03-1002600
City or Federal Way
Community Development Services Mechanical Permit #: 03 -100260 - 00 - ME
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.30550
Project Name: PETERSON -
Project Address: 4719 SW 313TH Parcel Number: 211570 0150
Project Description: Remove/replace GAS water heater
Owner
Applicant
Contractor
David A & Susan A Peterson
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
4719 SW 313TH PL
12601 132ND AVE NE
12601 132ND AVE NE
FEDERAL WAY WA 98023-2031
KIRKLAND WA 98034
KIRKLAND WA 98034
(425) 814-8381
Mechanical Valuation..........................................449 Over the Counter Permit...................................... Yes
PERMIT EXPIRES July 23, 2003, IF NO WORK IS STARTED.
Permit issued on January 24, 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: t 1 7—ti 103,
Mechanical rough -in:
Date
Gas pipe:
Date
FINAL MECHANICAL: W I- I C-6 '�
Date
IVED BY
NNW'..' CONSTRUCTIONSERMIT APPLICATION
APPLICATION NUMB
CITY OF JAN 2k
Federal Way 2003 ER.
APPLICATION NUMBER:
• APPLICA TIONNUMBER:
*The following is required information - Ple"a print (in Ink) or type*
017348
Pleas,e note. Cloctrical, Fire Prevention Systems and Engineering permits may require a separate application.
-Mg-
W jj;
1 3
SITE ADDRES_%. 4719 SW 313 PL, FEDERAL WAY, WA 98023 ASSTSSOWS TAXIPARCEL has 2115700150
..........
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
8,'PR032CT INFORMATION
TYPE OF PRWECT (TbIS application): n BUILDING n PLUMBING X, MECHANICAL u DEMOLITION
ELECTUCAL u ENG1NfFRLNti k, FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description)., Remove/ReDlace Gas Water Heater
PROJECT NAME. _PET , N
Q _$U$AX,&XME__ . .. . ....
PROPERTY OWNER,
PETERSON, SUSAN & DAVE
. . . . . . . .......... ... . .....
4719 SW 313 PL FEDERAL WAY, WA 98023
....................................................
CONTRACTOW FAST WATER HEATER COMPANY
12601 132ND AVE
KIRKLAND, WA 98034
(253)q61-6728
((425)$14-3124 -
K"fr-4 —In Ti dirty
1101 t 14Uijr-Eftse WMEM t IAg 141,W&R
87 - 000047 001.(425 ) 814-951,6
. .. ........... ............. ... .. . ....... ---
"Cam of tard requilv4;
FASTWHC052DF 02/16/2003
. ....
APPLICANT: DAMME......
PHONE:
..... .....
.......... ....
W_. . . ........... ........... .. .. ...........................
11014NII-0 ro W-Mcl' FO NUMM"W
c i ARCHITECT o TENANT 0 OTHER DEkRISE)'
CONTACT PERSON FOR THIS PR03ECT. n PROPERTY OWNER 0 APPUCANT CONTRACTOR
PR03ECT INFORMAInON
EXISTIN6 USE: ............. EXISTING BUILDING ASSE$SEDIAPPRAMD VALUATION
PROPOSED USE; PROPOSED VALUATION FOR IMPROVEMENTS: $449.00
SPRINKLERED BUILDING? YES ,i NO FIRE SUPPRESSION SYSTEM PROPOSE D I REQUIRED, YES C1 NO
WATER SERVICE PROVIDER. LAKEHAVEN c HIGHLINE a TACOMA ci PRIVATE (WELL)
SEWER SERVICE PROVIDER, 0 LAKEHAVEN (-j HIGHLINE 3 PRIVATE (SEPTIC)
*NCW RESIDENTIAL CONSTRUCTION ONLY*
NUMBER OF BEDROOMS: . . . . . . . ........... . . . . ....................... ESTIMATED SELLING PRICE:
PR03ECr FLOOR ARS
AIR HANDLING UNIT(S)
BBQ(S)
BOILER(S)
COMPRESSOR(S)
DUCT(S)
HATIITUR(S)
DISHWASHER(S)
DRINKING FOUNTAIN(S)
GAS PIPE OUTLETS)
INTERCEPTOR(S)
Inditato number of each type of fixture
MECHANICAL
EVAPORATIVE COOLER S) GAS LOG(S) ............. . RE I' SYSTEM(S)
rAN(S) HOOD(S) WOOOSTOVE(S)
FIREPLACE INSERT( $) . .... ........... RANGE(S) Misc
FURNACE(S)
GAS PIPE OUTLET(S)
HEAT SOURCE; L; ELECTRIC GAS
PLUMBING
LAVATORY(S)
RAIN WATER SYS.
SHOWER(S)
SINK(S)
SUMP(S)
. . ....... ................ URINAL(S)
VACUUM BREAKER(S)
WASH MACHINE OUTLET
WATER CLOSET(S)
31SCLATMERISIGNATURP At -it,
WATER flEATFR(S)
i, ELECTRIC X GAS
- misc.(-)
I certify under penalty of perjury that the information furnished try me Is true and correct to the best of my knowledge, and
further, that I Wn 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, eypenses, and attorneys" fees Incurred in the
investigation and defen-se of such claim), which may he made by arty person, including the undersigned, and filed against the City of
Federal Way, but only where such claim arises out of the relianc=e of the city, including its officers and employees, upon the accuracy
of the Information supplied to the city as a part of this applications
NAMEITITLE: DATE: 01/16/2003
:i PROPERTY OWNER 4j APPLICANT X CONTRACTOR
,coftmuNrtymvtLopmEuVICES #33530 FIRST WAY SOUTH - PO eOX971.0 - F WAY. WA 98063-9718 - 7,53-661-40W- rx<: 253-6#,S I -1119