02-105182City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph. 253.661.4000 Fax: 253.661.4129
Mechanical Permit #:02 -105182 - 00 - ME
Inspection request line: 253.835.3050
Project Name: BERDINKA
Project Address: 1229 SW 326TH P1 Parcel Number: 926494 0810
Project Description: MECH - Changeout of gas hot water heater in existing residence.
Owner
Applicant
Contractor
Stanley C Berdinka
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
1229 SW 326TH PL
12601 132ND AVE NE
12601 132ND AVE NE
FEDERAL WAY WA 98023
KIRKLAND WA 98034
KIRKLAND WA 98034
(425)814-8381
Mechanical Valuation..........................................499
Over the Counter Permit......................................Yes
PERMIT EXPIRES May 18, 2003, IF NO WORK IS STARTED.
Permit issued on November 19, 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 Way. See Application
cation
Owner or agent: Date:
< • SMYN•
s
RECEIVED BY
COMMUNITY DEVELOPMENT
NOV 19 20(
"The following is required information - Please print (in ink) or type" 781126
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
PROPERTYINFORMATION
SITE ADDRESS: 1229 SW 326 PL, FEDERAL WAY, WA 98023
ASSESSOR'S TAX/PARCEL #: 9264940810
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROTECT INFORMATION
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ® MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
Remove/Replace Gas Water Heater
PROJECT NAME: BERDINKA, STANLEY
PROPERTY OW N ER:
CONTRACTOR:
APPLICANT:
■ PEOPLE INFORMATION
NAME: BERDINKA, STANLEY DAYTIME PHONE:
(253)815-8215
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP):
1229 SW 326 PL FEDERAL WAY, WA 98023
NAME:
FAST WATER HEATER COMPANY
DAYTIME PHONE:
(425)814-3124
MAILING ADDRESS (STREET ADDRESS, CITY, STATE. ZIP):
EVENING PHONE:
12601 132ND AVE NE
KIRKLAND WA 98034
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
19-87000047-00-bl
425 814-9516
CONTRACTORS REGISTRATION NUMBER:
EXPIRATION DATE:
(copy of card required) FASTWHC052DF
02/16/2003
NAME:
DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, AP): EVENING PHONE:
<Street> <City> <Zi >
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑TENANT ❑OTHER (DESCRIBE):
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT M CONTRACTORS
DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ $449.00
SPRINKLED BUILDING? ❑ YES Q NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑YES ❑ NO -
WATER SERVICE PROVIDER: Q LAKEHAVEN ❑HIGHLINE ❑TACOMA (3 PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑HIGHLINE ❑ PRIVATE (SEPTIC) '
RoW- rr6
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBZR OF BEDROOMS ESTIMATED SELLING PRICE: $
FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED S2. FT.
TOTAL
BASEMENT
ALTERATION ❑ REPAIR
❑ TENANTIMPROVEMENT
CENSUS CODE:
LOT SIZE:
ZONING DESIGNATION:
0
FIRST
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES
ONO
SECTION TOWNSHIP RANGE
NEW ADDRESS REQUIRED?
YES ❑ NO ❑
0
SECOND
EM
0
THIRD
0
FOURTH
0
OTHER FLOORS (DESCRIBE)
0
DECK
0
GARAGE
HOW MANY FLOORS?
0
TOTAL:
0
0
0
FIXTURES
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNITS) EVAPORATIVE COOLERS) GAS LOG(S) REFRIG. SYSTEMS)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILERS) FIREPLACE INSERT(S) RANGES) MISC. ( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC Q G AS
PLUMBING
BATHTUB(S) LAVATORY(S) URINALS) 1 WATER HEATER(S)
DISHWASHERS) RAIN WATER SYS. VACUUM BREAKER(S) Q ELECTRIC GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINKS) WATER CLOSET(S) MISC.
INTERCEPTORS) SUMP(S)
BLOCKDISCLAIMER/ SIGNATURE
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' Fee 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 suoolied to the city asa oart of this application.
NAME/TITLE. "-'�"'''� Permit Mgr DATE: 11/18/2002
Q PROPERLY OWNER ❑ APPLICANT $I CONTRACTOR
FOR OFFICE USE ONLY:
O NEW ❑ ADDITION ❑
ALTERATION ❑ REPAIR
❑ TENANTIMPROVEMENT
CENSUS CODE:
LOT SIZE:
ZONING DESIGNATION:
BUILDING SHELL ONLY?
❑YES ❑ N:)
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES
ONO
SECTION TOWNSHIP RANGE
NEW ADDRESS REQUIRED?
YES ❑ NO ❑
PLATTED LOT? ❑ YES ❑ ND I
CHANGEOFUSE? ❑YES
EM