03-104642City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Mechanical Permit #:03 -104642 - 00 - ME
Inspection request line: 253.835.3050
Project Name: LEE Q`
Project Address: 32602 10TH SW Parcel Number: 926495 0510
Project Description: Remove/replace GAS water heater
Owner
Applicant
Contractor
Richard H and Anna K Lee
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
32602 10TH PL SW
12601 132ND AVE NE
12601 132ND AVE NE
FEDERAL WAY WA
KIRKLAND WA 98034
KIRKLAND WA 98034
98023-4900
\
(425)814-8381
Mechanical Valuation..........................................449 Over the Counter Permit...................................... Yes
PERMIT EXPIRES April 7, 2004.
Permit issued on October 10, 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. �t
Owner or agent: Sed A ppli nizen-_ Date: /��
i.1(ao ed //-/0^03,4s
0� e C'A' 0 f4. //- 16 - 0 3
Y
RF -C>± I VE D
R F- CONSTRUMON PERMIT APftTrA,1 -10
C
qpucAnbN NUMBER:
Federal Way OCT 1 1 2003 APPLICATTON NUMBER:
-jj Y OF FEDERAL WAY APPLICATION NUMBER:
b�ILD,INQ DEPT-
**Th4e owing is required information — Please print (in ink) or type* • 019094
Please note. Electrical, Fire Prevention Systems and Engineering permits may require a separate application,
PROPERTY INFORMATION
SITE ADDRESS: 32602 10 PL SW, FEDERAL WAY, WA 98023 ASSESSOR'S TAX/PARCEL #: 92649505 10
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY)-
PR03ECT INFORMATION
TYPE OF PROJECT (This application): n BUILDING 0 PLUMBING )0 MECHANICAL tj DEMOLITION
ri ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): Remove/Replace Gas Water Heater
PROJECT NAME, -LUJUMARD
PR03ECr INFORMATION
PROPERTY OWNER*
,or* �Zw 2
rJ0111
LEE, RICHARD
MAAJUG AUVRE55 (.-A'RLE T AWRUN. C11y, 5 MR, ZEP):
32602 10 PL SW FEDERAL WAY, WA 98023
((253)115-9108-
EVIENING PHONE-.
WA-TIOW�KWT67PAOJEM FAX NUM Uk,-
n ARCHITECT n TENANT ci OTHER ( DESCRIBE):
CONTACT PERSON FOR THIS PR03ECT: n PROPERTY OWNER ri- APPLICANT CONTRACTOR
PROJECT INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS, $ $449.00
SPRINKLERED BUILDING? r" YES n NO FIRE SUPPRESSION SYSTEM PROPOSEDIREQUIRED: a YES n NO
WATER SFRVICE PROVIDER: o LAKEHAVEN n HIGHLINE a TACOMA o PRIVATE (WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN n HIGHLINE C3 PRIVATE (SEPTIC)
I
_ _....... _ _ ......... „ ....._...
'*NEW RESIDENTIAL CONSTRUCTION ONLY*'
y
NUMBER OF BEDROOMS—
ESTIMATED SELLING PRICE.
®. PR03ECT FLOOR AREAS
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNITS)
EVAPORATIVE COOLER(S)
GAS LOCA($)
REFRIG. SYSTEM(5)
BBQ(S)
FAN(S)
HOOD(S)
WOODSTOVE($)
BOILERS)
FIREPLACE INSERT(S)
RANGE(S)
Misc.
COMPRESSOR(S)
FURNACE(S)
DUCT(S)
GAS PIPE OUTLET(S)
HEAT SOURCE:
Ci ELECTRIC J GAS
PLUMBING
BATHTUB($)
_. LAVATORY(S)
U'RINAL($)
1 WATER HEATER(S)
DISHWASHER(S)
RAINWATER SYS.
VACUUM BREAKER(S)
) ELECTRIC X GAS
DRINKING FOUNTAIN(S)
SHOWER(S)
WASH MACHINE OUTLET
CAS PIPE:: OUTLET(S)
SINK(S)
WATER CLOSET(S)
misc.( )
INTERCEPTOR(S)
_ SUMP(S)
31SCLATMER/STGNATURP RLC
I certify under 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 harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees Incurred in the
Investigation and defense of such claim), which may be made by any personr 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 Myr DATE; 10/07/2003
n PROPERTY OWNER o APPLICANT N CONTRACTOR
COMMUNITY DEvELOWEW aZRVICIS • 33530 FIRST WAY SOU"I - PQ DOX 9716 • FEDERAL WAY, WA 98063.9718. 253461-4000 FAX: 253.661-1129
f v0.5AN " &Q, —I