06-103163 City of Federal Way Plumbing Permit #: 06-103163-00-PL
Community Development Services
u 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: LUSHER
Project Address: 515 S 323RD PL Unit G-16 Parcel Number: 132151 0470
Project Description: Remove/Replace Electric Water Heater
Owner Applicant Contractor
ANE I LE LUSHER FAST WATER HEATER COMPANY FAST WATER HEATER COMPANY
515 S 323RD PL#G-16 12601 132ND AVE NE FASTWWH948BC 1/3/2008
FEDERAL WAY WA KIRKLAND WA 98034 12601 132ND AVE NE
98003-6540 KIRKLAND WA 98034
Plumbing Fixtures
Water Heaters 1.00
PERMIT EXPIRES Wednesday, June 25, 2008
Permit Issued on Monday, June 26, 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 inn a�cpcorrrdance with the hMe laws,, rules and regulations of the State of Washington
Owner or agent: Date: 67
2q1&'
THIS CARD IS TO REMAIN ON-SITE
• CITY OF Community Development Inspection Record •
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06-103163-00-P L
Owner: ANETTE LUSHER
Address: 515 S 323RD PL Unit G-16
FEDERAL WAY, WA 98003-5807
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.
0 Plumbing Groundwork(4190) ❑ Rough Plumbing(4230) ❑ Gas Piping(4125)
Approved to cover Approved Approved to release test
t
By Date By Date By Date
•❑ Final-Plumbing(4075)
Approved
By c . Date to ' 3 r067,
RECEIVED CK1643
mrr ne 06 _ / 03 /. (�.�
• FederalWay. JUN PERMIT
COMMUNITY DEVELOPMENT SERVICES �' 6 2006 SF MF CO ME EL. E EN FP
3352$dM AVENUE SOUTH•PO BOX 9718
FEDERAL WAY,WA 9886yAj'�ty OF FEDERAARPLI CATION To
• 9,53-8 3 59 5 8 7•F 3n4o3 ,,t yam
wsm.dlwlfederehunn.rorq UILDING DEPT.
The following is required information—an incomplete application will not be accepted. Please print legibly in ink)or type.
SITE ADDRESS 515 S 323 PL#16-G,FEDERAL WAY,WA 98003
SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 1321510470 - LOT SIZE(sJ)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach aepomlepogelw kogthg hand draccI non/
: :1•cPROJECT'INFORMATION ,
TYPE OF PERMIT 0 BUILDING . XPLUMBING 0 MECHANICAL
0 DEMOLITION ❑ ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only,) ,r�x�/1 Tl
Remove/Replace Electric Water Heater L!L`�iC 'T�!/l
PROJECT NAME(Name of Business or Owner Last Name) LUSHER. ANETTE
"` . � PEOPLE INFORMATION: '
PROPERTY . NAME PRIMARY PHONE
OWNER LUSHER. ANETTE ((2531874-1346
MAILING ADDRESS CITY,STATE,ZIP
515 S 323 PL#16-G FEDERAL WAY,WA 98003
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 017 FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
B Z-_9 J)-..0 0 4 7 0 0 =s L / (425 )814-9 16
CONTRACTOR'S REGISTRATION NUMBER/copy of card required with each application) _ EXPIRATION DATE.
FASTWWH448BC /01/03/2008
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
( ) -
MAILINO ADDRESS - CITY,STATE,ZIP CELL PHONE
)
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant o Agent 0 Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
( ) -
LENDER ')44-4:0T? 4e� '2t?- iy/1"4T-4,7e14.4. 4107:14<',
MAILING ADDRESS CITY,STATE,ZIP PHONE
';DETAILED BITILDING INFORMATIONI''--°
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ $339.00
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER ci LAKEHAVEN . O HIGHLINE 0 PRIVATE(SEPTIC)
:.;PROJECT FLOOR AREA9 ;
" AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ,FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT❑
ti1WM PROPGe{O TOTAL Ort , . 1 NI,.V ae ti
NUMBER OF FLOORS 11
r d- , rtir
NEW HOMES ONLY"* NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type offudure to be installed or relocated as part of this project. Do not inchtde existing fixtures to remain.
MECIfANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS OAS LOOS REFRIG.SYSTEMS
BHQS FANS HOODS(cammemtal) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS Ior Tubtahmvar Combo) SHOWERS WATER CLOSETS trop.) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS aseks se stew) VACUUM BREAKERS X ELECTRIC WATER HEATERS
DISCLiA M R/SIGNAItUREBLUGK-
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
ant 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 � t , Permit Mgr DATE 6/21/06
(Signeturel (TItIe1
RELATIONSHIP TO PROJECT 0 Owner 0 Agent )1 Contractor ❑Architect '0 Other
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