01-102232 City of Federal Way
Community Development Services Mechanical Permit #:01 - 102232 - 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: KOCH (A
Project Address: 32321 44TH/SW Parcel Number: 873202 0550
Project Description: MEC-Remove/replace gas water heater
Owner Applicant Contractor
Michael F&Jodi M Koch NETCLERK,INC FAST WATER HEATER COMPANY
32321 44TH PL SW 880 DUBUQUE AVE S FAST WATER HEATER COMPANY
FEDERAL WAY WA SAN FRANCISCO CA 94080 12601 132ND AVE NE
98023-2408 (425)814-8381
Mechanical Valuation 449 Over the Counter Permit Yes
PERMIT EXPIRES December 3,2001,IF NO WORK IS STARTED.
Permit issued on June 6,2001
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
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Owner or agent:CL_ Y e�- Date: ((? o7
Ac----G\ . F,..,... 1 ° /G 2 - ii- oz,
1/110 tl oil,•71 G Q,., d a6" S i Ve._.,
JUN.-01 09:25 FROM-NORTHWEST-CASSIMAR 206-374-0834 T-524 P.01/03 F-015
r- 11 v
LO ' CONSTRUCTION P MIT APPLICATION
NUMBER;,4�' GL�G7La $E
M5 --17:: —FAY. APPLICATION .(-
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Etie tt „ - PPLICATION NUMBER;
PLICATION 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: 32321 44TH PL SW
ASSESSOR'S TAX/PARCEL#:8732020550
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING U PLUMBING il MECHANICAL ❑ DEMOLITION
0 ELECTRICAL 0 ENGINEERING❑FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description):
Remove/replace gas water heater
PROJECT NAME:
■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE
Mark Koch 2538743175
FLAILING ADDRESS(STREET ADDRESS,CITY,STATE,ZIP):
32321 44th PI SW Federal Way WA 98023
CONTRACTOR: NAME: DAYTIME PHONE.
Fast Water Heaters Com•an 4258143124
MAILING ADDRESS(STREET ADDRESS, CITY,STATE,ZIP): EVENING PHONE:
12601 132nd Ave. N.E. Kirkland — WI 98034
(QTY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
19-87000047-00-bI
OONTRACTORS REGISTRATION NUMBER: EXPIRATION PATE:
(copy of card required)
APPLICANT: I1AME: DAYTIME PHONE:
Scott Waterbury 8883301777
INIIL.ING ADDRESS(STREET ADDRESS,CITY,STATE,ZIP): EVENING PHONE:
r20 Dubuque Ave South San Francisco CE 94080 6506240400
-RELATIONSHIP TO PROJECT: FAX NUMBER:
p ARCHITECT ❑71FNAN'T ❑OTHER(DESCRIBE): 8778465888
- ' E-MAIL ADDRESS
CONTACT PERSON FOR THIS PROJECT: D PROPERTY OWNER 0 APPLICANT p CONTRACTOR customerservice aenetclerk
I DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $-
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $449.00
SPRINKLED BUILDING? Gl YES ❑NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑YES 0 NO
WATER SERVICE PROVIDER: Q LAKEHAVEN ❑HIGHLINE ❑TACOMA 0 PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑HIGHLINE ❑PRIVATE (SEPTIC)
JUN -01 09:25 FROM-NORTHWEST-CASSIMAR 206-374-0834 T-524 P.02/03 F-015
IP 11
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS-. ESTIMATED SELLING PRICE:
FLOOR AREAS
FLOOR EXISTING S . FT. PROPOSED N. FT. TOTAL ,__
BASEMENT0
FIRST 0
SECOND 0 —
THIRD 0
FOURTH 0
OTHER FLOORS(DESCRIBE) -
o
DECK _ 0
GARAGE 0
HOW MANY FLOORS?
TOTAL: 0 0 0
FIXTURES
Indicate number of each type of fixture
' MECHANICAL
AIR HANDLING UNTT(5)-. EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEMS)
BSQ(S) --- FAN(S) -----HOODS) WOODSTOVE(5)
BOILER(S) FIREPLACE INSERT(S) --RANGE(S) _ MISC.(—)
COMPRESSOR(S) FURNACES) HEAT SOURCE: ❑ ELECTRIC D G AS
DUCT(S) _ — GAS PIPE OUTLET(S)
PLUMBING
BATHTUB(S) _ LAVATORY(S) URINAL(S) 1 WATER HEATER(S)GAS
pISHWASHER(S) �— RAIN WATER SYS. - VACUUM BREAKERS) CI ELECTRIC
ia DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLETS) 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 oflic y know lemd e,1 nd
further,that I am authorized by the owner of the above premises to perform the work for which the permit appli
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 daim),which may be made by any person,including the undersigned,and filed against the City of
Federal Way, but only where_such claim arises out of the reliance of the city, Including Its officers and employees, upon the accuracy
of the information supplied to the city as a part of this application.
NAME/TITLE;Scott Waterbury <TitleDATE:06/05/2001
LI PROPERLY OWNER 0 APPLICANT 0 CONTRACTOR
FOR OFFICE USE OI4LY: I
.a NEIN ID ADDITION 0 ALTERATION ❑ REPAIR ❑ TENANTIMPROVEMENT
MOUS CODE: LOTSIZE; —
ZONING DESIGNATION: BUILDINGSKELLONM U YES U PD
COMPPLAN DESII NATION _ BASIC PLAN? ❑YES LPIO
SECTION IOW NOW RAND NEW ADDRESS REQUIRED? YES ❑ NO l] _
PLATTED LOT? ❑ YES D N3 CHANGEOFUSE? OYES ONO —.