01-101639 Cry)loaf Federal Way
y Community Development Services Mechanical Permit #:01 - 101639 - 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: HEMPEL
Project Address: 2214 S 336TH $f" On1I- Parcel Number: 797820 0200
Project Description: MECH-Remove and replace existing gas hot water heater for unit#501
Owner Applicant Contractor
DORINDA HEMPEL NETCLERK,INC FAST WATER HEATER COMPANY
2214 S 336TH ST SUITE 501 880 DUBUQUE AVE S FAST WATER HEATER COMPANY
FEDERAL WAY WA 98003 SAN FRANCISCO CA 94080 12601 132ND AVE NE
(425)814-8381
r 744/4i 55
Mechanical Valuation 449 Over the Counter Permit Yes
%%'f.y r: :-;- .3 i:"v`ara-<>:crs,•,a:;;c`::isiSi.
•
" P3 7 2001,IF NO WORK IS STARTED.
.:<: < :, ':????:t-<} s d,cm April 30,2001
I hereby certify that theabo rmatio:3 is orrect and that the construction on the above•descrjlje i ro %:c
;?? tFjaw, , „. t>t£??,.•:'t:•.; :Yt;�.,.tiz r... ...`4• .. •::.
the occupancy and the use vvg 'in acc4` la> e vu# �.>• � ���' :t �� a ?{'�'` -�•
the Cityof Federal Wa :
::::. ..:.. ....
Owner oragent: '• :::..:.. :: ,?;
9
vi_„( c` �?� o, U
CONSTRUCTION PERMIT APPLICATION
`"`°' '"` APPLICATION NUMBER FJ(L V G am®a'
-47
3 --r 1APPLICATION NUMBER:
APPLICATION NUMBER:
**The following is required information- Please print(in ink)or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
• PROPERTY INFORMATION
SITE ADDRESS: 2214 S 336TH ST 501
ASSESSOR'S TAX/PARCEL#:2897600210
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING 0 MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ENGINEERING❑FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
Remove/replace gas water heater
PROJECT NAME:
■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
Dorinda Hempel
MAILING ADDRESS(STREET ADDRESS,CITY, STATE, ZIP):
2214 S 336th St#501 Federal Way WA 98003
CONTRACTOR: NAME: DAYTIME PHONE:
Fast Water Heaters Company 4258143124
MAILING ADDRESS(STREET ADDRESS, CITY, STATE, ZIP): EVENING PHONE:
12601 132nd Ave. N.E. Kirkland W/98034
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
19-87000047-00-bI
CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required)
APPLICANT: NAME: DAYTIME PHONE:
NetClerk Inc 8883301777
MAILING ADDRESS(STREET ADDRESS, CITY, STATE, ZIP): EVENING PHONE:
720 Dubuque Ave South San Francisco C/94080 6506240400
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑TENANT ['OTHER(DESCRIBE): 8778465888
E-MAIL ADDRESS
CONTACT PERSON FOR THIS PROJECT: ❑PROPERTY OWNER U APPLICANT U CONTRACTOR customerservice@netclerk.
• DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ r r/J
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ Y`T!
SPRINKLED BUILDING? U YES U NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑YES U NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑HIGHLINE U TACOMA U PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑HIGHLINE U PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS' ESTIMATED SELLING PRICE: $
FLOOR AREAS
FLOOR EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL
BASEMENT
0
FIRST
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 UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC. ( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑G AS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) 1 WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC 0 GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC. ( )
INTERCEPTOR(S) SUMP(S)
DISCLAIMER/SIGNATURE BLOCK
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), hich ay be mad y a y person,including the undersigned,and filed against the City of
Federal Way, but only where such clai r'.'e ou of the .�_ • city, including its officers and employees, upon the accuracy
of the information supplied to the i ,-; r/f f t ,�,,,�%;�,' .tion.
ALt"NAME/TITLE:Scott Waterbury <Titl DATE:04/03/2001
❑PROPERLY OWNER LI APPLICANT C❑ CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR O TENANTIMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION: BUILDING SHELLONLY? ❑YES ❑ IO
COMP PLAN DESIGNATION BASIC PLAN? ❑YES ONO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? YES ❑ NO ❑
PLATTED LOT? ❑ YES 0 ND CHANGE OF USE? OYES ONO