02-105764It
City of Federal Way
Community Development Services
33530 1 st Way S
Federal Way, WA 98003-62 10
Ph: 253.661.4000 Fax: 253.661.4129
Mechanical Permit #:02 - 105764 - 00 - ME
Project Name: NGUYEN 9%
Project Address: 31434 11TH SW
Project Description: MECH - Remove/replace gas water heater
Inspection request line: 253.835.3050
Parcel Number: 556050 0250
Owner
Applicant
Contractor
Phai Van Nguyen
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
31434 11 TH PL SW
12601 132ND AVE NE
12601 132ND AVE NE
FEDERAL WAY WA
KIRKLAND WA 98034
KIRKLAND WA 98034
98023-4539
(425) 814-8381
Mechanical Valuation..........................................449
Over the Counter Permit......................................Yes
PERMIT EXPIRES June 24, 2003, IF NO WORK IS STARTED.
Permit issued on December 26, 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.
Owner or agent: See Application
r
iT'
Date: bee Application
qm,w --*-- RECEIVED BY
f't-c c-ff
fi� COMMUNITY DFVEI.OP% ENT DERAR?MENT APPLICATION NUMBER;�� ` - Q E -7APPLICATION NUMBER: — — _-D
DEC 2 6 2002
"The following is required information - Please print (in ink) or type** 794083
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
PROPERTYINFORMATION
SITE ADDRESS: 31434 11 PL SW, FEDERAL WAY, WA 98023
ASSESSOR'S TAX/PARCEL #: 5560500250
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT 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: NGUYEN, PHAI
PROPERTY OWNER:
CONTRACTOR:
■ PEOPLE INFORMATION
NAME:NGUYEN, PHAI DAYTIME PHONE:
(253)529-0531
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, IIP):
31434 11 PL SW FEDERAL WAY, WA 98023
NAME:
FAST WATER HEATER COMPANY
DAYTIME PHONE:
(425)814-3124
MAILING ADDRESS (STREET ADDRESS, QTY, 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
CONTRAC70RS REGISTRATION NUMBER:
EXPIRATION DATE:
(copy of card required) FASTWHC052DF
02/16/2003
APPLICANT: I NAME: — - DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, IIP): EVENING PHONE:
<Street> <City> <Zi >
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑TENANT (3 OTHER (DESCRIBE):
E-MAIL ADDRESS
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER L)APPLICANT M CONTRACTORI
0 DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ $449.00
SPRINKLED BUILDING? ❑ YES C) NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑HIGHLINE ❑TACOMA [3 PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑HIGHLINE ❑ PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRU
NUMBER OF BEDROOMS' ESTIMATED SELLING PRICE:
BASEMENT
SECOND
I THIRD
HOW MANY
TOTAL:
FLOOR AREAS
EXISTING SQ. FT.
PROPOSED Sq. FT.
TOTAL
❑ NEW ❑ ADDITION
0
❑ TENANTIMPROVEMENT
CENSUS CODE:
0
ZONING DESIGNATION:
0
❑ YES ❑ N:)
COMP PLAN DESIGNATION
0
ENO
S£CrEDN TOWNSHIP RANGE
0
YES ❑ NO ❑
PLATTED LOT? ❑ YES ❑ N:)
0
X10
0
0
0
0
0
FIXTURES
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNITS) EVAPORATIVE COOLERS) GAS LOG(S) REFRIG. SYSTEM(S)
BBQ(S) FAN(S) HOODS) WOODSTOVE(S)
BOILERS) FIREPLACE INSERTS) RANGE(S) MISC. ( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLETS) HEAT SOURCE: ❑ ELECTRIC ❑ G AS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) I WATER HEATER(S)
DISHWASHERS) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC 6 GAS
DRINKING FOUNTAINS)-- SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.
INTERCEPTORS) 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
urther, that I am authorized by the owner of the above premises to perform the work for which the permit application is made. I
'urther agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fee incurred in the
nvestigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the City of
ederaI Way, but only where such claim arises out of the reliance of the city, Including its officers and employees, upon the accuracy
)f the Information suoolied to the city as a cart of this application.
Permit Mgr DATE: 12/24/2002
❑ PROPERLY OWNER ❑ APPLICANT $I CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION
❑ ALTERATION ❑ REPAIR
❑ TENANTIMPROVEMENT
CENSUS CODE:
LOT SIZE:
ZONING DESIGNATION:
(BUILDING SHELL ONLY?
❑ YES ❑ N:)
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES
ENO
S£CrEDN TOWNSHIP RANGE
NEWADDRESSREQUIRED?
YES ❑ NO ❑
PLATTED LOT? ❑ YES ❑ N:)
I C HANGE OF USE? ❑ YES
X10