06-105949 City of Federal Way Plumbing Permit #: 06-105949-00-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: PHILLIPS
Project Address: 1040 S 320TH ST Unit 42 Parcel Number: 868240 0110
Project Description: Remove/Replace ELECTRIC Water Heater
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Owner Applicant Contractor
SUSAN M PHILLIPS ''AST WATER HEATER COMPANY FAST WATER HEATER COMPANY
1040 S 320TH ST#A42 12601 132ND AVE NE FASTWWH948BC 1/3/2008
FEDERAL WAY WA KIRKLAND WA 98034 12601 132ND AVE NE
98003-5345 KIRKLAND WA 98034
•
Plumbing Fixtures
Water Heaters 1
PERMIT EXPIRES Wednesday, November 19, 2008
Permit Issued on Monday, November 20, 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: Date: !// /"�6'
1
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THIS CARD IS TO REMAIN ON-SITE
CITY OF 1 Community Development Inspection Record •Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06-105949-00-PL
Owner: SUSAN M PHILLIPS
Address: 1040 S 320TH ST Unit 42
FEDERAL WAY, WA 98003-5353
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 C.-cr.) Date/Z•(/.. C 4.,
CK2261
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. FEDERAL 07PAXY98863-9718 APPLICATIONS 1 2oi�
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CITY
following is required information—an incom.lete application - �,F p # !AV-
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"'...” PROPERTY INFORMATION ' ,« .
SITE ADDRESS 1040 S 320 ST#42,FEDERAL WAY,WA 98003
SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 8682400110 LOT SIZE(SD
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
'Attach separate page for lengthy legal deaaiplion)
.r4i i,Q':+i_,:.`7,:;!'1;2,F Avw*,144T:•Y}41r4c4 na 1'` FORMAT .
::�e@'a .,: r:PROJECTIN ION=;:-;itt+S=3;::«at; ••r.:;:%..a=;:rt�t�':r •..:=i;
'TYPE OF PERMIT ❑BUILDING XPLUMBING ❑ MECHANICAL
0 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) PHILLIPS. SUSAN
PROPERTY .NAME
OWNER PHILLIPS. SUSAN (( PHONE
((225353 1946-1900
MAILING ADDRESS CITY,STATE,ZIP
1040 S 320 ST#42 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 Z- .0 _0-'9 -4 4 7 0 0 -B L / / (425 )814-9516
CONTRACTOR'S REGISTRATION NUMBER(copy of card requIr.d with each.pplleetton) .. EXPIRATION DATE.
FASTWWH348BC /01/03/2008
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
(
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect DI Tenant 0 Agent ❑ Other(Describe) ( ). -
CONTACT NAME - PRIMARY PHONE E-MAIL ADDRESS
( .)
LENDER h ' ,M. Y •,.• 095 •..}d4r K..z. .M�l`Fa NAME
cla ee ul p'ojxtc.l aI ceed5 W0aak'l.
MAILING ADDRESS _ L �
CITY,STATE,ZIP PHONE
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A+.inn:l.:t : a=`'.ti� Ir�x' ��;3'.'`�..`c€� I}r,,��Isf=�'��;.:E'�`AIT:EIl,HLDING INFORMATI a �" a` � •,. ''�i3 ti'St'i
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EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ $339.00 •
SPRINKLERED BUILDING? O YES O NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? CI YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN O HIGHLINE O TACOMA O PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN . 0 HIGHLINE D PRIVATE(SEPTIC)
. ti
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT❑
wsrmo - MUDS" sotet ss
yESi 1 I *?9 17t-01ir,r'la
NUMBER OF FLOORS •
**NEW HOMES ONLY** NUNIBER 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 IcammmN.ry WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS Or Teb/show.:Combo) SHOWERS WATER CLOSETS Roerq MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS '.
LAVS le.rrwm skin) VACUUM BREAKERS X ELECTRIC WATER HEATERS
• _,_ 1..:. .DISCL1AI MER/SIGNATUREBL'uun... • ) ,,r gt
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
cm authorized 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 pity,including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE " gym .Permit Mer DATE 11/15/06
(Signature) (fine)
RELATIONSI-IIP TO PROJECT" CI Owner ❑Agent )1 Contractor U Architect 0 Other
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