01-101674 II F 1
4
City of Federal Way Mechanical Permit #:01 - 101674 - 00 - ME
Community Development Services
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: WESCOTT
Project Address:
49613-4TT S �6��'3 Rh R V f 5�• Parcel Number: 186270 0290
Project Description:j P MEC-Replace gas hot water tank.
Owner Applicant Contractor
BARBARA WESCOTT NETCLERK,INC FAST WATER HEATER COMPANY
29604 3RD AVE S 880 DUBUQUE AVE S FAST WATER HEATER COMPANY
WA SAN FRANCISCO CA 94080 12601 132ND AVE NE
(425)814-8381
Yes
Mechanical Valuation 449 Over the Counter Permit
- iii •i''PERITT :27,2001,IF NO WORK IS STARTED
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.,,t,Perjr. $ ti S10 April 30,2001
I hereby certify that the ab ormagtil
tin icorrect and that the construction on the about dQ:3Gxib��Cl p>rr jl
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the occupancy and the use Wal*in act; rdlce �< J:: :r , ttf : 'iV'•-� :
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CONSTRUCTION PERMIT APPLICATION 1
"' °" APPLICATION NUMBERLc 1 �/ J C(_4.
, � APPLICATION 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: 29604 3RD AVE S
--2:1 --t--3----- -- ASSESSOR'S TAX/PARCEL#: 1862700290
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• PROJECT INFORMATION
TYPE OF PROJECT(This application): U BUILDING ❑ PLUMBING 0 MECHANICAL ❑ DEMOLITION
U ELECTRICAL ❑ENGINEERING❑FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
Remove/replace gas water heater
PROJECT NAME:
• PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
Barbara Wescott 2539413218
MAILING ADDRESS(STREET ADDRESS, CITY, STATE, ZIP):
29604 3rd Ave S 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 W1 98034
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
19-87000047-00-b1
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 ST 94080 6506240400
RELATIONSHIP TO PROJECT: FAX NUMBER:
U ARCHITECT UTENANT ['OTHER(DESCRIBE): 8778465888
E-MAIL ADDRESS
CONTACT PERSON FOR THIS PROJECT: U PROPERTY OWNER U APPLICANT U CONTRACTOR customerservice@netclerk.
■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ ,
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ LI LI q
SPRINKLED BUILDING? U YES U NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑YES U NO
WATER SERVICE PROVIDER: U LAKEHAVEN U HIGHLINE U TACOMA U PRIVATE (WELL)
SEWER SERVICE PROVIDER: U LAKEHAVEN U 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 LI 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 FOUNTAINS)- 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 laim) which may •-Air.de by any person,including the undersigned,and filed against the City of
Federal Way, but only where su / i an e out if reli.•-- of the city, including its officers and employees, upon the accuracy
of the information supplied .•iJ- .,ry p ii;7; is application.
NAME/TITLE:' `�!!/ rii I , /�' -> DATE:03/27/2001
❑ PROPERLY OWNER ❑ APPLICANT ❑ CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANTIMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION: BUILDING SHELL ONLY? ❑YES ❑ PD f
COMP PLAN DESIGNATION BASIC PLAN? ❑YES ENO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? YES ❑ NO ❑
PLATTED LOT? ❑ YES ❑ ND CHANGE OF USE? DYES 1340