05-100182 City of Federal Way .` 4
Community'Development Services Plumbing Permit #: 05 - 100182 -=00 - PL
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-305C
Project Name: BLIMPIE SUBS
Project Address: 31517 PACIFIC S Parcel Number: 082104 9181
Project Description: Remove and replace electric water heater
Owner Applicant Contractor
NONE FAST WATER HEATER COMPANY FAST WATER HEATER COMPANY
12601 132ND AVE NE 12601 132ND AVE NE
KIRKLAND WA 98034 KIRKLAND WA 98034
NONE (425)814-8381
Plumbing Fixtures
Description Quantity Description Quantity Description Quantity
Water Heaters - --- - 1
CONDITIONS:
This parcel is located within a Wellhead Protection Area(Capture Zone 5)and must comply with FWCC,Chapter 22,
Article XIV "Critical Areas" and fill out a Hazardous Materials Inventory Statement,if applicable.
PERMIT EXPIRES July 13,2005.
Permit issued on January 14,2005
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: See Application Date: 0 [ " / `/ - O 5
•
THIS CARD IS TO REMAIN ON-SITE
CITY OF "
--- Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-100181-00 05- (00 1 �� - L.
Owner: JEFFERY L-CARTER �j‘,'S.w"{) �
Address: 37435 2ND-AVE SW 1 3/5-n P �,�
� c-. )4 S ,
FEDERAL WAY, WA 98023-7327
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 it-1 Date 2/1/06--
_01.- - -0 ,L-rIM
Federal Way pEFZIttpirvrEvirvED aY
OPMENT DEPARTMEW MF CO M E E PL- 1-.)E EN FP
r,umt-ttrry pealotirkwr SFRWES A
I;itI,YOY.,if WAY SOOTtt•PY.1140,1(91111 - „...--...,-- — — ..1
REIWZAL%VAT,stm Isr•63 vrtn AP P LI CA1114101\loo5 r.
/ /
...,,,, 6 I
VAile dinarAECADNINEt
The °Morin is re irked in orrnation–an ncorn rote a tication will no(be OCCe 0 ted. Please Hat krill& (in trIAI or tque.
PROPERTY INFORMATION
SITE A.DDRESS 31i 1.7_PACIFIC HWY.S,TEDERALWAY,IVA_980113_ . „ SUITE/UNIT #
ASSESSOR'S TAX/PARCEL # 08210491-74 ... .
LOT SIZE /j)
LEGAL DESCRIPTION (e.!, Acme 1•.:Aates, Lot 1)
_......,_ ....._ m
tAtA4tE,wpm<pw,rt E.lovtfAa Rita
PROJECT INFORMATION
TYPE OF PERMIT ti BUILDING IXPLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL a ENGINEERING U FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION if ovule clouded description of work included on thislaratt only)
Remove/Replace Electric Water Heater
, .
_ .
- _
PROJECT NAME (Name of Business or Owner Last Name)
PEPfl. I ri F NOM;; )N
.
P ROPERTY NAME PRIMARY gnoar
0 74.1.)ER BLIMPIE SUBS (253)839-6658
— .
MAILEREI AITDRESS vCI`F/T STATE,?JP
31517. PACIFIC HWY S, , ; ERALMAYOYA 98003
CONTRACTOR digigarIy NAME , AP-DA:ANT IIAME OFFICE Pt IONE.
FAST WATER HEATER COMPANY (425)814-3124
MAILING ADDRESS CEEY,STATE,z/P CELL PEIONE
2601 132NDAyEAE KIRKL.AND,W.A189.34.
CITY OF FEDERAL WAY ROSINESS UCENSE NURSER EXPIRATION DATE FAX NUMBER
-8 7 - -0 .0 -0. 0- 4-7_ -0 .0 - n i. 425 814-9516
‹-ot;TRA.cmv..-.,,,Rv.(-Agiv...01014 ERIMUER frit-p;a tart/Et-gutted with.etavt■oppliciattettI I X PiEATEP4 DA:t I
I
LEASTWBC052DE. _ ,._ _ _ 02/16/2005 _.
