03-104545r
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: UTHUS O
Project Address: 32407 50TH SW
Project Description: Remove/replace gas water heater
Mechanical Permit #:03 - 104545 - 00 - ME
Inspection request line: 253.835.3050
Parcel Number: 873219 0270
Owner
Applicant
Contractor
John Uthus & Sheryl Uthus
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
32407 50TH PL SW
12601 132ND AVE NE
12601 132ND AVE NE
FEDERAL WAY WA
KIRKLAND WA 98034
KIRKLAND WA 98034
98023-1905
(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.
See �pphcatlon See Apphcation
Owner or agent: Date:
l/�0/dpi
r
4
f
CITY OF RECEIVED BY
Co""UWTY DEVELOPOENT nr:PA7rV17NtT
Federal Way
OCT 0 3 2003
APPUCAITON NUMBER: -----
ow ON NUMBER:
• e 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 A0,DRESS. 32407 50 PL SW, FEDERAL WAY, WA 98023 ASSESSORS TAX/PARCEL #: 8732190270
LEGAL DESCRIPTION OF SUEUECT PROPERTY (ATTACK SEPARATE DESCRIPTION IF LENGTHY)-
■ PROUCT INFORMATION
TYPE OF PROJECT (This application): n BUILDING n PLUMBING X MECHANICAL Cr DEMOLITION
n ELECTRICAL 0 ENGINEERING u FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): Remove/Replace Gas Water Heater
PROPERTY OWNER -
CONTRACTOR:
APPLICANT:
■ PR03ECT INFORMATION
UTHUS, SHERYL
((253)174 -5911 -
KkILING AWRL'`,S (srurr Am*Ls6, uTy. s rATt, zip); I
32407 50 PL SW FEDERAL WAY. WA 98023 11
MAI JNG ADDRESS (STRE ET.AbbkM- C1 IY, 5TA I C, ZW,: EVENING P14ONE:
RRATIOW"P TO PAORa, Ju —Kumiti:
n ARCHITECT 0 TENANT 0 OTHER (DESCRIBE):...,,.
CiffTACT PEd-�-,Ff R K1R THIS PROJECT* u PROPERTY OWNER o APPLICANT CONTRACTOR
1 0 PR03ECT INFORMATION
EXISTING USE.
PROPOSED USE:
SPRINKLERED BUILDING?
WATER SERVICE PROVIDER -
SEWER SERVICE PROVIDER:
EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED VALUATION FOR IMPROVEMENTS., $ $449.00
r YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: is YES a NO
o LAKEHAVIEN n HIGHLINE
o LAKEHAVEN o HIGHLINE
* TACOMA 0 PRIVATE (WELL)
* PRIVATE (SEPTIC)
14 1
......... . - 1 1. .. . ... .............. . . . . . . . ...................... .... ... . . . . .
-NPW RESIDENTIAL CONSTRUCTION ONLY**
. ..... NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE.
■ PR03ECT FLOOR AREAS
AIR HANDLING UNrT(S)
BBQ(S)
BOILER(S)
COMPRESSOR(S)
DUCT(S)
BATHTUBS)
DISHWASHER(S)
DRINKING FOUNTAIN(S)
GAS PIPE OUTLET(S)
INTERCEPTOR(S)
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLERS) _GAS LOG(S) REFRIG. SYSTEM($)
FAN(S) HOOD(S) WOOMOVE(S)
FIREPLACE INSERT($) RANGE(S) MLW-
FURNACE(S)
GAS PIPE OUTLET(S) HEAT SOURCE: u ELECTRIC as GAS
PLUMBING
LAVATORY(S)
RAIN WATER SYS.
SHOWER(S)
SINK(S)
SUMP(S)
URINAL(S)
VACUUM BREAKER(S)
WASH MACHINE O1UTU7
WATER CLOSET(S)
DISCLAIMER /SIGNATURE RLC
WATER HEATER(S)
n ELECTRIC X GAS
-- misc. (
I certify urwer penalty 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 perform the work for which the permit application is made. I
further agree to hold hanniess the City of Federal Way as to any claim (including costs, expesises, and attorneys' fees Incurred in the
investigation and defense of such claim), which may be made by any persor4 inducting the undersigned, and filed against the City of
Federal Way, but onty 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
1.1 PROPERTY OWNER UAPPLICANT SCONTRACTOR
00MUNrTy DWELOPMENT SERVICES - 33530 FIRST WAY SOU111 - PO BOX 4718 - FEDER& WAY, WA 9W3-9-718 - 2LI40-40W - FAX. 253461-4 IZ9