03-105288of
City Innity Development Services Federal way
mu
ComPlumbing Permit #: 03 -105288 - 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
Project Name: EBNER
Project Address: 32614 1ST S Parcel Number: 701680 1100
Project Description: Remove and replace electric water heater
Owner
Applicant
Contractor
DAVID EBNER
WASHINGTON WATER HEATERS INC
WASHINGTON WATER HEATERS INC
32614 1 ST PL S BLDG 20
8714 59TH DR NE
8714 59TH DR NE
FEDERAL WAY WA 98003
MARYSVILLE WA 98270
MARYSVILLE WA 98270
(360) 653-6429
Plumbing Fixtures
Description Quantity Description , Quanti Description lQuantitvi
Water Heaters
PERMIT EXPIRES June 15, 2004.
Permit issued on December 18, 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. ff
Owner or agent: � ���'�^-� � NCA -,—Date: \21 \1 I o-7
k'�-4 nf��z
Pr ® 4 r.4"10
3-\a,--oq c w--
RECEIVEDQL
RECEIVE® CONSTRUCTION PERMIT APPLICATION
DEC 2 2a0APPLICATION NUMBER: - r -
PPLICATION NUMBER: _ _ - _ _ _ _ _ _ - _ _
OUTYOF BUILDING DEPT, CITY OF FEDERAL WAY WAY PPLICATION NUMBER: _ _ -
**The follaQ9nformation - Please print (in ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
SITE ADDRESS:�� �� 5 �LO� •�V
ASSESSOR'S TAX/PARCEL #:
01160C?.7D -- — — ——
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
TYPE OF PROJECT (This application): ❑ BUILDINGPLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
PROJECT NAME:hh
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
NAME: DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
NAME:
DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
EVENING PHONE:
CITM DERAL WABUSINESS LICENSE NUMBER:
4
CO CTOR'S §EGISr UMBER:
EXPIRATION DATE:
�ppy of card required)
NAME:
DAYTIME PHONE: -
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER: 2
❑ ARCHITECT ❑ TENANT [p OTHER ( DESCRIBE): �� ��-� ° (`bfn�)
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT )( CONTRACTOR
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS:
SPRINIII_ERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAIEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAIEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
NUMBER OF BEDROOMS:
ESTIMATED SELLING PRICE:
PROJECT FLOOR AREAS
FLOOR EXISTING SQ. FT. ,
BASEMENT
----P R- 0--P q8E D_ SQ FTS _
TOTfLL
�
SECOND -- _ --I------ -- _�
`
I
•• OTHER FFLOORS (DESCRIBE)
1
DECK
I
_
GARAGE
HOWMANY FLOORS?
- -- —fi------.� --
TOTAL:
I
__—
AIR HANDLING
UNITS)
BOILERS)
COMPRESSOR(S)
DUCT(S)
BATHTUB(S)
DISHWASHERS)
Indicate number of each type of fixture
MECHANICAL
COOLER S
EVAPORATIVE __ _ —^ GAS LOG(S) -� REFRIG. SYSTEM(S)
FAN(S) — HOOD(S) WOODSTOVE(S)
FIREPLACE INSERT(S) RANGE(S) MISC. ( )
FURNACE(S)
- GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
LAVATORY(S) URINAL(S) , WATER HEATER(S)
SYS.
RAINWATER VACUUM BREAKER(S) ELECTRIC ❑ GAS
DRINKING SHOWERWASH MACHINE
(5)
FOUNTAIN(S) OUTLET
._ . GAS PIPE OUTLET(S) SINKS) 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 nude 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/ C N\ -
TITLE: DATE:.: -
a PROPERTY OWNER ❑ APPLICANT *NTRACTOR
❑ NEW a ADDITION a ALTERATION C REPAIRa TENANT IMPROVEMENT -
CENSUS CODE: _ -L0-- SIZE: _
A ZONING DESIGNATION: BUILDING SHELL ONLY?C, YES ❑ NO -
COMP PLAN DESIGNATION„—IC PLAN?_ c YES
n NO
SECTION TOWNSHIP RANGE — NEWgA_gADDRESS REQUIRED? ❑ YES ❑ NO _
1 PLATTED LOT? a YES ❑ NO - --- -- _ CHANGE OF USE? o YES ❑ NO