03-104868City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name: NOVAK 01
Project Address: 32436 50TH SW
Project Description: Remove/replace GAS water heater
Mechanical Permit #:03 - 104868 - 00 - ME
Inspection request line: 253.835.3050
Parcel Number: 873219 0430
Owner
Applicant
Contractor
Lawrence Novak
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
32436 50TH CT SW
12601 132ND AVE NE
12601 132ND AVE NE
FEDERAL WAY WA
KIRKLAND WA 98034
KIRKLAND WA 98034
98023-1918
1 (425) 814-8381
Mechanical Valuation..........................................449
Over the Counter Permit ...................................... Yes
PER1MT EXPIRES April 24, 2004.
Permit issued on October 27, 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
See Application`
Owner or agent: Date: D q- 103
Mechanical rough -in:
Date
Gas pipe:
Date
FINAL MECHANICAL: l/— /,o — U�
Date
RECEIVED CONSTRUCTION PEPNIT APPLICATION
0'.
C 0 PPUCKnON NUMBER:
Federal Way OCI 9, 7 ?003 APPUCAMN NUMBER:
()v. V-EDERAL WAY APPLICA nON NU!j_
QLPT-1
The Is required information — Please print (in ink) or type' 019196
Please note. Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
• PROPERTY INFORMATION
SITE ADDRESS: 32436 50 CT SW, FEDERAL WAY, WA 98023 ASSESSORI TAXIPARCEL #: 8732190430
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PROJECT INFORMATION
TYPE Of PROJECT (Thisapplication): n BUILDING n PLUMBING X MECHANICAL o DEMOLITION
n ELECTRICAL o ENGINEERING c FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): Remove/Replace Gas Water Heater
PROPERTY OWNM- NOVAK, LARR Y
CONTRACTOR:
APPLICANT:
PROJECT INFORMATION
MAIUM; ALAPRE55 (STRIET AU*M. CTTY, STATTZIP)�
32436 50 CT SW FEDERAL WAY, WA 98023
( (253)152-4915 -
�WJNG ADDUSS
EV"ING RONE-,
n ARCHITECT a TENANT 0 OTHER ( DESCRIBE): - , , I (
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER o APPLICANT comrmcrm
PROJECT INFORMATION
EXISTING USE. EXI]STMG BUILDING ASSESSED/APPRAISED VALUATION
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS. $449.00
SPRINKLERED BUILDING? r- YES n NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED, o YES c) NO
WATER SERVICE PROVIDER: o LAKEHAVEN n HIGHLINE 0 TACOMA El PRWATE (WELL)
SEWER SERVICE PROVIDER- 0 LAKEHAVEN 0 HIGHLINE C3 PRIVATE (SEPTIC)
Js
RESTPENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE:
■ PR03ECT FLOOR AREA
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) RE:FRIG. SYST04(S)
.. rr BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILERCS) FIREPLACE INSERT($) RANGE(S) MISC. ( )
COMPRESSOR(S) FURNACE(S)
DUCT($) GAS PIPE: OUTLET(S) HEAT SOURCE: o ELECTRIC u GAS
PLUMBING
BATHTUE3(S) LAVATORY(S) URINAL(S) 1 WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) aO ELECTRIC: X GAS
DRINKING FOUNTAIN(S) SHOWERS) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) Misc. ( ;
INTERCEPTOR(S) SUMP(S)
DISC:LAIMERISIGNATIIRF AtC
I certify under penalty of penury 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 i3 made; I
further agree to hold harmless the City of Federal Way as to any claim (including costs, expertSes, and attorneys' fees incurred in the
investigation and defense of such claim), which may the shade by any person, including the undersigned, and filed against the City of
Federal Way, but orhly 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:---�'—�' Permit Mgr
;.a PROPERTY OWNER a APPLICANT CONTRACTOR
DATE: 10/22/2003
C0MMUNf7Y D ."EW $ZRV1U-S . 33530 FIRST WAY SOVU1 . PO DOX 9718 RMLIRAL WAY, WA 98063-9218. 253 -"1 -4000 -FAX; 253-" -41Z9