03-100354City of Federal Way
Corrununity Development Services Mechanical Permit #: 03 -100354 - 00 - ME
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050
Project Name: MCCLURG Peie, -
Project Address: 30515 7THISW Parcel Number: 178880 0180
Project Description: Remove/replace GAS water heater
Owner
Applicant
Contractor
Randy R & Debra M McClurg
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
30515 7TH AVE SW
12601 132ND AVE NE
12601 132ND AVE NE
FEDERAL WAY WA
KIRKLAND WA 98034
KIRKLAND WA 98034
98023-3922
(425)814-8381
Mechanical Valuation..........................................449 Over the Counter Pen -nit ...................................... 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: QQ Ag&cation Date: 1 2�r °3
Mechanical rough -in:
Gas pipe: 1
FINAL MECHANICAL:
Date
Date
�—.0—.cf 13
Date
By
00I, I
r-11 �Q .5TRUCTION PERMIT APPLICATION
/-7- IF, T�- h4 T-17 F P
CITY or JAi�j � _ �y . ........ .
*PLICATION NUMBER: 1�5
2j#*
200"
Federal Way PUCA NUMBER
AP4C 7'0
� _ A 10N w l R- —JI . ......
*The following is req :fired information - Please- print (in ink) or type*
017348
Please note, Electrical, Fire Prevention Systems and Engineering
permits may require a separate- applicatiof�
................... . .......................... I ............... ..... .... ......
--7
PRO:PVRTY MFORMATION
SITE ADDRESS., 30515 7 AVE SW, FEDERAL WAY, WA 980231788800180
ASSESSOR'STAX/PARCEL;t.
LLGAL DESCRIPTION OF SURIECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
s. N'P1t03Ea1NF0RMA-U0N
'TYPE OF PROXCT (This application): f I BUILDING n PLUMBING X MECHANICAL ! , DEMOLITION
ELECTRICAL o ENGINEERING rA FIRE PREVENTION SYSTEM
PROXCT DESCRIPTION (Provide detailed description): Remove/Replace Gas Water Heater . ........ ... . ........
PROSECT NAME -,_MC RANDY.._, ,_MCG Q
LUQ
, ,M
PROP' RTY OWNER, I WME MCCLURG, RANDY
APPLICANT'
`*DREK, U"Y, '7NT1, LIF;1
30515 7 AVE SW FEDERAL WAY, WA 98023
4(253)941-7721_.
.... ...... ;
. . . ..... ..........
Pfl,l T1CWK1$1 TO MOVC! ...
ARCHITECT u TENANT u OTHER( DESCRIBE):
111 111-71111ME31INI," .. ...... 1, 1111111 ','1 ... 11 1 1111 1 1 � I I, .
0,11 -, 41 1 ad -i - 17�i 11,
EYISTING USE: . .W__....__...___ .......... EXISTING BUILDING ASSEa. ED/APPRAISE0 VALUATION
PROPOSED USE: PROPOSED VALUATIONFOR IMPROVEMENTS. $, $449.00
SPRINKLERED BUILDING? YES u NO FIRE SUPPRESSION SYSTEM PROPOSEDIREQUIRED: YES il NO
WATER SERVICE PROVIDER, cj LAKEHAVEN n 14IGHLINE o TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER, o LAKIEHAVFN 4-4 HIGHUNE o PRIVATE (SEPTIC)
............... . ..... . . - ..... . ....... ....................... ....... ......
kiSTDE iiAL-60'—NSRUCT
- --- ----- - " -'-
-T ION ON LY*
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE:
...............
U'PitOACTIFILOORARS
AIR HANDLING UNIT(S)
B8Q(S)
SOILER(S)
COMPRESSOR(S:)
DUCT(S)
BATUTUR(S)
DISHWASHER(S)
DRINKING FOUNTAIN(S)
GAS PIPE OUTLE-t()
INTERCEPTOR(S)
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLER(S) GAStOG(S) REFRIG. SYSTtm(s)
FAN(S) HOOD(S) WOODSTOVE(S)
FIREPLACE INSERT(S) RANGE(S) MISC–
FORNACE(S)
GAS PIPE OUTLET(S) HEAT SOURCE, u ELECTRIC GAS
LAVATORY(S)
RAIN WATER SYS.
SHOWER(S)
SINK(S)
SUMP(S)
URINAL($)
VACUUM OREAKEKS)
WASH MACHINE OUTLET
WATER. CLOSETS)
DISCLATMERISIGNATURF kt-it
WATLI? flEATER(S)
: ELECTRIC X GAS
—,-- misc.(
I cortify 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 premises to perform the ww* for which the permit application is made. I
further agroo- to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneVs'fe*S Incurred in the
investigation and defense of such claim), which may be made by any person, including the vridersIgnrd, and filed against the City of
Federal Way, but only where such claire arises out of the reiiance of the city,, including its officers and employees, upon the accuracy
of the information supplied to the city as a part of this applirstion.
NAMEITITLE.,DA-rE01/16/2003
RMTETT =40 t
COMMUNM PFO A,("Effr S2�RVICLS - 3,3530 FIRST WAY SOUTH - P0 MX 5718 - FEDLPAL WAY, WA 90063-9718 - 253-461-40M - rAX: 251661-4129