09-102398 Plumbing
City of Federal Way
40
Community Development Services Per #: 09-102398-00-PL
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609 P q
Project Name: LEJENS
Project Address: 31908 34TH PL SW Unit 32 Parcel Number: 698000 0320
Project Description: Remove/replace electric water heater
Owner Applicant Contractor
PATRICIA&DAVID LEJENS FAST WATER HEATER CO(GENERAL) FAST WATER HEATER CO(GENERAL)
191 E ROBINS RD 12601 132ND AVE NE FASTWWH948BC(1/4/10)
ELMA WA 98541 KIRKLAND WA 98034 12601 132ND AVE NE
KIRKLAND WA 98034
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Water Heaters 1
PERMIT EXPIRES Tuesday, December 22, 2009
P'e;"1r>rmit'Issuedt;on Thursday, June 25, 2009
I hereby 4 that the above information is correct and that the construction on the aboy des ed • -Y•erty and
occupancy, the use wlie In accordancewith,the laws, rules and rewlatlos of 01 S f ±• •n .
fdtom`' ;'ofFed l O;, #
Owner or t; I Date
'JUN 26 2009
?/0
THIS CARD IS TO EMAIN ON-SITE r
CITY o Construction I ection Record
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT#: 09-102398-00-PL Address: 31908 34TH PL SW Unit 32
Owner: PATRICIA & DAVID LEJENS FEDERAL WAY, WA 98023-2233
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) - -El Rough Plumbing(4230) -El Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date By Date By Date
❑ Final-Plumbing(4075)
Approved
By l'i%' Date 9/I1/
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• For inspector reference only
O Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
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u,YOf +::,:.,,... ` (C/? 447360 Q L 1_42. �_n_
Federal Wad RECEIVED BY M T
C MMUNITY DEVELOPMENT SF CO ME E a DE EN FP
, COMMUNITY DEVELOPMENT SERVICES
333258n1AVisig/E SOUTH.PO BOX 9718 JUN 2 APPLICATION '�
'EDERAL WAY.WA 480G:1•J7tG / /
wwitVituoibnirtalumagy
�3.835.2G07•FAR 259$95.3GOG
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION
43ITE ADDRESS 31908 34 PL SW SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 6980000320 - __ LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot I)
plinth spamle page for lengthy legal descrtplla J
• PROJECT INFORMATION
TYPE OF PERMIT ❑BUILDING )I(I PLUMBING ❑MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit on(u)
Remove/Replace Electric Water Heater
PROJECT NAME(Name of Business or Owner Last Name) L. .SE. S
• PEOPLE INFORMATION
PROPERTY N�JENS PATRICIA& DAVID 369, PitI( PHONE
OWNER ( 36 275-37.71
MAILING ADDRESS CITY.STATE.ZIP EMAIL ADDRESS
191 E ROBINS RD ELMA, WA 98541
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
FAST WATER HEATER COMPANY Carol Randall ( 425j636-7054
MAILING ADDRESS CELL
WA 98034 CELL PHONE
U
12601 132ND AVE NE ( )
cm'OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
19-87-000047-00-BL 12/31/09 ( 425)636-7055
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
FASTWW H948BC 1/4/10 caroir @fastwaterheater.com
APPLICANT' COMPANY NAME APPLICANT NAME OFFICE PHONE
FAST WATER HEATER COMPANY Carol Randall ( 425)636-7054
MAILING ADDRESS CITY,STATE.ZIP CELL PHONE
12601 132ND AVE NE KIRKLAND, WA 98034 ( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
U Architect O Tenant ❑Agent U Othcr Contractor ( 425)636-7055
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT ( )
LENDER NAME Per RCW 39.27.095:
Lender Information is required if project value exceeds$5,000
MAILING ADDRESS CM.STATE.ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE -
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑NO
WATER SERVICE PROVIDER 4'LAKEHAVEN ❑HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
• PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
II- w Sq.FT. sq.FT. Sq.FT.
3ASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
=UMW PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTALS".
NUMBER OF FLOORS
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
II FIXTURES
Indicate number of each type off lxture to be installed or relocated as part of this project Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATIONI
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
8595 FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(Commerclul
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING URINALS lOiISC(Describe)
BATHTUBS(orlUb/Shower Combo( LAVS(Bathroom Molts)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS now
X ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best of my
knowledge, the information submitted in support of this permit application is true and correct,I certify that I will comply with all applicable
City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that the issuance of this permit
does not remove the owner's responsibility for compliance with local,state,or federal laws regulating construction or environmental laws.
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 made by any person, including the undersigned, and filed against the city, 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.
6/24/09
SIGNATURE: DATE
Property Owner and/or Authorized Agent
I FOR OFFICE USE ONLY
o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO
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Bulletin#100—January 1,2009 Page 2 of 4 k\Handouts\Permit Application