03-102307City of Federal Way A
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Pb: 253.661.4000 Fax: 253.661.4129
Mechanical Permit #:03 -102307 400 - ME
Project Name: ARROYO P
Project Address: 33808 35TH SW
Project Description: Remove and replace gas water heater in existing residence.
Inspection request line: 253.835.3050
Parcel Number: 921150 0050
Owner
Applicant
Contractor
Jeanine Patten & Richard A Patten
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
33808 35TH PL SW
12601 132ND AVE NE
12601 132ND AVE NE
FEDERAL WAY WA
KIRKLAND WA 98034
KIRKLAND WA 98034
98023-2970
(425)814-8381
Mechanical Valuation..........................................449
Over the Counter Permit......................................Yes
PERMIT EXPIRES December 2, 2003.
Permit issued on June 5, 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.
Owner or agent: Date: ' 03
Copy RECENF—v CONSTRUCTION PERMIT APPLICATION
CITY OF UNTTY DD/R
PUCAMN NUMBER*
Federal Way PLICAMN NUMBER:
topokicknON
**The following Is required information —Please print (in ink) or type* 018326
:Please note, Electrical, Fire Prevention Systems and Engineering permits may require a separate application,
PROPERTY INFORMATION
SrTEADDREW. 33808 35 PL SW, FEDERAL WAY, WA 98023 ASSESSOR'S TAXjpARCEL#: 9211500050
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY) -
PROJECT INFORMATION
TYPE OF PROJECT (This application): a BUILDING a PLUMBING )0 MECHANICAL 0 DEMOLMON
o ELECTRICAL o ENGINEERING ri FIRE PREVENTION SYSTEM
PAOXCT DESCRIPTION (Provide detalled description): Remove/Replace Gas Water Heater
PROPERTY OWNM- W'I DAYtIME PHIDNE:
ARROYO, DON ((253)35 -9609 -
KO" AVORESS (S7RLU ADME55. cTTY, 5T,4n.,. zipN:
33808 35 PL SW FEDERAL WAY, WA 98023
APPUCAtIft:
MME'. FAST WATER HEATER COMPANY
-ADMFA
((425)14-3124-
kkiliid (5MEfT AOW$` (,M, STAIL ZIP);
EYEMM PHONE:
12601 132ND AVE NE KIRKLAND, WA 98034
MY OF "Cut WAY Fignm UCENSE MWERI
fm wjotm:
87 - 000047 00
(425 ) 814-9516
COWRACTI)In 4ECKMAT" M~01,
.. "T" Cxn"
j=" of CWd re*M*,W FASTWHC052DF
02/16/2065 1
EVENING Pt"E-.
PUATIONSW TO "ACT. AX "W-,
n ARCHITECT In TENANT `1140TH ER (DW
ESBE):1(
I_
■ PR03ECT INFORMATION
EXISTING USE., E)aSTXNG BUILDING ASSESSED/APPRAISED VALUATION
SPRINKLERED BUILDING?
WATER SERVICE PROVMER:
PROPOSED VALUATION FOR IMPROVEMENTS; $449.00
• YES n NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED, u YES a NO
• LAXEHAVEN n Ht'GHLINE 0 TACOMA a PRIVATE (WELL)
SEWER SERVICE PROVIDER.- o LAKtHAVEN 0 KIGMINE Cl PRIVATE (SEPTIC)
1 "NEW RESIDENTIAL CONSTRUCTION ONLY**
IN
L
i NUMBER OF BEDROOMS.
SELLING PRICE:
PizontCT FLOOR AREAS
AIR HANDLING UNITS)
BBQ(S)
BOILERS)
COMPRESSOR(S)
DUCT($)
BATHTUB(S)
DISHWASHER(S)
DRINKING FOUNTAIN(S)
GAS PIPE OUTLET($)
INTERCEPTOR(S)
Indicate number of each tylie of fixture
MECHANICAL
EVAPORATIVE COOLER(S) _ GAS LOG(S) REFRIG. SYSTEM(S)
FAN(S) HOOD(S) WOODSTOVE(S)
FIREPLACE INSERT(S) RANGE(S) MISC.
FURNACE(S)
GAS PIPE OUTLET(S) HEAT SOURCE: E3 ELECTRIC 0 GAS
PLUMBING
LAVATORY(S) URINAL(S) I -WATER HEATER(S)
RAIN WATER SYS. VA ,IUM BREAKER(S) n ELECTRIC X GAS
SHOWER(S) WASH MACHINE OUTLET
SINK(S) WATER CLOSET(S) MzC.
SUMP(S)
WSCLAIMER /SIGNATURE AIX
I cerWy undw 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 *wow of the above promises to perform the Work for which the pwmit application Is made, I
further agree to hold harmless the City of federal Way as to, any claim (including costs, expenses, and attoineys' fees Incurred in the
Investigartion and defense of such claim), which may be made by any perstw4 induding the undersigned, and filed agab%A 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 InformaUen supplied to the city as a part of this appikation.
NAME/TITLE- Permit ,M_qr, DATE: 06/04/2003
COMMUN17Y DeV60"EW SERVICES * 33530 FIRST WAY SOVIII - F0 BOX 9718 - FEMM WAY, WA 9W63-9718 - 2$3-"1-4000 - FAX 253-661-4I29