03-105431City of Federal Way
Community Development Services Mechanical Permit #: 03 -105431 - 00 - ME
33530 1st Way S
Federal Way, WA 98003-6210
Pb: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050
Project Name: EHLERS -A&
Project Address: 29704 3RD SW Parcel Number: 720531 0010
Project Description: Replace gas water heater and add expansion tank, & earthquake straps
Owner
Applicant
Contractor
Mary E Ehlers & David H Ehlers
DON'S HANDYMAN SERVICES
DON'S HANDYMAN SERVICES
29704 3RD AVE SW
DON'S HANDYMAN SERVICES
DON'S HANDYMAN SERVICES
FEDERAL WAY WA
2616 S 337TH ST
2616 S 337TH ST
98023-3509
FEDERAL WAY WA 98023
(253) 838-9253
Mechanical Valuation..........................................350 Over the Counter Permit...................................... Yes
I hereby certify that the
the occupancy and the i
the City, of Federal W
Owner or agent: CZA
PERMIT EXPIRES June 12, 2004.
Permit issued on December 15, 2003
nation " correct and that the construction on the above described property and
)arc , lance the laws, rules and regulations of the State of Washington and
f
Date�/2' �/ i eJ
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lew
®` F -t NEp CONSTRUCTION PERMIT APPLICATION
CITY OF P-1./ ����
Y OF FEDERAL PPLICATION NUMBER: - 1 _ _ - _ _
Federal 1Na�i0yU1, U1yPCD M03 PPLICATION NUMBER: _ _ - _ _
C '� y U PPLICATION NUMBER: _ _ _� �_+ _ _ - _ _
�YTheioil I��� �Mrmation - Please print (in ink) or type** DEl. 1 5 2003
�.
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separat�,,j' wAttion-
p�
SITE ADDRESS: � /�dY �j Q�Je �Gj% ���(�/�� ASSESSOR'S TAX/PARCEL
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
TYPE OF PROJECT (This application): o BUILDING 5' PLUMBING XMECHANICAL o DEMOLITION
o ELECTRICAL o ENGINEERING o FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): K ZU `t% (a C o— ((Q Si (,V 4e �/� ea 4 r
aAA I,V3alAs1'0CA— - G,kL razr I _da L.(G1[C�F�� n,7� i�r, •-- ,
PROJECT NAME: E k IQ -45
PROPERTY OWNER:
MAILING ADDRESS (STREEj ADDRESS; CITY, STATE, ZIP):
jag -76y 3 &/, 5W, poj
CONTRACTOR: NAME:
ass "LTP)duWD 4 � elV]C
MAILI1?-616
�� E � S���
ADDRESS (STREET SS; CITY. STATE. ZIP):
7't
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER;
APPLICANT:
CONTRACTORS
(ropy of card re
WBM (.ox g1Fo
0%) 4 /(. -x-8
1Y0gK [3
Via, -).-I
RELATIONSHIP TO PROJECT: /` ] l
❑ ARCHITECT O TENANT A OTHER ( DESCRIBE): �JT� .4 ay -
DAYTIME PHONE'
-l�30
DAYTIME PHONE:
EVENING PHONE:
(zs1))$3S'- `253 i
FAX NUMBER: {
EXPIRATION DATE:
07 l 09
DAYTIME PHO
(25 3) k - 22 53
EVENING PHONE-
( z, <5j g 3g- qZS :
FAX NUMBER:
E-MAIL ADDRESS: I
I
CONTACT PERSON FOR THIS PROJECT: ❑PROPERTY OWNER E3 APPLICANT � CONTRACTOR
DETAILED 13UIL
DING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/ APPRAISED VALUATION $ 3Sd
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? o YES 9 NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: o YES O NO
WATER SERVICE PROVIDER: LAKEHAVEN O HIGHLINE O TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: LAKEHAVEN O HIGHLINE 0 PRIVATE (SEPTIC)
gW
"NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROJECT FLOOR AREAS
FLOOR
EXISTING Sq. FT.
PROPOSED
TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESC
DECK
—GARAW
LWW MANY FLOORS?
TOTAL:
Indicate number of each type of fixture o
MECHANICAL Value of Mechanical Work: $
• I
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILERS) FIREPLACE INSERTS) RANGE(S) MISC.
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: o ELECTRIC o GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) X WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) o ELECTRIC bAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINKS) WATER CLOSET(S) MISC.
INTERCEPTORS) , SUMP(S)
I certify under penalty of perjury thif tt a 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 person, including the undersigned, and filed against the City of
Federal Way, but only,�r such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy
of the information su edu the d" a Dart of this application.
NAME/TITLE:
.11
o PROPERTY OWNER o APPLICAN CONTRACTOR
DATE: / ✓ /! �"
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253{661-4129
www.CgyOff!Weralway.com