06-106427Cj_ OF
RECEIVED BY
Federal
0MUNITY DEVELOPMENT DETV�R M I T
COMMUNITY DEVELOPMENT SERVICES
33325 8- AVENUE SOUTH • 63 RR : j' P L I C A T I O N
FEDERAL WAY, WA -98063.97:j'
9797 7!
253.835.2607• FAX 253-835-2609
www.dlvoffcdemhunu.mm
I� r1-^
1 1 r
Y"ERAL WAY, WA 98023
ASSESSOR'S TAX/PARCEL # 8731950240 _
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
CK2428
0 (P - —C o & -c-f- 2 -7
SF MF CO 09 EL PL DE EN FP
o / /
SUITE/UNIT #
LOT SIZE (sfl
/Attach separate page f lengthy legal de ipHon/ __--- _—
TYPE OF PERMIT ❑ BUILDING . ❑ PLUMBING X MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu)
Re-move/Renlaee Gas Water Heater
PROJECT NAME (Name of Business or Owner Last Name)
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
NAME
WADE, ED
PRIMARY PHONE
((2531874-2661
MAILING ADDRESS
3653 SW 328 ST
CITY, STATE, ZIP
FEDERAL WAY, WA 98023
COMPANY NAME _
FAST WATER HEATER COMPAN
APPLICANT NAME
V
OFFICE PHONE
((425814-3124
MAILING ADDRESS
12601 132ND AVE NE
CITY, STATE, ZIP
KIRKLAND. WA 98034
CELL PHONE
( -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
S L--0 -9- -0 0 4 7 0 #_B L
FAX NUMBER
(425 ) 814-9516
CONTRACTOR'S REGISTRATION NUMBER (copy of card required with each application) - EXPIRATION DATE
TWWH448BC_ _ / 01/0312008
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
(
MAILING ADDRESS
CITY, STATE, ZIP
CELLPHONE
RELAT1ONSHIF TO PROJFCT
❑ Architect ❑: Tenant ❑ Agent ❑ Other (Describe)
FAX NUMBER
( _
NAME -
PRIMARY PHONE
E-MAIL ADDRESS
NAME
IMA!11111
DDRESS -
CITY, STATE, ZIP
PHONE
EXISTING ASSESSED/APPRAISED VALUE $
SPRINKLERED BUILDING? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN
SEWER SERVICE PROVIDFR n T.AKRFIAVRN
PROPOSED USE
LIj
VALUE OF PROPOSED WORK $�3
FIRE SUPPRESSION SYSTEM PROPOSED? REQUIRED? ❑ YES ❑ NO
❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ HIGHLINE 0 PRIVATE (SEPTIC/
s . %.
p. .y. 7; .:,�•«r:: 11..`'da:C ..t. Vit..;.: :'i 'r ..t _ ;..'::«t:...r''$C};1:.:.r:�:S:G°"�`C?;i.»Ri�.i'•�:. r.:"y:�
��. .. �,,.�,, � ; .�.�.., ....,�,.>�:z.�,• :;,•E,.:,.
PO
SQ.
�" ' k :�..�}•. ?.>^,�'•:�: <:�,.. ,��r.::,.;,,.;::
AREA DESCRIPTION
EXISTING ��
SQ. FT. --
PROPOSED
SQ. FT.
TOTAL
S . FT. -7
BASEMENT
SUMPS
WASHING MACHINES
URINALS
FIRST
VACUUM BREAKERS
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK (COVERED ?)
GARAGE ❑ CARPORT ❑
L7c6Tflfa FROPa3ta iaTAL o"X'
NUMBER OF FLOORS
rHOMES ONLY"'` NUMBER OF BEDROOMS ESTIMATED SELLING PRICE
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MEMANICAL r Ll. V Lr
Value of Mechanical Work $ 7 1
AIR HANDLING UNITS EVAPORATIVE COOLERS
BBQS FANS
BOILERS FIREPLACE INSERTS
COMPRESSORS FURNACES
DUCTS GAS PIPE OUTLETS
BATHTUBS (or Tublft.w rCombo)
SHOWERS
DISHWASHERS
SINKS
GAS PIPE OUTLETS
SUMPS
WASHING MACHINES
URINALS
LAVS )13auvoom Si kc)
VACUUM BREAKERS
GAS LOGS
HOODS (c.—m r6q
RANGES
CCAS WATER HEATERS
WATER CLOSETS (r.iicq _
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
REFRIG, SYSTEMS
WOODSTOVES
MISC (Describe)
MISC (Describe)
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 author-ised 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' fees incurred in the Invest gat an and d lcnse 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 supplied to the city as a part of
this application.
NAME/TITLE ` ' / PermitMgrDATE 12/20/06
(Signature) (Tflc)
RELATIONSHIP TO PROJECT ❑ Owner 0 Agent A Contractor 11 Architect O Other