02-103539City 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 - 103539 - 00 - ME
Project Name: GORDON to
Project Address: 34714 31ST SW
Project Description: HVAC - Remove/replace GAS water heater
Inspection request line: 253.835.3050
Parcel Number: 279150 0390
Owner
Applicant
Contractor
Howard M & Nellie M Gordon
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
34714 31 ST CT SW
12601 132ND AVE NE
12601 132ND AVE NE
FEDERAL WAY WA
KIRKLAND WA 98034
KIRKLAND WA 98034
98023-3000
1 (425)814-8381
Mechanical Valuation..........................................449 Over the Counter Permit ...................................... Yes
PERMIT EXPIRES February 15, 2003, IF NO WORK IS STARTED.
Permit issued on August 19, 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: Roe A nnlication Date: g I f a ( o"
n
Mechanical rough -in:
Date
Gas pipe:
Date
FINAL MECHANICAL: �. CEJ � ate
Date
RECEIVED
•f*M01111 11M.
"The following is required information - Please print (in ink) or type" 743797 TAage 9oteO5isctdr-al, Fire Prevention Systems and Engineering permits may require a separate application.
1 LL LL PROPERTY INFORMATION
CITILD,�1'# 4444 "T SW, FEDERAL WAY, WA 98023
SITE ADDRE� _
ASSESSOR'S TAX/PARCEL #: 2791500390
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: GORDON, HOWARD &NELLIE
PROPERTY OW N ER:
CONTRACTOR:
APPLICANT:
■ PEOPLE INFORMATION
NAME: DAYTIME PHONE:
GORDON, HOWARD &NELLIE
(253)874-9565
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, IIP):
34714 31 CT SW FEDERAL WAY, WA 98023
NAME:
DAYTIME PHONE:
FAST WATER HEATER COMPANY
(425)814-3124
MAILING ADDRESS (STREET ADDRESS, CITY, STATE. ZIP):
EVENING PHONE:
12601 132ND AVE NE
KIRKLAND WA 98034
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
19-87000047-DO-bi
425 814-9516
CONTRACTORS REGISTRATION NUMBER:
EXPIRATION DATE:
(copy of card required) FASTWHC052DF
02/16/2003
NAME: DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS, CITI; STATE, ZIP): EVENING PHONE:
<Street> <Cit > <Zi >
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑TENANT ❑OTHER (DESCRIBE):
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT Q
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 Ll PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑HIGHLINE ❑ PRIVATE (SEPTIC)
MO -7/6
"NEW RtSIDENTIAL CONSTRUCTION ONLY"
NUMBER OF BEDROOMS' ESTIMATED SELLING PRICE:
FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED Sq. FT.
TOTAL
BASEMENT
FAN(S)
HOODS)
WOODSTOVE(S)
BOILERS)
FIREPLACE INSERTS)
RANGE(S)
0
FIRST
FURNACE(S)
BASIC PLAN? ❑ YES
ONO
DUCT(S)
GAS PIPE OUTLET(S)
HEAT SOURCE: ❑ ELECTRIC ❑ G AS
0
SECOND
EM
BATHTUB(S)
LAVATORY(S)
URINALS) 1
WATER HEATER(S) .
0
THIRD
VACUUM BREAKER(S) ❑
ELECTRIC t§ GAS
DRINKING FOUNTAINS) SHOWER(S)
WASH MACHINE OUTLET
GAS PIPE OUTLET(S)
0
FOURTH
MISC. (�
INTERCEPTORS)
SUMP(S)
0
OTHER FLOORS (DESCRIBE)
0
DECK
0
ARAGE
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 INSERTS)
RANGE(S)
MISC. ( )
COMPRESSOR(S)
FURNACE(S)
BASIC PLAN? ❑ YES
ONO
DUCT(S)
GAS PIPE OUTLET(S)
HEAT SOURCE: ❑ ELECTRIC ❑ G AS
PLATTED LOT? ❑ YES ❑ N:)
PLUMBING
EM
BATHTUB(S)
LAVATORY(S)
URINALS) 1
WATER HEATER(S) .
DISHWASHER(S)
RAIN WATER SYS.
VACUUM BREAKER(S) ❑
ELECTRIC t§ 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
: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 suoolied to the city as o hart of this application.
>" g
NAME/TITLE.'' ''�-=`� Permit Mgr DATE: 08/12/2002
❑ PROPERLY OWNER ❑ APPLICANT $I CONTRACTOR
FOR OFFICE USE ONLY:
❑ NBN ❑ ADDITION
❑ ALTERATION ❑ REPAIR
❑ TENANT IMPROVEMENT
CENSUS ODDE:
LOT SIZE:
ZONING DESIGNATION:
BUILDING SHELL ONLY?
❑ YES ❑ N:)
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES
ONO
SECTION TOWNSHIP RANGE
NEW ADDRESS REQUIRED?
YES ❑ NO ❑
PLATTED LOT? ❑ YES ❑ N:)
I CHANGE OF USE? ❑YES
EM