04-100363U
City mmanitederalvel Way Mechanical Permit #: 04 -100363 - 00 - ME
Community Development Services
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: GAMMAGE
Project Address: 1114 SW 320TH P Parcel Number: 926493 0970
Project Description: Remove and replace gas water heater
Owner
Applicant
Contractor
Chauncey L Gammage & Nanette R D Gamma€
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
1114 SW 320TH PL
12601 132ND AVE NE
12601 132ND AVE NE
FEDERAL WAY WA
KIRKLAND WA 98034
KIRKLAND WA 98034
98023-5556
(425)814-8381
Mechanical Valuation..........................................449 Over the Counter Permit...................................... Yes
Mechanical Fixtures
Description Quantity Description Quantity Description Quantity!
Number of Gas Outlets
PERMIT EXPIRES July 31, 2004.
Permit issued on February 2, 2004
I hereby certify that the above information is correct and that the construction on the above desr,�eand
e gt0
the occupancy and the use will be in accordance with the laws, rules and regulations of th n and
the City of Federal Way.
7 !il Q
Owner or agent: SPP A nn1ip -Q,, , . Date: s `
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��' PERMIT APPLICATIO
33"0FEt., AY-AwXA2 .,��o11"s
=ederal Way EB0�2 2004 ?_.� ;`,'►s � �" s �,�;;�
For Offkv vx or,Iy.. FV File Numbcr� J_ o s./ .3
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The following is required information -an incomplete anvlication will not be accented_ PtQes.. rrt..r t...�x►.. «., r.,w __ ..__
SITE ADDRESS: 1114 SW 320 PL, FEDERAL WAY, WA 98023 SUITE/APT I
ASSESSORS TAX/PARCEL f: 9264930970 _. - — — — SQUARE FOOTAGE OF LOT:
LEGAL DESCRIPTION leg: Acne Estates, Lot I)
(Attoch separate page for tongthy legal description)
PROJECT• r
TYPE OF PZRMiT tTbU avatication): 0 BUILDING 0 PLUMBING X MECHANICAL a DEMOLITION
0 ELECTRICAL a ENGINEERING 0 FIRE PREVENTION SYSTRM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlvk
Remove/Replace Gas Water Heater
PROJECT Ittmm (Name ol$um /Qw,wlast Namd: GAMMAGE. NANETTE & CHAUNCEY
PROPlaWY
OWNER•
CONTRACTOR:
LEADER
IM ft m.C4 Va... "Am]
APPLICANT:
NAME: PRIMARY PHONE
GAMMAGE. NANETTE & CHAUNCEY (253)835-1856
MAILING ADDRESS (STREET ADORESS3, CRY. STATE. ZIP
1114 SW 320 PL ::1 FEDERAL WAY, WA 98023
NAME
COMPANY
4F CE PHONE:
FAST WATER HEATER COMPANY
C(TY, STATE, ZIP
(425)814-3124
MAIUNo ADDRESS (STREET ADDRESS.I:
CRY, STATE, ZIP
CELL PHONE:
1 Q1 1 2ND AVE NE
KIRKLAND. WA 98034
CM COP PCOWAL WAY BUSINESSNSE Mild$ER: EXPIRATION DATE:
FAX NUM
8 7 - 0 _0 0 _0 _4 _7 - 0 0
1 425 814-9516
C TI N
eof NUM9ER: EXPIRATION DATE:
(copy of Vara g*%&b 4.itL * eh sprwa Ia+) FA6T_YVHCQ52�E _ _ _ _ _ 02/16/2005
14AME:
DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS;): CRY, STATE, ZIP
NAME:
COMPANY
OFFICE PHONE:
MAILING ADDRESS (STREET ADORESS):
C(TY, STATE, ZIP
EVENING PHONE:
RELATIONSHIP To PROJECT:
a Architect a Tenant D £Miler (Describ4
FAX RUMBE&
CONTACT PERSON FOR THIS PROJECT: a Property Owner X Contractor a Applloaat &MAILADDRESS:
DDrAILED 13UILDING INFORMATION
E7CISTING USE: PROPOSED USE:
PMSTiNO ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK: t $449.00
SPRINIMERED BUILDING? a YES o NO FIRE: SUPPRESSION SYSTEM PROPOSED/REQUIRED?. a YES a NO
WATER SERVICE PROVIDER: 0 LAKEHAVEN Q HIGHLINE 0 TACOMA r) PRIVATE (WELL)
SEWER SERVICE PROVIDER: LI LAKEHAVEN 0 HIGHLINE 0 PRIVATE (SEPTIC]
■ PROJECT FLOOR AREAS
AREA DESCRIPTION
EXISTING SQ. FT.
-
PROPOSED SO. FT.
— —
TOTAL
fiASE,MENT
o NEW o ADDITION
o ALTERATION
#
c ,
FIRST
EVAPORATIVE COOLERS
GAS LOGS
REFRIG. SYSTEMS
SECOND
FANS
HOODS (comw�a4
WOODSCOVES
THIRD
FIREPLACE INSERTS
RANGES
MISC (Descnbe)
FOURTH
FURNACES
GAS WATER HEATERS
o YES
ADDITIONAL FLOORS (DESCRIBE)
GAS PIPE OUTLETS
DEMO PERMIT REQUIRED?
DECK (COVERED?)
a NO
GARAGE/CARPORT
SHOWERS
WATER CLOSETS (rnikr)
MISC (Describe)
HOW MANY FLOORS?
SINKS
mraaassu+cu�avaoPnscn
**NEW HOMES ONLY" NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
ndicate number of each type of fixture that is to be installed or relocated as part of this project. Do not include existing fixtures to rem
ACEV YAMCAL
Value of Mechanical Work $
o NEW o ADDITION
o ALTERATION
#
c ,
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS LOGS
REFRIG. SYSTEMS
BBQS
FANS
HOODS (comw�a4
WOODSCOVES
BOILERS
FIREPLACE INSERTS
RANGES
MISC (Descnbe)
_COMPRESSORS
FURNACES
GAS WATER HEATERS
o YES
DUCTS
GAS PIPE OUTLETS
DEMO PERMIT REQUIRED?
PLUMBING
a NO
BATHTUBS (.r rub/srw.ercodbq
SHOWERS
WATER CLOSETS (rnikr)
MISC (Describe)
DISHWASHERS
SINKS
DRINKING FOUNTAINS
GAS PIPE OUTLETS
SUMPS
RAINWATER SYS
WASHING MACHINES
URINALS
HOSE BIBBS
LAVS Mvur. m3ir*
VACUUM BREAKERS
ELECTRIC WATER HEATERS
DISCLAIMER ;ST G%ATURI BLOCK
I CWWN 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,
ince its o.Mc6rs and employees, upon the accuracy of the information supplied to the city as a part of this application.
NAME/TITLE. i�-- ,%' . Permit MLr DATE:
(Signa[urel (rick)
RELATIONSHIP TO PROJECT, ❑ Property Owner ❑ Applicant XContractor ❑ Architect ❑
01/29/2004
FOR OFFICE.USE,ONL_Yw
o NEW o ADDITION
o ALTERATION
a REPAIR a TENANT IMPROVEMENT
C: sic 4 ONLY? o YES a NO
BASIC PLAN?
o YES
o NO
Zb*1*0 DESIGNATION: TION:
CHANIGE OF USE?
o YES
o NO
NEW ADDRESS REQUIRED? o YES o NO
UP/SEPA/SII?
o YES
o NO
PLATTED LOT? a YES o NO
DEMO PERMIT REQUIRED?
o YES
a NO
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