01-101043I N CONSTRUCTION PERMIT APPLICATION
APPLICATION NUMBER �-O
MAR
e� e �NUMBER:- - - - - - - - - -
r �C \ 1 lJE
APPLICATION NUMBER:----------
rte CAI r trr r�6.�:,:•,_- .a,�lY
`"The followf—%' required information - Please print (in ink) or type"
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
SITE ADDRESS: 2338 S 292ND ST
ASSESSOR'S TAX/PARCEL #--------------4222920040
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING 0 MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
Remove/replace gas water heater
PROJECT NAME:
PROPERTY OWNER:
V
CONTRACTOR:
NAME: DAYTIME PHONE:
David Rasey 12538398650
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP):
2338 S 292nd St Federal Way WA 98003
NAME:
DAYTIME PHONE:
Fast Water Heaters Company
14258143124
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP):
EVENING PHONE:
12601 132nd Ave. N.E. Kirkland
Wf 98034
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
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 Si 94080 6506240400
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑TENANT ❑ OTHER (DESCRIBE): 8778465888
E-MAIL ADDRESS
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER APPLICANT ❑ CONTRACTORS customerservice((D-netclerk�
0 DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ 449.00
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑HIGHLINE ❑TACOMA Ll PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
**1JEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS ESTIMATED SELLING PRICE:
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
FAN(S)
HOOD(S)
WOODSTOVE(S)
BOILER(S)
FIREPLACE INSERT(S)
RANGE(S)
0
FIRST
FURNACE(S)
BASIC PLAN? ❑ YES
LVO
DUCT(S)
GAS PIPE OUTLET(S)
HEAT SOURCE: ❑ ELECTRIC
0
SECOND
PLUMBING
BATHTUB(S)
LAVATORY(S)
URINALS) 1
0
THIRD
RAIN WATER SYS.
VACUUM BREAKER(S) ❑
ELECTRIC ® GAS
DRINKING FOUNTAIN(S) SHOWER(S)
WASH MACHINE OUTLET
0
FOURTH
WATER CLOSET(S)
MISC. ( )
INTERCEPTOR(S)
SUMP(S)
0
OTHER FLOORS (DESCRIBE)
0
DECK
0
GARAGE
HOW MANY FLOORS?
0
TOTAL:
0
0
0
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)
BASIC PLAN? ❑ YES
LVO
DUCT(S)
GAS PIPE OUTLET(S)
HEAT SOURCE: ❑ ELECTRIC
❑ G AS
CHANGE OF USE? ❑ YES
PLUMBING
BATHTUB(S)
LAVATORY(S)
URINALS) 1
WATER HEATER(S)
DISHWASHER(S)
RAIN WATER SYS.
VACUUM BREAKER(S) ❑
ELECTRIC ® GAS
DRINKING FOUNTAIN(S) SHOWER(S)
WASH MACHINE OUTLET
GAS PIPE OUTLET(S)
SINK(S)
WATER CLOSET(S)
MISC. ( )
INTERCEPTOR(S)
SUMP(S)
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 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 / j*0'r <Title> DATE: 03/12/2001
❑ PROPERLY OWNER ❑ APPLICANT ❑ CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION
❑ ALTERATION ❑ REPAIR
❑ TENANTIMPROVEMENT
CENSUS CODE:
LOT SIZE:
ZONING DESIGNATION:
BUILDING SHELL ONLY?
❑ YES ❑ m
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES
LVO
SECTION TOWNSHIP RANGE
NEW ADDRESS REQUIRED?
YES ❑ NO ❑
PLATTED LOT? ❑ YES ❑ ND
CHANGE OF USE? ❑ YES
aV0
-12n . •
City of Fe ral ay Q/ Mechanical Permit #:01 - 101043 - 00 - ME
Community Development Services
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: RASEY
Project Address: 2338 S 292ND Parcel Number: 422292 0040
Project Description: MEC-Remove and replace gas water heater
Owner Applicant Contractor
DAVID RASEY NETCLERK,INC FAST WATER HEATER COMPANY
2338 S 292ND ST 880 DUBUQUE AVE S FAST WATER HEATER COMPANY
FEDERAL WAY WA 98023 SAN FRANCISCO CA 94080 12601 132ND AVE NE
(425)814-8381
Mechanical Valuation 449 Over the Counter Permit Yes
PERMIT EXPIRES September 12,2001,IF NO WORK IS STARTED.
Permit issued on March 16,2001
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 eapp CA�CarAA,Wn/ Date:45/ 741
5 012(01 L-1 , 110(0 L-i/_ i 71