03-104032City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 25.1.661.4000 Fax: 253.661.4129
Project Name: DUGAS
Project Address: 1736 SW 323RD $;t'
Project Description: Remove/replace gas water heater
Mechanical Permit #:03 - 104032 - 00 - ME
Inspection request line: 253.835.3050
Parcel Number: 010454 0280
Owner
Applicant
Contractor
Nancy Dugas
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
1736 SW 323RD ST
12601 132ND AVE NE
12601 132ND AVE NE
FEDERAL WAY WA
KIRKLAND WA 98034
KIRKLAND WA 98034
98023-5407 1
1 (425)814-8381
Mechanical Valuation..........................................449
Over the Counter Permit ...................................... Yes
PERMIT EXPIRES February 24, 2004.
Permit issued on August 28, 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: See Application
V,
CITY OF
Federal Wa__"V'-'
**The following is required information — PIOM pint (in Ink) or type"
018771
PICAW note.' Electtical, Fire Prevention Systems and Engineering permits may require a separate application.
I I PROPERTY 114FOFZMATION I
SITE ADDRESS : 1736 SW 323 ST, FEDERAL WAY, WA 98023 ASSESSOR'S TAX/PARCEL #: 0104540280
LEGAL DESCRIPTION Of SUaACT PROPERTY (ATTACK, SEPARATE DESCRIPTION IF LENGTHY)-
■ PROJECT INFORMATION
TYPE OF PROJECT' (This application): 0 BUILDING a PtUMSING )o MECHANICAL a DEMOLITION
n ELECTRICAL o ENGINEERING, t FIRE PREVEIMON SYSTE14
PROJECT DESCRIPTION (Provide detalleddescription): Remove/Replace Gas Water Heater
PROJECT NAME: j2jj!QAS- JEUY & NANCYLYNN
PR03ECT INFORMATION
PROKRTYOWNM- E. DAYMmE PHDRE: f
DUGAS, JERRY & NANCY LYNN (253)174-5904-
M1WLWG AM (STREET ADORMS, CT Y. STATE. ZIP)i
1736 SW 323 ST FEDERAL WAY, WA 98023
•m" mL " �41
r-17-171 Fro -TZ -17
r'
FAST WATER HEATER COMPANY
—(5MV
VA"Mt PHW.
((425)414-3124-
PlAlim&d ADMIES& AOMSS; UTV, STATE, ZIP),-
V#TNM MORE:
12601 132ND AVE NE KIRKLAND, WA 98034
CRY OF MWAA WAY BUSMESS LICEPISSE W"Ek
FAX *04":
— 87 - 000047 00
(425 ) 814-9516
cis on MM80.
ww" C*nl
FASTWHCO52DF
02/16/2065
. .... .... .
........................ . . .
KMILIMADAESS (STPIET AM*S,%- aTY,VAM, ZIP): EMM P"Oftf:
MAn0t6w TO P003"; FAX "Btk-
ci ARCHrM-CT In TENANT C3 OTHER( DESCRIBE)._
CONTACT PERSON FOR THIS PR03ECT: u PROPERTY OWNER o APPLICANT CONTRACTOR
PROJECT INFORMATION
EXISTWG BUILDING ASSESSED/APPRAISED VALUATION $ ............. .... . . ... ...
PROPOSED VALUATION FOR IMPRMMENT'S., $ $449.00
* YES n NO FIRE SUPPRESSION SYSTEM PRIDPOSED/REQUIRE01 (-j YES U NO
* LAKEHAVEN n HIQHLINE 0 TACOMA CI PRrVATE (WELL)
o LAKEHAVIEN o H16HUNE a PRIVATE (SEPTIC)
CONSTRUCTION ONLY**
NUMBER OF BEDROOMS-.
SELLING PRICE.
PROJECT FLOOR AREAS
AIR HANDLING UNIT(S)
�.... _ BBQ(S)
SOILER(S)
€ OMPRESSOR(S)
€r`(S)
BATHTUB(S)
OtSHWASHER(S)
DRINKING FOUNTAIN(S)
GAS PIPE OUTLET(S)
INTERCEPTOR(S)
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
FAN(S) HOOD(S) WOODSTOVE(S)
FIREPLACE INSERT(S) RANGE(S) MISC. [ }
FURNACE(S)
GAS PIPE OUTLET(S) HEAT SOURCE: a ELECTRIC; 0 CTAS
PLUMBING
LAVATORY(S) URINAL(S) 1 WATER HEATER(S)
RAINWATER SYS, VACUUM BREAKEKS) 0 ELECTRIC X GAS
SHOWER(S) WASH MACHINE OUTLET
SINK(S) WATER CLOSET(S) MISC.
SUMP(S)
DISCLAIMER /SIGNATURE RLC
I cer" under.Peraft of perJr+ry that the Information furnished by me Is true and correct to the best of any bwA4edM and
further, that I am authoriwd by the owner of the above premises to perform the work for which the permit application is rr le I
further agree to holm hanniess the City of Federal Way as to any claim (including rx ts, and attomeys' fears ktamTed in the
Investigation and defense of such claim), which may be marle by any person, indudirg the unders%red, and filed agar the City of
Federal Way, but only wdterae 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 CIATE: 08/13/2003
COMMU rTY DEVin` JOPMENT SERVICES • 33530 FIRST WAYSOUT" • PO WW 0718 • FEDERAL WAY, WA 96063.9218 * 2S3 -661 -WW • FAX: 253."1-4t29