06-102656 City of Federal Way Plumbing Permit #: 06-102656-00-PL
Community Development Services
P.O.Box 9718 •
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 FILF Inspection Request Line: (253) 835-3050
Project Name: ROBERTS
Project Address: 33020 10TH AVE SW Unit S304 Parcel Number: 420500 0660
Project Description: Remove/Replace Electric Water Heater
Owner Applicant Contractor
BRIAN H ROBERTS FAST WATER HEATER COMPANY FAST WATER HEATER COMPANY
33020 10TH AVE SW#S304 12601 132ND AVE NE FASTWWH948BC 1/3/2008
FEDERAL WAY WA KIRKLAND WA 98034 12601 132ND AVE NE
98023-5048 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
and the.Qity of Federal Way. /
Owner or agent:
( 1 .��t` Q ' Date: 5/-.o/o 6
1 —
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal
Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06-102656-00-PL
Owner: BRIAN H ROBERTS
Address: 33020 10TH AVE SW Unit S304
FEDERAL WAY, WA 98023-5048
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 i Date t 2
,❑ Final-Plumbing (4075) I ( l
Approved
By ( Date E
Building Division
` CITY OF 33325 EighthsAvenuc�South
�.. Federal Way • P Box 9718
Federal Way 98063-9718
Phone one 253-835-2607
Fax 253-835-2609
INSPECTION NOTICE
ADDRESS: 33OZp /O-' Aloe. 5. y#: Q6, /OZ /az
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IF YOU HAVE ANY QUESTIONS CALL
f a r� IN0.'�vs (253) 835- 2 Z
• Call for reinspection before cover
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE-INSPECTION. SEE BACK OF CARD
FOR DETAILS.
9 - / I - 0 ce c__
DATE INSPECTOR
DO NOT REMOVE THIS NOTICE
Page k of f
�/ .(`t, /y/h/ CK1537
--. CITY OF f]\ P\1`�,��1 - 0 1 0 N
Federal Wa eo v �pP ECEIVED -
cOMMUMTY DBVEIAP e1� MEND O P E R M I'I� SF MF CO ME EL( L E EN FP
33925 a:AVENU •• X9718
FED% 986.9.978.5 2°°6 APPLICATI^�'N ° 2006 To
•253435+ FAX 9 �09 /
wt35+dt cAX 2
CITY OF FEDERAL WAY
The following is required information—an incomplete applicatiBUJJditl W41 filabiepted. Please print legibly in ink)or type.
E,: :. • PROPERTY INFORMATION....._ .
SITE ADDRESS 33020 10 AVE SW#S304,FEDERAL WAY,WA 98023
SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 4205000660 _ _ LOT SIZE(sf
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) •
(Attach separate page for lengthy Meat dmaiptsn) -
.; :/,PROJECT INFORMATION
TYPE-OF PERMIT 0 BUILDING XPLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ELECTRICAL CI ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
Remove/Rea' lace Electric Water Heater
PROJECT NAME(Name of Business or Owner Last Name) ROBERTS. BRIAN
:' � PEOPLE INFORbIATION: °' '
PROPERTY NAME PRIMARY PHONE
OWNER ROBERTS.BRIAN ((2531835-2723
MAILING ADDRESS CITY,STATE,ZIP
33020 10 AVE SW#S304 FEDERAL WAY, WA 98023
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
FAST WATER HEATER COMPANY ((425'1814-3124
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
B Z-J) . )—_0 0 4 7 0 0 -B L / / (425 )814-9516
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE.
LTASTWWHI48BC ... /01/03/2008
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
•
( 1
MAILING ADDRESS - CITY,STATE,ZIP CELL PHONE
1
RELATIONSHIP TO PROJECT FAX NUMBER
❑Architect ❑:Tenant ❑Agent ❑ Other(Describe) ( )_ -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
( 1 • -
LENDER 7 liZI I•.' rf 4tyir n{ t�li NAME
(µ 4'11 p
MAILING ADDRESS CITY,STATE,ZIP PHONE
( 1
t` 3➢1 tp't " ' "I N'DETAILED BUILDING INFORMATION f M r i '
u: >S :.. . n. .-.._. ..,.-. '..? ..
EXISTING USE 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 O LAKEHAVEN ❑ HIGHLINE a TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN . 13 HIGHLINE 0 PRIVATE(SEPTIC)
z. PROJECT FLOOR AREAS`
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ. FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
_ t
ADDITIONAL FLOORS(DESCRIBE) .
DECK(COVERED?)
GARAGE ❑ CARPORT❑
NUMBER OF FLOORS -
manna PROPOSE: TOTAL a'd'R'0,71"y'
3�rt'.f a +Y;,<+4cYf3irtL7t'
"NEW HOMES ONLY"' NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES .
Indicate number of each type offtxlure to be installed or relocated as part of this project. Do not include existing fixtures to remdin.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG SYSTEMS
BHQS FANS HOODS Icesmardap WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(orTwb/shower combo) SHOWERS WATER CLOSETS(•.Brij MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVE(Bathroom S7ahn) VACUUM BREAKERS X ELECTRIC WATER HEATERS
DISCLAIMER/SIGNAIUR$BL'�CK� ..�.;.. , r;,:' , I- si 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 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 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 application.
NAME/TITLE . Permit Mgr DATE 5/24/06
(Signature( (Title)
RELATIONSHIP TO PROJECT ❑ Owner D Agent Contractor ❑Architect -O Other
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