04-101856r �
a yo T'ederal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name: OLSEN
Project Address: 1309 S 293RD P
Project Description: Replace gas hot water tank.
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Mechanical Permit #:04 - 101856 - 00 - ME
Inspection request line: 253.835.3050
Parcel Number: 516200 0420
Owner
Applicant
Contractor
Eric C Olsen & Susan L Olsen
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
1309 S 293RD PL
12601 132ND AVE NE
12601 132ND AVE NE
FEDERAL WAY WA
KIRKLAND WA 98034
KIRKLAND WA 98034
98003-3713
1
1 (425)814-8381
Mechanical Valuation..........................................449 Over the Counter Permit...................................... Yes
PERMIT EXPIRES November 9, 2004.
Permit issued on May 13, 2004
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: S - (3 -- 0 y
7 .--C)
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=ederal Way
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The
RECEIVED gY q -t ct ins, M 6—
COMMUNITY pEVEI.OPMENTDEPAM CK1118
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WAY
SOItf2t • POBtidt 9724
PERMIT 1PPLI CATI C ib06RAL IYAY, WA 9A46J 9714
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FW File Number: L/ Z -
is rewind information -,an ince
SITE ADDRESS: 1309 S 293 PL, FEDERAL WAY, WA 98003
wilt not be
NVITE/APT !
ASSESSOR'S TAX/PARCEL is 5_16_2000420 _ - — — — _ SQUARE FOOTAGE OF LOT:
Iy'11N—
'LEGAL DESCRIPTION (e9; AV" Estates, Lot 1)
(Attach separate page for kengthy legal description)
PROJECT•.
TYPE OF PJWJM t%2& a,INTlication): O BUILDING O PLUMBING X MECHANICAL O DEMOLITION
O ELECTRICAL O ENGINEERING E3 FIRE PREVENTION SYSTBK
PROJECT DESCRIPTION (Provide detailed description of work included on this Permit ontuk
Remove/ReDlace Gas Water Heater
iRojecT NAms t)vams Ofeusinem/Owner uw Namet: OLSEN. ERIC
PROPZRW
OWNER:
CONTRACTOR:
LENDER:
tur+pRo.sa�im:> a000l
APPLICANT:
SAMB MMARY
OLSEN. ERIC (253)529-1303
MAIUNO ADDRESS (St ELT A331901 T7Cff. STATE. 7AP
1309 S 293 PL I FEDERAL WAY, WA 98003
or
IMMe
COMPANY
OFiTCE RON
FAST WATER HEATER COMPANY
CITY. STATE, ZIP
(425)814-3124
MAIUNO ADDRESS tMEET ADDRESS;t:
CITY. STATE, ZIP
ctmPNONe.
601 1 2ND AVE NE
KIRKLAND. WA 98034
CITY OF FZOGWA& WAY DUSINIM LICENSE NUMBER: EXPIRATEON TMT&
PAX NUM
8 7 - 0 0 0 0 4 7- 0 0
— —
—STRATI
1 425 814-9516
N NUM ZXPIPATM DATE:
(copy ato"A 1 41"d oub ofta.PPik•� ,FAa,$TNUCQ52�+ — 02/16/2005
lume..T'5�P.PHONZ;
COMPANY
MAIUNG ADDRESS(STREET ADDRESS".
CITY, STATE, ZIP
NAME:
COMPANY
PERE& PH NE:
MAIUNO ADDRESS (STREET ADORESSI:
CITY. STATE, ZIP
EVENING PN NE:
RellnoNSHIP To PROJECT:
O Architect O Tenant a Other (Describer
FAX NUM M
CONTACT PERSON FOR THIS PROJECT; O Property Owner X Contractor O Applicant &MAIL ADD
DBTAILED BUILDING INF•• •
EXISTM Um- PROPOSED USE:
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK: s 4
SPRINKLERED BUILDING? O YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: O YES Q NO
WATER SERVICE PROVIDER: O LAKEHAVEN O HIGHLINE D TACOMA 0 PRIVATE (WELL)
SEWER SERVICE PROVIDER: a LAKEHAVEN 0 HIGHLINE o PRIVATE (SEPTIC)
FLOORPROJECT AREAS
AREA
DESGRYPTYOH
EXISTING SQ. FT.
PROPOSED SQ. FT.
--
TOTS,
BASEMENT
DRINKING FOUNTAINS
GAS PIPE OUTLETS
SUMPS
FIRST
WASHING MACHINES
URINALS
HOSE SIBBS
SECOND
VACUUM BREAKERS
ELECTRIC WATER HEATERS
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK (COVERED?)
GARAGE/CARPORT
MANY FLOORS?
I.
TOTAL MUSTtra
TOTAL va P"W
TWAL M IMO AND vaoroseD
"NEWHOMES ONLY*' NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
of each type of fixture that is to be installed or relocated as part of this project. Do not
ACCCHAMCAL
Yaiue of Mechanical Work
AIR HANDLING UNITS EVAPORATIVE COOLERS QAS LOGS
BBOS FANS HOODS tc. ==CiAp
BOILERS FIREPLACE INSERTS RANGES
-COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
�Ui[BYN<3
existing fixtures to remain.
REFRIG. SYSTEMS
WOODSTOVES
MISC (Describe)
BATHTUBS (.C`ub/Sh. Co-"
SHOWERS
WATER CLOSETS Roan1 MISC (Describe)
DISHWASHERS
SINKS
DRINKING FOUNTAINS
GAS PIPE OUTLETS
SUMPS
RAINWATER SYS
WASHING MACHINES
URINALS
HOSE SIBBS
LAVS te«tr"a wink
VACUUM BREAKERS
ELECTRIC WATER HEATERS
I cert 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' fess 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 Federal play, but only where such claim arises out of the reliance of the city,
i.tcheft g its ab[oors and employees, upon the accuracy of the information supplied to the city as apart of this application.
NAME/TITLE: . Permit Mgr DATE: 2004
(Signature) rritte)
1RELATIONSHIP TO PROJECT: o Property Owner ❑ Applicant XContractor o Architect o
FOR OFFICE,USE ONI.Yi� i'
n 11L�P o ADDITION a AI,TERATI
..........
Ci 0NLy? o YES ONO
7A`1afri�b TiOIt:
NEW -ADDRESS' REQUIRED? o YES ONO
PLATTED LOT? a YES a NO
n REPAIR o TENANT IMPROVEMENT
BASIC PLAN? o YES a NO;
CI3Al[GE OF USE? o YES o NO ;
IJP/SEPI►/SUt a YES a NO
DEMO PERMIT REQUIRED? a YES a NO
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