05-101072 City of Federal Way
Community Development Services Plumbing Permit #: 05 - 101072 - 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: JOHNSON
Project Address: 35005 21ST SW Parcel Number: 242103 9065
Project Description: Remove/replace electric water heater
Owner Applicant Contractor
C Wayne Johnson FAST WATER HEATER COMPANY FAST WATER HEATER COMPANY
PO Box 23381 12601 132ND AVE NE 12601 132ND AVE NE
KIRKLAND WA 98034 KIRKLAND WA 98034
PO Box 23381 !Federal Way,WA 98093-0381 (425)814-8381
Plumbing Fixtures
Description 'Quantity! Description Quantity Description iQuantity
Water Heaters 1
PERMIT EXPIRES March 9,2007.
Permit issued on March 9,2005
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: /� 'O�
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-101072-00-PL
Owner: C WAYNE JOHNSON
Address: 35005 21ST AVE SW
FEDERAL WAY, WA 98023-3039
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 Date 2,
� -
..406... RECEIVED BY ARQE _ 1 0 1 0 Ft2A
Federal Way p ER IV.'.'r DEVELOPMENT DEP N --, _
s,
MMUNITY DEVEL01111EAT SERYKTS SF ME CO ME E PL siff Ev FP
If r 30 FIRST WAY MOM•PO PDX 9 T IS _______„,
MINIM WAY.WA Woe-0/8 APPLI CATI6111 9 2005 / 1 1
ZIT-014M-FAX 25J-64.1 4129
WAY alloarakftftanrz
The ollowi ■ is re. inrd in orrnatian-art MC OM /ate a..h7a1Mit wilt nal be ace..tar Please rant legibiri(irt ink)or Nor.
PROPERTY INFORMATION
SITS ADDRESS 35005.21...A_VESW,FEDERAL_WAY,-WA_98023_ __ _ SUITE/UNIT *
ASSESSOR'S TAX/PARCEL I _ 2424039065 , - LOT SIZE jqj
LEGAL DESCRIPTION (e.g. Acme Rstates, Lot 1)
VA*,a*P406,4 Wee f.,,,hr,10,11 611•101,..T.,3.0
PROJECT INFORMATION
TYPE OF PERMIT o DUMDUM MLIDANING et MECHANICAL
U DEMOLITION a ELECTRICAL a ENGINEERING a FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION otad detailed description of work included on Ihis peo .x.: 11!)
Remove/ReDlace Electric Water Heater
PROJECT NAME(Name of Business or Owner Last Name) --- „—
PEI 1 El
PROPERTY TMME PRIMARY PHONE
DINNER JOHNSON.WAYNE 1 (253)927-2934 .....
mnit.liOrifaiii.ss - CITY.STATE,ZIP
raBOX 23381 _LEEDERALWAYOYA._91093._
co NTRAcToR COMPANY NAME APPLitAWNAME , of:let:ratan
FAST WATER HEATER COMPANY (4251814-3124
MAILING ADDRESS. CITY,STATE,ZIP CELL MOUE
_LI -132NDAYELNE*,----- . KIRKLAND.,,W,A113.4, , _. ..
0 1 r OF FEDERAL WAY INISINEW UCENSE NUMBER EXPIRAT ON DAIL I-AX N./MULL.
-8 7-- -0 .0-0_ 0- 4-7— -.0 .0 - ti L 425 814-9516
CONTRACTOR'S REGISTRATION 14/141BER Moi4 LA aard r.iitd will cacti application) EXPIRATION DAIL
EASTWBC052DE 02/16/2007
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
MARINO ADDRESS CITY,STATE:ZIP CELL PHONE •
kILLATIONSIIIPTO PROJECT FAX NUMBER—
0 AIChiLed 0 Tenant la Agent a Other(Describe) ____ _
- _
._ .
CONTACT NAME REI( MARY PHONE E-MAIL ADDRESS
LENDER Per RCir 19.27.095: Lender inform-cm-ion is'
regidied C f project mists exceeds.$5,000
- -, -
OMUUNOr..auctEss CITY,qYATF,ZIP
. — —
---
DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $_, VALUE OF PROPOSED WORK $ e.74?-9 "?
SPRINKLERED BUILDING? 0 YES L) NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? n YES a NO
WATER SERVICE PROVIDER ri LAICEHAVEN a HIGHLINE a TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEIIAVEN a HIGHLINE u PRIVATE(SEPTIC)
,.
PROJECT FLOOR AREAS
BASEMENT .
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED EQ.FT, _ __, TOTAL
FIRST ` .._.
SECOND
THIRD _ _
_ .._ ._
FOURTH
ADDITIONAL FLOORS(DESCRIBE) _.
DECK(COVERED?)
GARAGE/CARPORT
IIOW MANY FLOORS? TOTAL=SWIM rmursxossn TOTAL=IMO ass FROM M) "
•*NEW HOMES ONt.Y" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE a
FIXTURES
Jnrf iccue number of each type of fixture to ha Installed or relntxtted os port of this pro cl. Do nal Include exmang frx.ures to reaulvi.
MECHANICAL __. ._.._..__.�.._
Value of Mechanical Work $
AIR HANDLING UNITS __._. EVAPORATIVE COOLERS GAS LOGS RE.FRIG.SYSTEMS
... .�.,. RHQS FANS UOODSn:»a..,rn.4,, _.._
wt3t>It Tc>vres
__.__ BOILERS .,,,„,, FIREPLACE INSERTS RANGES _ .._, MISC(ik:scnl.Ie)
COMPRESSORS FURNACES GAS WATER HEATERS
GAS PIPE OUTLETS
PLUMPING
... BATHTUBS or TOW:Mw:r(ombe) SHOWERS WATER CLOSETS auk* _ MISC(Drseribr)
.,._, DISHWASHERS SINKS _,„_____ DRINKING FOUNTAINS
CAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES ._...._. URINALS —.. HOSE SIUSS
LAYS i8ulruce tick* _ VACUUM URF.AK.ERS ELECTRIC WATER HEATER'S
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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
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, expenses,and attorneys'fees incurred in the investigation and defense of
such eking,which may be made by any person, including the undersigned,and flied 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 Permit-Misr DATE 03L08/2005.
RELATIONSHIP TO PROJECT 0 Owner 11 Agent X Contractor ;`. Architect Li Othrr
FOR OFFICE USE,ONLY
a NEW a ADDITION
BUILDING SHELL ONLY?
ZONING DESIGNATION
a ALTERATION a REPAIR a TENANT IMPROVEMENT���
a YES a NO BASIC PLAN? u YES a NO
El CHANGE OF USE? YES a NO I
NEW ADDRESS REQUIRED? a YES t NO UPISEPA/SU? a YES a NO
t PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? L ?
Bulletin#100—March 30,2004 Page 2 of 4 SABandouts IZcvisrdl\Pernin Application