01-100749 City of Federal Way
Community Development Services Mechanical Permit #:01 - 100749 - 00 - ME
33530 1st Way S
Federal Way,WA 98003-6210 Inspection request line: 253.661.4140
Ph:253.661.4000 Fax:253.661.4129
(3:30pm cut-off for next day inspections)
Project Name: DAVIS �J
Project Address: 29618 2NDSWParcel Number: 513730 0110
Project Description: MEC-Replace gas hot water tank.
Owner Applicant Contractor
William A&Sonoko Davis ACTION WATER HEATERS ONLY INC ACTION WATER HEATERS ONLY INC
29618 2ND AVE SW ACTION WATER HEATERS ONLY INC ACTION WATER HEATERS ONLY INC
FEDERAL WAY WA 12704 NE 124TH ST SUITE 43 12704 NE 124TH ST SUITE 43
98023-3505 KIRKLAND WA 98034 (425)820-8848
Mechanical Valuation 1034 Over the Counter Permit Yes
PERMIT EXPIRES August 21,2001,IF NO WORK IS STARTED
Permit issued on February 22,2001
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: hL I _,. —' ' �� %L Date: Z -Z Z — CJ
51)
Y L0\
CONSTRUCTION PERMIT APPLICATION
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compUv:- /,-1 n� 'F-� T n�o
iARTM5NTAPPLICATION NUMBER: Q - Loo -
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FEB 1 4 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..
�
Q • PROPERTY INFORMATION -
j
SITE ADDRESS: / /UAzidAie 1,0 ASSESSOR'S TAX/PARCEL #: 5 / 3 73 0' O l/ o
- - - -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
. • PROTECT INFORMATION .
TYPE OF PROJECT(This application): ❑ BUILDING Y°LUMBING MECHANICAL El DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): J ytA-- `n n_—t„-
•
•
PROJECT NAME:
• PEOPLE INFORMATION
PROPERTY OWNER: NAMEt- �'�/�(`^'��'V PI`S DAYTI E PHONE:
MAIUNG ADDI REEF AD DRESS CITY,STATE,ZIP): I (2-53) 941/ -5
•2 bI A-- -e of G J
CONTRACTOR: NAME:
0 � DA ME PHONE:
IAILINGAODR ( 1TeRESS;CITY, 77bZIP): .#f /EVENING PHONE:
22 7 �� l
CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER:
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FAX NUMBER:��.�.-.ice; -
-9c/ �/�o$-�o 3 e.�_ _ ,_ 1 _ 4)-5-7
= 7e6_
CONTRACTOR'S REGISTRATION NUMBER:
EXPIRATION
/� /� �j `/� DATE: /
(copy of card required) A" C rL Q i!- v 5./ (/f /g/ ,g/ 161
APPLICANT: NAE:
DAYTIME PHONE:
T/d� �iU� IL.?a � 7-2747i /,i li ( % jT IFdO-tel
MAIUNG ADDRESS(STREET AD ESS;CITY,STATE,ZIP): EVENING PHONE:
/a/7o ia� 6,1, #"S
RELATIONSHIP TOPROJECT: FAX NUMBER: /
CI ARCHITECT ❑ TENANT 746/41/e
OTHER(DESCRIBE): '!l �y (9 - b
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT XCONTRACTOR
• • DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ \`�,7"/
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) �j�J
SEWER SERVICE PROVIDER: CI LAKEHAVEN CI HIGHLINE 0 PRIVATE(SEPTIC) if 31 -'�
Ir. �R 0.0.1.
I
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROTECT FLOOR AREAS`
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND - _
THIRD ';`
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
■•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 ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) / WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ,AGAS
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'fees 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 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: eltDATE: /— 1 .5 /
❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR
•
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION: BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION BASIC PLAN? ❑ YES ❑ NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES ❑ NO CHANGE OF USE? ❑ YES 0 NO