04-100406City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Mechanical Permit #:04 - 100406 - 00 - ME
•
Inspection request line: 253.835.3050
Project Name: HUGHES
Project Address: 35347 12TH SW Parcel Number: 502860 1620
Project Description: Remove/replace gas water heater
Owner
Applicant
Contractor
Mary L Makinen & Hughes Mary Makinen
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
35347 12TH CT SW
12601 132ND AVE NE
12601 132ND AVE NE
FEDERAL WAY WA
KIRKLAND WA 98034
KIRKLAND WA 98034
98023-6957
(425)814-8381
Mechanical Valuation..........................................449 Over the Counter Permit ...................................... No
PERMIT EXPIRES August 3, 2004.
Permit issued on February 5, 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: J�pli CATIDN Date:- 2q
A")' T" V\wl ole 3- l- o'/Gc'J
err o
ederal Way
F., Qffi- Ux Only
RECEIVED BY
COMMUNITY DEVELOPMENT DEPARTMENT
" o ,VMMIT APPLICATION
Fav Fite Number: () q -
will not be
SITE ADDRESS: 35347 12 CT SW, FEDERAL WAY, WA 98023
commuAYII' Devt;t 011mEXr smfct
JJS,V iiRST WAY SOMI • ro Box 97 a
-vWt U WAY, WA 9dW4714
253-"1411$- PAx: 2$J,"1409
Please print legibly fin ink) or
ASSESSOR'S TAX/PARCEL t: 5028601620 — - .- — — — SQUARE FOOTAGE OF LOT:
SUITE/APT I
LEGAL DESCRIPTION (eg: Acme Estates. Lot Il
(Attach separate page for lengthy legal description)
t
PROJECT• r
TYPE OF PZR.MT (This avvUcat(oai: 0 BUILDING 0 PLUMBING X MECHANICAL p DEMOLITION
n ELECTRICAL a ENGIKFXJUNG In FIRE PREVENTION SYSTBK
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only
Remove/Replace Gas Water Heater
PROJECT NAME (Name Of Business/Owner Last Name .. HUGHES. MARY
PROPERTY
OWNER:-
CONTRACTOR.
WNER:
CONTRACTOR:
LEWDER
or rsop—d r.I— > ".am)
APPLICANT:
KAME: PRIMARY PNONE..
HUGHES. MARY (2531561-0254
MAILING ADDRESS (STREET AOORESS;Y CITY. STATE. ZIP
35347 12 CT SW FEDERAL WAY, WA 98023
NAME
COMPANY
OFFICE PRONE:
FAST WATER HEATER COMPANY
CITY, STATE, ZIP
(425)814-3124
MAIUNO ADDRESS (STREET ADDRESS:I:
CITY, STATE, ZIP
CELL PHONE:
1g691 1 2ND AVE NE
KIRKLAND. WA 98034
CM OF ERAL WAY DMINIESSNSE NUMBER: EXPIRATION DATE:
FAX NUM :
8 7 - 0 _0 _0 _0 _4 _7 - 0 0
-
425 814-9516
EOtW niON NUMBER: EXPIRATION DATE:
(copy or vata r q•U•• with each aprtkauo.( FMMUC 052 -DF 02/16/2005
DAYTIME PHONE:
MAIUNG ADDRESS (STREET ADDRESS;): CITY, STATE, ZIP
NAME:
COMPANY
OFFICE PHONE:
MAILING ADDRESS (STREET ADDRESS):
CITY, STATE, ZIP
EVENING PHONE:
RELATIONSHIP TO PROJECT;
i7 Architect a Tenant p Other {Describe
FAX NUMBER:
CONTACT PERSON FOR THIS PROJECT. 0 Property Owner X Contractor C3 Applicant
EMAIL ADDRESS:
DIDTAILED BUILDWG INFORMATION
154_.14F:YYt:rt
PROPOSED USE:
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK: $ $449.00
SPRINKLERED BUILDING? a YES tin NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: D YES O NO
WATER SERVICE PROVIDER: O LAKEHAVEN a HIGHLINE 0 TACOMA 0 PRIVATE (WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN Q HIGHLINE 0 PRIVATE (SEPTIC{
AREA DESCRIPTION _.
EXISTINGSQ. FT.._.
PROPOSED S FT.
TOTAL
o NEW o ADDITION
o ALTERATION
o REPAIR a TENANT IMPROVEMENT
FIRST
-
BASIC PLAN?
_
SECOND
-
CHANGE OF USE?
THIRD
o NO
NEW ADDRESS REQUIRED? o YES o NO
UP/SEPA/SU?
FOURTH
o NO
PLATTED LOT? o YES o NO
DEMO PERMIT REQUIRED?
ADDITK-jNAL FLOORS (DESCRIBE)
_.�.----... ........... ..............._._.-
a NO
DECK (COVERED:?)
..................... ........ _._.._...._..... ...
EICARPORT
GARAG�A
l
MANY l FLOORS?
TOTAL W31nmr.
TMAL PROPOSM
TOTAL ExisnNo AND PROPMrl)
'•NEW HOMES ONLY"* NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
ndicate number of each type of fixture that is to be
ALECUANICAL
Value of Meclrart"I Work $
AIR HANDLING UNI'T'S
BBQS
BOILERS
_COMPRESSORS
DUCTS
PLUMBING
BATHTUBS (.r Tub/Sh—, Combo)
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
LAVS machr sunk
or relocated as part of this project. Do not include existing fixtures to remain.
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
GAS LOGS
HOODS
RANGES
GAS WATER HEATERS
WATER CLOSETS (tau,,) _
DRINKING FOUNTAINS
RAINWATER SYS
HOSE BIBBS
ELECTRIC WATER HEATERS
71SCLAI?�iF:R fStf'rfiATL'RI: I3Ll,
REFRIG. SYSTEMS
WOODSTOVES
MISC (Descnbe)
MISC (Drwribc)
I certW Kader penalty of perjury that the information furnished by me is true and correct to the best of my
knowledge, and further, that I cult authorized by the owner of the above premises to perform the work for which the permit
application is made. I further agree to hold harmtess 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,
inch its ofioers and employees, upon the accuracy of the tnformation supplied to the city as a part of this application.
NAME/TITLE: „~`� 1 =" �f w , Permit MLyr DATE:
(Sigmture) (Title)
RELATIONSHIP TO PROTECT: ❑ Property Owner ❑ Applicant XContractor o Architect 0
02/04/2004
FOR OFFICE, USE,O iLYK r.
o NEW o ADDITION
o ALTERATION
o REPAIR a TENANT IMPROVEMENT
+
PMOMQ Si iirONLLY? o YES a NO
BASIC PLAN?
o YES
a NO
Zt kii() D TION-
CHANGE OF USE?
❑ YES
o NO
NEW ADDRESS REQUIRED? o YES o NO
UP/SEPA/SU?
o YES
o NO
PLATTED LOT? o YES o NO
DEMO PERMIT REQUIRED?
o YES
a NO
Page 2