02-104829City 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 #:02 - 104829 - 00 - ME
Inspection request line: 253.835.3050
Project Name: LUU
Project Address: 35343 12TH SW Parcel Number: 502860 1630
Project Description: MEC - Remove/replace gas water heater
Owner
Applicant
Contractor
Hoat S & Trina Luu
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
35343 12TH CT SW
12601 132ND AVE NE
12601 132ND AVE NE
FEDERAL WAY WA
KIRKLAND WA 98034
KIRKLAND WA 98034
98023-6957
1
1 (425)814-8381
Mechanical Valuation..........................................449 Over the Counter Permit...................................... Yes
PERMIT EXPIRES April 29, 2003, IF NO WORK IS STARTED.
Permit issued on October 31, 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
Date: 10� C
ewru►
RECEIVED BY FpARTMENT
COMMUNITY DEVELOPMENT DE
SITE ADDRESS:
APPLICATION NUMBER0 j -C2 " -EF
APPLICATION NUMBER: —
APPLICATION NUMBER: TT ---------
—119011114 2002Zs required information - Please print (in ink) or type** 772670
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
■ PROPERTY INFORMATION
35343 SW 12 CT, FEDERAL WAY, WA 98023
ASSESSOR'S TAX/PARCEL *: 5028601630
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: LW, TRINA
I It ■ PEOPLE INFORMATION
PROPERTYOWNER: I NAME: LW, TRINA
CONTRACTOR:
APPLICANT:
DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP): I
35343 SW 12 CT FEDERAL WAY, WA 98023 1
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
CITY 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
NAME:
DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP): EVENING PHONE:
<Street> <City> <Zi >
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑TENANT ❑OTHER (DESCRIBE):
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT M CONTRACTON
0 DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VAWATION $
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)
W716
*NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS- ESTIMATED SELLING PRICE: $
"0-
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) 1 WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) Q ELECTRIC E] GAS
DRINKING FOUNTAINS) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINKS) WATER CLOSETS) MISC.
INTERCEPTORS) SUMP(S)
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, including 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 suoolied to the citv as a part of this application.
NAME/TITLE.'� Permit Mgr DATE- 10/29/2002
(j PROPERLYOWNER ❑ APPLICANT in CONTRACTOR
FOR OFFICE USE ONLY:
FLOOR
EXISTING SQ. Fr.
PROPOSED SQ. FT.
TOTAL
ALTERATION ❑ REPAIR
❑ TENANTDWROVI MENT
BASEMENT
LOTSIZE:
ZONING DESIGNATION:
BUILDING SHELLONLY?
❑ YES ❑ N:)
COMP PLAN DESIGNATION
BASIC PLAN? Q YES
CTIO
0
NEW ADDRESS REQUIRED?
YES ❑ NO ❑
FIRST
CHANGE OF USE? ❑ YES
SID
0
SECOND
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 UNITS)
EVAPORATIVE COOLER(S) GAS LOG(S)
REFRIG. SYSTEMS)
BBQ(S)
FAN(S) HOOD(S)
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) URINAL(S) 1 WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) Q ELECTRIC E] GAS
DRINKING FOUNTAINS) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINKS) WATER CLOSETS) MISC.
INTERCEPTORS) SUMP(S)
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, including 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 suoolied to the citv as a part of this application.
NAME/TITLE.'� Permit Mgr DATE- 10/29/2002
(j PROPERLYOWNER ❑ APPLICANT in CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑
ALTERATION ❑ REPAIR
❑ TENANTDWROVI MENT
CENSUSCODE•
LOTSIZE:
ZONING DESIGNATION:
BUILDING SHELLONLY?
❑ YES ❑ N:)
COMP PLAN DESIGNATION
BASIC PLAN? Q YES
CTIO
SECMN TOWNSHIP RANGE
NEW ADDRESS REQUIRED?
YES ❑ NO ❑
PLATTED LOT? ❑ YES ❑ NO I
CHANGE OF USE? ❑ YES
SID