01-101808 ,
`
City of Federal Way•
Community Development Services Mechanical Permit #:01 - 101808 - 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: KABOGO
Project Address: 2603 SW 332ND PI Parcel Number: 894430 0500
Project Description: MECH-Changeout gas hot water heater in existing single family residence.
Owner Applicant Contractor
JUNE&RUTH KABOGO NETCLERK,INC FAST WATER HEATER COMPANY
2603 SW 332ND PL 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
PERMIT EXPIRES November 3,2001,IF NO WORK IS STARTED.
Permit issued on May 7,2001
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use ' 1 be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
7�C/Owner or agent: ///%e / Date: /
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" SY CONSTRUCTION PERMIT APPLICATION
*c 'API ATION NUMBER:124-d Lt e
'WOi .+FtMAY ° 2001 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: 2603 SW 332ND PL
ASSESSOR'S TAX/PARCEL#:8944300500
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• PROJECT INFORMATION
TYPE OF PROJECT(This application): U BUILDING U 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:
Ruth Kabogo 2538156607
MAILING ADDRESS(STREET ADDRESS, CITY, STATE, ZIP):
2603 SW 332nd PI 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 ['TENANT ['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: $449.00
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)
r
**NEW kESIDENTIAL 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: LI ELECTRIC ❑G AS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) 1 WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC is 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 be made by any person,including the undersigned,and filed against the City of
Federal Way, but only where such claim ri es •ut of the reliance of the city, including its officers and employees, upon the accuracy
of the information supplied to the cid . •a of this application.
NAME/TITLE:Scott Waterbury ,,,..414/1400( <Title> DATE:05/02/2001
❑PROPERLY OWNER LI ' �C T ❑ CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEIN ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION: BUILDING SHELL ONLY? ❑YES ❑ IL)
COMP PLAN DESIGNATION BASIC PLAN? ❑YES OVO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? YES ❑ NO ❑
PLATTED LOT? 0 YES 0 ND CHANGE OF USE? OYES ONO