03-105437or -
City of Federal Way
Community Development Services Mechanical Permit #: 03 -105437 - 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: JENKINS
Project Address: 30706 19THIS Parcel Number: 092104 9281
Project Description: Remove/replace gas water heater
Owner
Applicant
Contractor
Timothy A Jenkins & Diane I Jenkins
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
30706 19TH AVE S
12601 132ND AVE NE
12601 132ND AVE NE
FEDERAL WAY WA
KIRKLAND WA 98034
KIRKLAND WA 98034
98003-5103
(425)814-8381
Mechanical Valuation..........................................449 Over the Counter Permit ...................................... Yes
PERMIT EXPIRES June 13, 2004.
Permit issued on December 16, 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 Ap,-#kation
Owner or agent: Date: See A}pnlication
CITY ' OF COMMUNITv RECEIVED BY
Federal Way F)FVFLOPMFNT DEPARTMENT
DEC 15 2003
**The follovAng is required information — Please Print (in Ink) or type*"
Err
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
PROPERTY INFORMATION
SITE ADDRESS: 30706 19 AVE S, FEDERAL WAY, WA 98003 ASSESSORS TAX/pARCEt #: 0921049281
LEGAL DESCRIPTION OF SUB3ECT PROPERTY (ATTACK SEPARATE DESCRIPTION IF LENGTHY)*
CK136
4
PROJECT INFORMATION
—.J
TYPE OF PROIECT (This application): o BUILDING o PLUMBING )0 MECHANICAL o DEMOLITION
a ELECTRICAL o ENGINEERING r) FIRE PREVENTION SYSTEM
PR03ECT DESCRIPTION (Provide detailed description)- Remove/Replace Gas Water Heater
PR03ECT INFOR144tTION
71" 1 A* Ell
V
0m, -I i �-"
APPLICANT' .
MALM ADDRESS (SWEET AbMj% CW, STATC, Ztfl): EVMING PHONL
WAnowW To PWAM FAX "eWA:
0 ARCHITECT 0 TENANT 0 OTHER( DIE):_ ( -
EXISTING USF—, EXIT BUILDING ASSESSED/APPRAISED VALUATION
PROPOSED USE, PROPOSED VALUATION FOR IMPROVEMENTS: $449.00
SPRINKLERED BUILDING? 0 YES In NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED, a YES u NO
WATER SERWCE PROVIDER- o LAXERAVEN n 1414GHUNE 0 TACOMA E3 PRIVATE (WELL)
SEWER SERVICE PROVIDER.- o LAKEHAVIEN 0 HIGHLINE a PRIVATE (SEPTIC)
6
-NEW)tESIDENTIAL CONSTRUCTION ONLY*'*'
NUMBER OF BEOROOMS;
ESTIMATED SELLING PRICE:
Indicate number of each tylie of fixture
I certify under penalty of perjury that the IrOwmation furnished by me Is true and correct to the best of my koowledge, and
further, that I am audkwized by the owner of the above promises to perform the work for which the permit application is made. I
further agree to hold harmless the City of Federal Way as to any claim (including costs, expertses, and attomeysfees Incurred in the
Investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the City of
Fedex* Way, but w where such claim arises out of the reliance of the city, Including Its officers and emplwjees, upon the accuracy
of the Information supplied to the city as a part of this appUmdon.
NAME/TITLE: , Permit Mer DATE: 12/11/2003
COMMNM Ma"Wr SE VKZS * 33530 FLUT WAY SOM - PO 9W 9718 - FWUM WAY, WA "%3.9718. 2S3--661-WW - FAX; 253-661-4129
MECHANICAL
AT
AIR HANDLING UNIT(S)
EVAPORATIVE COOLIER(S)
GAS LOG(S)
REFRIG. SYSTEM($)
88Q(S)
FAN(S)
HOOD(S)
WOODSTOVF(S)
BOILER(S)
FIREPLACE INSERT(S)
RANGE(S)
MISC.
COMPRESSOR(S)
FURNACE(S)
DUCT(S)
GAS PIPE OUTLET(S)
HEAT SOURCE:
0 ELECTRIC j GAS
PLUMBING
BATHTUB(S)
LAVATORY(S)
URINAL(S)
1 WATER HEATER(S)
DISHWASHER(S)
RAIN WATER SYS.
VACUUM BREAKER(S)
ELECTRIC X GAS
DRINKING FOUNTAIN(S)
SHOWER(S)
WASH MACHINE OUTLET
GAS PIPE OUTLETS)
SINK(S)
WATER CLOSET(S)
misc.
INTERCEPTOR(S)
SUMP(S)
I certify under penalty of perjury that the IrOwmation furnished by me Is true and correct to the best of my koowledge, and
further, that I am audkwized by the owner of the above promises 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, expertses, and attomeysfees 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
Fedex* Way, but w where such claim arises out of the reliance of the city, Including Its officers and emplwjees, upon the accuracy
of the Information supplied to the city as a part of this appUmdon.
NAME/TITLE: , Permit Mer DATE: 12/11/2003
COMMNM Ma"Wr SE VKZS * 33530 FLUT WAY SOM - PO 9W 9718 - FWUM WAY, WA "%3.9718. 2S3--661-WW - FAX; 253-661-4129