02-104292r
City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax 253.661.4129
Project Name: CRENSHAW
Project Address: 110 SW 313TH 5'
Mechanical Permit #:02 - 104292 - 00 - ME
Project Description: HVAC - Remove/replace GAS water heater
Inspection request line: 253.835.3050
Parcel Number: 555780 0080
Owner
Applicant
Contractor
Edward L & Linda F Crenshaw Sr.
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
855 OAK AVE
12601 132ND AVE NE
12601 132ND AVE NE
REDWOOD CITY CA
KIRKLAND WA 98034
KIRKLAND WA 98034
94061-2220
1 (425)814-8381
Mechanical Valuation..........................................449 Over the Counter Permit...................................... Yes
PERMIT EXPIRES March 31, 2003, IF NO WORK IS STARTED.
Permit issued on October 2, 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 A nn iyatian
Date: lh 140 v
Mechanical rough -in:
Date
Gas pipe:
FINAL MECHANICAL:
:Z/z
lO
Date
M
RECEIVED BY APPLICATION NUMBER _ _
`
COMMUNITY DEVELOPMENT DEPARTMF
OCT Q762065 2002
"The following is required —
information -Please print (in ink) or type" ,
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
■ PROPERTY INFORMATION
SITE ADDRESS: 110 SW 313 ST, FEDERAL WAY, WA 98023
ASSESSOR'S TAX/PARCEL #: 5557800080
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION
TYPE OF PROJECT (This application): D BUILDING ❑ PLUMBING ® MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ 94MEEMVG ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
Remove/Replace Gas Water Heater
PROJECT NAME: CRENSHAW, EDWARD
PROPERTY OW N ER:
CONTRACTOR:
APPLICANT:
■ PEOPLE INFORMATION
NAME: CRENSHAW, EDWARD DAYTIME PHONE:
___ _ , _ (253)945-6297
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP):
110 SW 313 ST FEDERAL WAY, WA 98023
NAME:
DAYTIME PHONE:
FAST WATER HEATER COMPANY
(425)814-3124
MAILING ADDRESS (STREET ADDRESS, QTY, STATE. ZIP):
EVENING PHONE:
12601 132ND AVE NE
KIRKLAND WA 98034
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
19-87000047-00-bl
425 814-9516
CONTRACTORS REGISTRATION NUMBER:
EXPIRATION DATE:
(copy of card required) FASTVMC052DF
02/16/2003
NAME:
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP):
DAYTIME PHONE:
EVENING PHONE:
I(3 ARCH IITEC`r ❑TENANT ❑OTHER (DESCRIBE): I FAX NUMBER:
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 I] NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑HIGHLINE ❑TACOMA ❑PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑HIGHLINE ❑ PRIVATE (SEPTIC)
aa_r/s
*NEW RESIDENTIAL CONSTRUCTION ONLY"
NUMBER OF BEDROOMS' ESTIMATED SELLING PRICE:
BASEMENT
91.1
DECK
HOW MANY FLOORS?
TOTAL:
FLOOR AREAS
EXISTING S . FT.
PROPOSED Sq. Fr.
TOTAL
❑ NI5N ❑ ADDITION
0
❑ TENANTDNPROVEMENT
CENSUSCODE:
0
ZONING DESIGNATION:
0
O YES ❑ ND
COMP PLAN DESIGNATION
0
OHO
SECTION TOWNSHIP RANGE
0
YES ❑ NO ❑
PLATTED LOT? ❑ YES ❑ NJ
0
Em
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) 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) URINAL(S) I WATER HEATER(S)
DISHWASHERS) RAIN WATER SYS. VACUUM BREAKER(S) (] ELECTRIC t§ GAS
DRINKING FOUNTAINS) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLETS) SINKS) 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
urther, that I am authorized by the owner of the above premises to peifiorm 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 suoolied to the citv as a part of this application.
NAME/TITLE. "''� '—��='� � Permit Mgr DATE' 09/30/2002
❑ PROPERLY OWNER ❑ APPLICANT ZI CONTRACTOR
FOR OFFICE USE ONLY:
❑ NI5N ❑ ADDITION
❑ ALTERATION ❑ REPAIR
❑ TENANTDNPROVEMENT
CENSUSCODE:
LOT SIZE:
ZONING DESIGNATION:
BUILDING SHELL ONLY?
O YES ❑ ND
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES
OHO
SECTION TOWNSHIP RANGE
NEW ADDRESS REQUIRED?
YES ❑ NO ❑
PLATTED LOT? ❑ YES ❑ NJ
CHANGE OF USE? ❑ YES
Em