03-104691City 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:
Project Address:
THOMPSON
1903 SW 307TH
Project Description: Replace gas water heater
F^
Mechanical Permit #: 03 -104691 - 00 - ME
Inspection request line: 253.835.3050
Parcel Number: 770380 0150
Owner
Applicant
Contractor
JEWEL THOMPSON
WASHINGTON CORROSION SRVC INC
WASHINGTON CORROSION SRVC INC
1903 SW 307TH ST
1425 BLAINE AVE NE
1425 BLAINE AVE NE
FEDERAL WAY WA
RENTON WA 98056-2774
RENTON WA 98056-2774
Mechanical Valuation..........................................199
1 Over the Counter Permit...(.425)-228-1343.......••
Yes
PERMIT EXPIRES April 11, 2004.
Permit issued on October 14, 2003
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use16 be in accordance with the laws, rules and regulations of the State of Washington and
the City of Federal WW.- / ^
Owner or agent: Date: /� ' I • ��
CITY OF CE V E® U
Federal ay 20 3
OCT 1 4 2003 T
�q
CONSTRUCTION PERMIT APPLICATION
PPLICATION NUMBER: - -
PPLICATION NUMBER:-
PPLICATION NUMBER: - -
CITY OF !I'#�AYPlease print (in ink) or type**
��� A l►1ILDI
Please note: I'evention Systems and Engineering permits may require a separate application.
iR
PROPERTY , ^ • •
SITE ADDRESS: ,J Wes �' ✓��+ P ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PR03ECT INFORMATION
TYPE OF PROJECT (This application): o BUILDING o PLUMBING XoIRE
ECHANICAL ❑DEMOLITION
o ELECTRICAL o ENIGINEERIN PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): 12 lam" �7 C— t e--{/ � P b�_
PROJECT NAME:
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
0
DAYTIME PHONE,
(1s3) 31
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
YTIME PHONE: j
i M LING ADDRESS (STR ADDR , STATE, ZIP): EVENING PHONE:
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
CONTRACTORS REGISTRATION NUMBER:
I EXPIRATION DATE:
( -gra r -Oreo
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE:
RELATIONSHIP TO PRO)ECr: i FAX NUMBER:
�❑ ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE):
E-MAIL ADDRESS:
I
CONTACT PERSON FOR THIS PROJECT: ❑PROPERTY OWNER ❑APPLICANT ONTRACTOR
BUILDINGDETAILED • •
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATIONS " 1 � •
PROPOSED USE:
PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? o YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: o YES 0 NO
WATER SERVICE PROVIDER: o LAKEHAVEN ❑ HIGHLINE o TACOMA 0 PRIVATE (WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE ❑ PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PR03ECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
MISC. ( )
HEAT SOURCE: ❑ ELECTRIC ❑ GAS
FIRST
S
WATER HEATER S
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
AIR HANDLING UNITS)
BBQ(S)
BOILERS)
COMPRESSOR(S)
DUCT(S)
BATHTUBS)
DISHWASHERS)
DRINKING FOUNTAIN(S)
GAS PIPE OUTLET(S)
INTERCEPTORS)
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLER(S)
FAN(S)
FIREPLACEINSERT(S)
FURNACE(S)
GAS PIPE OUTLET(S)
PLUMBING
LAVATORY(S)
RAIN WATER SYS.
SHOWER(S)
SINKS)
SUMP(S)
Value of Mechanical Work: $
GAS LOG(S)
RINAL
REFRIG.SYSTEM(S)
HOOD(S)
WOODSTOVE(S)
RANGE(S)
MISC. ( )
HEAT SOURCE: ❑ ELECTRIC ❑ GAS
S
WATER HEATER S
U 11 k
VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
WASH MACHINE OUTLET
WATER CLOSET(S) MISC.
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 person, including the undersigned, and filgd against --We City of
Federal Way, but only ere such claim adsWS''M-of the reliance of the city, including its officers and employees, upon- iiia accuracy
of the informatio up ed to the city as a pant of this application.
X, � -
NAMEfTITLE:DATE: I
❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129
www.dtvof tderalway.com