04-100270-/City of Federal Way
Community Development Services
33530 Ist Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name: HARTUNG
Project Address: 4618 SW 314TH P1
Project Description: Remove/replace gas water heater
Mechanical Permit #:04 - 100270 - 00 - ME
Inspection request line: 253.835.3050
Parcel Number: 211551 0570
Owner
Applicant
Contractor
William C Hartung Jr.
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
4618 SW 314TH PL
12601 132ND AVE NE
12601 132ND AVE NE
FEDERAL WAY WA
KIRKLAND WA 98034
KIRKLAND WA 98034
98023-2185
(425) 814-8381
Mechanical Valuation..........................................449 Over the Counter Permit...................................... Yes
PERMIT EXPIRES July 25, 2004.
Permit issued on January 27, 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 c
Owner or agent: See A plYcatlon Date: See Application
O 2� �% �/ �/�ii �✓�� /�'���' G'L -
WN IM DEVELOPMENTT BY
1
RVICES
clir of I /� IY' �1 (� (� COMMUNITY AY SO 771- PO Box 971
v rl 1' ,[t U U 33530 FIRST WAY SOU77/ • PO QO,Y 9718
Federal way 1 ERMIT APPLICATION FEDERAL WAY, WA 98063-9718
253-661-4.1115• FA.Y: 253661-4129
�ou,m. n�ff, •�Irrrrl mn u. mm
` 4
Por Office Uw O,dy.
FW File Numbcr: - 0 -
The
The following is required information -an incomplete application will not be accepted. Please print legibly (in ink) or tope
SITE ADDRESS: 4618 SW 314 P1 ASSESSOR'S TAX/PARCEL k: 2115510570 -
LEGAL DESCRIPTION (eg: Acme Estates, Lot 1)
(Attach separate page)Cor (engthp�eya(descriptiortJ
SQUARE FOOTAGE OF LOT:
Y
TYPE OF PERMIT (This application): ❑ BUILDING ❑ PLUMBING XXMECHANICAL ❑ DEMOLITION
O ELECTRICAL O ENGINEERING O FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit on(uh. _
Remove/replace gas water heater
PROJECT NAME (Name
PROPERTY
OWNER:
CONTRACTOR:
LENDER:
(If P-P.—d V.lu. > $5,0001
Last Name): Hartu
Bill Hartung (253A1838-4-661
MAILING ADDRESS (STREET ADDRESS;(: CITY, STATE, ZIP
4618 -SW 314th P WA 98023
NAME
FAst Water Heater
COMPANY
OFFICE PHONE:
(425) 814-3124
MAILING ADDRESS (STREET ADDRESS;(:
CITY, STATE, ZIP
CELL PHONE:
12601 132 Ave NE
Kirkland WA 98034
CITY OF FEDERAL WAY BUSINF,SS LICENSE NUMBER: EXPIRATION DATE:
FAX NUMBER.
87_ - DU�� -vC�_ - _ _ 12/31 1
(425)814-9-516
CONTRACTORS REGISTRATION NUMBER:
(copy of card required with each application( F A S TWHC 0 5 2 DF
EXPIRATION DATE:
02 / 1 6 / 05
NAME:
APPLICANT: NAME: COMPANY OFFICE PHONE:
MAILING ADDRESS (STREET ADDRESS(: CITY, STATE, ZIP EVENING PHONE:
RELAHUNSHIPTO PROJECT-
D*
NUMBER:
O Architect ❑ Tenant ❑ Other (Describe): ( ) _
I CONTACT PERSON FOR THIS PROJECT: ❑ Property Owner XDContractor ❑ Applicant E-MAIL ADDRESS:
EXISTING USE: PROPOSED USE:
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK: $ 449.00
SPRINKLERED BUILDING? O YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE 0 PRIVATE (SEPTIC)
s
AREA DESCRIPTION
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
,,^nSEM NT
o ALTERATION
o REPAIR ❑ TENANT IMPROVEMENT
FIRST
BASIC PLAN? - o YES
o NO
4
SECOND :+
CRA NGEOF USE? o YES
o NO -
NEW ADDRESS REQUIRED? o YES o N0
THIRD
o NO
PLATTED LOT? o YES o NO
DEMO PERMIT REQUIRED? ❑ YES
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK (COVERED?)
GARAGE/CARPORT
`
HOW MANY FLOORS?
TOTAL EXISTING
TOTAL PROPOSED
TOTAL EXISTING 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.
IKECHAIVICAL
Value of Mechanical Work
AIR HANDLING UNITS
BBQS
BOILERS
_COMPRESSORS
DUCTS
PLUMBING
BATHTUBS (or Tub/Sho—r combo)
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
LAVS (Bathroom sunk
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
OAS LOGS
ROODS (com—iaq
RANGES
GAS WATER HEATERS
WATER CLOSETS (Poleq
DRINKING FOUNTAINS
RAINWATER SYS
HOSE BIBBS
ELECTRIC WATER HEATERS
17SCLAIMER/SIGNATURE BLC
REFRIG. SYSTEMS
WOODSTOVES
MISC (Describe)
MISC (Describe)
I certify 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 claim), 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,
including its officers and employees, upon the accuracy of the information supplied to the city as a part of this application.
A/vZ
4
NAME/TITLE: —
(Signature)
(Ti DATE:
e)
RELATIONSHIP TO PROJECT ❑Property Owner [4pplicant `ntractor ❑Architect ❑
FOR OFFICE USE ONLY:.. .
o NEW o ADDITION
o ALTERATION
o REPAIR ❑ TENANT IMPROVEMENT
BUILDING. SHELL ONLY? o YES o NO
BASIC PLAN? - o YES
o NO
ZONING DESIGNATION:
CRA NGEOF USE? o YES
o NO -
NEW ADDRESS REQUIRED? o YES o N0
UP/SEPA/SII? o YES
o NO
PLATTED LOT? o YES o NO
DEMO PERMIT REQUIRED? ❑ YES
o NO
Pg(;