04-100407f
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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: MARTIN
Project Address: 2419 SW 316TH 5i
Project Description: Remove/replace gas water heater
r
Mechanical Permit #:04 -100407 - 00 - ME
Inspection request line: 253.835.3050
Parcel Number: 179000 0080
Owner
Applicant
Contractor
Glenn S Martin
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
2419 S 316TH LN
12601 132ND AVE NE
12601 132ND AVE NE
FEDERAL WAY WA
KIRKLAND WA 98034
KIRKLAND WA 98034
98003-5063
(425)814-8381
Mechanical Valuation..........................................449 Over the Counter Permit ...................................... Yes
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: �e' Date:
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JJSJQ FIR$r WAY StNlTM • FU A4X 4718
ederal Way tstz "WAY, WA 98"",9718
PERMIT APPLICA'T'ION z�.�1,11s•FAx:z��1,1?9
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ro. offi- v- oNY �iy He Number:
The followinq is required information - an inco tete a ticatioR wait not be accented. Plea" stat k tb1 in If 10 or
PROPERTYWFORMATION
SITE ADDRESS: 2419 SW 316 ST, FEDERAL WAY, WA 98023 SUITE/APT 0
ASSESSOR'S TAX/PARCEL 8: 1790000080 — - — — — _ SQUARE FOOTAGE OF LOT:
LEGAL DESCRIPTION (eq: Acme Estates. Lot 1)
(Attach separate page for lengthy legal
description)-
R INFORMATION
TYPE OF PERMIT MU amAkatioa): n BUILDING ❑ PLUMBING X MECHANICAL O DEMOLITION
0 ELECTRICAL 0 ENGINEERING o FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work- included on this permit onittl
Remove/Replace Gas Water Heater
PROJECT NAME (Name Of Rusin "/Owner Last Hamel: MARTIN. GLENN & ANN
PROPERTY
OWNER:
CONTRACTOR.
LENDER.
ptr.vp 4r1a--63AM)
APPLICANT:
NAME: PRIMARY PHONE:
MARTIN. GLENN & ANN (253)874-4627
MAJUNG ADDRESS ISTRFLT ADORE a.. CITY. STATE, ZIP
2419 SW 316 ST FEDERAL WAY, WA 98023
NAME
COMPANY
OFFI PHONE:
FAST WATER HEATER COMPANY
CITY, STATE, ZIP
(425)814-3124
MAIUNO ADDRESS (STREET ADORMj:
CITY. STATE. ZIP
CEL, PHONE
12601 2ND AVE NE
KIRKLAND. WA 98034
GM OF &RAL WAY WSINEW EMNSE NUMBER: EXPIRATION DATE:
PAX HIMMA:
8 7 - 0 0 0 0 4 7- 0 0
1 425 814-9516
CONTItACtOR'S REOISTRAT1ON NUMBER: EXPIRATIONDAT&
c«mry otcrI:
..a .,." witk * ci *fpuc.wy FA$T-WHCQ52j1)E _ _ _ - _ 02/16/2005
NAME;
DAYTIME PRONE:
MAIUNG ADDRESS ISTREF,T ADDRESS:): CITY, STATE, ZIP
NAME:
COMPANY
OFFICE PHONE:
MAIUNG ADDRESS (STREET ADORESSI:
CITY, STATE, ZIP
EVENING PHONE:
REIATIONSNIPTO PROSECT:
a Architect a Tenant D Other (Describe}:
PAX NI)OU
CONTACT PERSON FOR THIS PROJECT: aProperty Owner Xj Contractor O Applicant E-MAII ADDRESS:
DETAILED • •t;G INFOMIATION
EXISTIN0 USE: PROPOSED USE:
EXISTING ASSESSED/APPRAISED VALUE t VALUE OF PROPOSED WORK.: S $449.00
SPRINKLERI D BUILDING? 0 YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: p YES a NO
WATER SERVICE PROVIDER: 0 LAKEHAVEN o HIGHLINE a TACOMA n PRIVATE (WELL] -
SEWER SERVICE PROVIDER: a LAKERAVEN o HtGHLINE 0 PRIVATE (SEPTIC)
*
■ PROJECT FLOOR AREAS
AREA DESCRIPTION _T
EXISTING SQ. FT.A....._.
PROPOSED SQ _FT.
TOTAL
BASEMENT
SUMPS
WASHING MACHINES
URINALS
FIRST
VACUUM BREAKERS
BASIC PLAN?
-
SECOND
ZbkTO DE'SIG1Ii�TION:
CHANGE OF USE?
THIRD
a NO
NEW ADDRESS REQUIRED? o YES o NO
T
FOURTH
o NO
PLATTED LOT? o YES o NO
DEMO PERMIT REQUIRED?
ADDITIONAL FLOORS (DESCRIBE)
a NO
_..._
DECK (COVERED:?)
—._......._...._
.....................-----..................
GARAGE/CARPORT
HOW MANY FLOORS?
Torurwsnnc
tarot eaoPos€o
Toru. =MN13 ANDMOANDMOPI SM
**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
JCTCUA.NICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS
BBQS FANS
BOILERS FIREPLACE INSERTS
_COMPRESSORS FURNACES
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS (.1 Tu4t5lw+er ComGq
SHOWERS
DISHWASHERS
SINKS
GAS PIPE OUTLETS
SUMPS
WASHING MACHINES
URINALS
LAVS teuhv si,*
VACUUM BREAKERS
GAS LOGS
HOODS ccdn
RANGES
OAS WATER HEATERS
:lude existing fixtures to remain.
REFRIG. SYSTEMS
WOODSTOVES
MISC (Describe)
WATER CLOSETS (ruik.) _
DRINKING FOUNTAINS
RAINWATER SYS
HOSE BIBBS
ELECTRIC WATER HEATERS
JiSCI.AINIF,R"SIG1ATURL BLC
MISC (Describe)
I cert/ under penalty of perjury that the information furnished by me is but and correct to the best of my
knowledge, and farther, that 1 a»t 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,
inelludhV its officers and employees, upon the accuracy of the information supplied to the city as apart of this application.
NAffiE/TITLE:-�~ "'. Permit Mgr DATE: 02/04/2004
(Signature) rritk)
RELATIONSHIP TO PROJECT: ❑ Property Owner o Applicant XContractor D Architect ❑
POP, OFFICE, USE,ONLY:, d,
a IEEW o ADDITION
o ALTERATION
a REPAIR a TENANT IMPROVEMENT
&ABEL' ONLY? a YES o NO
BASIC PLAN?
o YES
a NO
ZbkTO DE'SIG1Ii�TION:
CHANGE OF USE?
o YES
a NO
NEW ADDRESS REQUIRED? o YES o NO
UP/SEPA/SII?
o YES
o NO
PLATTED LOT? o YES o NO
DEMO PERMIT REQUIRED?
o YES
a NO
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