07/10/2002
❑ PROPERLY OWNER ❑ APPLICANT ZICONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION
❑ ALTERATION ❑ REPAIR
❑ TENANT IMPROVEMENT
CENSUS OODE:
LOT SIZE:
ZONING DESIGNATION:
BUILDING SHELL ONLY?
❑ YES ❑ N:)
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES
ENO
SECTM TOWNSHIP RANGE
NEW ADDRESS REQUIRED?
YES ❑ NO ❑
PLATTED LOT? ❑ YES ❑ ND
CHANGE OF USE? ❑ YES
X10