02-104716City Federal Way
Community Development Services Mechanical Permit #: 02 -104716 - 00 - ME
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050
Project Name: WILSON
Project Address: 207 SW 366TH 5r Parcel Number: 113960 0290
Project Description: MECH - Remove/replace GAS water heater
Owner
Applicant
Contractor
Franklyn J & Karen L Wilson
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
207 SW 366TH ST
12601 132ND AVE NE
12601 132ND AVE NE
FEDERAL WAY WA
KIRKLAND WA 98034
KIRKLAND WA 98034
98023-7373
1
1 (425)814-8381
Mechanical Valuation..........................................449
Over the Counter Permit ...................................... Yes
PERMIT EXPIRES April 22, 2003, IF NO WORK IS STARTED.
Permit issued on October 24, 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. 0
Owner or agent:
See Application
Date: -0-7 4— DZ -
ADO Z
ADO
Mechanical rough -in:
Date
Gas pipe: ,
Date
FINAL MECHANICAL:
Date
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zoo � �r r _ � W[�V
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OCT is required information - Please print (in ink) or type" 768597
Please note: Electrical, Fire P tion Systems and Engineering permits may require a separate application.
F FEDERAL
PROPERTYO. •
SITE ADDRESS: 207 SW 366 ST, FEDERAL WAY, WA 98023
ASSESSOR'S TWPARCEL #: 1139600290
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PR03ECT INFORMATION
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ® MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENMEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
Remove/Replace Gas Water Heater
PROJECT NAME: WILSON, FRANK
PROPERTY OW N ER:
CONTRACTOR:
■ PEOPLE INFORMATION
NAME: WILSON, FRANK DAYTIME PHONE:
1(206)604-2685
MAILING ADDRESS (STREET ADDRESS, QTY, STATE, IIP):T"
207 SW 366 ST FEDERAL WAY, WA 98023
NAME:
DAYTIME PHONE:
FAST WATER HEATER COMPANY
(425)814-3124
MAILING ADDRESS (STREET ADDRESS, QTY, STATE. IIP):
EVENING PHONE:
1 132ND AVE NE
KIRKLAND WA 98034
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
19-87000047400-b1
425 814-9516
CDNTRACTORS REGISTRATION NUMBER:
EXPIRATION DATE:
(copy of card required) FASTWHC052DF
02/16/2003
APPLICANT: I NAME: I DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS, QTY, STATE, ZIP): EVENING PHONE:
<Street> <City> <Zi >
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑TENANT (3 OTHER (DESCRIBE):
E-MAIL ADDRESS
CONTACT PERSON FOR THIS PR07ECT: ❑ PROPERTY OWNER L)APPLICANT M CONTRACTO
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: ❑ LAKEHAVEN ❑HIGHLINE ❑TACOMA (3 PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑HIGHLINE ❑ PRIVATE (SEPTIC)
W-74
*5'NEW WSIDENTIAL CONSTRUCTION ONLY"
NUMBER OF BEDROOMS' ESTIMATED SELLING PRICE: $
FLOOR AREAS
FLOOR
EXISTING SQ. Fr.
PROPOSED Sq. FT.
TOTAL
BASEMENT
❑ ALTERATION ❑ REPAIR
❑ TENANT DWROVEMENT
CENSUSOODE•
LOT SIZE:
ZONING DESIGNATION:
0
FIRST
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES
ONO
SM ON TOWNSHIP RANGE
NEW ADDRESS REQUIRED?
YES ❑ NO ❑
0
SECOND
ONO
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 COOLER(S) __GAS LOG(S) REFRIG. SYSTEM(S)
BBQ(S) FAN(S) HOODS) WOODSTOVE(S)
BOILERS) FIREPLACE INSERT(S) RANGES) MISC. ( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ G AS
PLUMBING
BATHTUB(S) LAVATORY(S) URINALS) 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)
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, induding 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 suuolied to the citv as a oart of this application.
NAME/TITLE.' '� Permit Mgr DATE. 10/18/2002
(j PROPERLY OWNER ❑ APPLICANT :0 CONTRACTOR
FOR OFFICE USE ONLY:
O NEW ❑ ADDITION
❑ ALTERATION ❑ REPAIR
❑ TENANT DWROVEMENT
CENSUSOODE•
LOT SIZE:
ZONING DESIGNATION:
BUILDING SHELL ONLY?
El YES ❑ N:)
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES
ONO
SM ON TOWNSHIP RANGE
NEW ADDRESS REQUIRED?
YES ❑ NO ❑
PLATTED LOT? ❑ YES ❑ ND
I CHANGE OF USE? ❑ YES
ONO