04-100907City of Federal Way
L'oummnity Development Services Mechanical Permit #: 04 -100907 - 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: MCRAE
Project Address: 4301 SW 323RD Si' Parcel Number: 873202 0670
Project Description: Remove/replace GAS water heater
Owner
Applicant
Contractor
Patricia L McRae
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
4301 SW 323RD ST
12601 132ND AVE NE
12601 132ND AVE NE
FEDERAL WAY WA
KIRKLAND WA 98034
KIRKLAND WA 98034
98023-2496
(425)814-8381
Mechanical Valuation..........................................449 Over the Counter Permit ...................................... Yes
PERMIT EXPIRES September 12, 2004.
Permit issued on March 16, 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. j
Owner or agent: .IPP A DDUCUtiti n Date: 5114 (0q
NOTE: FINAL INSPECTION REQUIRED UPON
COMPLETION OF WORK
Mechanical rough -in:
Date
FINAL MECHANICAL: Ja "i &
ate
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PROPERTY•• •
SITE ADDRESS: 4301 SW 323 ST, FEDERAL WAY, WA 98023 SUITE/APT r
ASSESSOR'S TAX/PARCEL t: 8732020670 _ - _ _ _ _ SQUARE FOOTAGE OF LOT:
LEGAL DESCRIPTION (eq: Acme Estates, Lor 1)
(Attach separate page for lengthy legal description)
PROJECT INFOMLATION
TYPE OF PERMT IThk application): O BUILDING O PLUMBING X MECHANICAL O DEMOLITION
O ELECTRICAL O ENGINFXAUNG O FIRE PREVENTION SYSTM9
PROJECT DESCRIPTION (Provide detailed description of work included on thisperrnit ontvh.
Remove/Replace Gas Water Heater
PROJECT NAME (Name O(Businow/Owner Lust Namel: MCRAE. PATRICIA
r
CONTRACTOR
LENDER:
nr r. P-4 V.I— > ".0001
APPLICANT:
NAM£: PRIMARY PHONE:
MCRAE. PATRICIA (253)838-2227
MAILING ADDRESS GREET ADORESS3 CITY. STATE. ZIP
4301 SW 323 ST FEDERAL WAY, WA 98023
NAME
COMPANY
Omcc PRONE;
FAST WATER HEATER COMPANY
CITY, STATE, ZIP
(425)813124
MAIUNO ADDRESS (STREET ADDRESS;I:
CITY, STATE. ZIP
CELL PHONE:
2601 132ND AVE NE
KIRKLAND. WA 98034
CITY OF RAL WAY BOSINES9NSE NUMBER: EXPIRATION DAT E:
FAX NUM .
87 - 0_0_0_0 _4 _7 - 0 0
1 425814-9516
CONTRACTOR EOISTRATION NUMBER; EXPIRATION DATE:
(copy of "rA "Shma with saes •rrll•&tI*-wj XA6T,yVHCQ52DF 02/16/2005
DAYTIME PHONE:
MAIUNO ADDRESS ISTR£ET ADORES$;): CITY, STATE, ZIP
NAME:
COMPANY
OFFICE PHONE:
MAIUNG ADDRESS (STREET ADDRESS):
CITY, STATE, ZIP
EVENING PHONE:
RELATIONSHIP TO PROJECT:
a Architect O Tenant O {ether (Descxibek
FAX NUMBER:
CONTACT PERSON FOR TBIS PROJECT: O Property Owner X Contractor O Applleant FrMlllL ADDRESS
DETAILED BUILDWG INFOMtATION
EXITING USE:
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 HIGIILINE 0 TACOMA n PRIVATE (WELL)
SEWER SERVICE PROVIDER; 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE (SEPTIC)
■ PROJECT FLOOR AREAS
AREA DESCRIPTION -_
EXISTING SQ. FT.�
PROPOSED SQ. FT.
TOTAL
BASEMENT
FANS
HOODS
—
FIRST
FIREPLACE INSERTS
RANGES
M1SC (Describe)
SECOND
_
0h413 WATER HEATERS
NEW ADDRESS REQUIRED? o YES o NO
TI�IRD
GAS PIPE OUTLETS
PLATTED LOT? a YES o NO
DEMO PERMIT REQUIRED? o YES
FOURTH---�------•-._._
—.__.._.__...___._._.._.___.____,_._
ADDITIONAL FLOORS (DESCRIBE)
SI(OWERS
WATER CLOSETS (rndnl
MISC (Describe)
DECK (C ED?)
SINKS
DRINKING FOUNTAINS
GARAGE/CARPORT
SUMPS
RAINWATER SYS
-
HOW MANY FLOORS?
TOTAL t:xtsnrG
TOUR. PROPOSES)
TOTAL =SnNO AND PROPOSED
"NEW HOMES 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.
JeI TCUANICAL
Value of Mechanical Work $
AIR HANDLING UNITS
EVAPORATIVE COOLERS
QAS LOGS
REFRIG. SYSTEMS
BBQS
FANS
HOODS
WOODSTOVES
BOILERS
FIREPLACE INSERTS
RANGES
M1SC (Describe)
_COMPRESSORS
FURNACES
0h413 WATER HEATERS
NEW ADDRESS REQUIRED? o YES o NO
DUCT'S
GAS PIPE OUTLETS
PLATTED LOT? a YES o NO
DEMO PERMIT REQUIRED? o YES
PLU301NO
BATHTUBS
SI(OWERS
WATER CLOSETS (rndnl
MISC (Describe)
DISHWASHERS
SINKS
DRINKING FOUNTAINS
GAS PIPE OUTLETS
SUMPS
RAINWATER SYS
WASHING MACHINES
URINALS
HOSE BIBBS
LAVS ta.uu si,*
VACUUM BREAKERS
ELECTRIC WATER HEATERS
DISCLAMIERISIGNATURL BLOCK
I Berl& under penalty of perjury that the information furnished by me is true and correct to the best of my
knowtedQe, 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' Jess incurred in the investigation and defense of such claimj, which may be made by any person, including the
undersigned, and filed against the City of Federal Way, but only where such claim arises out of the reliance of the city,
inched6ug its ofjloars and employees, upon the accuracy of the information supplied to the city as a part of this application.
NAME/TITLE:'"''~Y . Permit Misr DATE: 03/10/2004
(Signature) (Titic)
RELATIONSHIP TO PROJECTt ❑ Property Owner ❑ Applicant XContractor ❑ Architect ❑
FOR OFFICE USE,ONLY:,
a NEW o ADDITION
o ALTERATION
o REPAIR a TENANT IMPROVEMENT
O SEUELL ONLY? o YES ONO
BASIC PLAN? o YES
o NO
2AI'IJIG D TION:
CHANGE OF USE? o YES
o NO
NEW ADDRESS REQUIRED? o YES o NO
UP/SEPA/SU? o YES
o NO •
PLATTED LOT? a YES o NO
DEMO PERMIT REQUIRED? o YES
a NO
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