07-104961K
j u0ityD Development Plumbing Permit #• 07- 104961 -00 -PL
Community Development Services •
A. P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609 Inspection Request Line: (253) 835-3050.
Project Name: ANDERSON
Project Address: 29614 11TH AVE SW Parcel Number: 062104 9108
Project Description: Remove /replace electric water heater
Owner
Applicant
Contractor
DOUGLAS A ANDERSON
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
29614 11TH AVE SW
12601 132ND AVE NE
FASTWWH948BC 1/3/2008
FEDERAL WAY WA 98023 -8209
KIRKLAND WA 98034
12601 132ND AVE NE
KIRKLAND WA 98034
Plumbing Fixtures
Water Heaters . ............................... 1
PERMIT EXPIRES Wednesday, September 9, 2009
Permit Issued on Monday, September 10, 2007
1 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
n e r r aer 1 vvay.
Owner or agent:'; Hate:,
THIS CARD IS TO REMAIN ON -SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 104961 -00 -PL
Owner: DOUGLAS A ANDERSON
Address: 29614 11TH AVE SW
FEDERAL WAY, WA 98023 -8209
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on -site. DO NOT LOSE THIS CARD.
Inspections are listed as close to sequential order as possible (read left to right, top to bottom). Please schedule inspections as appropriate. Work must not
be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence. On -going inspections
are logged on the back of this card.
❑ Plumbing Groundwork (4190) ❑ Rough Plumbing (4230) ❑ Gas Piping (4125)
Approved to cover Approved Approved to release test
By Date By Date By Date
❑ Final - Plumbing (4075)
Approved
By C Uj Date Z •+ v
For inspector reference only
O Rough Electrical FINAL - Electrical
Approved Approved
By Date By Date
4h. RECEIVED B
' OMMUNITYDEVELOPMENT O PARTMENT CP6 j
Fedewalway. PERMIT DECEIVE.-
COMMUNITYDEVELOPMERrSERVICE3
SEP Q 7 2007 SF MF CO ME ELE)DE EN FP
+
33325 FEDERAL WAY, WA 9 718
8063.97184 A P P LI C ATI O ° 7 2°
253.8352607• FAX 253.835 -2609
cawm dim federnhuao.mm .
• CITY OF FEDERA T
Thefowin.g is required information— an incomplete application v8UIk b��7 9#bd. Please print iegibiq (in inkl or tape.
SITE ADDRESS 29614 11 AVE SW, FEDERAL WAY, WA
SUITE /UNIT #
ASSESSOR'S TAX /PARCEL # 0621049108 _ _ LOT SIZE (sf)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(AKOd� uparate page ja Imgthy fegd dwoiptlaiJ
TYPE OF PERMIT ❑ BUILDING XPLUMBING 0 MECHANICAL
0 DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT. DESCRIPTION (Provide detailed description of work included on this permit only)
Remove/ReDlace Electric Water Heater
PROJECT NAME (Name of Business or Owner Last Name) ANDERSON. JOAN
PEOPLU INFORMATION
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
NAME
PRIMARY PHONE
ANDERSON. JOAN ((2531946 -1629
MAILING ADDRESS CITY, STATE, ZIP
2961411 AVE SW FEDERAL WAY, WA 98023
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
FAST WATER HEATER COMPAN
V
( 800 -454 -8955
MAILING ADDRESS
12601 132ND AVE NE
CITY, STATE, ZIP
KIRKLAND. WA 98034
CELL PHONE
( _
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
.8 Z - —0 -0- ,.0 Q 4 7 0 0 - B
EXPIRATION DATE
L • / /
FAX NUMBER
(425 ) 814 -9516
CONTRACTOR'S REGISTRATION NUMBER (coP7 of card required with apch application)
RAHR48BC_ _
_ EXPIRATION DATE.
/01/03/2008
COMPANY NAME
APPLICANT NAME
OFFICE PHONE '
. See Contractor
( _
MAILING ADDRESS
-
CITY, STATE, ZIP -
CELL PHONE'
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑:Tenant
o Agent ❑ Other (Describe)
( -
PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $ $339.00
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN O HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAREHAVEN ❑ HIGHLINE O PRIVATE (SEP'T`IC)
I
. I
AREA DESCRIPTION EXISTING PROPOSED TOTAL
9 . FT. $ . FT. S . FT.
BASEMENT
FIRST
SECOND
THIRD
FOi3RTH
ADDITIONAL FLOORS (DESCRIBE)
DECK (COVERED ?)
GARAGE 0 CARPORT O.
sxmYeo eaoroeso torn.
NUMBER OF FLOORS
-NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
each type of fixture to be iristalled or relocated as part of this project. Do not
Value of Mechanical Work $
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS LOGS
REFRIG. SYSTEMS
BBQS
PANS
HOODS (co —oniq
WOODSTOVES
BOILERS
FIREPLACE INSERTS
RANGES
MISC (Describe)
COMPRESSORS
FURNACES
GAS WATER HEATERS
_ .DUCTS
GAS PIPE OUTLETS
BATHTUBS {or Tub /8hmmrC=bo)
SHOWERS
DISHWASHERS
SINKS
GAS PIPE OUTLETS _ _T
SUMPS
WASHING MACHINES
URINALS
LAVS jo um6axsk&4
VACUUM BREAKERS
WATER CLOSETS (wkq MISC (Describe)
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
r cert(fy under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and farther, that I
am authorized by the owner of the above premises to perform the work for which the permit application is .made. 7 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 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 pity, including its officers and employees, upon the accuracy of the information supplied to the city as a part of
this application.
NAME /TITLE _'► =�P Permit Mgr DATE 9/5/07
(Signature} rntlel
RELATIONSHIP TO PROJECT Q Owner 0 Agent )6 Contractor n Architect t7 Other