04-100138City 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: HUEBNER P�v
Project Address: 27745 23RD�S
Project Description: Remove/replace GAS water heater
r
Mechanical Permit #: 04 - 100138 - 00 - ME
Inspection request line: 253.835.3050
Parcel Number: 757561 0290
Owner
Applicant
Contractor
Ronald G Huebner & Donna K Huebner
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
27745 23RD AVE S
12601 132ND AVE NE
12601 132ND AVE NE
FEDERAL WAY WA
KIRKLAND WA 98034
KIRKLAND WA 98034
98003-6936
(425)814-8381
Mechanical Valuation..........................................449 Over the Counter Permit ...................................... Yes
PERMIT EXPIRES July 14, 2004.
Permit issued on January 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.
Owner or agent: See % n n -I i Ca -ti -A -
Mechanical rough -in:
FINAL MECHANICAL:
1;0�
Date: 1 b to Loq
Date
Date
fA
It
CONSTRUCTION PE MIT APPLICATION
CITY OF PUCAn-'bN NUMBER'
Federal Way PPUCAA60N NUMBER:
JAN 18
IOPPIICATTION
**The following Is required information —Ple"e print (in ink) or type" CK1259
Please note., Electrical, Fire Prevention Systems and Engineering permits may require a separate applicaWn.
SITE ADDRESS., 27745 23 AVE S, FEDERAL WAY, WA 98003 ASSESSOR'S TAX/PARCEL #: 7575610290
LEGAL DESCRIPTION Of SUWECT PROPERTY (ATTACK SEPARATE DESCRIPTION IF LENGTHY):
TYPE OF PROJECT (This application): a BUILDING o PLUMBING )c MECHANICAL a DE14OL3i ON
rjELECTRICAL o ENGINEERING it FIRE PREVENTION SYSTEM
PROXICT DESCRIPTION (Provide detailed description): Remove/Replace Gas Water Heater
PROJECT NAME: HUEBNER, EQNALU
APPUCANT*
HUEBNER, RONALD (253)439-5654
KAIUNGAMRM (STWFT ALOkE'55: CTTY, STATE, MY:
27745 23 AVE S FEDERAL WAY, WA 98003
NW11
'FAST WATER HEATER COMPANY
((425)414-3124-
MUNG ADMESS (SMEV M!IWSSCM, STATE. ZIP),-
EVEMM Pf.
12601 132ND AVE NE KIRKLAND, WA 98034
MY OF FlOCUL WAY BUSIMZ UCE116E WOMM'
FM NW$M:
87 - 000047 00
. (425 814-951-6
CONTRACMSAEGMMAMN "KA,
DATE;
(to" W CWd Mqaktd) FASTWHC052DF
02/16/2065 1
KCILA I #VrCVW IV
o ARCHITECT o TENANT 0 OTHER( DEkRIBE):
CONTACT PERSON FOR THIS PROSECT': u PROPEM OWNER o APPLICANT CONTRACTOR
A
PROJECT INFORMATION
EXISTING USE. EXISTING BUILDING ASSESSED/APPRAISED VALUATION
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS, $— $449.00
SPRINKLERED BUILDING? 0 YES a NO FIRE SUPPRESSION SYSTE14 PROPOSE /REQUIRED: a YES is NO
WATER SERI IM PROVIDER., o LAKEHAVEN n HtQHLINE oACOMA o PRrVATE (WELL)
SEWER SERVICE PROVIDER-. o LAKEHAVEN o RIGHLINE Cl PRIVATE (SEPTIC)
0
w.. -
E *"NEW RESTOENTIALCONSTRUCTION,ONLY**
t NUMBER OFEDROOMS ESTIMATED SELLING PRICE:
PR03ECT FLOOR AREAS
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REF IG. SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOOMOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC. ( ;
COMPRESSOR(S) FURNACE(S)
OUCl'(S) CA,S pin t?1,fTLms) HEAT SOURCE: ca ELECTRIC 0 GAS
PLUMBING
BATHTUS(S) LAVATORY(S) URINAL(S) 1 WATER HEATER(S)
DLSHWASHER(S) RAINWATER SIPS. VACUUM BREAKER(S) 0 ELECTRIC X GAS
DRINKING FOUNTAIN() SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) misc.
INTERCEPTOR(S) SUMP(S)
I certify under penalty of perjury #hat the Information furnished by rave is ttve and correct to the beat of my knowledge, and
further, that I am authorized by the owrm 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 casts, expenses, and afta e°ys' fees incurred In the
Investigation and vWense of vjcb claim), which may be made by any person, Including flee umlevsigrred, and filed against the City of
Federal Way, but any where such claim arises out of the reliance of the city, Including its offers and employees, upon the accuracy
of the information supplied to the city as a part of this application.
NAME/TITLE: �'' -�"-- , Permit Mgr_ GATE: 01/15/2004
COWWNrrY DEVe 1I"ENT SERVICES • 33530 FIRST WAY SOOT1i • PQ BOX 9718 • MOUtAL WAY, WA 9W63-9718 * T53 -,661 -WW • FAX; 251"1 -41 Z9