04-101184City o` Federal Way
Coribnunity Development Services
33530 1 s Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name: HAMILTON p
Project Address: 2225 SW 350TH f
Project Description: Remove/replace GAS water heater
Mechanical Permit #: 04 - 101184 - 00 - ME
Inspection request line: 253.835.3050
Parcel Number: 176110 0460
Owner
Applicant
Contractor
Carrol J Hamilton
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
2225 SW 350TH PL
12601 132ND AVE NE
12601 132ND AVE NE
FEDERAL WAY WA
KIRKLAND WA 98034
KIRKLAND WA 98034
98023-3097
(425)814-8381
Mechanical Valuation..........................................449 Over the Counter Permit...................................... Yes
PERMIT EXPIRES September 27, 2004.
Permit issued on March 31, 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.
Owner or agent: �� A� �'�Date:�31 /
NOTE: FINAL INSPECTION REQUIRED UPON
COMPLETION OF WORK
Mechanical rough -in:
Gas pipe:
FINAL MECHANICAL:
Date
Date
• G��vE�
Vig
tg�
edetrat V)( y3 enc ` PERMIT APPLICATION
F«« q�* iLD1�G�irFile i�umt�cr: U `7 — I V I 1 0 `r —
Ths(allowing is requirod information - an incompkto application will not be
SITE ADDRESS: 2225 SW 350 PL, FEDERAL WAY, WA 98023
ASSESSOR'S TAX/PARCEL #: 1761100460 ` - — — — _ SQUARE FOOTAGE OF LOT:
CK1821
co+w+isrnTrvonvctor xrunicis
JJS" FIRST`WAYSAt1TN - 00 BOX 971,1
FEDUALWAY. WA "004718
253,"1411$- fAk 2$3,61 1.4129
UVITE/APT r
LEGAL DESCRIPTION fog: Ao7Ie Estates, Lot 1)
(Attach separate page for lengthy legal descy*tion)
PROJECT r r
TYPE QF PRAWT I *041cation): O BUILDING 17 PLUMBING X MECHANICAL O DEMOLITION
a ELECTRICAL O D FIRE PREVENTION SYSTBK
PROJECT DESCRIPTION (Provide detailed deso*ion of woke included on this p� onw
Remove/ReDlace Gas Water Heater
'PROJECT WAKE 1-vams 4Mm n.Wownar Uw g n 4.- HAMILTON. CARROL
CONTRACTOR:
LE1'IDER!
ptrsepn.aa Ido.>"Awj
APPLICANT:
MANE
HAMILTON. CARROL (253)874 5671
MAtLINo AQDRRSS jSTRRET AD i' GTT. STATE. Zip
2225 SW 350 PL :]FEDERAL WAY, WA 98023
NAME
COMPANY
0M E:
FAST WATER HEATER COMPANY
CITY. STATE, ZIP
(425)814-3124
MA1UNo ADDRESS WWRET ADDRESS:
CITY. STATE. ZIP
PHONE:
26 1 1 2ND AVE NE
KIRKLAND. WA 98034
CITY OF FZ09M WAY MMMESSNSE HUMBER: EXPm"TioN -0—ar
PAX NWftk.
8 7 - 0 0 _0 _0 _4 7- 0 0
1 425 814-9516
STRATI N NUMBER; UNPATION t*fV
(toovOfOW+Cwaw" wick Q4Ck&rPw&U4*t FA-5T-WHCQ52JDF— _ 02/16/2005
"me: DA M NE:
MAILING ADDRESS (STREET ADOR .); CITY. STATE. ZIP
NAME:
COMPANY
opme KJONE.-
MAJUNG ADDRESS {STREET ADDRESS):
CITY. STATE, ZIP
VENIN PHONE:
RELATIOMSHIPTO PROJECT:
a Architect 0 Tenant O Other (Describ4
FAX UM R:
EXISTING USE: PROPOSED USE: V r
EXISTING ASSESSED/APPRAISED VALUE:i _ vAL[tE OF PROPOSED WORK: #_ $449.00
SPRINKL RED BUILDING? O YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?. 0 YES 0 NO
WATER SERVICE PROVIDER: O LAKEHAVEN a HK;HLINE D TACOMA n PRIVATE (WELL)
SEWER SERVICE PROVIDER. i3 LAKEHAVPX 0 HYGHLIKE 0 PRIVATE (SEPTIC)
r
PROJECT..• AREAS
AREA DESCRIPTION EXISTING SQ FT. _ PROPOSED
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.
SQ. FT.
TOTS,
BASEMENT
Value of Mechaniml Work $
n REPAIR o TENANT IMPROVEMENT
-
FIRST
AIR HANDLING UNITS
EVAPORATIVE COOLERS
CLAS LOGS
SECOND
BBQS
FANS
HOODS (corsndq
THIRD
BOILERS
FIREPLACE INSERTS—p—
RANGES
FOURTH
COMPRESSORS
FURNACES
.�� GAS WATER HEATERS
ADDITIONAL FLOORS (DESCRIBE)
DUCTS
GAS PIPE OUTLETS
DECK (COVERED?)
MuMaIMG
GARAGE/CARPORT
BATHTUBS (orTnb/5tWAwComeq
SHOWERS
WATER CLOSETS (roilay
HOW MANY FLOORS?
UnAL [x STM
"TAA MOPOSM
MAL nasroto AxD PROPM90
"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.
o ItEW m ADDITION
Value of Mechaniml Work $
n REPAIR o TENANT IMPROVEMENT
-
a YES a N0
AIR HANDLING UNITS
EVAPORATIVE COOLERS
CLAS LOGS
REFRIG. SYSTEMS
BBQS
FANS
HOODS (corsndq
WOODSTOV$3
BOILERS
FIREPLACE INSERTS—p—
RANGES
MISC (Describe)
COMPRESSORS
FURNACES
.�� GAS WATER HEATERS
DUCTS
GAS PIPE OUTLETS
MuMaIMG
BATHTUBS (orTnb/5tWAwComeq
SHOWERS
WATER CLOSETS (roilay
MISC (Describe)
DISHWASHERS
SINKS
DRINKING FOUNTAINS
GAS PIPE OUTLETS
SUMPS
RAINWATER SYS
WASHING MACHINES
URINALS
HOSE BIBBS
LAVS M t...o ft*
VACUUM BREAKERS
ELECTRIC WATER HEATERS
DISCIALMER/SIG%ATURL BLOCK
I cerWy under penalty of perjury that the information furnished by me U true and correct to the best of my
knowledge, and further, that I am authorised 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' Jees incurred in the investigation and defense of such clai N, 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,
-iw hedi 4 its afairs and employees, upon the accuracy of the information supplied to the city as a part of this application.
NAME/TITLE: Permit Mt?r DATE: 03/24/2004
(Signature) (Title)
RELATIONSHIP TO PROJECT: ❑ Property Owner ❑ Applicant XContractor D Architect ❑
FOR OFFICE:USE
o ItEW m ADDITION
o ALTERATION
n REPAIR o TENANT IMPROVEMENT
a YES a N0
BASIC PLAN? o YES
a NO
ZO%CG D TtON:.
,CHANGE OF USE? xi.YES
o NO
NErai► ADDRESS REQUIRED? .o YES o NO
UP/SEPA/SII? o YES
o NO
PIATTED LOT? a YES a NO
DEMO PERMIT REQUIRED? o YES
o NO
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