03-105321City cf.Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name: BARROW
Project Address: 523 SW 294TH 5'r
Project Description: Replace gas water heater
Mechanical Permit #:03 -105321 - 00 - ME
Inspection request line: 253.83.5.3050
Parcel Number: 119600 2947
Owner
Applicant
Contractor
Gayle D Barrow
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
523 SW 294TH ST
12601 132ND AVE NE
12601 132ND AVE NE
FEDERAL WAY WA
KIRKLAND WA 98034
KIRKLAND WA 98034
98023-3540
1 (425)814-8381
Mechanical Valuation..........................................449 Over the Counter Permit ...................................... Yes
PERMIT EXPIRES June 1, 2004.
Permit issued on December 4, 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. L2'
Owner or agent: E �p () COOT Date: 12 /0 7
RECEIVED BYCONSTZA-tc-!�M
,-�RUCTION PERMIT APPLICATION
Cf*fY OF 1A covvufvrr� DFVE1..nP�-4FNT 7PARTME 11----..., ..__..v_._.____..._
PKICA'171ON NUMBER*
Federal Way DEC 0 3 2003
PIRUCOON NUMBER:
PPLI(tA N
*The following is required information — Plea rA print (in ink) or type" 019426
Plaw note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
PROPERTY INFORMATION
SITE ADDRESS,. 523 SW 294 ST, FEDERAL WAY, WA 98023 ASSESSOR'STAX/pARCEL#: 1196002947
LEGAL DESCRIPTION OF SU83ECT PROPERTY (ATTACK SEPARATE DESCRIPTION IF LENGTHY)-
. ...... . ..
PR03ECT INFORMATION
--A
TYPE OF PROTECT (This application): a BOILDING n PLUMBING )0 MECHANICAL to DEMOLITION
a ELECTRICAL a ENGINEEMNS 13 FIRE PREVENTION SYSTEM
PROJECT DESMIPTION (Provide detailed description): Remove/Replace Gas Water Heater
PR03ECT NAME: BABILQWQAYLE
PR03ECT INFORMATION
APPLICANT,
BARROW,GAYLE
. ST,%TL. ZIP),
523 SW 294 ST
FEDERAL WAY, WA 98023
( (253)141-3609 -
KWE:
FAST WATER HEATER COMPANY
OAnMt
((425)414-3124-
O2kiifid ADDREVS (5ff&fT ADDWSf,; (-,M, STATE, ZIP),
CANING N+aw'
12601 132ND AVE NE KIRKLAND, WA 98034
crty OF MMEVA WAY wisuez UCENSE "Pa"t . ........ . ----
FAX W000i
87 000047 00
(425 ) 814-951.6
M"TRALTO ks REGMTRKTION "BM
1MU00" OATVI
iCOW of 0Wd reWAPOC FASTWHC052DF
02/16/2065 1
MAI ING ADDRESS (STREET AWkM, CI"! Y,STAIT, ZIP): EVIENING PHONE,
RRA'noks"M TO pg*xa; FAX WMWk-
n ARCHMCT 0 TENANT 0 OTHER( DESCRIBE).,
CONTACT PERSON FOR THIS 1PROJECT- 0 PROPERTY OWNER o APPLICANT CONTRACTOR
■ PROJECT INFORMATION
71
EXISTING USE.- DUSTING BUILDING ASSESSEDAPPRAISED VALUATION
PROPOSED USE:
SPRINKLERED BUILDING?
WATER SERVICE PROVIDER -
-
PROPOSED VALUATION FOR IMPROVEMENTS: $ $449.00
* YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: a YES Li NO
* LAKEHAVEN n HIGHLINE o TACOMA c3 PRIVATE (WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN n NIGHLINE a PRIVATE (SEPTIC)
"NEW. RESIDENTIAL CONST RUCTION ONLY**
NUMBER OF EtEtiRtiElMS: ESTIMATED SELLI14G PRICE:
Indicate number of each ty#oe of fixture
MECHANICAL
AIR HANDLING UNIT(S)
EVAPC?RATIVE'lM"OOLER(S)
CAS LOG(S)
REFRIG. SYSTEM(S)
BBQ(S)
FAN(S)
HOOD(S)
WOOOSTOVE(S)
SOILER(S)
COMPRESSORS)
FIREPLACE 114SERT(S)
FURMACE(S)
RANGE(S)
_
MISC.
DUCT(S)
CAS PIS t UTLET(S)
HEAT SOURCE: a
ELECTRIC a GASB
PLUMBING
BATHT'US(S)
LAVATORY(S)
URINAL(S)
1 WATER HEATER(S)
DISHWASHER(S)
RAINWATER SYS.
VAOJUM BREAKER(S) -,)ELECTRIC
X GAS
DRINKING FOUNTAIN(S)
SHOWER(S) _
WASH MACHINE OUTLET
GAS PIPE OUTLET(S)
SINK(S)
WATER CLOSET(5)
MSC. ( l
INTERCEPTOR(S)
SUMP(S)
_
I ramify under pensity of perjury that the Information furnished by me Is true and correet 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 mute. I
further agree to hold harmless the City of Federal Way as to any ciakn (induding costs, expenses, and attomeys' fees incurred in the
Investigation and vWense of such claim), who may be mads: by any person, Including the undersigned,, and fined against the City of
Federal Way, but only wrens such claim arises out of the reliance of the city, including ft officers and employees, upon the accuracy
of the information supplied to the city as a part of this application.
NAME/TITLE: -�''--'� Permit,,NW, DATE: 11/25/2003
1., PROPERTY OWNER E APPLICANT N CONTRACTOR
COMMUNITY D LOPMENT SERVICES . 33530 FIRST WAY SOut" • PO 9M 9718 • FEOERAL WAY, WA 9W63.5718. 253-+6611 - FAX: 253-661-4129