01-100103 •
City of Federal Way •
Community Development Services Mechanical Permit #:01 - 100103 - 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: WARMBO
Project Address: 30215 27TH S Parcel Number: 798480 0190
Project Description: HVAC-Replacing gas water heater
Owner Applicant Contractor
Vernon D&Jean C Warmbo NONE WASHINGTON ENERGY SERVICES CO
30215 27TH AVE S 2800 THORNDYKE AVE W
FEDERAL WAY WA SEATTLE,WA
98003-4212 NONE (206)282-4700
Mechanical Valuation 500 Over the Counter Permit Yes
Permit issued on
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 o gar t a — k
.24GYd 7 9olj
CONSTRU•ON PERMIT APPLICATION
"�` �' I APPLICATION NUMBERL3/ ./,L La� 4 Y?L-
F i l l _. APPLICATION NUMBER:
APR 1 2 `,�00°1 APPLICATION NUMBER:
"'The foliowir�is required information - Please print(in ink) or type**
-.' r �_ L. HI YYHY
Please note: Electrical, Fire Pry ii jletElPi'�,and Engineering permits may require a separate application.
• PROPERTY INFORMATION
SITE ADDRESS: 30819 13TH PL S
ASSESSOR'S TAX/PARCEL#:4015400190
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING 0 PLUMBING ❑ MECHANICAL ❑ DEMOLITION
U ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
Remove/replace electric water heater
PROJECT NAME:
P •P • : u _ • k ,ii.
PROPERTY OWNER: NAME: DAYTIME PHONE:
G Warrior 2539463865
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP):
30819 13th PIS Federal Way WA 98003
CONTRACTOR: NAME: DAYTIME PHONE:
Fast Water Heaters Company 4258143124
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP): EVENING PHONE:
12601 132nd Ave. N.E. Kirkland WE 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:
U ARCHITECT ❑TENANT ['OTHER(DESCRIBE): 8778465888
E-MAIL ADDRESS
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑APPLICANT U CONTRACTOR customerservice@netclerk.
• DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLED BUILDING? LI YES U NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑YES ❑ NO
WATER SERVICE PROVIDER: LI LAKEHAVEN ❑HIGHLINE CI TACOMA U PRIVATE (WELL)
SEWER SERVICE PROVIDER: U LAKEHAVEN ❑HIGHLINE ❑ PRIVATE (SEPTIC)
a(0 6 Y)7 yap
111111
* `NEW RESIDENTIAL CONSTRUCTIIIDONLY** .
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: ❑ ELECTRIC ❑ G AS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) 1 WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) 0 ELECTRIC ❑ 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 ari ,' of the reliance of the city, including its officers and employees, upon the accuracy
of the information supplied to the city .. of this application.
Scott Waterbury � �' -- <Title> DATE:03/30/2001
NAME/TITLE:
❑ PROPERLY OWNER ❑ APPL CANT Q CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANTIMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION: BUILDING SHELL ONLY? ❑YES ❑ N)
COMP PLAN DESIGNATION BASIC PLAN? ❑YES LVO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? YES ❑ NO ❑
PLATTED LOT? ❑ YES ❑ ND CHANGE OF USE? DYES LNO
011111118-01 19:23 FROM-NORTHWEST-CASSIMAR 206-374-0834 T-277 P.02/02 F-105
MM. 33530 Fist Way Booth
Federal Way,WA 91003
,_.- (253)661-4000
Fax(253)661-4124
•
APPLICATION FOR MECHANICAL PERMIT
• ;Federal Way Business License number:
O - joo (05
MEC VII -
.
PA . ` ` �P 0 1 9 b Single Funilyk Multi-Family 0 Commawl O
B.
1>m LOCATION 3� � - q 3�a
T .\1�r11� �� LADrn 6 Plonk
c ' i3 - .-- _
N�AddreesCity/St —
Naze of Want 2 c��0.' 1.-IT T lierih r Project Valuation:e
APPUCAIff
Nome
C_tact Paaon Phone Fax
MECHANICAL CONTRACTOR
Con p oiName ce)42,_,C74:zL)
Afteistitylsitzip tet) 7 A VieL1 -,1#-.WeeX87'Y
t'.00tic:Pa;>ton (Sa. t( CAU,1 1 ' - Phone (o2g2 (J Fax
SdbL 1I CaatranterRegime'dim 1 11V H(LL S0 77x3 Exp.Date
Wal—
(Cori sot be prausian
MECHANICAL UNIT COUNT
1WrToe( p1. .3110 , Gee!kW Al Hu(dI g<-l Q.O04dm Teel Tam•: ,
Lima dos 14111111 RAMO Air Handl in/>—I O,000cTm Above Oremd - ,
NIVCICInlayf Ow tont Unit Heater [+&+wand
FIR>KIXD th - Non i Beeler ETUIH Uisoeltanaous
4at1t i Ham Beeler BnUH Ocher
4orriperwr Duct Work NC TONS tF.er
R9@'t _ Wend Maus Air. rums
12.0.Ailltcmeek.valor gem*etseda1.ate aebtlmell sa..rad>r..t...e..a...a..etiMeea se.I.awn.eArs.e.aI.e1.0..rob.ow...wat..ln.....si..bmemo tai we!
el NYS WEB floseeike.6.Mee I Seem eg pee i.ems brulme lie Cl.y eirlkeemi Wefts ye ON elle temeellet Yeee.s♦ _ .ielseri.-t..R..welei.memeesawle.lm...(.rilia,mAiae+vbe
maWWWII I.bean es olleYWIYIMara,ia+.aMawets'►e.vverit.ir.re=ael>..i..aark'M.w..r..d•r.ire+.le.eti...rterralow ereessbee(a.
allistare aba.d*ee.le.l Teleles.
0.00C/Agent Sr� Date / / i7 6 1
tow am
01/08/01 MON 18:14 [TX/RX NO 7367]