06-104612 r
•1 City of Federal Way Plumbing Permit #: 06-104612-00-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: HARMS
Project Address: 36501 11TH PL S Parcel Number: 292104 9027
Project Description: Remove/Replace ELECTRIC Water Heater
Owner Applicant Contractor
PHILIP D HARMS FAST WATER HEATER COMPANY FAST WATER HEATER COMPANY
JOYCE M HARMS 12601 132ND AVE NE FASTWWH948BC 1/3/2008
36501 11TH PL S KIRKLAND WA 98034 12601 132ND AVE NE
FEDERAL WAY WA KIRKLAND WA 98034
98003-7407
Plumbing Fixtures
Water Heaters I
PERMIT EXPIRES Wednesday, September 10, 2008
Permit Issued on Monday, September 11, 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.
_
jP ' .� !, f!I 14"',,i .. -•Owner or agent: Y * A .— Date:
i
•
t 4 THIS CARD IS TO REMAIN ON-SITE
Community Development Inspection Record
Way Federal Wa IVR INSPECTION REQUEST PHONE# (253) 835-3050
PERMIT#: 06-104612-00-PL
Owner: PHILIP D HARMS
Address: 36501 11TH PL S
FEDERAL WAY, WA 98003-7407
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 �W Date 2.-,5,--.. c,7
1
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Federaiwa PERMIT - -
COMMUNITYDEFEtAPMEHrSERFICES SF MF CO ME E ODE EN FP
333Z58c+AY8M1850Um•:6°3:8913C P 1 1 2 (
253435.2607o AX 253.835-2609 �.'P P LI C ATI O N TD /
www.dluotredertdluag.cgy l•i.Y OF FEDERAL WAY
The following is rr�egt ,tdh an incomplete application will not be accepted. Please print legibly in Ink)or type.
SITE ADDRESS 36501 11 PL S,FEDERAL WAY,WA 98003
SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 2921049027 - _ LOT SIZE(s f)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Aped:eepnnfe page for Iengthy Iegd d ea peon) -
[.; ^PROJECT INFORMATION
TYPE.OF-PERMIT D BUILDING XPLUMBING [] MECHANICAL
❑ DEMOLITION El ELECTRICAL ❑ 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)HARMS.JOYCE
:.-: PEOPLE INFORMATION
PROPERTY . NAME PRIMARY PHONE
OWNER HARMS. JOYCE .((2531838-4713
MAILING 36501 11 ADDRESS
L S 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
.8 7 -__0 J)-Q Q it 7 0 0 -B L • / / (425 )814-9516
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) -, EXPIRATION DATE
.FASTW WH248BC /01/032008
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
( )
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
❑Architect ❑:Tenant ❑Agent ❑ Other(Describe) ( ) . -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
( ) -
LENDER ,,'r_{jiYo;'SI�I7.4;1∎ . siti it Tai y s { NAME
.MAILING ADDRESS - CITY,STATE,ZIP PHONE
( )
�.,, � DETAILED.BOILD Cr INFORMATION)
tCo , tJel xl •,��::,1.(. .�..:i,7`. ,i._r:v„1., n.. ... ...:: ., . .-_>
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ $339.00
SPRINKLERED BUILDING? 0 YES I7 NO FIRE SUPPRESSION SYSTEM PROPOSED%REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER O LAKEHAVEN O HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER O 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 '
t
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?
GARAGE ❑ CARPORT❑ —
=vim rsosom Tara .,' ,40 i.. zi II::. 4 1 ' 't1,1 ,<i t t „1, i,� 1,,i,„ 1;t
NUMBER OF FLOORS
**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 include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG SYSTEMS
BBQS FANS HOODS Ieemmueiey WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING MISC(Describe)
BATHTUBS larTub/shower Combo) SHOWERS WATER CLOSETS Rem)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS - RAINWATER SYST
WASHING MACHINES URINALS - HOSE BIBBS
LAV9(seem=suec.)
VACUUM BREAKERS X ELECTRIC WATER HEATERS
_ .:. .DISCLAIMER/ IGNAIUR$SL'OCI{ r , r{ ' '.f r '4•
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. 7 further agree to hold
harmless the City of Federal Way as to any claim lincluding 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,li d only
lh where a claim
arises out of the reliance of the city,including its officers and employees,upon the accuracy of the information supplied city part f
this application. -
... -
NAME/TITLE — = z- r"- / . Permit Mgr DATE 9/7/06
(Tieel
�Slgnsture)
RELATIONSHIP TO PROJECT D Owner 0 Agent A Contractor n Architect O Other
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