02-104780f
City of Federal Way
Community Development Services Mechanical Permit #: 02 - 104780 - 00 - MF
33530 1 st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050
Project Name: ANDERSON
Project Address: 32148 9THtS
Project Description: MEC - Replace gas water heater
1
Parcel Number: 609390 0130
Owner
Applicant
Contractor
Sherman W Anderson
WASHINGTON CORROSION SRVC INC
WASHINGTON CORROSION SRVC INC
32148 9TH AVE S
1425 BLAINE AVE NE
1425 BLAINE AVE NE
FEDERAL WAY WA
RENTON WA 98056-2774
RENTON WA 98056-2774
98003-5919
(425)228-1393
Mechanical Valuation..........................................600 Over the Counter Permit ...................................... Yes
PERMIT EXPIRES April 27, 2003, IF NO WORK IS STARTED.
Permit issued on October 29, 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 Federal WaX. r, _ ----%
Owner or agent:
Date: /0 " ZIT - O
I
�L RECEIVED CONSTRUCTION PERMIT APPLICATION
uV f�APPLICATION NUMBER:
OCT 2 9 2002 APPLICATION NUMBER: - -
CITY OF FEDERAL Wq
** y APPLICATION NUMBER:.:
The folloVPWjiPi��il��iTiformation -:Please print (in ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
PROPERTY INFORMATION
SITE ADDRESS: :3 2! 'fes—� (� 5 r ASSESSOR'S TAX/PARCEL #: _ _ _ — _ _ -
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PRO3ECT INFORMATION
TYPE OF PROJECT (This application): ❑BUILDINGPLUMBING El MECHANICAL 11 DEMOLITION
❑ ELECTRICAL b ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
UeA
PROJECT NAME:
PROPERTY OWNER:
CONTRACTOR:
■ PEOPLE INFORMATION
NAME: ! DAYTIME PHONE: /
s/7 / _,ej qi�/ l� (�S�'J) JAZ _ 31�7�2
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP):
NAME:
4( c
DAYTIME PHONE:
( �2S) u -/32-7
MAILING ADDRESS (SIRE ADDR ; CITY, STATE, P):
�2 , /r b /✓ G D
EVENING PHONE:
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
CONTRACTORS REGISTRATION NUMBER:EXPIRATION
0card to A S D L <; S
DATE:
S' l,Y 143-1
(CPy requked) 5 SC
APPLICANT: NAME:-
r�f �AYTIME PHONE:
Jo ZS) 2211 /7
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE:
/W25 bir ( ) 5A%s 16-5-
RELATIONSHIP TO PROJECT:FAX NUMBER:
❑ ARCHITECT ❑ TENANT OTHER ( DESCRIBE):_ a.,77
/l¢C�� ( ) -
� E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: El PROPERTY OWNER ❑APPLICANT CONTRACTOR
INFORMATIONDETAILED BUILDING
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION S
PROPOSED USE:
SPRINKLERED BUILDING? ❑ YES ❑ NO
WATER SERVICE PROVIDER:
SEWER SERVICE PROVIDER:
PROPOSED VALUATION FOR IMPROVEMENTS: # x 60)
FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO
❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PR03ECT FLOOR AREAS
"FLOOR
EXISTINGSQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
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 OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER �H--R(S)
DISHWASHER(S) RAINWATER SYS. VACUUM BREAKER(S) 11 ELECTRIC
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINKS) WATER CLOSET(S) MISC. ( )
INTERCEPTORS) SUMP(S)
JTSCtoTMFR/STGNOTURF BLC
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 informatimNsuppPed to the city as a part of this application.
DATE: <) , ?-9 &Z
❑PROPER`
OW ER ❑APPLICANT /CONTRACTOR 11
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129
www.dtyoffe(Walway.00m