05-100901 t. •
City of Federal Way Plumbing Permit #: 05 - 100901 - 00 - PL
Community Development Service
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax (253)835-2609 Inspection request line: (253) 835-3051
Project Name: MALCOMSON
Project Address: 28610 16TH S Unit102 Parcel Number: 720581 0020
Project Description: Remove/replace ELECTRIC water heater
Owner Applicant Contractor
Philip C Malcomson FAST WATER HEATER COMPANY FAST WATER HEATER COMPANY
26810 16TH AVE S 4102 12601 132ND AVE NE 12601 132ND AVE NE
FEDERAL WAY WA KIRKLAND WA 98034 KIRKLAND WA 98034
98003 (425)814-8381
Plumbing Fixtures
Description (Quantity Description ',Quantity Description Quantity
Water Heaters I
PERMIT EXPIRES February 25,2007.
Permit issued on February 25,2005
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:
i
I
THIS CARD IS TO REMAIN ON-SITE
CITY OF °
Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-100901-00-PL
Owner: PHILIP C MALCOMSON
Address: 28610 16TH AVE S Unit 102
FEDERAL WAY, WA 98003-6114
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
/, /� Q —1
By e� Date Cs-Z 7 "
•
...ip..Z....
rtg.N ED 0 - j._ 0 0 a 0241
Federal VVA,E.,-- - PERMIT SF MF CO ME EL FL'-DE EN FP
,40.0,t1QTY beitlilOIWEAT SERVIe7.5 lc on 5
FAMPRAL WAY,WA 11063VW 2 L u APPLICATION
i
,,,r AA/i 115.AAA 2534)61 410
trIftW.5*Wirrok.-#011‘Mel conERALW AY
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The alb: ula is .,,I 7 ' VA,-.}Indtion-an incarn lea a, ligation will nut be acce•fed. Please *tint le.Ibb Nrt tri.k4 or
PROPERTY INFORMATION
•
-1t ADDRESS 28610 16.AVE Si1102,FEDERAL.WAY,MA 98003 SUITE/UNIT I _ ...,..
ASSESSOR'S TAX/PARCEL I 720581(1020- -- — _
- .._ LOT SME (V) . .
LEGAL DESCRIPTION (e.y, Aerrie Estates, Lot I)
1A.A..1A ApAA..At PAgAAA AAAAAA kAAAI410,A,,AAAA1
.
PROJECT INFORMATION
TYPE OF PERMIT u BUILDING IXPLUMBING CI MECHANICAL
u DEMOLITION u ELECTRICAL D ENGINEERING L3 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Pi°Vide derailed description of work included on tilts permit ortlu)
Remove/Replace Electric Water Heater
PROJECT NAME(Name of Business or Courier Last Name) _,......MA cciliQvan
PEC,?.1: IX I Oil Ir:P,',001;
PROPERTY NAME' PRIMARY PHONE -1
OWN ER MALCOMSON.PHILLIP (9491923-1910 1
MAILING AIRES am,seATE,1/P
28610 16 AVE S#102 ... ERA',WAY,WA_98003
r a NTRACTOR COMPANY Al AMP. APPLICANT NAME ORITEE PLIOM
FAST WATER HEATER COMPANY (425)814-3124
_ ..
/a-AILING ADDRESS CITY,STATE,El' CELL PHONE
2-601 1321N.D-AY-EAM _.-. ,..,,- _ —_KIRKLAND.3YA_2893A_
CITY OF-FEDERAL WAY BUSINESS LICENSE NUMBP.R F:XFIRATION DATE FAX NUMBER
-8 7- - -0 4 -0. 0- 4-7- -A .0 - u L 425 814-9516
coil/RACTOSEV,REGISTRATION BUMPER}tor,et card requIstri with each opplIcatiott) EXPIRATION(TAIL,
EASTWIIC052DF._ _ .._ _ _ 02/16/2007 -
-
APPLICANT COMPANY NAME — A:CANT NAME OIT:CE PROM
MAURO ABDRESS --^ ITY,STATE,ZIP CELL II IONE
VI LATIONSIBPTu RR(1.1kCI' PAX NUMBER
0 Architect LT TellIIIIL 0 Agent n Other pesriibei_
_
....._
CONTACT NAME PIEMARY PHONE -"-E-MAIL ABUKT:.-
LENDER Per RCW 19.27.095: Lender inforttiedion is,k _ I
required C f project value exceeds$5,000''-4 . —
trAALLING&OGRESS KITT,MATE,7TP
— ....
