05-101028 City of Federal Way Plumbing Permit #: 05 - 101028 - 00 - PL
Columnar)Development Services
P.O.Box 9718
Federal Way.WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
Project Name: DAHL
Project Address: 1006 S 286TH Parcel Number: 515296 0320
Project Description: Remove and replace electric water heater.
Owner Applicant Contractor
Brian K Dahl FAST WATER HEATER COMPANY FAST WATER HEATER COMPANY
1006 S 286TH PL 12601 132ND AVE NE 12601 132ND AVE NE
FEDERAL WAY WA KIRKLAND WA 98034 KIRKLAND WA 98034
98003-3173 (425)814-8381
Plumbing Fixtures
Description Quanta
p :Quantity Description !Quantity' Description (Quantity
Water Heaters
PERMIT EXPIRES March 7,2007.
Permit issued on March 7,2005
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.
See A 03
Owner or agent: _—_-- PPhea ti011 Date: 0? — US
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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 #: 05-101028-00-PL
Owner: BRIAN K DAHL
Address: 1006 S 286TH PL
FEDERAL WAY, WA 98003-3173
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 �ke���1. Date (Q fl�
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,lim•... RECEIVED BY . _C,. . - _t _c2. e (),, 21,9121 .<
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PROPERTY WI/RUMOR
SITE ADDRESS 1006S 286PL,EEDERAL WAV,..WA. ORIM3 SUITE/UNIT •
ASSESSOR'S TAX/PARCEL # 5152960320- _ LOT SIZE tsji _ —
LEGAL DESCRIPTION jog Acne Pstates, Lot I L ,
oktt..r.*Np=mr,r.sgolf,.1.nigtxt toad kie...4.0Ami
PROJECT INFORMATION
TYPE OF PERMIT n ULIILDIN MBING 0 MECHANICAL
0 DEMOLITION (3 ELECTRICAL n ENGINEERING LI FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on plus permit°nth)
Remove/Replace Electric Water Heater
— . —
PROJECT NAME(Name of Rusthess or Owner Lust Name)
PE:Pt/E VC
PROPERTY NAME — -PEIMERY HAIN
1
OWNER DAHL.BRIAN& LINDA (253)946-0227
MAIIINCI ALTORE,XLS are.sTATe,ZIP
1006$286 PL DERALMAY,MA.._28003 . .
„
CONTRACTOR (Xi/ARANY NAIZI F.: APPLICANT NAME MIRE filar*
FAST WATER HEATER COMPANY J (4251814-3124
MANIAC.ADDRESS -ITY,STATE,.ZIP CELL iNIONE
12641„132NDAYLISIK_______ _IKIRKLAND.NYA_9$01.
Cm OE Ft:OCR-AL WAY nostmess umuse NIIFINXR EXPIRATION DATE 1 FAX NOMLIER '
-8 7. - -0 -0-0_ 0- 4--7-- _0 .0 - o L I 425 814-9516 1
61AFTRACTISICS NEC/ATRAVION NUMBER icon,ot cAt.fragilytAl Risk cai.13 opplicatioal EXPIRATION IXO E 1
EASTWHC052DE _ _.,_ ..... .... _ 02/16/2007
,_ _......
APPLICANT COMPANY RANK - APPLICANT RAUL 01411 FlIONE
MARINO ADDRESS CITY,STATE,ZIP CELL PrIONE
RTAATIONTANI17-TO-1-1R-TAL-I—' "---- FAX NUMBER I
U Architect 0 Tenant 0 Agent p Other(Describe) _ __
....., _
CONTACT LAME PRIMARY PRONE E41AII,Al>15NE„IiT
—..1
LENDER Per RCW 19.27.095: Lender inforniattart is`it NAmi'"
rtvarted If project value exceeds$5,000
WANING ASILIREW.4" — " CITY,SSAI'V.,7,IP
■
— „
DETAILED BUILDING INFORMATION
...„ ,
EXISTING USE PROPOSED USE _ I
— „
EXISTING ASSESSED/APPRAISED VALUE $ __VALUE OF PROPOSED WORK $ /411 .
SPRINKLERED BUILDING? U YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? (3 YES n NO
WATER SERVICE PROVIDER rt LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER U LAKEHAVEN U HIGHLINE r: PRIVATE(SEPTIC)
e. PROJECT FLOOR AREAS
_ — _
is AREA DESCRIPTION __ . __
EXIS1iNGi sgrr r._ Pzrorosev s� FT. ToTAt
BASEMENT
FIRST
SECOND
THIRD
TUiDIt"1 II
ADDITIONAL FLOORS(OESCRII M
DECK(COVEREI):)#
GARAGE/CARPORT
Tow MANY FLOORS? z LOORS? TOTAL UM* TOtw.r►IANlittl TOTAL SriNg)nua mart iw
**NEW HOMES 4NGY'• NUMBER OF BEDROOMS_ ESTIMATED SELLING PRICE $
_ ___ F1STURES
inchoate number of ouch type of fixture. to be installed or rrlocau•d w port of thi pro oI. .Do otit include�, ,fv,gIorkiie, (;renitati ..��" ..
MECHr1NWAL i
fake of Mechanical Work $
_.. AIR HANDLING UNITS ....,_....,_._.__. EVAPORATIVE COOLERS GAS LOGS ......._. REI IG,SYSTEMS
tkI3QS PANS llOODSicemssK , WOODSTOVE.S
BOILERS FIREPLACE INSERTS RANGES MISC IDeacribrl
. _ COMPRESSORS ...._ FURNACES n GAS WATER HEATERS
GAS PIPE OUTLETS
PLUMBING
_.._...�_ BATHTUBS wTUbish.werCombo, __ SHOWERS WATER CLOSETS teem) MISC(I)enrribe)
DISHWASHERS SINKS DRINKING,FOUNTAINS
GAS PIPE OUTLETS SUMPS ,..__.�____ RAINWATER SYST
.._..._._....._... WASIiINO MACHINES URINALS _......_.......„......_.., 110SE f3IIflV
...LAYS,ttt.dmww sink* _ „ VACUUM BREAKERS,.. X_. ELECTRIC WATER I!FATE PS
DT$ $I(iIYATORE BLOCK
I corttfy under penalty of perjury that the information furnished by me Is true and correct to the best of mg knowledge, and further, that I
am aatlwrised by the owner of the above premises to perform the work for width 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, endfited 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 us a part of
this application.
NAME/TITLE . ' y � C PermitMEr __...DATE 03/0/12005
RELATIONSHIP TO PROJECT U Owner U A(;rnt X Contractor Li Architect U Other
FOR OFFICE USE ONLY
I
a NEW a ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? i9 YES a NO BASIC PLAN? u YES c NO
ZONING DESIGNATION CHANGE OF USE? c YES NO
NEW ADDRESS REQUIRED? ti YES ti NO UP/SEPA/SU? a YES . NO
PLATTED LOT? Ci YES a NO DEMO PERMIT REQUIRED? a YES NO
But loin#100�-March 30,200I """_. ._._ .__ - Pagc 2 of 4 104l.mclouis ItcviseiliPCittilt Application
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