00-105482 +
1-1 Alt `
BUILDING DIVISION
2 33530 FIRST WAY SOUTH
NOV0 2000 FEDERAL WAY,WA 98003
(253)661-4000
�.
Fax(253)661-4129
CI IY OF FEDERAL WAY
BUILDING DEPT.
APPLICATION FOR BUILDING PERMIT
PLEASE PRINT APPLICATION # 00 o5- S3
SITE LOCATION I Site address 1830 S 336 ST#101
Tenant name Lot# As 2yr, I 00
Building Owner's Name Hart-Moore, Sandra Address 1830 S 336 St#101 rr//
City Federal Way State WA Zip 98003 I Phone 2538159807
Description of Work Retrofit electric water heater
APPLICANT
Name(F,M, L)
NetClerk Inc.
Address Fav uuuuque Ave
South San Francisco,CA 94080
656 624 0427
City State Zip
Contact Person Day Phone Other Phone I Fax
BUILDING CONTRACTOR Federal Way Business License#
Company Name Fast Water Heaters Company
Address 12601 132nd Ave. N.E.
City Kirkland State WA Zip 98034
Contact Person Phone 4258143124 Fax
Contactor's#(Card must be presented)FASTWHCO52DF Expiration Date Verified DYes ❑No
12/01/2000
ARCHITECT
Name
Address
City State Zip
Contact Person Phone Fax
Legal Description
Please Complete Reverse Side
��� Yt if
• • •
STRUCTURE Existing Use I Proposed Use
Permit Includes ❑ Building ❑ Plumbing 0 Mechanical 0 Other
`
Type of work: 0 Residential 0 New ❑ Remodel 0 #of bedrooms____ ❑ Deck
❑ Commercial 0 Addition 0 Repair ❑ Garage 0 Shed
Enter 1st Floor sq ft 2nd Floor _sq ft 3rd Floor sq ft Existing Floor Area sq ft
Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area _sq ft
Water Availability 0 Sewer Availability 0 On site Septic System Availability❑ Project Valuation $349.00
Zoning I Lot Size Existing Bldg Valuation $
LENDER For new residential only-Proposed selling cost:$
Name Address
City State I Zip
MECHANICAL CONTRACTOR
Contractor Name Address
City State Zip
Contact Phone Fax
License# Expiration Data Verified ID Yes I:1 No
PLUMBING CONTRACTOR
Contractor Name Address
City State Zip
Contact Phone Fax
License# Expiration Date Verified ❑Yes ❑No
PLUMBING FIXTURE COUNT
Water Closets 0 Sinks o Urinals 0 Lawn Sprinklers 0
Bathtubs 0 Dish Washers 0 Drinking Fountains 0 Other 0
Showers 0 Electric Water Heaters 1 Sumps 0
Lavatories 0 Washing Machine 0 Drains 0 Total Fixture Count 1
MECHANICAL UNIT COUNT MECHANICAL EVALUATION ONLY$
Fuel Type(gas/electric/other)0 Gas Dryer 0 Air Handling<= 10,000 CFM 0 15-20 Tons 0
Length of Gas Piping 0 Range 0 Air Handling>=10,000 CFM 0 30-50 Tons 0
Furn<100K BTUs 0 Gas Log 0 Unit Heater 0 +50 Tons 0
Frun>100 BTUs 0 Fans 0 Miscellaneous 0 Fuel Tanks 0
Gas Hwt 0 , Hood 0 Boilers 0 Above Ground 0
Cony Burner 0 Duct Work 0 0-3 Tons 0 Underground o
BBQ's 0 Wood Stoves 0 3-15 Tons 0 Total Unit Count 0
DISCLAIMER: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 permit application is made. I further agree to save harmless the City of
Federal Way as to any claim(including costs,expenses, and attorneys'fees incurred in investigation and defense of such claim),which may be made by
any person,including the undersigned,against the City of Federal Way, but only where such claims arises out of the reliance of the city,including its offi-
cers and employees,upon the accuracy of the information suppl' he city as a part of this application.
Owner/Agent: Date: 10/26/2000
BUILDING/APP
REVISED 5/18/99