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03-101492r City of Federal Way Comnumity Development Services 33530 1st Way S Federal Way, WA 98003-6210 Ph: 253.661.4000 Fax: 253.661.4129 Project Name: SALTNESS Project Address: 30228 8THMS ti Project Description: Remove/replace GAS water heater Mechanical Permit #:03 -101492 - 00 - ME Inspection request line: 253.835.3050 Parcel Number: 515260 0040 Owner Applicant Contractor K Saltness WASHINGTON CORROSION SRVC INC WASHINGTON CORROSION SRVC INC 30228 8TH AVE S 1425 BLAINE AVE NE 1425 BLAINE AVE NE FEDERAL WAY WA RENTON WA 98056-2774 RENTON WA 98056-2774 98003-3725 1 (425) 228-1393 Mechanical Valuation..........................................1000 Over the Counter Permit ...................................... Yes PERMIT EXPIRES October 14, 2003. Permit issued on April, 17, 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. Owner or agent: Date:—c///t 7 /0 2 Mechanical rough -in: Gas pipe: FINAL MECHANICAL: Date P. - 1 CONSTRUCTION PERMIT APP I TION CITY OF �.� PPLICATION NUMBER: _ Federal WC;Ej\jEp kPPLICATION NUMBER: PLICATION NUMBER: - fjll+.?493 required information — Please print (in ink) or type** SITE ADDRESS: X020 t3 ASSESSOR'S TAX/PARCEL #: LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): PRO3ECT INFORMATION TYPE OF PROJECT (This application): o BUILDING ❑ PLUMBINGMECHANICAL ❑ DEMOLITION o ELECTRICAL o ENG INEERING//////❑ ��FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description): a-".4 Ae t PROJECT NAME: PEOPLE•• • PROPERTY OWNER: NAME' DAYTIME PHONE: 77 MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): 502 el 8'a ..4;7 CONTRACTOR: ! NAME: DAYTIME PHONE: j MAILING ADDgESS (STREET ADDRESS; CITY, STATE. ZIP): EVENING PHONE: OZ Alei CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: I CONTRACTOR'S REGISTRATION NUMBER: A jun I IXPIRATIOyN�JATE: (roPY of card required, L LICANT: NAME: DAYTIME PHONE: MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE: i RELATIONSHIP TO PRO)ECT: FAX NUMBER: l ❑ ARCHITECT ❑ TENANT o OTHER ( DESCRIBE): ( ) E-MAIL ADDRESS: ! i ACT PERSON FOR THIS PROJECT: ❑PRO ERTY OWNER o APPLICANT Li CONTRACTOR -ING USE: EXISTING BUILDING ASSESSED/ APPRAISED VALUATION $ DOSED USE: rOPOSED VALUATION FOR IMPROVEMENTS: $ J INKLERED BUILDING? o YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: o YES ❑ NO TER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) EWER SERVICE PROVIDER: ❑ LAKEHAVEN a HIGHLINE ❑ PRIVATE (SEPTIC) t "NEW RESIDENTIAL CONSTRUCTION ONLY" NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ ■ PROJECT FLOOR AREAS FLOOR EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL BASEMENT AIR HANDLING UNIT(S) FIRST GAS LOG(S) REFRIG. SYSTEM(S) BBQ(S) SECOND HOOD(S) WOODSTOVE(S) BOILERS) THIRD RANGE(S) MISC. ( ) COMPRESSOR(S) FOURTH DUCT(S) OTHER FLOORS (DESCRIBE) HEAT SOURCE: ❑ ELECTRIC XGAS DECK GARAGE HOW MANY FLOORS? BATHTUB(S) TOTAL: URINAL(S) WATE EATER(S) DISHWASHERS) 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 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 sup lied to the city as a part of this application. NAME/TITLE: DATE: ©� I L�� ❑ PROPERTY OWNER I�IPPLICANT ❑ CONTRACTOR COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-6661-4000 • FAX: 253-661-4129 www.citWfeileralway.com Indicate number of each type of fixture MECHANICAL 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 OUTLETS) HEAT SOURCE: ❑ ELECTRIC XGAS PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATE EATER(S) DISHWASHERS) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRICGAS DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUTLET(S) SINKS) WATER CLOSET(S) MISC. ( ) INTERCEPTORS) SYMP(S) 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 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 sup lied to the city as a part of this application. NAME/TITLE: DATE: ©� I L�� ❑ PROPERTY OWNER I�IPPLICANT ❑ CONTRACTOR COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-6661-4000 • FAX: 253-661-4129 www.citWfeileralway.com