05-100821 City of Federal Way
Community Development Services Plumbing Permit #: 05 - 100821 - 00 - PL
P.O.Box 9718 we
Federal Way,WA 98063-9718 Inspection request line: (253 835-305
Ph:(253)835-7000 Fax'(253)835-2609 P
Project Name: CRUZ
Project Address: 2403 SW 330TH Parcel Number: 894500 0650
Project Description: Install of electric water heater
Owner Applicant Contractor
Richard Joseph Cruz JJ PLUMBING JJ PLUMBING
2403 SW 330TH ST 3414 A ST SE,SUITE 104 3414 A ST SE,SUITE 104
FEDERAL WAY WA
98023-2828 \AUBURN WA 98002 (000)939-1390
Plumbing Fixtures
Description Quantity Description 'Quantity;r Description 11Quantity
Water Heaters 1
PERMIT EXPIRES February 22,2007.
Permit issued on February 22,2005
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. ll
Owner or agent::�lJ/w�/ F V'� Date: z' z 2 O
t 0 OA
CAO -,../( c7 (
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THIS CARD IS TO REMAIN ON-SITE ,
CITY of Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-100821-00-PL
Owner: RICHARD JOSEPH CRUZ
Address: 2403 SW 330TH ST
FEDERAL WAY, WA 98023-2828
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 , Date By Date
.❑ Final-Plumbing(4075)
// Approved
B Date
RECEIVED
Federal PERMIT RECEIVE s- I D DS 2
Federal Way
COMMUMIYDEVELOPMENTSERV(JEB 2 2 2005 MF CO ME E (i \.E EN FP
333258 FEDERAL AVENUE SOUT 806317 r,9718 A P LI C AT I O 2 2 200TH
FEDERAL WAY,WA 98063-9�]R / /
253-835-2607•FAX 253-835-480f Y OF FEDER
www.otuotfederdwmmcom BUILDING DEPT. - CITY OF
i The ollowin• is re.uired in ormation-an into •lete a••lication 3 � 1,...,0:ud.;`'Please •rint le•BA in i or .
f[ 7� I�PROPERTY INFORMATION
SITE ADDRESS Z - CJ Th V � ()1j((
I SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _ LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Am h sepanvep.ge fw k,,gthg le9ot desoiptO.)
• PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDINGLUMBING 0 MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onto)
1144 VI/lG) ✓) '1,t_ 1C> Mt v. GI l� - 1 -
PROJECT NAME(Name of Business or Owner Last Name) i/lZ
I/ PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER I)(1l✓1 I D. II r] ( )
MAILING ADDRESS CITY,STATE,ZIP
2•410.- 31/0 333-x- rte,l k/. vs-4 "1751
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
()l v. U i 1 ?LA I CTTY,'STATE,ZIP I CELL 3)N 7 1 J�0
MAILING�J 1 I4-I `` `t ST 55,4 G.it t O I)L,ti✓7 PI A ( )
-
CITY OF FEDERAL WAY BUSINESS LICEI.SE NUMBER EXPIRATION ATE FAX NUMBER
1-00
-IL2 _ CD- B L / / ( )
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application( EXPIRATION DATE
jJ PLl� l,- 417 o 4 / I /c
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
JJ ►�ctrt, -1.--1 i ���+++yyy 1— i I . (z53) -I (0- CELL PHONE
MAILING�ADDRESS ki -fi I CITY, w )A �i2 FAX NUMBER
RELATIONSHIP' yTO PROJECT
❑ Architect D Tenant ❑Agent ❑ Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE I � E-MAIL ADDRESS
�s}e , oicroli�+ . (z i
LENDER ZOO , NAME
id':k mms 3i+'
MAILING ADDRESS CITY,STATE,ZIP
III DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN a HIGHI.INE ❑TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKEHAVEN ❑ HIGHLINE ❑PRIVATE(SEPTIC)
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❑
NUMBER OF FLOORS EXISTING PROPoSE rare roru sysraosr rare PROPoSED Sr ]OTAL Sr
••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 Icomm<aiall WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS or run/shower combos SHOWERS WATER CLOSETS(roomy MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sinks) VACUUM BREAKERS 4 ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
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 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 city, including its officers and employees,upon the accuracy of the Information supplied to the city as a part of
this application. ;
NAME/TITLE '��(/� �-)e DATE 2'2Z'Q
(Egnature( (rite( _^ �
RELATIONSHIP PROJECT ❑ Owner 0 Agent 0 Contractor ❑ Architect �] Other C17-'14 e� t//'Il
• a -', n�ADDIT1;ON "" Fo ALTERATION : =a REPAIR,° '� ENANT`IMPROVEMENT
JILD• G HELL$ONLY? ` aA'ES NO a 'BASIC PLAN?"'"' . .'� q YE.S g NO g=;•
E. • G;,ESIGNA IO i - .: =. ..,., 'CHA1(GE OF USE?� a YES= . 0
. a'D.RESS REQUIRED? YES==a NO'" UP/SEPA/SU?i ^s �� - ip-YES4 NO r
ED,�,S.z. ` .�x R I w s YES N0. -_„ ;r .'DE„MOzPERMIT REQUIRED? :' a YES _,+ .".U
Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application