07-101382City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Plumbing Permit #: 07- 101382 -00 +PL
�qq Inspection Request Line: (253) 835 -3050
Project Name: HALL
Project Address: 29917 4TH AVE S
Project Description: Remove /replace electric water heater;
Parcel Number: 692870 0050
Owner
Applicant
Contractor
JEFFREY HALL
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
MONICA J HALL
12601 132ND AVE NE
FASTWWH948BC 1/3/2008
29917 4TH AVE S
KIRKLAND WA 98034
12601 132ND AVE NE
FEDERAL WAY WA
KIRKLAND WA 98034
98003 -3622
3
THIS CARD IS TO REMAIN ON -SITE `
CITY OF Community Development Inspection Recor a
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 101382 -00 -PL
Owner: JEFFREY HALL
Address: 29917 4TH AVE S
FEDERAL WAY, WA 98003 -3622
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 Date 3 q
Clrr of
F'ederal'Way.
cOMMUMTYDEVELonamrsERVTCEs
33325 STN AVENUE SOUTH - PO BOX 9718
FEDERAL WAY, WA-98063 -9718
253. 835.2607• FAX 2S3 -835 -2609
www. dtwffcderrdwn u. wm
The followina is reauirt
RECEIVEP g2 t2—
PERMIT MAR 15 2009F MF CO ME EL LP�E EN FP
APPLICATLOb1I DERV AY
BUILD
on — an incomplete application will not be accepted. Please print legibly fin ink) or tune.
SITE ADDRESS 29917 4 AVE S, FEDERAL WAY, WA 98003
SUITE /UNIT#
ASSESSOR'S TAX /PARCEL # 6928700050 _ _ LOT SIZE (sfl
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attoeh separate pa9elar leygthy Ieed denaiptton(
• IN r1s j f"v 0 •
TYPE OF PERMIT ❑ BUILDING XPLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT. DESCRIPTION (Provide detailed description of work included on this permit only
Remove/ReDlace Eleetriz Water Heater
PROJECT NAME (Name of Business or Owner Last Name) HALL, MONICA
PEOPLE • •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
NAME
PRIMARY PHONE
HALL, MONICA ((2531945 -9523
MAILING ADDRESS CITY, STATE, ZIP
29917 4 AVE S FEDERAL WAY, WA 98003
COMPANY NAME
FAST WATER HEATER COMPAN
APPLICANT NAME
V
OFFICE PHONE
((425814 -3124
MAILING ADDRESS
12601 132ND AVE NE
'CITY, STATE, ZIP
KIRKLAND. WA 98034
CELL PHONE
( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
-8 7- - —0 --0- -0 0 A 7 0 0 - B L
FAX NUMBER
(425 ) 814 -9516
CONTRACTORS REGISTRATION NUMBER (copy of card required with each application) _. EXPIRATION DATE -
WAH- BIC- _ / 01/03/2008
COMPANY NAME
. See Contractor
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE "
RELATIONSHIP TO PROJECT
L ❑ Architect O. Tenant ❑ Agent ❑ Other (Describe)
rqy, NUMBER
- -�
�NAME -
mela Hill
PRIMARY PHONE
800 454 -8955
E -MAIL ADDRESS
kv
—
a
MAILING ADDRESS
EXISTING ASSESSED /APPRAISED VALUE
SPRINKLERED BUILDING? ❑ YES ❑ NO
PROPOSED USE
VALUE OF PROPOSED WORK $ $339.00
FIRE SUPPRESSION SYSTEM PROPOSED %REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN . ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
AREA DESCRIPTION
EXISTING
8 . FT.
PROPOSED
S . FT.
TOTAL
S . FT.
BASEMENT
FANS
PR03ECT
FLOOR
AREAS
AREA DESCRIPTION
EXISTING
8 . FT.
PROPOSED
S . FT.
TOTAL
S . FT.
BASEMENT
FANS
HOODS (co--w)
WOODSTOVES
FIRST
FIREPLACE INSERTS
RANGES
MISC (Describe)
SECOND
FURNACES
GAS WATER HEATERS
THIRD
GAS PIPE OUTLETS
FOURTH
SHOWERS
WATER CLOSETS rr "ilea)
MISC (Describe)
ADDITIONAL FLOORS (DESCRIBE)
SINKS
DRINKING FOUNTAINS
DECK (COVERED?)
SUMPS
RAINWATER SYST
GARAGE O CARPORT O
'
URINALS
HOSE BIBBS
iAI1TIlfq ?ROPgeiD TOTAL
NUMBER OF FLOORS
" "NEWHOMES ONLY " NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
each type of fixture to be installed or relocated as part of this project. Do not include existing futures to remain.
Value of Mechanical Work $
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS LOGS
REFRIG. SYSTEMS
BBQS
FANS
HOODS (co--w)
WOODSTOVES
BOILERS
FIREPLACE INSERTS
RANGES
MISC (Describe)
COMPRESSORS
FURNACES
GAS WATER HEATERS
DUCTS
GAS PIPE OUTLETS
G
HATHTgHS Ior•Rib /shower combo)
SHOWERS
WATER CLOSETS rr "ilea)
MISC (Describe)
DISHWASHERS
SINKS
DRINKING FOUNTAINS
GAS PIPE OUTLETS
SUMPS
RAINWATER SYST
WASHING MACHINES
URINALS
HOSE BIBBS
VACUUM BREAKERS
�_ ELECTRIC WATER HEATERS
LAVS pmhro.. Sinit>)
I certjry under penalty of perjury that the in ormation 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 incurredd, in the investigation and defense of
such claim), which may be made by any person, including the undersigned, and f led 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 inrormation supplied to the city as a part of
this application.
NAME /TITLE Permit Mur DATE 3/14/07
(Slgnatural (Title)
RELATIONSIIIP TO PROJECT q Owner 0 Agent A Contractor ❑ Architect 0 Other