02-103058City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Mechanical Permit #:02 - 103058 - 00 - ME
Inspection request line: 253.83,5.3050
Project Name: WILEY �je,
Project Address: 31420 50THiSW Parcel Number: 189870 0150
Project Description: MEC - Remove/replace gas water heater
Owner
Applicant
Contractor
MICKEY WILEY
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
PO BOX 48343
12601 132ND AVE NE
12601 132ND AVE NE
SEATTLE WA 98166
KIRKLAND WA 98034
KIRKLAND WA 98034
(425)814-8381
Mechanical Valuation..........................................449 Over the Counter Permit...................................... Yes
PERMIT EXPIRES January 14, 2003, IF NO WORK IS STARTED.
Permit issued on July 18, 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. �l G n
Owner or agent: See A nnliratinn Date: ! v
APPLICATION NUMBER;Q —�
�,.,. RECFII/POKY ------ ---
APPLICATION NU — — — — — — —
"The following is required information - Please print (in ink) or type" 733364
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
■ PROPERTY INFORMATION
SITE ADDRESS: 31420 50 AVE SW, FEDERAL WAY, WA 98023
ASSESSOR'S TWPARCEL #: 1898700150
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ® MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENMEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
Remove/Replace Gas Water Heater
PROJECT NAME: WILEY, MICKEY
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
■ PEOPLE INFORMATION
NAME. WILEY, MICKEY DAYTIME PHONE:
(253)941,-1785 'N
MAILING ADDRESS (STREET ADDRESS, QTY, STATE, ZIP):
PO BOX 48343 SEATTLE, WA 98166
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-b1
425 814-9516
OONTRACTORS REGISTRATION NUMBER:
EXPIRATION DATE:
(copy of card required) FASTWHC052DF
02/16/2003
NAME:
MAILING ADDRESS (STREET ADDRESS, QTY, STATE, ZIP):
DAYTIME PHONE:
EVENING PHONE:
RE17.
LATIONSHIP
ARCHITECTIPRO�E ❑TENANT ❑OTHER (DESCRIBE): I FAX NUMBER: 1
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? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED- ❑YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑HIGHLINE ❑TACOMA C3 PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑HIGHLINE ❑ PRIVATE (SEPTIC)
r�
**NEW RESIDENTIAL CONSTRUCTION ONLY**
J .
NUMBER OF BEDROOMS' ESTIMATED SELLING PRICE:
L- FLOOR AREAS
BASEMENT
ER
HOW MANY FLOORS?
TOTAL:
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
❑ NEW ❑ ADDITION
0
❑ 7MWI14PROVEMENT
CENSUS CODE:
0
ZONING DESIGNATION:
0
❑ YES ❑ N)
COMP PLAN DESIGNATION
0
ONO
SECMN TOWNSHIP RANGE
0
YES ❑ NO ❑
PLATTED LOT? ❑ YES ❑ ND
0
X10
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) HOOD(S) 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 t§ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC. ( )
INTERCEPTORS) SUMP(S)
DISCLAIMER/
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 suDDllied to the city as a hart of this application.
�-=✓x� r , Permit Mgr 07/15/2002
NAME/TITLE. ` DATE:
❑ PROPERLY OWNER ❑ APPLICANT $] CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION
❑ ALTERATION ❑ REPAIR
❑ 7MWI14PROVEMENT
CENSUS CODE:
LOT SIZE:
ZONING DESIGNATION:
BUILDING SHELL ONLY?
❑ YES ❑ N)
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES
ONO
SECMN TOWNSHIP RANGE
NEW ADDRESS REQUIRED?
YES ❑ NO ❑
PLATTED LOT? ❑ YES ❑ ND
I CHANGE OF USE? ❑ YES
X10