02-104130r �
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City of Federal way
Community Development Services Mechanical Permit #: 02 -104130 - 00 - ME
33530 1st Way S
Federal Way, WA 98003-6210 I Il
Ph: 253.661.4000 Fax: 253.661.4129 4 I V4 Inspection request line: 253.835.3050
Project Name: GUERRERO Q1
Project Address: 35018 13TH�SW Parcel Number: 502860 0830
Project Description: MECH - Replace gas hot water heater in existing single family residence.
Owner
Applicant
Contractor
Carmen T & Deanna D Guerrero
WASHINGTON CORROSION SRVC INC
WASHINGTON CORROSION SRVC INC
35018 13TH PL SW
1425 BLAINE AVE NE
1425 BLAINE AVE NE
FEDERAL WAY WA 98023-6934
RENTON WA 98056-2774
RENTON WA 98056-2774
(425) 228-1393
Mechanical Valuation..........................................600 Over the Counter Pen -nit ...................................... Yes
PERMIT EXPIRES March 23, 2003, IF NO WORK IS STARTED.
Permit issued on September 24, 2002
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 Feder Way. q
Owner or agent: Date: / �Z
0
!� o L RECEIVED CONSTRUCTION PERMIT APPLICATION
APPLICATION NUMBER: 4 z- 1 a_ f 3 0- oo
SEP 2 4 2002 APPLICATION NUMBER:APPLICATION NUMBER:
NUMBER: - -
T F FEDERAL WAY — — — — — — — —
*4,41 1gil%0$Lf"red information - Please print (in ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
PROPERTY INFORMATION
SITE ADDRESS: i/✓V� V I ASSESSOR'S TAXIPARCEL #: _ _ _ _ _ _ -
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PROJECT INFORMATION'`
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL El DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): 'Re Plot t 0 i A b,+C.f/ hea, e e-
• /
■ PEOPLE INFORMATION
T
PROPERTY OWNER:
CONTRACTOR:
NAME: A IA�wl7— V-1 ^ C � DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
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NAME:
DAYTIME PHONE:
MAILING ADDRESS (STREET/ADDRESS; CITY, STATE, ZIP):
EVENING PHONE:
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
�f< 47 a � - 10 � £� - Le?
4ZS� q -30 - C�
CONTRACTOR'S REGISTRATION NUMBER:
WA- 5;14 c s a
EXPIRATION DATE:
(copy a card ��
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APPLICANT: NAME:
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MAILING ADDRESS (SIRE DRESS; CITY, STATE, ZIP):
f'rZ5- OuL LI"2 0,v K3
RELATIONSHIP TO PROJECT:
❑ ARCHITECT ❑ TENANT ❑ OTHER( DESCRIBE):
CONTACT PERSON FOR THIS PROJECT:. ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
DETAILED BUILDING TNFARMATTtl
(4M 22b - 135
EVENING PHONE:
FAX NUMBER:
E-MAIL ADDRESS
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION t.
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: 7-l�
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED• ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: 11 LAKEHAVEN 11 HIGHLINE 11 PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY** a
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROTECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
AIR HANDLFNG UNIT(S)
BBQ(S)
BOILERS)
COMPRESStOR(S)
DUCT(S)
BATHTUB(S)
DISHWASHERS)
DRINKING FOUNTAIN(S)
GAS PIPE OUTLET(S)
INTERCEPTORS)
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
FAN(S) HOOD(S) WOODSTOVE(S)
FIREPLACE INSERTS) RANGE(S) MISC. ( )
FURNACE(S)
GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
LAVATORY(S) URINAL(S)WATER H TER(S)
RAIN WATER SYS. VACUUM BREAKER(S) ❑ELECTRIC
WIGAS
SHOWER(S) WASH MACHINE OUTLET
SINKS) WATER CLOSET(S) MISC. ( )
SUMP(S)
■ "DISCLAIMER/SIGNATURE BLOCK
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
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718.253-661-4000 • FAX: 253-661-4129
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