03-100114City 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 #:03 - 100114 - 00 - ME
Project Name: FARVER
Project Address: 2823 SW 341ST Of
Project Description: Gas hot water heater changeout in existing residence.
Inspection request line: 253.835.3050
Parcel Number: 010921 0230
Owner
Applicant
Contractor
Don & Claire Farver
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
2823 SW 341ST CT
12601 132ND AVE NE
12601 132ND AVE NE
FEDERAL WAY WA 98023-7604
KIRKLAND WA 98034
KIRKLAND WA 98034
(425)814-8381
Mechanical Valuation..........................................449
Over the Counter Permit ...................................... Yes
PERMIT EXPIRES July 8, 2003, IF NO WORK IS STARTED.
Permit issued on January 9, 2003
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. y
Owner or agent: See Application Date: �%' U3
Y
V
L
RECEIVED BY APPLICATION NUMBERIpz1Ss
APPLICATION NUMBER: _ — — — — — — — --
JAN Q 9 7_003 APPLIMON -- - - - - - -
—The following is required information - Please print (in ink) or type" 017240
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
■ PROPERTY INFORMATION
SITE ADDRESS: 2823 SW 341 CT, FEDERAL WAY, WA 98023
ASSESSOR'S TWPARCEL *: 0109210230
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ® MECHANICAL Q DEMOLITION
❑ ELECTRICAL Q ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
Remove/Replace Gas Water Heater
PROJECT NAME: FARVER, DON & CLAIRE
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
■ PEOPLE INFORMATION
NAME: FARVER, DON & CLAIRE DAYTIME PHONE:
(253)838-6123
MAILING ADDRESS (STREET ADDRESS, aTY, STATE, ZIP):
2823 SW 341 CT FEDERAL WAY, WA 98023
NAME:
DAYTIME PHONE:
FAST WATER HEATER COMPANY
(425)814-3124
MAILING ADDRESS (STREET ADDRESS, CIT, STATE. IIP):
EVENING PHONE:
12601 132ND AVE NE
KIRKLAND WA 98034
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
19-87000047-00-bi
425 814-9516
CONTRACTORS REGISTRATION NUMBER:
EXPIRATION DATE:
(copy of card required) FASTVvHC052DF
02/16/2003
NAME:
DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP): EVENING PHONE:
<Street> < ity> <Zi >
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑TENANT E3 OTHER (DESCRIBE):
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER Q APPLICANT M CONTRACTOR
E DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ $449.00
SPRINKLED BUILDING? ❑ YES [) NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑YES ❑ NO
WATER SERVICE PROVIDER: Q LAKEHAVEN ❑HIGHLINE ❑TACOMA C3 PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑HIGHLINE ❑ PRIVATE (SEPTIC)
W-7/6
"NEW kESIDENTIAL CONSTRU
NUMBER OF BEDROOMS' ESTIMATED SELLING PRICE:
BASEMENT
.1
DECK
HOW MANY FLOORS?
TOTAL:
FLOOR AREAS
EXISTING SQ. FT.
PROPOSED S2. FT.
TOTAL
❑ NEW ❑ ADDITION
0
❑ TENANTIMPROVEMENT
CENSUSCODE:
0
ZONING DESIGNATION:
0
❑ YES ❑ N:)
COMP PLAN DESIGNATION
0
CNO
SECr11ON TOWNSHIP RANGE
0
YES ❑ NO ❑
PLATTED LOT? ❑ YES ❑ ND
0
EM
0
0
0
0
0
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNITS) EVAPORATIVE COOLERS) GAS LOG(S) REFRIG. SYSTEMS)
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 GAS
DRINKING FOUNTAINS)— SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINKS) 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 knowiedge,and
urther, that I am authorized by the owner of the above premises to perform the work for wh,ich.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 citv as
a Hart of this application.
NAME/TITLE. �T�=Y'� Permit Mgr DATE: 01/07/2003
❑ PROPERLY OWNER ❑ APPLICANT :0 CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION
❑ ALTERATION ❑ REPAIR
❑ TENANTIMPROVEMENT
CENSUSCODE:
LOT SIZE:
ZONING DESIGNATION:
BUILDING SHELL ONLY?
❑ YES ❑ N:)
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES
CNO
SECr11ON TOWNSHIP RANGE
NEWADDRESSREQUIRED?
YES ❑ NO ❑
PLATTED LOT? ❑ YES ❑ ND
CHANGE OF USE? ❑ YES
EM