01-101692 City°f Federal Way Mechanical Permit #:01 - 101692 — 00 — M
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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: CONNOT et"
Project Address: 32730 32ND/SW Parcel Number: 951090 0470
Project Description: MEC-Replace gas hot water tank.
Owner Applicant Contractor
ANDREW CONNOT NETCLERK,INC FAST WATER HEATER COMPANY
32730 32ND AVE SW 880 DUBUQUE AVE S FAST WATER HEATER COMPANY
FEDERAL WAY WA 98023 SAN FRANCISCO CA 94080 12601 132ND AVE NE
(425)814-8381
Mechanical Valuation 449 Over the Counter Permit Yes
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I hereby certify that the abs` 'ormati n*correct and that the construction on the above scrbc i p a xty an .F.
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CONSTRUCTION PERMIT APPLICATIO:
APPLICATION NUMBER;; 1(t ioj
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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: 32730 32ND AVE SW
ASSESSOR'S TAX/PARCEL#:9510900470
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:
Andrew Connot 2538353487
MAILING ADDRESS(STREET ADDRESS,CITY, STATE, ZIP):
32730 32nd Ave SW Federal Way WA 98023
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:
Scott Waterbury 8883301777
MAILING ADDRESS(STREET ADDRESS, CITY, STATE, ZIP): EVENING PHONE:
720 Dubuque Ave South San Francisco C?94080 6506240400
RELATIONSHIP TO PROJECT: FAX NUMBER:
U ARCHITECT UTENANT U OTHER(DESCRIBE): 8778465888
E-MAIL ADDRESS
CONTACT PERSON FOR THIS PROJECT: ❑PROPERTY OWNER ❑APPLICANT ❑CONTRACTOR customerservice@netclerk.
• DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $t y
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ ,t Oj
SPRINKLED BUILDING? U YES U NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑YES ❑NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑HIGHLINE ❑TACOMA ❑PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑HIGHLINE U PRIVATE (SEPTIC)
r**NEW'RESIDENTIAL CONSTRUCTION ONLY** a.
NUMBER OF BEDROOMS' ESTIMATED SELLING PRICE: $ 1
t
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: U 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 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),which may•- made by any person,including the undersigned,and filed against the City of
Federal Way, but only whe s c laim arises + e reliance of the city, including its officers and employees, upon the accuracy
of the information suppli I. . .,,--J�i 4 a.f -- is application.
NAME/TITLE, i/���-1+1�/� '_ Title> DATE:04/10/2001
❑PROPERLY OWNER • APPLI 4111W ❑ CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANTIMPROVEMENT
CENSUSCODE: LOTS ZE:
ZONING DESIGNATION: BUILDING SHELL ONLY? ❑YES ❑ PD 1
COMP PLAN DESIGNATION BASIC PLAN? ❑YES CNO f
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? YES ❑ NO ❑ _
PLATTED LOT? ❑ YES 0 PD CHANGE OF USE? OYES O10