06-103001 •
, City of Federal Way Plumbing Permit #: 06-103001 -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: BOERIO
Project Address: 33020 10TH AVE SW Unit E204 Parcel Number: 420500 1260
Project Description: Remove/Replace Electric Water Heater
Owner Applicant Contractor
BOERIO JENNIFER FAST WATER HEATER COMPANY FAST WATER HEATER COMPANY
33020 10TH AVE SW E204 12601 132ND AVE NE FASTWWH948BC 1/3/2008
FEDERAL WAY WA 98023 KIRKLAND WA 98034 12601 132ND AVE NE
KIRKLAND WA 98034
Plumbing Fixtures
Water Heaters 1.00
PERMIT EXPIRES Saturday, June 14, 2008
Permit Issued on Thursday, June 15, 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
aap and the City of Federal Way. _/dry
Owner or agent: "gees ►ppJiea s,' Date: (& / '/ �`
‘,*
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record •
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06-103001-00-PL
Owner: BOERIO JENNIFER
Address: 33020 10TH AVE SW Unit E204
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
1
By �� Date 1 \3
ICI
CK1621
e nrr OF RECEIVED 0 _ / D . O' 0 /
Federal Way PERMIT - -
COMMUNITY DSVELOPMEATSERVICES JUN SF MF CO ME E PL DE EN FP
• 33925 FEDERAL AY, PO BOX 13 A LI CATION
FEDERAL WAY,FAX 93063-260 TO
253.8951607.FAX 263435-2609
ww"I'Mferi4 "•mm CITY�'O'I�F' tn�FEDERAL TWAY �
The following is required in9dtfRklYdiC--`iris'iReomplete application will not be accepted. Please print legibly in ink)or type.
• PROPERTY INFORMATION...., . . :.. .
SITE ADDRESS 33020 10 AVE SW#E204,FEDERAL WAY,WA 98023
SUITE/UNIT Y
ASSESSOR'S TAX/PARCEL Y 4205001260 - LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) •
(Attach aeparete Page for Ie,9(119 legoi deaviptlory
:? ; PROJECT INFORMATION ,,.. s. :; • . a.,-.
TYPE.OF.PERMIT ❑BUILDING XPLUMBINQ ❑ MECHANICAL
0 DEMOLITION ❑ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
Remove/Ren'lace Electric Water Heater
•
PROJECT NAME(Name of Business or Owner Last Name)BOERIO.JENNIFER
PROPERTY . NAME PRIMARY PHONE
OWNER BOERIO.JENNIFER .((2531835-0104
MAILING ADDRESS CITY,STATE,ZIP
33020 10 AVE SW#E204 FEDERAL WAY, WA 98023
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 Z-3 _0-A) 0 4 7 0 0 -8 L • / / (425 )814-9316
CONTRACTOR'S REGISTRATION NUMBER(copy of card requited with each application) .. EXPIRATION DATE.
EASTWWH948BG I 01/0312008
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
( )
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
1 ( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
D Architect ❑:Tenant 0 Agent ❑ Other(Describe) ( ). -
CONTACT NAME • PRIMARY PHONE E-MAIL ADDRESS
( )
LENDER f=idi' P«'iQ�0l.0A.-rfAV -t,€#0A% 1' ..d.P' NAME
xy o 's;.
MAILING ADDRESS - - CITY,STATE,ZIP PHONE
( )
•
Tv�ar%•1Y�Ir �3,,�.1 k, , , �F , u` ; I,. t,If h , ---_ t [ Y :'t�. �,I [ f-,..
r..t ,. ,:,,;> . .,�,: ,,�;,•� ifETAILEI?BUILIING INFORMATION 1 , I I , F. � � vr�i , , I`,14�, ':(
a. _.,._: .,. ...., _._ .. ....d..Tt.:._ r t1Y. (i:nr n, y.usu,- •:...-., 1;
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ $339.00 .
SPRINKLERED BUILDING? O YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES G NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE O TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑LAKEHAVEN . 0 HIGHLINE 0 PRIVATE(SEPTIC)
•
- .. ;PROJECT FLOOR AREAS'
••
' AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.PT.
- BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE} -
DECK(COVERED?)
•
GARAGE ❑ CARPORT O
,oeermo rnoeoaso rata , iiF7 is�> tS�.'� 4 vv4 7 111V;4'1'e f i+riV irjl
NUMBER OF FLOORS
"'NEW HOMES ONLY"" NUMBER OF BEDROOMS ESTIMATED SRid.ING PRICE $T
FIXTURES _ •
Indicate number of each type offudure to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECITANICAL
Value of Mechanical Work $
AIR}IANDLING UNITS EVAPORATIVE COOLERS GAS LOOS REFRIO.SYSTEMS WOODSTOVES
BBQS FANS HOODS icemm ott)
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING MISC Describe
BATHTUBS for 1Y�b/shemr Cumba) SHOWERS WATER CLOSETS Ir,iletl (Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE HIBBS
LAVE(bathroom singe)
VACUUM BREAKERS X ELECTRIC WATER HEATERS
•
. DISCLtAIMER/SIGNATURE BLOCK..,.:T)•
t 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. t further agree to hold
harmless the City of Federal Way as to any claim linctuding costs, expenses, and attorneys'fees incurred in the investigation and defense of
such claim),which may be made by dny person,including the undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the reliance of the Fits including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
.Permit Mgr DATE 6/14/06
NAME/TITLE Istgneture (NUel
•
RELATIONSHIP TO PROJECT O Owner o Agent 1!I Contractor ❑Architect o Other
1i1if1g�° f f )
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