03-104543City of Federal Way
Community Development Services
33530 1 s Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name: FIDELER
Project Address: 1214 SW 355TH P)
Project Description: Remove/replace gas water heater
Mechanical Permit #:03 -104543 - 00 - ME
Inspection request line: 253.835.3050
Parcel Number: 502860 2140
Owner
Applicant
Contractor
Thomas B Fideler & Michele R Fideler
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
1214 SW 355TH PL
12601 132ND AVE NE
12601 132ND AVE NE
FEDERAL WAY WA
KIRKLAND WA 98034
KIRKLAND WA 98034
98023-6962
(425)814-8381
Mechanical Valuation..........................................449 Over the Counter Permit...................................... Yes
PERMIT EXPIRES March 31, 2004.
Permit issued on October 3, 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
comptj REC
CITY OF A ?V7Y I)EVELEOPMENIVEDBYT DEPARTMENT
Federal Way OCT 0 3 2003
AECq
CONSTRUCTION PERMI"T APPLICATION
wKw"S", "003,; WOO
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• *The following is required information — Please Print (in ink) or type* 019044
Please note. Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
PROPERTY INFORMATION
SITE ADDRESS- 1214 SW 355 PL, FEDERAL WAY, WA 98023 ASSESSORS TAX/PARCEL #: 528602140
— — — — -- — — — — —
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PR03ECT INFORMATION
TYPE OF PROJECT (This application): n BUILDING n PLUMBING X MECHANICAL L) DEMOLITION
ri ELECTRICAL ri ENGINEERING ri FIRE PREVENTION SYSTEM
PR03ECT DESCRIPTION (Provide detailed description), Remove/Replace Gas Water Heater
PROJECT NAME: FIDELER- THQMAS.,
PR03ECT INFORMATION
PROPERTY OWNM- NAME,ImE Ptiw:
(253)174-7097
FIDELER, THOMAS
KARING AVOREZ MAEU ADME55; CTn.. ,NATE. ZT1; D4*fl
1214 SW 355 PL FEDERAL WAY, WA 98023
APPLICANT;
KkME: FAST WATER HEATER COMPANY
DA MP POW::
((425)414-3124-
PWILK
12601 132ND AVE NE KIRKLAND, WA 98034
all OF WME01 WAY KP51NM LKIME NOMM ---
FAX MONIER'
87 - 000047 00
(425 ) 814-9516
AC R'S RMSIUMN "BEA"
OMPAT" DATV:
(to" at CWd nMiakod) FASTWHC052DF
02/16/2065 1
MAI.ING N*ftEz (507 MI't, ZIP): EVENING POONE-,
REA Alloh"m N*xM FAX "MR -
n ARCHrTfCT 0 TENANT 0 OTHER( DESCRIBE):—
CONTACT PERSON FOR THIS PROJECT* 0 PROPERTY OWNER o APPLICANT COKTRACTOR.
■ PR03ECT INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION
PROPOSED USE:
SPRINKLERED BUILDING?
WATER SERVICE PROVIDER:
SEWER SERVICE PROVIDER:
PROPOSED VALUATION FOR IMPROVEMENTS., * $449.00
c; YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ci M a NO
o LAKEHAVEN n HIGHLINE a TACOMA a PRIVATE (WELL)
o LAKEHAVEN o HIGHLINE 0 PRIVATE (SEPTIC)
NSW RESIDENTIAL _m.. ......................................
#" L CONSTRUCTION ONLY -
NUMBER OF BEDROOMS:
ESTIMATED SELLING PRIG.
R FLOOR
_ .._.. _ L
O
EXISTING SQ. FPROPOSEDR~I . TTA
ENT _�� PRO--..� ..
FIRST
SECONTI
THIRD
FOURTH
OTHER FLOORS (DESCRIBE) j
__ ..,.... ..�.___
DECK ........ ...-
GARAGE � �.. ..._.... � -..,
HOW MANY FLOORS?
TOTAL:
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLERS) GAS 'LOG(S) REFRIG. SYSTEM(5)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
_ BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC. ( }
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) NEAT SOURCE: O ELECTRIC u GAS
PLUMBING
RATHTt16(S) LAVATORY(S) URINAL(S) 1 WATER HEATER(S)
DISHWASHER(S) RAINWATER SYS. VACUUM BREAKER(S) a ELECTRIC X GASB
_ DRINKING FOUNTAIN(S) SHOWER($) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER, CLOSET(S) _. MISC. ( )
INTERCEPTOR(S) SUMP(S)
I)ISCLAIMER/SIGNATURE BLOCK
I certify untlerpenalty of perjury 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 perforin 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 casts, expenses, and attorneys' fees incurred in the
Investigation and defense of such claim), which may be made by any perm, including the undersigned, and filed against the City of
Federal Way, but only 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 DATE, 10/01/2003
n PROPERTY OWNER n APPLICANT CONTRACTOR
COMMUNITY DEV'ELCWMEtrr SERVICES + 33530 FIRST WAY Sou ni • PO BOX 9728 • FEDERAL WAY, WA '98063-9718 + 253-461-40W • FAX: 2S3-661-4129