01-101697 City oli DeWay
• Communityy Development Services Mechanical Permit #:01 - 101697 - 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: GALINIS
Project Address: 1802 SW 348TH S'' Parcel Number: 542350 0130
Project Description: MEC-Replace gas hot water tank.
Owner Applicant Contractor
CHRIS GALINIS NETCLERK,INC FAST WATER HEATER COMPANY
1802 SW 348TH ST 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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''ii' ER 1I_.. 1 .28 2001,IF NO WORK IS STARTED.
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I hereby certify that the ab4. ormatiE i <correct and that the construction on the above described pr z}}-�erty:;, d.
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CONSTRUCTION PERMIT APPLICATION
APPLICATION NUMBER:.) Q I (�g _1=•t
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: 1802 SW 348TH ST
ASSESSOR'S TAX/PARCEL#:5423500130
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:
Chris Galinis 2538385048
MAILING ADDRESS(STREET ADDRESS, CITY, STATE, ZIP):
1802 SW 348th St 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-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:
❑ ARCHITECT ['TENANT OTHER(DESCRIBE): 8778465888
E-MAIL ADDRESS
CONTACT PERSON FOR THIS PROJECT: ❑PROPERTY OWNER U APPLICANT U CONTRACTOR customerservice@netclerkq
• DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ INy
SPRINKLED BUILDING? ❑YES U NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑YES ❑NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑HIGHLINE U TACOMA ❑PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑HIGHLINE U PRIVATE (SEPTIC)
**NEW R.ESLDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
FLOOR AREAS
FLOOR I 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 <a 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 claim),which may b:•made by any person,including the undersigned,and filed against the City of
Federal Way, but only where such cla' arises , o/h- - lance of the city, including its officers and employees, upon the accuracy
of the information supplied �' e ity as 1r' ..this application.
NAME/TITLE: "/ ) <Title> DATE:03/27/2001
❑ PROPERLY OWNER _ •PLICANT ❑ CONTRACTOR
FOR OFFICE USE ONLY:
❑ PEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANTIMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION: BUILDING SHELL ONLY? ❑YES U PD
COMP PLAN DESIGNATION BASIC PLAN? ❑YES ❑VO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? YES ❑ NO U
PLATTED LOT? ❑ YES ❑ PD CHANGE OF USE? OYES I❑VO