03-101394City 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: BOUKERCJ(
Project Address: 34726 31S'1"JSW
Project Description: Remove/replace gas water heater
Mechanical Permit #:03 -101394 - 00 - ME
Inspection request line: 253.835.3050
Parcel Number: 279150 0360
Owner
Applicant
Contractor
Anthony P Bouker
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
34726 31ST CT SW
12601 132ND AVE NE
12601132ND AVE NE
FEDERAL WAY WA
KIRKLAND WA 98034
KIRKLAND WA 98034
98023-3000
1 (425)814-8381
Mechanical Valuation..........................................449
Over the Counter Permit ...................................... Yes
PERMIT EXPIRES October 7, 2003.
Permit issued on April 10, 2003
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.
`r
q
Owner or agent: 41E7 r[ Date: a 2,
441kRECEIVED BY
CITY OF nnInInI IN I 1--\ f n NIT n;: In ARTMEW
Federal
-2
Federal Way APR 10 2003
"The following is required information - Please print (in ink) or type,* '1 017958
Please note: Eltit:trical, Fire Pm.ventjop Systems and Engineering permits may require a separate apptication.
PROPERTY INFORMATION
SITE ADDRESS. 34726 31 CT SW, FEDERAL WAY, WA 98023 ASSESSOR'S TAXIPARCEL # 2791500360
........ ..... -
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY).
PR039CT INFORMATION
TYPE OF PR03ECT (This application): "I BUILDING PLUMOING X MECHANICAI, Ill DEMOLITION
ELECTRICAL
ENGINEERING ;,, FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed desctiption)-, Remove/Replace Gas Water Heater — — - - ----------
PR03ECT NAME: _13,0
F _QNY
PR03ECT INFORMATION
PROPERTY OWNER-
BOUKER, TONY
Pouff IT341ON-14
APPLICANT.
Av`�41`11E!12-" 0-11, 1"1111M" Ep."
34726 31 CT SW
FEDERAL WAY, WA 98023
(253)474-0060
... .............. .... .. ... ......... ... ... . ...... ............ .
I (V1
. ..... . . ... ................................ .................
FAY. humn w
ARCHITECT o TENANT u OTHER DESCRIBE):
#4A FM:
CONTACT PERSON FOR THIS PR03ECT: n PROPERTY OWNER r APPLICANT CONTRACTOR
PROJECT INFORMATION
EXLMNO USE,
PROPOSED USE:
EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED VALUATION FOR IMPROVEMENTS. $.., _S449.00
SPRINKLERED BUILDING? I", YES n NO FIRE SUPPRESSION SYSTEM PROPOSED I REQUIRED- t a YES a NO
WATER SERVICE PROVIDER: a LAKEHAVEN r) HIGHLINE L1 TACOMA a PRIVATE (WELL)
SEWER SERVICE PROVIDEW 0 LAKEHAVEN a -j 14IGHUNE 3 PAWATE (SEPTIC)
HOW MANY FLOORS7
TOTAL.
Indicate number of each type of fixture
MECHANICAL
AIR HANDLIN43 UNITS)_,,,,._,LVAPORATIVE COOLER(S)
68Q(S)FAN(S)
BOILERS) FIREPLACE INSERT($)
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S)
PLUMBING
GAS LOG(S) .. ................... REFRIG. SYSTEM($)
HOOD(S) WOODS I OVE (S)
RANGE(S) MISC.
HEAT SOURCE: u EtEcrmc 3 GAS
BAT11TUB(S) -'' LAVA-TORY(S) ........... URINAL(S) I WATLR flEATFR(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ELECTRIC X GAS
DRINKING FOAJNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.
INTERCEPTOR(S) SUMP(S)
DISCLATMERISIGNATURE BLOCK
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my striowledge, and
further, that I am authorized by the owner of the above premises to perform the work for which the permit application is made, I
further agree to hold harmless the City of Federal Way as to any claim (including cost'$, expenses, and atternevs' fees incurred in the
investigation and defense of ux-h claim), which may be made by any person, induding 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 employs, upon the accuracy
of the information supplied to the city as a part of this application.
NAMEITITLE*
DATE: 04/09/2003
..i PROPERTY OWNER J APPLICANT CONTRACTOR
ccrmmurirTyE*vt-LcPmbttr !sCRVICL,5*33530FIRST' WAY SWT11 -PO NOX971H - FEDERAt WAY. WA "063.9718- 253-661-447W- FAX753.661.41; 9