06-102744 City of Federal Way Plumbing Permit #: 06-102744-00-PL
Community Development Services
P.O.Box 9718 a
- Federal Way,WA 98063-9718 AS
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: CARMACK
Project Address: 33020 10TH AVE SW Unit D203 Parcel Number: 420500 1130
Project Description: Remove/Replace Electric Water Heater
Owner Applicant Contractor
CARMACK LOYD FAST WATER HEATER COMPANY FAST WATER HEATER COMPANY
33020 10TH AVE SW D-203 12601 132ND AVE NE FASTWWH948BC 1/3/2008
FEDERAL WAY WA 98003 KIRKLAND WA 98034 12601 132ND AVE NE
KIRKLAND WA 98034
Plumbing Fixtures
Water Heaters 1.00
PERMIT EXPIRES Sunday, June 1, 2008
Permit Issued on Friday, June 2, 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 City of Federal Way.
Owner or agent: See Application Date:
'D
THIS CARD IS TO REMAIN ON-SITE •
I CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06-102744-00-PL
Owner: CARMACK LOYD
Address: 33020 10TH AVE SW Unit D203
FEDERAL WAY, WA 98023
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 /7/06,
RECEIVED BY CK1560
CITY OF mom pEVELOPM�NT DEPARTMENT RECEIVEM(o t-
FederalWay. juN 0 x ZOOS PERMIT - - - -
COMMUNITY DEVELOPMENT SERVICES JUN 0 2 tat MF CO ME EL PL DE EN FP
339253rx AVENUE SOUTH•PO BOX 9718 7{'��A�JTT /''� T
FEDERAL WAY,FAX 98063-9718 Al 1 L1CATI / /
253 Immo ftvoNderatum 5-2609 F FEDER/ ,WAY
www.dtvo(2denilwnv.mm BUILDING DEPT,
The following is required information—an incomplete application Wilt not be accepted. Please print legibly in ink)or type.
■ PROPERTY INFORMATION = `
S E A56nRF.�s 33020 10 AVE SW#D203,FEDERAL WAY,WA 98003
SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 4205001130 - _ LOT SIZE(sf)
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1)
(Agt.dt Pww/ir 4wed4W l.BOl dewfpdonl -
_:, . : a :.:;, F,: PROJECT INFORMATION $••'7•.'•
TYPE OF PERMIT 0 BUILDING XPLUMBING 0 MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL 0 ENGINEERING ❑ 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) CARMACK, LOYD
PEOPLE INFORMATION: .`
PROPERTY . NAME PRIMARY PHONE
OWNER CARMACK, LOYD ((2531835-8906
MAILING ADDRESS CITY,STATE,ZIP
33020 10 AVE SW#D203 FEDERAL WAY,WA 98003
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 FAX NUMBER
B 7 -J) J)-i) 0 4 7 0 0 _B L / / (425 1814-95'16
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE.
-FASTWWH148BC_ /01/03/2008
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
( ) _
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
O Architect D'Tenant 0 Agent D Other(Describe) ( ) . -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
( .) -
LENDER �7r � d .li F, ' o Nr7n{t>°/dh,z NAME
t I;Y_ {Ld.2.19: .X :^3 e o s �.
MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
'fIAlc t ,Wr 7 srin -c�tt t t tk e p}e:;; i 1
,tk,oc`.t+A Jr 3 aJ .i'T,�i �� `.rr,;� .. �.�;...;1;_f ;Y7ETAILEI?BUILDING INFORMATIQN
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ $339.00
SPRINKLERED BUILDING? o YES D NO FIRE SUPPRESSION SYSTEM PROPOSED%REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER O LAKEHAVEN 0 HIGHLINE D TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN D HIGHLINE 0 PRIVATE(SEPTIC)
_',PROJECT FLOOR AREAS`
AREA DESCRIPTION EXISTING PROPOSED -- TOTAL
SQ.FT. SQ.PT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE} .
DECK(COVERED?)
GARAGE 0 CARPORT 0
. swenxa
NUMBER OF FLOORS .eoPOSID to
TAL 'J 7I.tk IY#.. rtiy7{.' M1� t
}
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type offtxture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG,SYSTEMS
BBQS FANS HOODS(c.®atoio) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
- GAS PIPE OUTLETS -
PLUMBING
BATHTUBS I..Tvb/m,..eem.bo) SHOWERS -- - WATER CLOSETS(r.am) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS - RAINWATER SYST
WASHING MACHINES URINALS - HOSE BIBBS
LAVS ieuMooasisim) VACUUM BREAKERS X ELECTRIC WATER HEATERS
441- " DISCLAIMER/SIGNATURt;SL'0eK i :;i .:
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 - ' `- -•-''a^'''` r .Permit Mgr DATE 5/31/06
(Signature] (Title(
RELATIONSHIP TO PROJECT q Owner ❑ Agent Contractor O Architect o Other
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