03-100729City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
P1t- 253.661.4000 Fax: 253.661.4129
Mechanical Permit #:03 -100729 - 00 - ME
T. Inspection request line: 253.835.3050 r.
r9ject Name: VOSS
Project Address: 4622 SW 328TH Pl Parcel Number: 802950 0040
Prc�ect Description: Remove/replace GAS water heater
Mechanical Valuation..........................................449 Over the Counter Permit ...................................... Yes
PERMIT EXPIRES August 18, 2003.
Permit issued on February 19, 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: See A Dnlicabo�_ Date: 04( 4 63
JL AL I I
3 - I E) --? (_t) x__4c64 b A) 'Ct) �2 6, _&�
Mechanical rough -in:
Gas pipe: - /
FINAL MECHANICAL: C f=, �` r� C ►�y
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Date
Date
Date
Owner
Applicant
Contractor
Stephen M & Vicki L Voss
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
4622 SW 328TH PL
12601 132ND AVE NE
12601 132ND AVE NE
FEDERAL WAY WA
KIRKLAND WA 98034
KIRKLAND WA 98034
98023-1925
(425)814-8381
Mechanical Valuation..........................................449 Over the Counter Permit ...................................... Yes
PERMIT EXPIRES August 18, 2003.
Permit issued on February 19, 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: See A Dnlicabo�_ Date: 04( 4 63
JL AL I I
3 - I E) --? (_t) x__4c64 b A) 'Ct) �2 6, _&�
Mechanical rough -in:
Gas pipe: - /
FINAL MECHANICAL: C f=, �` r� C ►�y
IgD
zS`_ '-��C
Date
Date
Date
7
CONSTRUMON PERMIT APPLICA-RON
CITY Of RECEIVED BY APPIACKRON NUMBER:
-403L��6021 . ...... ...
Federal Wayc)MMUNMY DEVELOPMENT DEPAII�EN4PUCXRON NUMBER:
FEB 19 2003 APPLICATION NUMBER:
The following is reqairm Information - Please print (in ink) or tvw*# 820604
Please ncstc,-. ulecthcat, Fire PreWntion Systems; and Engineering pemits may require, a separate application.
R'XVVf9KTY INFOK14AT-LIC
SITE ADDRESS: 4622 SW 328 PL, FEDERAL WAY, WA 98023 ASSESSORFS TAXIPARCEL 9: 8029500040
LEGAL DESCRIPTION OF SUBIFCT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
......................... 11 ................ 11.1 ..... ........ ...... ... ...
U'PRO31ECT INFORMATION
TYPE OF PROIECT (This application)-. OUILDING 11 PLUMBING X, MECHANICAL < DEMOLITION
ELF(7RICAL o ENGINEERING : FIRE. PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description)- Remove/Replace Gas Water Heater
APPLICANT:
12601 132ND AVE NE KIRKLAND, WA 98034
i.�-P A 1, %vii��FNM Lf�rPji-
87 000047 00
OVLArd rmuored) FASTWHCO
MAIJIS�" AWIAJ'+"-' 11:1x T Abb;' iisi :'''I, "'A 1 �" 111"�:
ARCHITECT a TENANT a OTHER ( DESCRIBE):
(425 814-9516
j' skA ,s I I"-
02/16/2065
CONTACT PERSON FOR THIS PROJECT0 PROPERTY OWNER c APPLICANT CONTRACTOR
... .. . ..... . . L . ....... ..
0 PR03ECT INFORMATION
EXISTING USE: . . .............. . . EXISTING BUILDING ASSES$EO /APPRAISED VALUATION
PROPOSED USE: PROPOSEDVALUATION FOR IMPROVEMENTS. $ $449.00
SPRINKLERED BUILDING? YES (I NO FIRE SUPPRESSION SYSTEM PROPOSED I REQUIRED—) YES I NO
WATER SERVICE PROVIDER* I, LAKEHAVEN r! HIGHLINE j TACOMA a PRIVATE (WELL)
SEWER SERVICE PROVIDER* t..i LAKEHAVEN �-, HIGHLINE 3 PRIVATE (SEPTIC)
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNJT{S) LVAPORATIVE COOLER(S) GAS LOG(S) . ..... ................... - REFRIG. SYSTEM(S)
B8Q(S) LAN(5) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSER'F(S) RANGE(S) MISC-,(-,
COMPRESSOR(S) FURNACE(S)
DUCT(5)CTAS u.ELECTRIC GAS
PIPE OUTLET(S) titAT SOURCE:
BATHTUR(S)
DISHWASHER(S)
DRINKING FMNTAIN(S)
GAS PIPE OUTM(S)
INTERCEPFTOR(S)
PLUMBING
LAVA-TORY(S)
RAIN WATER SYS.
SHOWER(S)
SINK(S)
SUMP(S)
.................................... URINAL($)
VACUUM BREAKERS)
WASH MACHINE OUTLET
WATER CLOSET(S)
315CLAIMERISIGNATURF RLC
I WATLR HEATERS)
ELECTRIC X GAS
MISC, (--)
I certify 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 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 attDmeys'fees incurred in the
investigation and defense of such claim), which may be made by any person, including 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 employees, upon the accuracy
of the information supplied to the city as a part of this application.
NAME/TITLE. DATE: 02/18/2003
:i PROPERTY OWNER 4j APPLICANT IK CONTRACTOR
!MMMLJNI1'Y 1*VTLVPMEM RVICLS - 33530 FIRST WAY S=li - 1O DOX 9718 - FE RA! 'WAI, WA "%3-971,6 - 75)-fX)1-4fM - FAX'253-664-41 7'rs