06-101062 City of Federal Way
Plumbing Permit #: 06-101062-00-PL
,nmunity Development Services
P.o,Box 9718 Inspection Request Line: (253) 835-3050
Federal Way,WA 98063-9718
-11:(253)835-2607 Fax:(253)835-2609
Project Name: PALLEMAERTS Parcel Number: 543721 0190
Project Address: 104 S 295TH PL
Project Description: Remove/RePlace Electric Water Heater
Applicant Contractor
Owner FAST WATER HEATER C
COLIN PALLEMAERTS FAST WATER HEATER COMPANY FAST WATER
1/3/2008
COMPANY MP
12601 132ND AVE NE )2601 H9 8BAVENE
BRENDA J PALLEMAERTS KIRKLAND WA 98034 12601 INN A ENE
104 S 295TH PL 98034
FEDERAL WAY WA
98003-3659
Plumbing Fixtures
Water Heaters I
CONDITIONS:
PERMIT EXPIRES Wednesday, March 5, 2008
Permit Issued on Monday, March 6, 2006
I hereby certify that nd the uuse will in accordance cordance w thdthelaws, rules construction on the above
regulations of the State of described property
the occupancy �/� O�
and th�City of federal Way.
See �i etd 1icauoI Date:1\11 Owner or agent:
•
THIS CARD IS TO REMAIN ON-SITE
•
CITY OF -. t Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06-101062-00-PL
Owner: COLIN PALLEMAERTS
Address: 104 S 295TH PL
FEDERAL WAY, WA 98003-3659
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
Dy. G W Date Co.Z - 0 4
RECEIVED // CK1159
RECEIVED BY 0 (-7 - ` 0 ( 0 (0 2_
Federal M UNRYDEVELOPMENT DEr, PERMIT MAR 0 s 2006
COANEINTIY DEVELOPMENT SERVICESIA (� SF MF CO ME EL PL DE EN FP
333258MAVBNUE SOUTH•PO BOX 97AYIAR 0 1 2 I!
FEDERAL WAY,WA 9 8063-9 718 'P LI C ATC1rebNEDERAL Y Y / /
253-835-2607•FAX 253-835-7609
m BUI DING DEPT.
enu.atuoffedernh ra
uomm
The following is re.uired information—an incomplete application will not be accepted. Please print legibly in ink)or type.
• I. PROPERTY INFORMATION . .- . ,- .
SITE ADDRESS 104 S 295 PL,FEDERAL WAY,WA 98003 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 5437210190 - _ LOT SIZE(sf
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(40ad separate Page for Imgthg twat deaapeonl
.,. ,. r, . : ;•'-PROJECT INFORMATION ..•- - „ . >a ,.
TYPE-OF-PERMIT ❑BUILDING XPLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT.DESCRIPTION (Provide detailed description of work included on this permit only)
Remove/Replace Electric Water Heater
PROJECT NAME(Name of Business or Owner Last Name)PALLEMAERTS. COLIN
PROPERTY . NAME PRIMARY PHONE
OWNER PALLEMAERTS. COLIN .((2531529-3942
MAILING ADDRESS CITY,STATE,ZIP
104 S 295 PL FEDERAL WAY,WA 98003
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
FAST WATER HEATER COMPANY ((425'814-3124
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
12601 132ND AVE NE KIRKLAND.WA 98034 ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
8 7_-J Al-_l) 0 4 7 0 0 -B L . / / (425 )814-9M6
CONTRACTOR'S REGISTRATION NUMBER Ieopy or owed required with each applleationl _. EXPIRATION DATE
FASTWWH248BC_ /01/03/2008
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
( )
MAILING ADDRESS - CITY,STATE,ZIP CELL PHONE'
( )
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑t Tenant ❑Agent ❑ Other(Describe) - ( ). . -
CONTACT NAME I PRIMARY PHONE E-MAIL ADDRESS
J ( .) -
LENDER 1-93r S" V N-,/1:4 <1.0ifir tP, a NAME
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
ct∎'L t •'Ifi e t>E Z'f �-',.e .° 'cyl a >. ] t ;: 1 ..,41 ,' ♦ I $ it p'
r � ■ t , 1 I ■ DETAILED BUILDING INFORMATION l;,. , ' '' k .; ..,_.�: . ,-. a-`.'�- -..i
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ $339.00 •
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES O NO e
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑ TACOMA Cl PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN . 0 HIGHLINE ❑ PRIVATE(SEPTIC) --
■
y . •
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
' ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?) _
GARAGE ❑ CARPORT❑ .
ti, y2[lrl j 4 vy�9cr h,�u7�b: .a,
Pl i '
manta snoeosso - TOTAL 3' t. f
NUMBER OF FLOORS
"'NEW HOMES ONLY" NUMBER OF BEDROOMS___.�— ESTIMATED SELLING PRICE $—
Indicate number of each type o fo3ure to be installed or relocated FIXTURES _
Indicate f yp- f as part of this project. Do not include existing fixtures Yo remain.
MECHANICAL
Value ofMechartical Work $
AIR GAS LOGS REFRIG.SYSTEMS
BHQS HANDLING UNITS FANS COOLERS WOODSTOVES
BHQS FANS HOOD3lcommrrdal
BOILERS FIREPLACE INSERTS
RANGES MISC(Describe)
COMPRESSORS
FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING SHOWERS WATER:CLOSETS mewl M15C(Describe)
DISHWWAASH
BATHTUBS(or hbtshmrer c"mbal DRINKING FOUNTAINS
SHERS SINKS
SUMPS RAINWATER SYST
GAS PIPE OUTLETS HOSE HIHBS
WASHING MACHINES URINALS
LAV3(Bathroom sinks)
VACUUM BREAKERS X ELECTRIC WATER HEATERS
+ DISC LAIAIDR/SIGNATURESL�)dK"' ?. ;_; `t r . _
' 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. 7 further agree to hold
harmless the City of Federal.Way as to any claim'including expense , and attorneys'fees incrred in the nvestigatona defen defense including such
arises lout of the reliance el ance of the city,,lncludng,its officers Land undersigned,and filed
he accuracy of the Information supplied plied t the city as a part f
this application.
- r-^ Permit Mgr DATE • 2/28/06
•
NAMEITITLE "°� �:•.-°_ •.,�.^r�r^_�.. "
ISlgnaturc) (Title)
RELATIONSHIP TO PROJECT t] Owner ❑Agent X1 Contractor U Architect O Other
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