04-100738City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Pb: 253.661.4000 Fax: 253.661.4129
Mechanical Permit #:04 - 100738 - 00 - ME
Inspection request line: 253.8 X5.3050
Project Name: WATERS P,
Project Address: 27908 21SIS Parcel Number: 757562 0660
Project Description: Replace gas hot water tank.
Owner
Applicant
Contractor
Kenneth L Waters
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
27908 21 ST AVE S
12601 132ND AVE NE
12601 132ND AVE NE
FEDERAL WAY WA
KIRKLAND WA 98034
KIRKLAND WA 98034
98003-6949
(425)814-8381
Mechanical Valuation..........................................449 Over the Counter Permit...................................... Yes
PERMIT EXPIRES August 29, 2004.
Permit issued on March 2, 2004
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. c
Owner or agent: See ADDUCa l.e Date: 3 - 2- —O q
t
RECEIVED Y
CIMUNITYDEVELOPMENT DEPARTMENT
m FEB 2 i 2004
-eeeraIW6y PERMIT APPLICATION
tl ! - CK1625
COMMUNITY 0eVV"mgNrSERmLVS
J35.To FIRST WAY SOtIfJ{ • Po BOM 9718
FSoBRAL WAY, WA 90061.9718
T53�"1-f1IS- FAX. 2S3-661,41"
ailii;.rfkmf..M,1_ry m
/
l._ ro, ..vx�r TO
[.'%V File Ni.tmbf.,v - L (_ � / -
-. L.....� .._ _
The following is required information - an incomplete application will not be accepted. Ptease print Legibly (in 1nkl or Lupe,
SITE ADDRESS: 27908 21 AVE S, FEDERAL WAY, WA 98003
SUITE/APT III
ASSESSOR'S TAX/PARCEL h, 7575620660 _.. - — — — T SQUARE FOOTAGE OF LOT:
LEGAL DESCRIPTION (ctl; Acme .Estates, i.ot 1)
(Roach separate page for lengthy legal description)
PROJECT• •
TYPE OF PERMIT (This &PoUcatlon): ❑ BUILDING ❑ PLUMBING X MECHANICAL 0 DEMOLITION
O ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this 2ganit onlvk
Remove/Replace Gas Water Heater
PROJECT NAME (Name OfBusineas/Owner Last Namd: WATERS. KENNETH
CONTRACTOR:
LENDER
Rf r'.P 4 r.W. s •$Awl
APPLICANT:
NAME PRIMARY PHONE:
WATERS. KENNETH (253152 1-3502
MAIUNG ADDRESS (STREET ADOR ;l: CITY. STATE, ZIP
27908 21 AVE S FEDERAL WAY, WA 98003
NAME
COMPANY
OFFICE PHONE:
FAST WATER HEATER COMPANY
CITY, STATE, ZIP
(425)814-3124
MAIUNG ADDRESS (STREET ADDRESS;]:
CITY, STATE, ZIP
CELL PRONE:
2601 132ND AVE NE
KIRKLAND. WA 98034
O Architect 0 Tenant ❑ Other (Describe).
CITY OF ERAL WAt WSINeW NSE NUMBER: EXPIRATION DATE:
FAX NUMB&R:
8 7 - 0 0 _0 _0 _4 _7 - 0 0
425 814-9516
COWMCTOVS STRATtON NUMBER: EXPIRATION DATE:
(eery oftU4 rKabmd W" *Atb .Pws.tlea4 -FA 5TWUCQ50E— _ 02/16/2005
NAME: DAYTIME PHONE.
MAIUNG ADDRESS ]STREET ADDRESS;): CITY, STATE, ZIP
NAME`
COMPANY
OFFICE PHONE:
# 7
MAIUNG ADDRESS ISTRF.ET ADDRESS):
CITY, STATE, ZIP
EVENING PHONE:
t
RELATIONSHIP TO PROJECT'
FAX NUMBER:
O Architect 0 Tenant ❑ Other (Describe).
CONTACT PERSON FOR THIS PROJECT: 0 Property Owner X Contmetor 0 Applicant E MAILADD :
DETAILED BUILDING INFORMATION
PROPOSED USE:
EXISTING ASSESSED/APPRAISED VALUE t_ VALUE OF PROPOSED WORK.: $ $449.00
SPRINKLERED BUILDING? O YES O NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: O YES O NO
WATER SERVICE PROVIDER: O LAKEHAVEN a HIGHLINE O TACOMA 0 PRIVATE (WELLI
SEWER SERVICE PROVIDER-- 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE (SEP'T'IC)
V A.
■ PROJECT FLOOR AREAS
AREA DESCRIP ION T _-
EXISTING S FT.
Q_.....-.._..._.
PROPOSED S FT.
._....._._._... ___.......Q'---.....—
--
TOTAL
BASEMENT
ci lEEW' o ADDITION
o ALTERATION
- —
FIRST
Q $i I.IrONLY? a YES a NO
BASIC PLAN?
o YES
SECOND
V)XINO DE%i TION.
CHANGE OF USE?
THIRD
o NO
NEW ADDRESS REQUIRED? o YES a NO
UP/SEPA/SII?
FOURTH
a NO
PLATTED LOT? o YES o NO
DEMO PERMIT REQUIRED?
ADDITIONAL FLOORS {DESCRIBE)
DECK (COVERED?j
_
_.. __...-._ _.__—. _...._..
GARAGE/CARPORT
T'
". -
HOW MANY FLOORS?
TWALWSMG
tOMMOPosED
MAL ZMMNaAND PROPMW
[,-NEWHOMES ONLY" NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
Indicate number of each type of fixture that is to be installed or relocated as part of this project. Do not include existing fixtures to remain.
IKECUAMCAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG, SYSTEMS
BBQS FANS HOODS (comaaucytl WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES M1SC (Describe)
_COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS (ter r tgstw. r co-"
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
LAVS (ew+nw. xnk
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
WATER CLOSETS (Taik+)
DRINKING FOUNTAINS
RAINWATER SYS
HOSE SIBBS
ELECTRIC WATER HEATERS
MISC (Desetibc)
DISCLIMMER!SIGNATURL BLOCK
I certVy 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' fees incurred in the investigation and defense of such claimj, which may be made by any person, including the
undersigned, andflied against the City of Federal Way, but only where such claim arises out of the reliance of the city,
t^chKWV tts offlowv and employees, upon the accuracy of the information supplied to the city as a part of this application.
NAME/TITLE. � � . Permit Mgr DATE: 02/25/2004
(Signature) (Titk) '
RELATIONSHIP TO PROJECT: o Property Owner ❑ Applicant XContractor o Architect ❑
FOR OFFICE,USE,ONLY:, "
ci lEEW' o ADDITION
o ALTERATION
a REPAIR a TENANT IMPROVEMENT
Q $i I.IrONLY? a YES a NO
BASIC PLAN?
o YES
o NO
V)XINO DE%i TION.
CHANGE OF USE?
o YES
o NO
NEW ADDRESS REQUIRED? o YES a NO
UP/SEPA/SII?
a YES
a NO
PLATTED LOT? o YES o NO
DEMO PERMIT REQUIRED?
o YES
o NO
PRgc 2