APPLICANT (.'.0 MPANY NAME APPLICANT NAME ORRICE PHONE
MAILING ADORE:LT — — ,-
CITY,STATE,OP CELL MORE
i
___._
REIATIEYRIAIET`TEclE FAX ntnAnYn
U Ace hitcct Li Tenant 0 Agent n Other (Describe)._
, _ , .....-
_ ..,.
_
. ..
CONTACT [NAME ENIMA PY PHONE E-WAIL API)1*.--iti
L _ ._, __----,.. ... ____ _ ...
LENDER I Per RCW 19-2Z095: Lender trrforniati tin i a", k NAME:
required((project value eXCP.I4d.4$5,000
----.---
. .,
tAktAtika-MIORES,'S CITY,%SAM,TIR
, - —
DETAILED BUILDING INFORMATION
— )
YXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRA/SED VALUE $ VALUE OF PROPOSED WORK $ .4270e2-1
SPRINKLERED BUILDING? U YES O NO FIRE SUPPRESSION SYSTEM PROPOSED/1–#.EQ' VIREO? U YES U NO
WATER SERVICE PROVIDER r LAKEHAVEN 0 DIGREINE 0 TACOMA a PRIVATE MELIA
SEWER SERVICE PROVIDER n LAKERAVEN U IIIGHLINE [:1 PRIVATE(SEPTIC)
__,,„ . ._ . ......”.....
_, — —.._....._. .
PROJECT FLOOR AREAS
. „...... .„.„ ......„,...-- —___ • „..._
ED SQ. FT. TOTAL
* AREA DESCRIPTION_
PROPOS
.--- _
BASEMENT
. .
. -----_--- _ _ __ . , —__
FIRST --
_
..._-___ . . ..
SECOND
,
. ,_ .. _— _
.... _..,._
_
THIRD
. _ .
FrIURTH
! ,
ADDITIoNAL FLOORS(DESCRH3E) i
DECK(COVERED?)
6APTdE7dARPORT
FloW MANY FLOORS? TOW,.=MUM TCYTALPROIVatto wyetvastaaa kitleitiee.- .
"1uWHOMES ONLY" NUMBER OF BEDROOMS_, 1S11 MATED SELLING PRICE $
/MURES
-- ------ _....
--- — - ---
Indwale number of each type of futtire to be irtstallerf or reformed as port of this pm)ccL Do rot oictude CY1:::I•tr;ii■''.:,., t
MECJIANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REDZIO SYSTEMS
SILOS FANS 1100D WOODSTOVES
„ ........ .
IOU FIREPLACE INSI.LFIS RANGES MI SC(Gesebhel
COMPRESSORS FURNACES GAS WATER HEATERS
OLIM GAS PIPE oun.rrs
PLUMEING
UATIITULIS for TOr/SharreT(a mtvl SHOWERS WATER CLOSETS rt.,-,, _ %ItSC 0),nmbti.
_
DIM IWASH ERS SINKS DRINKING FUENTAINS
.._ GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BUlBS
LAYSAk.theece.beky, VACUUM BREAK FRS __X __ ELECTRIC WATER HEATERS
...
. .' - D./SIGNATURE BLOCK
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 authorized by the minter of the ethane premises to perform the work for goblet, 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'fess incurred in the incestigation 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 chum
arises out of the reliance of the city, Including its officers and employees,upon the accuracy of the information supplied to the ray as a part of
this application.
NAME/TITLE -.0,- -:-'' 1.4- 1e71-_,..-e---rref. e;.:-;,--"'
,...Permit M . DATE 01/1212095 ,
......
(S,grWelrel (TtcIr;
1 RELATIONSHIP TO PROJECT II Owner n Agent X Contractor r; Arc-Wert 0 Other 1
I
FOR OFFICE USE ONLY
o NEW E ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY?
ZONING DESIGNATION H
LI YES D NO
. , BASIC PLAN?
CHANGE OF USE?
L!YES r NO
LI YES • NO '
1 NEW ADDRESS REQUIRED? o YES a NO UP/SEPA/SU? ' YES e NO
,,.
[ PLATTED LOT, f I YES G NO DEMO PERMIT REQUIRED? e YES I, NO
•
•
•
ItulIelm P100 -March 10,2001 Pagr 2o1 3 kkl landotits Rcvisettl'<iniii Applicxim