03-100115City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name: WHITE
Mechanical Permit #:03 - 100115 - 00 - ME
Inspection request line: 253.835.3050
Project Address: 2020 SW 353RD Pk Parcel Number: 926975 0900
` Project Description: Gas hot water heater changeout in existing residence.
Owner
Applicant
Contractor
Robert D & Cynthia M White
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
2020 SW 353RD PL
12601 132ND AVE NE
12601 132ND AVE NE
FEDERAL WAY WA 98023-6928
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.
See Application �
Owner or agent: Date: �(p_ 03
4
4"W „ RECEIV
e- rfAaa PLICATION NUMBER -D L=1ao-/Z C - �v
JAN p 9 200 APPLIU= NUMBER:
"The following is regi"pf9rnLk"ALPWW print (in ink) or type" 017240
Please note: Electrical, Fire Prevention SysQJAil-&tl1er6b6Wng permits may require a separate application.
PROPERTY INFO.
SITE ADDRESS: 2020 SW 353 PL, FEDERAL WAY, WA 98023
' ASSESSOR'S TAX/PARCEL #: 9269750900
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
PROJECTNAME: WHITE,ROBERT
PROPERTY OWNER:
CONTRACTOR:
■ PEOPLE INFORMATION
NAME: DAYTIME PHONE:
WHITE, ROBERT
—_ (253)952-2138
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP):
2020 SW 353 PL FEDERAL WAY, WA 98023
NAME:
DAYTIME PHONE:
FAST WATER HEATER COMPANY
(425)814-3124
MAILING ADDRESS (STREET ADDRESS, CITY, STATE. IIP):
EVENING PHONE:
12601 132ND AVE NE
KIRKLAND WA 98034
QTY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
19-87000047400-b1
425 814-9516
CONTRACTORS REGISTRATION NUMBER:
EXPIRATION DATE:
(copy of card required) FASTWHC052DF
02/16/2003
APPLICANT: INAME: I DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP): EVENING PHONE:
<Street> <City> <Z!P>
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑TENANT ❑OTHER (DESCRIBE)
E-MAIL ADDRESS
CONTACT PERSON FOR THIS PR03ECT: ❑ PROPERTY OWNER ❑ APPLICANT M CONTRACTO
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: ❑ LAKEHAVEN ❑HIGHLINE ❑TACOMA ❑PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑HIGHLINE ❑ PRIVATE (SEPTIC)
W-7/6
**NSW Rr IDENTIAL CONSTRU
NUMBER OF BEDROOMS* ESTIMATED SELLING PRICE:
FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED S2. FT.
TOTAL
BASEMENT
ALTERATION ❑ REPAIR
❑ TENANTDWROVEMENT
CENSUS CODE:
LOT SIZE:
ZONING DESIGNATION:
0
FIRST
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES
ENO
SECr1DN TOWNSHIP RANGE
NEW ADDRESS REQUIRED?
YES ❑ NO ❑
0
SECOND
L7M
0
THIRD
0
FOURTH
0
OTHER FLOORS (DESCRIBE)
0
DECK
0
GARAGE
HOW MANY FLOORS?
0
TOTAL:
0
0
0
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: Q ELECTRIC Q G AS
PLUMBING
BATHTUB(S) LAVATORY(S) URINALS) I WATER HEATER(S)
DISHWASHERS) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC e§ GAS
DRINKING FOUNTAINS) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINKS) WATER CLOSET(S) MISC.
INTERCEPTORS) SUMP(S)
•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
Weral 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 suoalied to the city a3 a cart of this application.
NAME/TITLE. �c�A� ' _ Permit Mgr DATE: 01/07/2003
❑ PROPERLY OWNER ❑ APPLICANT $] CONTRACTOR
FOR OFFICE USE ONLY:
❑ DEIN ❑ ADDITION ❑
ALTERATION ❑ REPAIR
❑ TENANTDWROVEMENT
CENSUS CODE:
LOT SIZE:
ZONING DESIGNATION:
BUILDING SHELL ONLI_
❑ YES ❑ ISD
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES
ENO
SECr1DN TOWNSHIP RANGE
NEW ADDRESS REQUIRED?
YES ❑ NO ❑
PLATTED LOT? ❑ YES ❑ NJ I
CHANGE OF USE? ❑ YES
L7M