03-101974Project Name: MO
Project Address: 1243 SW 354TH Q)
Project Description: Remove replace gas water heater
Parcel Number: 502860 2040
Owner
Applicant
City Federal Way
Andrew Mo
Mechanical Permit #:03 -101974 - 00 - ME
Community Development Services
1243 SW 354TH PL
12601 132ND AVE NE
33530 1st Way S
FEDERAL WAY WA
KIRKLAND WA 98034
Federal Way, WA 98003-6210
98023-6965
Ph: 253.661.4000 Fax: 253.661.4129
Inspection request line: 253.835.3050
Project Name: MO
Project Address: 1243 SW 354TH Q)
Project Description: Remove replace gas water heater
Parcel Number: 502860 2040
Owner
Applicant
Contractor
Andrew Mo
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
1243 SW 354TH PL
12601 132ND AVE NE
12601 132ND AVE NE
FEDERAL WAY WA
KIRKLAND WA 98034
KIRKLAND WA 98034
98023-6965
(425)814-8381
Mechanical Valuation.........................................449 Over the Counter Permit ...................................... Yes
PERMIT EXPIRES November 11, 2003.
Permit issued on May 15, 2003
I hereby certify that the above information is correct and that the constructionon 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: SCC 14 PLI C H (Qm Date: s l S
jqe -C& t 1 0 (a 6=. - ( 6 - C> a C -4'j
CITY OF CONS7RUCTION PERMIT APPLICATION
Federal Way APPUCA"RON NUMBER,
MAY APPLICA-hON NUMBER:
PPLICATION NUMBER:
*The rmation — Please print (in ink) or type
BUIL
018209
Please note., Electrical, Fire Prevention Systems and Engineering permits may require a separate application,
SITE ADDRESS: 1243 SW 354 PL, FEDERAL WAY, WA 98023 ASSESSOR'S TAX/PARCEL #: 5028602040
— — — — — — — — — —
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY).-
■ PR03ECT INFORMATION
TYPE OF PROJECT (This application): n BUILDING i PLUMBING X MECHANICAL i ) DEMOLITION
f"i ELECTRICAL ,--j ENGINEERING u FIRE PREVENTION SYSTEM
PROXCT DESCRIPTION (Provide detail" description): Remove/Replace Gas Water Heater
PRO31ECT NAME:
■ PRO3ECTINFORMATIOW"
F!'T—TJ4--V&—K#1'r.Tijjj�E
CONTRACTOR:
APPLICANT:
NAME MATT P"OWE'
MO, ANDREW (253)q61-7445
MZ IlI7.: -OKSS ('_WTALLT My. STAR, ZIP)
1243 SW 354 PL FEDERAL WAY, WA 98023
-Csik4:�-r A Evtul r4G ptiw
UPTO PsLujuf—!,FAX iKJMRk,,,
n ARCHITECT nTENANT 0 OTHER ( DESCRIBE).
CONTACT PERSON FOR THIS PROJECT- u PROPERTY OWNER o APPLICANT CONTRACTOR,
EXISTING USE' EXISTING BUILDING ASSESSED/APPRAISED VALUATION
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $— $449.00
SPRINKLERED BUILDING? r' YES n NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: El YES a NO
WATER SERVICE PROVIDER: o LAKEHAVEN n HIGHLINE u TACO M A ci PRIVATE (WELL)
SEWER SERVICE PROVIDER: o LAKEH"EN n HIGHLINE zi PRIVATE (!-.FPTIC)
.......... .... .. ........ ................... .
"NEW RESIDENTIAL CONSTRUCTION ONLY*
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE:
PRO31ICT FLOOR AREAS
N
Indicate number of each type of fixtisre
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOGS) REFRIG. SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) W00DSTO`VQS)
BOILER(S) FIREPLACE INSERT($) RANGE(S) Misc
COMPRESSOR(S) FURNACE(S)
DUCTS) GAS PIPE OUTLET(S) HEAT SOURCE: o ELECTRIC 0 GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) I WATER HEATER(S)
DISHWASHERS) RAIN WATER. SYS. VACU IJ M BREAKER(S)--
ELECTRIC
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET -, X GAS
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) misc.
INTERCEPTOR(S) SUMP(S)
DISCLAIMER/SIGNATURE GLOCK
I ciertify 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 prernises 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 attomays'fees Incurred In the
Investigation and defense of such claim), which may be matte by any person, including the undersigned, and filed agaittst 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.
NAMEITITLE: DATE.- 05/13/2003
m PROPERTY OWNER -j APPLICANT XCONTRACTOR
TOR"OFFICE USE ONLY:
COMMUNRY De&LOPMENT SEAVICES - 33530 FIRST WAY SOUTtl - PO BOX 9718 - FtDERAL WAY, WA 98063-9718 - 753 -"I -4M - FAX 253-661-4129
" ""'MVred er a*—.I Y&Q-1 11
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