06-102655 cityof Pederaiwnt - Plumbing Permit #: 06-102655-00-PL
Community Development Services
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: JEFFCOAT
Project Address: 33020 10TH AVE SW Unit I302 Parcel Number: 420500 0480
- Project Description: Remove/Replace Electric Water Heater
Owner Applicant Contractor
DON JEFFCOAT FAST WATER HEATER COMPANY FAST WATER HEATER COMPANY
33020 10TH AVE SW 1302 12601 132ND AVE NE FASTWWH948BC 1/3/2008
FEDERAL WAY WA KIRKLAND WA 98034 12601 132ND AVE NE
KIRKLAND WA 98034
Plumbing Fixtures
Water Heaters 1.00
PERMIT EXPIRES Thursday, May 29, 2008
Permit Issued on Tuesday, May 30, 2006
I 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
Q and the City of Federal Way. _ j
Owner or agent: See Ap 1 ,ator t Date: /-- %
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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 #: 06-102655-00-PL
Owner: DON JEFFCOAT
Address: 33020 10TH AVE SW Unit 1302
FEDERAL WAY, WA 98023-5714
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 P6r. Date 07106
_r RECEIVED / cK)s37
rancr DECEIVED 6Y c) — C 2 5S
DEVELOPMENT DEPARTMENT
Federal 2QO6 P E RM Iprt —
COMMUMlYDEVE1-0 iTSERkt 2 VIAY 3 0 2006 SF MF CO ME EL, ))E EN FP
33328E AVENUE,WA 9•PO 9 8 A P P L I C wry
FEDERAL WAY,FAX 98063.9778 n - 1 'T
_ERA.W
2538352607•PAX 953435-4809 (- '�I
www.ahroffederNuuu.ram BUILDING DEPT.
The following is required information–an incomplete application will not be accepted. Please print legibly in ink)or type.
=:. ;:,-. •>PROPERTY INFORMATION
SITE AnDRESS 33020 10 AVE SW#I302,FEDERAL WAY,WA 98023
SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 4205000480 — LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
µreed;se,,utc page lb,1.'20041V:91 deerafptknJ
.■ • :;III;-PROJECT INFO
TYPE OF PERMIT ❑BUILDING XPLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT.DESCRIPTION(Provide detailed description of work included on this permit onlu)
Remove/Renlace Electric Water Heater
PROJECT NAME(Name of Business or Owner Last Name)JEFFCOAT. DON
PROPERTY NAME
NAME
OWNER JEFFCOAT. DON (25 ) 1
( 5
((253)8815-936
MAILING ADDRESS CITY,STATE,ZIP
33020 10 AVE SW#I302 FEDERAL WAY, WA 98023
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
FAST WATER HEATER COMPANY ((4251814-3124
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
12601 132ND AVE NE KIRKLAND. WA 98034 ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE PAX NUMBER
$ Z—J) .9—.4 0 4 7 0 0 _B L (425 1814-9516
CONTRACTOR'S REGISTRATION NUMBER(copy or card required with each application) -, EXPIRATION DATE.
FASTWWH248BC_ /01/03/2008
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
( )
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE"
( 1
RELATIONSHIP TO PROJECT FAX NUMBER
❑Architect 0 Tenant ❑Agent 0 Other(Describe) ( 1. -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
( l -
LENDER 1' '.2 V-CO.'i'104 i.k4T4?r#'ff'k9 et i ,Et- NAME
MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
fi I Lr`j 1 i {°i«S ,«n i• ern(: 1
t 2x• .,>...;'I ,1 <>,,,.�it` , .a t,i,!111?'DETAIh.ED BUILDING INFORMATIQN I' bnrl._ ,
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ $339.00
SPRINKLERED BUILDING? 0 YES 0 NC) FIRE SUPPRESSION SYSTEM PROPOSED%REQUIRED? O YES 0 NO
WATER SERVICE PROVIDER O LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN . ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
PROJECT FLOORAREAS` _--- ------
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
•
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT 0
=moo eeovoeze - TOTAL 3 71 14.^sd 41));,.')r Pr.tr'7a_ i7 11 r:list n r 's
NUMBER OF FLOORS .,:. a.,,. •
"NEW ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
•
Indicate number of each type off-attire to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MBcHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG,SYSTEMS
BHQS FANS HOODS Icemmsiaol WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMPING
BATHTUBS)orTeWalun.r combo) SHOWERS WATER CLOSETS(vela) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVE puhroom sh,t.) VACUUM BREAKERS X ELECTRIC WATER HEATERS
_ .:.... DISCLIADlin/SIGNA*Mill )CYC :: ;, ,-t+ Si "''
•
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. 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 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 information supplied to the city as a part of
this app It cation. -
r AM c. r ' . Permit Mgr DATE 5/24/06
NE/ TITLE
pigneicrc) (Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent Xi Contractor 0 Architect [7 Other •
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