03-100038City of Federal Way
Community Development Services
33530 1 st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name: STARKEY 11-1v
Project Address: 32013 41ST SW
Mechanical Permit #:03 -100038 - 00 - ME
Project Description: Changeout gas hot water heater in existing residence.
Inspection request line: 253.835.3050
Parcel Number: 873190 2220
Owner
Applicant
Contractor
Gilbert G & Gerald Starkey Jr.
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
2606 SW SW 323RD ST
12601 132ND AVE NE
12601 132ND AVE NE
FEDERAL WAY WA 98023-2521
KIRKLAND WA 98034
KIRKLAND WA 98034
(425)814-8381
Mechanical Valuation..........................................449 Over the Counter Permit ...................................... Yes
PERMIT EXPIRES July 1, 2003, IF NO WORK IS STARTED.
Permit issued on January 2, 2003
f 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 Federa? Way.
Owner or agr A:
See Application
Pate: (9( ` 02 - t)3
COMMUNITY RECEIVED BY
ELOPr,,��Nr �
JAN 0 2 200,E
"The following is required 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: 32013 41 AVE SW, FEDERAL WAY, WA 98023
ASSESSOR'S TAX/PARCEL #: 8731902220
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PROJECT•• •
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ® MECHANICAL ❑ DEMOLITION
Q ELECTRICAL Q ENGMEERI IG ❑ FIRE VENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
Remove/Replace Gas Water Heater
PROJECT NAME: STARKEY, JERRY
PROPERTY OWNER:
CONTRACTOR:
■ PEOPLE INFORMATION
017192
NAME:
STARKEY, JERRY DAYTIME PHONE:
(253)874-5624
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP):
2606 SW 323 ST FEDERAL WAY, WA 98023
NAME:
DAYTIME PHONE:
FAST WATER HEATER COMPANY
(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) FASTVMC052DF
02/16/2003
APPLICANT: [NAME: 1 DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, IIP): EVENING PHONE:
<Street> <City> <Zi >
RELATIONSHIP TO PROJECT. FAX NUMBER:
❑ ARCHITECT ❑TENANT C3 OTHER (DESCRIBE):
E-MAIL ADDRESS
CONTACT PERSON FOR THIS PR03ECT: L3PROPERTY OWNER ❑ APPLICANT M CONTRACTO
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUAT10
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS $449.00;t
SPRINKLED BUILDING? Q YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/RE YES Q NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑HIGHLINE ❑TACOMA [3 PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑HIGHLINE ❑ PRIVATE (SEPTIC)
"NEW RIESIDENTIAL CONSTRU
NUMBER OF BEDROOMS' ESTIMATED SELLING PRICE:
FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
ALTERATION ❑ REPAIR
❑ TENANTDWROVEMENT
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
aW
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 UNIT(S) EVAPORATIVE COOLERS) GAS LOG(S) REFRIG. SYSTEM(S)
BBQ(S) FAN(S) HOODS) WOODSTOVE(S)
BOILERS) FIREPLACE INSERT(S) RANGE(S) MISC. ( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) 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) 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
'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
:ederal Way, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy
if the Information suoolied to the citv ds a cart of this application.
_ ~'"� _'=:.�€� c -��_°;�"' , Permit Mgr 12/31/2002
NAME/TITLE. DATE:
❑ PROPERLY OWNER ❑ APPLICANT :0 CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑
ALTERATION ❑ REPAIR
❑ TENANTDWROVEMENT
CENSUS CODE:
LOT SIZE:
ZONING DESIGNATION:
BUILDIING SHELL ONLY?
❑ YES ❑ ND
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES
ONO
SECTION TOWNSHIP RANGE
NEW ADDRESS REQUIRED?
YES ❑ NO ❑
PLATTED LOT? ❑ YES ❑ ND I
CHANGE OF USE? ❑ YES
aW