01-103034 4
.
City of Federal Way
Community Development Services Mechanical Permit #:01 - 103034 - 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: MONECK Q\
Project Address: 31433 11TH'SW Parcel Number: 556050 0240
Project Description: HVAC-Remove and replace gas water heater
Owner Applicant Contractor
Michael Moneck WDF NORTHWEST PERMIT &NETCL ABC WATER HEATERS&PLUMBING
31433 11TH PL SW 3816 E MADISON 1702 A 128TH ST SW
FEDERAL WAY WA SEATTLE WA 98116 EVERETT WA 98204
98023-4543 (425)514-0406
Mechanical Valuation 500 Over the Counter Permit Yes
PERMIT EXPIRES April 6,2002,IF NO WORK IS STARTED.
Permit issued on October 8,2001
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.
Owner or agent: C.,6j2—,. as Date: ( 6'$(o
IIIAUG-002-01 10:0171 FROM-NORTHWEST-CASSIMAR 206-374-0834 T-922 P.01/03 F-613
CONSTRUCTION PERMIT APPLICATION
arsor. . APPLICATION NUMBER _ —
iliI1�°lt}r"3 ... If t- I AP,Z APPLICATION IC`A AMBER: —— —
P
"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: 31433 11TH PL SW
ASSESSOR'S TAX/PARCEL#:5560500240
LEGAL DESCRIPTION OF SUBJI_CT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION
TYPE OF PROJECT(This application): CI BUILDING RI PLUMBING ❑MECHANICAL CI DEMOLITION
❑ ELECTRICAL ❑ENGINEERING laFIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
REmove and replace gas water heater.
4 ,
PROJOCT NAME:_ •
``
• PEOPLE INFORMATION
PROPERTY OWNER: NAME: '
DAYTIME PHONE:AME: 25 394!69110
AIICHAEI_ MONECK
FAILING ADDRESS(STREET ADDRESS.CITY,STATE,ZIP):
<Street>31433 11th PL SW <City>Federal Way STS<Zip>98023
PHONE:
CONTRACTOR: NAME: DAYTIME
ABC Water Heaters&Plurnbin 42552551M140 PHONE:06
-MAILING ADDRESS(STREET ADDRESS,CITY,STATE.ZIP):
1702 A 128th St.SW Everett WE 98204
+:ITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
4255140369
:ONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required)
PHONE:
APPLICANT: NAME: _8883301777DAYTIME IME
Scott Waterbury EVENING PHONE:
MAILING ADDRESS(STREET ADDRESS,CITY,STATE.ZIP):
720 Dubuque Ave South San Francisco Cf 94080 6506240400
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑TENANT ❑OTHER(DESCRIBE : 87 8468
588
7
CONTACT PERSON FOR THIS PROJECT: ❑PROPERTY OWNER ❑APPLICAN 0NTRACTOR customerservice(netclerk.
■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION ;
PROPOSED
ALUATIOSPROPOSED USE: - PROPOSED VALUATION FOR IMPROVEMENTS: $500.00
SPRINKLED BUILDING? Q YES ❑NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:CJYES ❑NO
WATER SERVICE PROVIO ER: l] LAKEHAVEN CI HIGHLINE ❑TACOMA Cl PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN QHIGINLINE Cl PRIVATE (SEPTIC)
RAtons
1 AUG2-01 10:01 FROM-NORTHWEST-CASS I MAR 206-374-0834 T-922 P.02/03 F-613
**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 o
THIRD 0
FOURTH 0
-
OTHER FLOORS (DESCRIBE) p
DECK 0
GARAGE
0
HOW MANY FLOORS?
TOTAL: p 00
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 HE TER(S)
DISHWASHER(S) -- RAIN WATER SYS. VACUUM BREAKER(S) 0 ELECTRIC AS
— 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 cf 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 arises out of the reliance of the city, including its officers and employees, upon the accuracy
of the information suppli,ad tR th�city ass part of this application.
NAME/TITLE:
Soon-Watorbt ' `C�df v ' <Title> DATE;OB/02/2001
Li PROPERLY OWNER ❑ APPLICANT V.
FOR OFFICE USE ONLY:
p NEW 0 ADDITION ❑ ALTERATION Cl REPAIR U TENANT IMPROVEMENT
CENSUSCODE: LOT SIZE:
ZONINGDI GNn►IION: BUILDINGSHELLONLY? ❑YES 0 M)
COMP PLAN DESIGNATION BASIC PLAN? ❑YES ONO _
SECTION TOV SNSHIP RANGE NEW ADDRESS REQUIRED? YES 0 NO ID
PLATTED
PLATTED LOT? ❑ YES ❑ N) CHANGEOF USE? DYES ENO