02-104830City 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 - 104830 - 00 - ME
Project Name: BRINKMAN
Project Address: 1007 SW 317TH Gr
Project Description: MEC - Remove/replace gas water heater
Inspection request line: 253.835.3050
Parcel Number: 555730 0090
Owner
Applicant
Contractor
Mantz A & Rhonda K Brinkman
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
1007 SW 317TH CT
12601 132ND AVE NE
12601 132ND AVE NE
FEDERAL WAY WA
KIRKLAND WA 98034
KIRKLAND WA 98034
98023-4533
(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. See Application
Owner or agent: Date: d o
/ ecA. r--t'-
u /D K 5/— 03 cel
r a" WAIAPPLICATION NUMBER
I��oMMUN(ryRECEIVED BY -- — — — — — — —
DFVELOPMENT DEPARTMENT —
"The follG" ig rigtMiformation - Please print (in ink) or type" 772669
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
■ PROPERTY INFORMATION
SITE ADDRESS: 1007 SW 317 CT, FEDERAL WAY, WA 98023
ASSESSOR'S TAX/PARCEL *: 5557300090
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: BRINKMAN, RHONDA
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
NAME: BRINKMAN, RHONDA DAYTIME PHONE:
(253)941-8552
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP):
1007 SW 317 CT 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
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) FASTWHCO52DF
02/16/2003
NAME:
DAYTIME PHONE:
MAIUING ADDRESS (STREET ADDRESS, CITY, STATE, IIP): EVENING PHONE:
<Street> <City> <Zi >
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑TENANT ❑OTHER (DESCRIBE):
CONTACT PERSON FOR THIS PR07ECT: ❑ PROPERTY OWNER ❑ APPLICANT M CONTRACTOM
0 DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ $449.00
SPRINKLED BUILDING? ❑ YES C) 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-7/6
*,'NEW-2ESIDENTIAL CONSTRUCTION ONLY"
NUMBER OF BEDROOMS' ESTIMATED SELLING PRICE: $
FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED Sq. FT.
TOTAL
BASEMENT
HOODS)
WOODSTOVE(S)
BOILERS)
FIREPLACE INSERT(S)
RANGE(S)
MISC. ( )
0
FIRST
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES
DUCT(S)
GAS PIPE OUTLET(S)
HEAT SOURCE: ❑ ELECTRIC ❑ G AS
YES ❑ NO ❑
0
SECOND
EM
BATHTUB(S)
LAVATORY(S)
URINALS) 1
WATER HEATER(S)
DISHWASHERS)
0
THIRD
ELECTRIC ?9 GAS
DRINKING FOUNTAINS) SHOWER(S)
WASH MACHINE OUTLET
GAS PIPE OUTLET(S)
SINKS)
0
FOURTH
INTERCEPTORS)
SUMP(S)
0
OTHER FLOORS (DESCRIBE
0
DECK
0
ARA E
HOW MANY FLOORS?
0
TOTAL:
0
0
0
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNrr(S)
EVAPORATIVE COOLER(S)GAS LOG(S)
REFRIG. SYSTEMS)
BBQ(S)
FAN(S)
HOODS)
WOODSTOVE(S)
BOILERS)
FIREPLACE INSERT(S)
RANGE(S)
MISC. ( )
COMPRESSOR(S)
FURNACE(S)
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES
DUCT(S)
GAS PIPE OUTLET(S)
HEAT SOURCE: ❑ ELECTRIC ❑ G AS
YES ❑ NO ❑
PLUMBING
I CHANGEOF USE? ❑YES
EM
BATHTUB(S)
LAVATORY(S)
URINALS) 1
WATER HEATER(S)
DISHWASHERS)
RAIN WATER SYS.
VACUUM BREAKERS) ❑
ELECTRIC ?9 GAS
DRINKING FOUNTAINS) SHOWER(S)
WASH MACHINE OUTLET
GAS PIPE OUTLET(S)
SINKS)
WATER CLOSET(S)
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 a -s. o hart of this application.
NAME/TITLE."-''''� Permit Mgr DATE- 10/29/2002
(3 PROPERLY OWNER ❑ APPLICANT $I CONTRACTOR
FOR OFFICE USE ONLY:
❑ NBN ❑ ADDITION
❑ ALTERATION ❑ REPAIR
❑ TENANTDNPROVEMENT
CENSUSCODE:
LAT SIZE:
ZONINGDESIGNAT30ON:
BUILDINGSHELLONLY?
❑YES ❑ N:)
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES
CNO
SECTIaN TOWNSHIP RANGE
NEW ADDRESS REQUIRED?
YES ❑ NO ❑
PLATTED LOT? ❑ YES ❑ ND
I CHANGEOF USE? ❑YES
EM