06-105055 City of Federal Way Plumbing Permit #: 06-105055-00-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: HOLMAN
Project Address: 1409 S 308TH LN Parcel Number: 068795 0240
Project Description: Remove/Replace ELECTRIC Water Heater
•
Owner Applicant Contractor
DONNA I HOLMAN FAST WATER HEATER COMPANY FAST WATER HEATER COMPANY
1409 S 308TH LN 12601 132ND AVE NE FASTWWH948BC 1/3/2008
FEDERAL WAY WA KIRKLAND WA 98034 12601 132ND AVE NE
98003-4787 KIRKLAND WA 98034
Plumbing Fixtures
Water Heaters 1
PERMIT EXPIRES Friday, October 3, 2008
Permit Issued on Wednesday, October 4, 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
-3 and the City of Federal Way.
Owner or agent: ^tM 110 s
Date: l
1
THIS CARD IS TO REMAIN ON-SITE
CITY OF - Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06-105055-00-PL
Owner: DONNA I HOLMAN
Address: 1409 S 308TH LN
FEDERAL WAY, WA 98002-3524
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 G LA-) Date/0 . 30. U
CX2046
CIrY OF
RECEIVED E0 - / o S ✓�_
Federal Way PERM RECEIVED —
UNITYDEVELDPMEN7pEpARTMENT— — —
COMANNIrPDEFELOPMBNrSERVICES SF MF CO ME EL PL DE EN FP
33325 VI AVENUE SOUTH•PO BOX 971a CT 0 4 2An ''
FEDERAL WAY,WA 98067-9718. 1 , p LI C AT I C N T 0 3 2 6
253.835-2607•FAX 253-835.2609
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�ITYRRII 1O1IIF FEDERAL WAY
The following is re,uirlsd ilitRi MZtif6H Jan incomplete application will not be accepted. Please print legibly in ink)or •e.
SITE ADDRESS 1409 S 308 LN, FEDERAL WAY,WA 98003
SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 0687950240 ^?� LOT SIZE(sfl
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal deraipdonl
,M s:PROJECT INFORMATION • .:- _ ; I. . .,;
TYPE OF PERMIT ❑BUILDING XPLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT.DESCRIPTION(Provide detailed description of work included on this permit only)
Remove/Renlace Electric Water Heater
PROJECT NAME(Name of Business or Owner Last Name) PROTOCAL PROPERTY MANAGEMENT
PROPERTY , NAME PRIMARY PHONE
OWNER PROTOCAL PROPERTY MANAGEMENT. ((2531835-5032
MAILING ADDRESS CITY,STATE,ZIP
1703 S 324TH ST SUITE C FEDERAL WAY, WA 98003
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
FAST WATER HEATER COMPANY 4425'1814-3124
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
_11-11 Q 4 7 0 0 -B L / / (425 )814-9516
CONTRACTOR'S REGISTRATION NUMBER Icopr of card xquIrad with each application! EXPIRATION DATE.
FASTWWH9.48BC- /01/03/2008
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
( )
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
O Architect ❑,Tenant O Agent ❑ Other(Describe) ( ). -
CONTACT NAME I PRIMARY PHONE - E-MAIL ADDRESS
LENDER fid4ifa' rKk> I}7'tti 11:4-t1-iFi)a( nr{4'x034 I`r ' NAME )
•3 .tsf,o I l.
MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
M DETAILED,BUILDING INFORMATION " '' .I;rr 4 .ti;< ' ' •, i
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 0 N
WATER SERVICE PROVIDER 0 LAKEI-IAVEN O HIGHLINE O TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN . 0 HIGHLINE ❑ PRIVATE(SEPTIC)
I
PROJECT FLOOR AREAS"
----_..— -- AREA DESCRIPTION --�-- EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE}
DECK(COVERED?)
GARAGE ❑ CARPORT❑
=MSS PROPOSED TOTS. �"I7� 1 6ii f)*j'' y\AJ 14 YI7 Ity + ♦} Ji},P' 1�9� ,
NUMBER OF FLOORS L
"'NEW HOMES ONLY"* NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture 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 Ic.omeree) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Descnbe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING MISC(Describe)
BATHTUBS 1enTRb/shame combo) SHOWERS WATER CLOSETS(roue) I,.
DISHWASHERS SINKS - DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYS owecoomswo) VACUUM BREAKERS X ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURESL'l�G�{ a p, If•`• .• :_
/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 {s" • Permit Mur DATE 10/2/06
[Signature' (Title)
RELATIONSHIP TO PROJECT O Owner 0 Agent 1(I Contractor a Architect a Other
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