03-104641It
City of Federal Way 5imunity Development Services Plumbing Permit #: 03 -104641 - 00 - PL
.
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050
w �
Project Name: PAZ
Project Address: 125 S 327TH Unit125 Parcel Number: 169730 1400
Project Description: Remove/replace ELECTRIC water heater
Owner
Applicant
Contractor
Rita Paz & Kelemanik A Paz
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
125 S 327TH PL #253
12601 132ND AVE NE
12601 132ND AVE NE
FEDERAL WAY WA
KIRKLAND WA 98034
KIRKLAND WA 98034
98003-5784
(425) 814-8381
Plumbing Fixtures
Description Quantity Description Quanti Description Quanti `,
Water Heaters
PERMIT EXPIRES April 7, 2004.
Permit issued on October 10, 2003
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: See A wifieJr--a*ian Date: /10 /0j
Plumbing rough -in:
Date
FINAL PLUMBING: 4hD/,01
Date
CONSTRUMON PERMIT APPLICATION
APPUCATION YZoL
—
CITY OF 4A RECEIVED BY NUMBER:
WCTUNfTY DEVEt-OPMENT n,�:PAPTVFNj-r APPLICoV ON NUMBER:
Federal b
OCT 0 9 2003 APPLICAtON NUMBER:
**The following Is required information — Please print (in ink) or type** 019094
Please note., Electrical, Fire Prevention Systems and Engineering Permits may require a separate application.
PROPERTY INFORMATION
SITE ADDRESS: 125 S 327 PL #125, FEDERAL WAY, WA 98003 ASSESSOR'S TAXIPARCEL #: 1697301400
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION: IF LENGTHY):
■ PR03ECT INFORMATION
TYPE OF PROJECT (This application): n BUILDING XPLUMBING o MECHANICAL to DEMOLMON
riELECT RIAL a ENGINEERING ri FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): Remove/Replace Electric Water Heater
PROTECT INFORMATION
PROPERTY OWNER. DAYTIME MOW:,
PAZ, ROBERT�c�j ((253)V8-6439-
125 S 327 PL #125 FEDERAL WAY, WA 98003
APPLICANT:
Kkml; FAST WATER HEATER COMPANY
((425)i 14 -3124 -
FIT AD416 55; CM, STATC,71P)
EVEMM PHOW:
12601 132ND AVE NE KIRKLAND, WA 98034
C11 OF FL4*01 WAY BUStNEZ LICEMM NL94M7
FAX 1 R
87 000047 00
(425 ) 814-9516
COMWACTOMMMVRAMN "BEA'
j-" orad nrokfihW) FASTWHC052DF
102/16/2065
KMONG ADORE -5 S (STRUT ADORLSS. C11 r. SyAtr, I[P): NUING PrMF.
RRATI{ O&UP TO PAO)Wt FAX NUM&M
n ARCHITECT n TENANT n OTHER ( DESCRIBE):
PROJECT INFORMATION
EXISTING USE. - --- EXISTING BUILDING ASSESSED/APPRAISED VALUATION $,
PROPOSED USE:
PROPOSED VALUATION FOR IMPROVEMENTS: $ $339.00
SPRINKLERED BUILDING? r YES n NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED, a YES a No
WATER SERVICE PROVIDER: o LAKEHAVEN n 14IGHLINE 0 TACOMA 0 PRIVATE (WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN 0 HIGHUNE a PRIVATE (SEPTIC)
y -0 6 y
_m ..................... ........... ......,
"NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEoRt)OMS:
SELLING PRICE.
■ PROTECT FLOOR AREAS
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOOCrSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(5) MISC, ( )
COMPRE SSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: 0 ELECTRIC u GAS
PLUMBING
BATHTUS(S) LAVATORY(S) URINAL(S) 1 WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) �� ELECTRIC a GAS
DRINKING FOUNTAINS) SHOWERS) WASH MACHINE OUTLET
GAS PIPE OUTLET($) SINKS) WATER CLOSETS)_ MISC. ( ^4
INTERCEPTOR(S) _ SUMP(5)
DISCLAIMER/SIGNATURE
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 mane. I
further agree to hale) 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 offiom arW employees, upon the accuracy
of the information supplied to the city as a part of this application.
NAME/TITLE: Permit MDATE: 10/07/2003
11 PROPERTY OWNER o APPLICANT N CONTRACTOR
CCMffi UNrty DEVELOPMEW SSMVICCS • 33530 FIRST WAY S0VT11 • Fg BOX 97 IS FEDEM WAY, WA 98%3-9718 + Z53 -6614M • FAX; 253461-41 Z9