03-101751CB4, of Fedi al Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Mechanical Permit #:03 - 101751 - 00 - ME
Inspection request line: 253.835.3050
Project Name: MAJESTIC WI&
Project Address: 32219 22ND'SW Parcel Number: 873180 1210
Project Description: Replace water heater and install edxpansion tank and earthquake straps
Owner
Applicant
Contractor
William E Majestic & Joan M Majestic
LISA MAJESTIC
FAST WATER HEATER COMPANY
32219 22ND AVE SW
10923 S 302ND ST
12601 132ND AVE NE
FEDERAL WAY WA
AUBURN WA 98092
KIRKLAND WA 98034
98023-2555
1
1 (425) 814-8381
Mechanical Valuation..........................................610 Over the Counter Permit...................................... Yes
PERMIT EXPIRES October 29, 2003.
Permit issued on May 2, 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.
I
Owner or agent: vC Date: S"o7l' O 3
�ICC.
RECEIVED H
z� CONSTRUCTION PERMIT APPLICATION
CITY OF �..� MAY 0 2 2003 PPLICATION NUMBER: - -
Federal Way kPPLICATION NUMBER: -
CITY OF FEDERAL WAY kPPLICATION NUMBER: - -
BUILDING DEPT. - - - - - - - - - -
**The following is required information — Please print (in ink) or type**
Please note: Electrical, Fire Prevention kSystems and Engineering permits may require a separate application.
SITE ADDRESS: ✓��� O� '5. 0. ASSESSOR'S TAX/PARCEL #:
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
TYPE OF PROJECT (This application): o BUI&NG ❑ PLUMBING ECHANICAL o DEMOLITION
o ELECTRICAL o ENN�GIINEERIN KOIFIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): 4�4 ee' wz'-e� ` 6M� �✓
PROJECT NAME:
PROPERTY OWNER:
CONTRACTOR:
NAME:
y
DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE. ZIP):
EVENING PHONE:
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
i FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER:
i EXPIRATION DATE:
(copy of card required)
1 / /
APPLICANT: NAME:
�ts14t l�CS-
7,
MAILING ADDRESS (STREET ADDRESS; CITY, STA
L 1012-3 s. f. 32
RELATIONSHIP TO PRO)ECT:
❑ ARCHITECT ❑ TENANT
DAYTIME PHONE:
L tai
TE. ZIP): EVENING PHONE:
.z s7, Ar ei mel w4
i FAX NUMBER:
OTHER (DESCRIBE):ati IFK Z7'/67472�14 - I
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
EXISTING USE:
PROPOSED USE:
SPRINKLERED BUILDING?
WATER SERVICE PROVIDER:
SEWER SERVICE PROVIDER:
E-MAIL ADDRESS: I
EXISTING BUILDING ASSESSEDIAPPRAISED VALUATION ;JIL-Pla H-1
PROPOSED VALUATION FOR IMPROVEMENTS: $
O YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES ❑ NO
❑ LAKEHAVEN O HIGHLINE O TACOMA ❑ PRIVATE (WELL)
❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
11
"NEW RESIDENTIAL CONSTRUCTION ONLY"
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PR03ECT FLOOR AREAS
OOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRI
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
AIR HANDLING UNIT(S)
BBQ(S)
BOILERS)
COMPRESSOR(S)
DUCTS)
BATHTUB(S)
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)
GAS LOG(S) REFRIG. SYSTEM(S)
HOOD(S) WOODSTOVE(S)
RANGE(S) MISC. (
HEAT SOURCE: ❑ ELECTRIC ❑ GAS
URINAL(S) WATER EATERS)
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 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:���G _ DATE: _ `J -off - r -3.
❑ PROPERTY OWNER J@�APPLICAN-` ❑ CONTRACTOR
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129
www.drioffederalway.com