07-100326s
• a
City of Federal pment y Plumbing Permit #• 07- 100326 -00 -PL
Community Development Services •
P.O. Box 9718
Federal Way, WA 98063 -9718
Ptr.4253) 835 -2607 Fax: (253) 835 -2609 Inspection Request Line: (253) 835 -3050
Project Name: LESEBERG
Project Address: 33020 10TH AVE SW Unit K302 Parcel Number: 420500 1330
Project Description: Remove /replace electric water heater
Owner
Applicant
Contractor
KEN LESEBERG
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
33020 10TH AVE SW UNIT K302
12601 132ND AVE NE
FASTWWH948BC 1/3/2008
FEDERAL WAY WA 98023
KIRKLAND WA 98034
12601 132ND AVE NE
KIRKLAND WA 98034
a5
�lurnbing �ixtur�rs �•
Water Heaters . ............................... 1
PERMIT EXPIRES Wednesday, January 21, 2009
Permit Issued on Monday, January 22, 2007
I hereby Pat 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
m or _eruerc-,a uvay,
Owner or nt:#atert'�,��
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THIS CARD IS TO REMAIN ON -SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 100326 -00 -PL
Owner: KEN LESEBERG
Address: 33020 10TH AVE SW Unit K302
FEDERAL WAY, WA 98023
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 Date cS7
! t
• CITY OF RECEIVED BY RECEIVED - I QOG—��
Fed&aKaWITY DEVELOPMENT DEPARTPIq]� R M I T
COMM WNDEVELOPMENT SERVICI �N 2 2 IPPLI AN 2 2 2007 SF MF CO ME EL PL DE EN FP
93915 8Ty AVENUE SOUTH PO BOX 47 C
PBDERAL WAY, WA. 98063.9718 , /\ � / 1 A T
2S3-835-2607- em2kun 9tnm609 —/- C l�J} ^'JF LI \ ®I ERAL WA
BUILDING DEPT.
The foiiowing is re utred information – an incomplete application will not be accepted Please print legibly in ink/ or type.
SITE ADDRESS 33020 10 AV E SW #K302, FEDERAL WAY, WA 98023
SUITE /UNIT
ASSESSOR'S TAX /PARCEL # 4205001380 1t
_
-+ �-- _ _ LOT SIZE (sf)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1� C) O -- t
/Attooh sepornte p¢ge fw lengthy 7eg¢I de.mpNonJ
TYPE OF PERMIT ❑ BUILDING . XPLUMBING ❑ MECHANICAL
O DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING p FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlU)
Remove/ReDlace Electric Water Heater
PROJECT NAME (Name of Business or Owner Last Name) LESEBERG. KEN
PROPERTY NAME
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
LESEBERG. KEN
PRIMARY PHONE
MAILING ADDRESS
(12531250 -3 441
3302010 AV E SW #X302
O1TY' sTE ZIP
FED ERAL WAY, WA
98023
COMPANY NAME APPUCANT NAME
FAST WATER HEATER COMPAN V
OFFICE PHONE
((425814
MAILING ADDRESS
-3124
12601 132ND AVE NE
'CITY, STATE, ZIP CELL PHONE
KIRKLAND. WA 98034 ( _
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
-8 Z - -0 J- -0 0 4 7 0 0 - B
EXPIRATION DATE
L / /
FAX NUMBER
(425 ) 814
CONTRACTOR'S REGISTRATION NUMBER (copy of card required witL each application)
-9516
'WH248BC � _ _
EXPIRATION DATE-
/01/03)2008
E
U�'�"
I" l G S /� �'��A%I
/'T `�/
APPLICANT NAME
OFFICE PHONE
7MAILING ESS
CITY, STATE, ZIP
C ELL PHONE
TO PROJECT
❑:Tenant ❑ Agent ❑ Other (Describe)
FAx NUMBER -
NAME
PRIMARY PHONE
E -MAIL ADDRESS
NAME
MAILING ADDRESS
•
CITY, STATE, ZIP
PHONE
PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $ $339.00
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED %REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAHEHAVEN . ❑ HIGHLINE ❑ PRIVATE, IcE.PTTrI
4
_ A.t PROJECT FLOOR AREAS
AREA DESCRIPTION
EXISTING
S . FT.
PROPOSED
S . FT.
TOTAL
S . FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK(COVERED ?)
GARAGE O CARPORT ❑
NUMBER OF FLOORS sxeneo :reoweso fdfA4
* *NEWHOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of future to be installed or relocated as part of this project. Do not include existing fixtures to remain.
Value of Mechanical Work $
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
PLUMBING
BATHTUBS iorTob /shower combo►
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
LAVS (B.evoom swc.)
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
GAS LOGS REFRIG• SYSTEMS
HOODS WOODSTOVES
RANGES MISC (Describe)
GAS WATER HEATERS
WATER CLOSETS (r.uel) MISC (Describe)
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
I cenlgy under penalty of perjury that the irtformation furnished by me is true and correct to the best of my knowledge, and further, that I
am authorised 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 Federat ,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= `_� `' . Permit Mg-r DATE 1/18/07
(Signature( (Title)
RELATIONSHIP TO PROJECT 0 Owner 0 Agent A Contractor 13 Architect a Other