03-105032r �
City 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: KEOHOKAPU
Project Address: 30900 11THt4Wlp"v40
Project Description: Replace gas hot water tank.
Mechanical Permit #:03 -105032 - 00 - ME
Inspection request line: 253.835.3050
Parcel Number: 525980 0270
Owner
Applicant
Contractor
TY KEOHOKAPU
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
30900 11TH AVE SW
12601 132ND AVE NE
12601 132ND AVE NE
FEDERAL WAY WA
KIRKLAND WA 98034
KIRKLAND WA 98034
\
(425) 814-8381
Mechanical Valuation..........................................449 Over the Counter Permit...................................... Yes
PERMIT EXPIRES May 5, 2004.
Permit issued on November 7, 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 Application. _ Date: 1/-7-03
F" C/�g
44 -e cil
CONSTRUCTION PERMIT APPLICATION
CITY0; RECEIVED - . ........ . . ........... - ...... . - -------- Y -A
Federal Way
PPUCAMN NUMBER,
PPLICMON NUMBER:
NOV 0 7 2003 POUCKnON NUMBER:
#*The foliv
_ivt"0Frf4WWe8#kWA)ftjon – Please print (in ink) or type—
P.QDING DEPT. 019285
Pie -ase note., Electrical, Fire Prev on Systems and Engineering permits may require a separate application,
PROPERTY INFORMATION
SITE ADDRESS. 30900 11 AVE SW, FEDERAL WAY, WA 98023 ASSESSOR-STAXIPARCEL #: 5259800270
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY)-
– - - -------
PR03ECT INFORMATION
TYPE OF PROJECT (Tl s application): n BUILDING Q PLUMBING )0 MECHANICAL Lj DEMOLITION
ri ELECTRICAL a ENGINEERING u FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed zdesuiption): Remove/Replace Gas Water Heater
aj=u-ap x cm; Lei x4j al��
. .... . ....
PROJECT INFORMATION
PROPERTY OWNM-
CONTRACTOR:
APPLICANT:
DAYRVIE
KEOHOKAPU, TY
zw)�
30900 11 AVE SW FEDERAL WAY, WA 98023
-6601-
aIY,SfAI'(, AP): EVENING PHC*E:
RRA7i M31-UPTO MORO: FA2 NUMKf1,R:
n ARCHITECT n TENANT 0 OTHER DESCRIBE):
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER o APPLICANT j? CONTRACTOR.
N PROJECT INFORMATION
EXISTING BUILDING ASSESSED/APPRAISED VALUATION $_
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS; a`449-00
SPRINKLERED BUILDING? r YES n NO FIRE SUPPRESSION SYSTEM PROPOSEDIREQUIRED: fu YES a NO
WATER SERVICE PROVIDER: 0 LAKEHAVEN n HIIGHLINE a TAC014A o PRIVATE (WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN a HIGHLINE a PRIVATE (SEPTIC)
__... _ _ _ ....... _e.
• *NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS:ESTIMATED SELLING PRICE
PR03ECT FLOOR
FLOC}R � � EXISTING FT. PR4i SEII i TCfTAI
E'IASEMENT �
FIRST
... ................
THIRD _
Fi}RRi W.. i
�_
� 1
OTHE=R FLOORS (DESCRIBE)
:GARAGE
_ HOW MANY FLOORS?
TOTAL:
FIXTURES
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM($)
BB )(S) FAN(5) HOODS) WOODSTOVE(S)
SOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.
v
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: r3 ELECrMC: j CCAS
PLUMBING,
SATHTUS(S) LAVATORY(S) URINAL(S) 1 WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) n ELECTRIC X GAS
DRINKING FOUNTAIN(S) SHOWER($) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) a MISC. ( )
INTERCEPTOR(S) _ SUMP(S)
DISCLAIMER/SIGNATURE ALC
I cattfy under penalty of perjury that the information fumished by me is true and correct to tate best of my knowledge, and
further, that I am authorized by the ownier of the above premises to perforin the work for which the permit application Is made. I
further agree to hold harmless the. CH.1t of Federal Way as to any claim (including cots, expenses, and attorneys' fees Incurred In the
Investigation and defense of such claim), which may be made by any penton, Including the undersigned, and filed against the City of
Federal Way, but only Mere 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: -�' - +�`a Permit Mgr DATE; 11/05/2003
O PROPEitTY OWNER. o APPLIC.'.Ai+TT N CONTRACTOR
GOMMUNRY PEM"E ' SERVICES • 33530 FIRST WAY SOUM • PO BOX 9718 FE3XRAL WAY, WA 98%3-9718-253-661-40W- FAX: 253-661-41 Z9