DETAILED BUILDING INFORMATION
...
EXISTING usr PROPOSED USE _ . . . .... „.. ...__
— ,..
,I79
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK S. 7 TO m'.... ,....,................., .......,
.. of
S PRINKLERED BUILDING? u YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/RFANIRED? n YES a NO
WATER SERVICE PROVIDER n LAKEHAVEN a HIGHLINE a TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKEHAVEN tl IUGIILINE II PRIVATE(SEPTIC/
--. .....---. .
PROJECT FLOOR AREAS
AREA DESCRIPTION -- EXIS FLNCi SQ- FT.—
f. _ PROPOSED S .I?I. TOTAL
BASEMENT �-
• FIRST
SECOND
THIRD
FOURTH 1 I ■
s
ADDIT{ONAL FLOORS(DESCRIBE)
U{Ch{k OVl RUI)?j . . _..
GARAGE/CARPORT
N nso
OW MANY FLOORS? t+xrt.esa torwrs+muza r -Ai rn+rata uro real-Men
"NEW HOMES ONLY'• NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FISTURES
Indu ate number of cuch type oft future to be',vitiated or re coo cited tzs putt of this protect Do r,o aaetud4,r>Z urty,6,r;urr ;to remain.
Value of Mechanical Work 1___
.� AIR HANDLING UNITS ,,,.-.__.. EVAPORATIVE COOLERS ,.___ GAS LOGS REEING.SYSTEMS
W� w HHQS FANS 11rk)1IS worn...K;.rr v. WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES _ ._,_„_.... MISC(Dex_nlm
._._._._...... COMPRESSORS -a_.._.._ FURNACES GAS WATER HEATERS
.,a..�.__s. DUCTS ... OAS PIPE OUTLETS
PLUMBING
...__ _ EIATIITUI3S(or Tuarwwws Combo) SHOWERS WATER CLOSETS rwkm .�,._ MISC ts>racribc}
__. �, DISII WASHERS SINKS ....... DRINKING FOUNTAINS
___ GAS PIPE OUTLETS ,,, SUMPS _�,_ �, RAINWATER SYST
__ _ WASHING MACHINES URINALS ..._-__..,_.._.. HOSE UU fl
LALb tt.gr.6"'Smkt-.. VACUUM BREAKERS _._.X ELECTRIC WATER HEATERS
DISCLAIMER/SIONATURE 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
am 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, expanses, and attorneys'fees incorrect 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 cohere such claim.
arises out of the reliance of the city,Including its officers and employees, upon the accuracy of the information supplied to the Clay as a part of
this application.
,e ' °
NAME/TITLE .✓" .. G f r' ' �P_ermitMEr ...__DATE 02/ i4/200
(s.gaiurel (Yale.
RELATIONSHIP TO PROJECT LI Owner L7 Agent X Contractor O Architect LI Other,
l'
FOR OFFICE ICE USE ONLY
n NEW 0 ADDITION n ALTERATION a REPAIR ca TENANT IMPROVEMENT
BUILDING SHELL ONLY? s YES o NO BASIC PLAN?
El YES r NO
1 ZONING DESIGNATION CHANGE OF USE? n YES NO
I NEW ADDRESS REQUIRED? El YES ax NO UP/SEPA/SU? o YES Ir NO
PLATTED LOT? is YES 0 NO DEMO PERMIT REQUIRED? YES E.NO
Bulktio A I00 -March 10,2001 Page 2 of 4 Of foldouts ReviuthP,: nut Applrr:nro .