05-102542 •
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City of Federal Way
Community Development Services Plumbing Permit #: 05 - 102542 - 00 - PL
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: PENN cY
3
Project Address: 606� 1ST S Unit$16 Parcel Number: 169730 0890
Project Description: Replace electric hot water tank.
Owner Applicant Contractor
Jeanette M Penn FAST WATER HEATER COMPANY FAST WATER HEATER COMPANY
32527 1ST PLS UV1T# 12601132ND AVE NE 12601 I32ND AVE NE
FEDERAL WAY WA KIRKLAND WA 98034 KIRKLAND WA 98034
98003-5712 (425)814-8381
Plumbing Fixtures
Description ]Quantity Description ]uantity ( 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 June 1,2007.
Permit issued on June 1,2005
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: (,—( -06
f
THIS CARD IS TO REMAIN ON-SITE
C,noF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-102542-00-PL
Owner: J . ETTE M PENN
Address: O 1ST AVE S Unit/16
FEDERAL WAY, WA 98003-5700
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 p-V' Date 04/4/..SI
Federal ITVDEVELOPMENTTDEPARTYf I ( M T
x,6rfA.M1Y DBrnof Jlf't- 5
f 1.irIVIkT P/AY,Sf.A PaC4.47/4 _IUN 0 1 20..PPLI CATION sa, .._
rrt�t!wht.WAr,wA saas1.!azla _ _ _ T_..
753 e,44-4115•FAX 253n014129
l ,. DASILYCrC4Y-t9A
The otlowi is re.aired in ormatton–art tneom.lete a. tication toil/not be acre.ted. Please tint Icgltitq(irt ink)or ty<.e.
PROPERTY INFORMATION /
SITS ADDRESS 32527.1.PPL,S.#6,FEDERAL.W X,.WA.38003..__.. SUITE/UNIT r l4, 4
ASSESSOR'S TAX/PARCEL it 1-697300894....._ ` ._- ... _. LOT SIZE ; ,
LEGAL DESCRIPTION fry floor Fstute;:, twat 1) _
{ ..4 ..,w.ss •+^YY 4x Z' j 1,o0.3.few p.'OI
P'ROJEcT INFORMATION
TYPE OF PERMIT it BUILDING LIPLUMIIING Cr MECHANICAL
u DEMOLITION CI ELECTRICAL G) ENGINEERING Cl FIRE PRI'VENTION SYSTrst
PROJECT DI• CRIPTION (T otnde detailed description of work included on this wrote ord..)
Remove/Renlace Electric Water Heater
PROJECT NAME(Name of Rusirurss or Owner Last Name) ,
PE.i'th'. INV 37-t4:1711)3 .
PROPERTY 1.41 me
OWNER PENN..JEANETTE (2531568-7528
MArti mi A.6nR)'S i C rrt r1'ATI 7.1!' - - --
325271 PL S#6 _ ,.FEDERAL.WAY,WA 98003
_ �_ ..._
CONTRACTOR COmPAlit NAME APPLIcmir NAMZ
FAST WATER HEATER COMPANY 3 (4251814-3124
Mhi[.)NG"MOW-Ss (7(Y,brATE,ZIP
12601 132N 1AY,E.M KIRKLAND.WA28034
(Inc.FEDERAL WAY ntJ".,INISS t1CtNZP.NUM DER Ex PIPA i4ly DA71 .. . :.;
-8 7. _0 .0 O. 0- 4_.7 .A ,1) tom. z 425 814-9516
CONTRACTOR REC.e:YS RpOtt NVMI Uk"copy et< rd q..1.a with cacti application)
[.ASTW.HC052DE ...... - � — — _._ 02/16/2007
APPLICANT C'(IMHhN N Y NA nth AP}!)L.ANr NAMI .. �.— —.1- or'; ■ i't
'AAIUNi ADDMIS _...... , _ _ . C IY,STATE,
ZIP , :L I I I
RSSAM[AIStIIp TO)l:I.)t C.
L Atthitec( u Tenan0 A ent 0 OUat ik sGnbe
.__
CONTACT (NAMr -, __.... ......_..,.. __- 1 t i IxtARY PH rNE, x.,...
LENDER PerRGW 14.17095 Lender i orrriatioe ts`r NAME
rorqutr d If proftet valve excefds$5,000''
n(AItANG AC}nStEfi$ ('STY,`.YY'hTE,7.1P ---
DETAILED BUILDING INFORMATION
EXISTING USE _.�_ ...._..._..__._...... _....._._...,._______._.._.PROPOSED USE .__-_
EXISTING ASSESSED/APPRAISED VALUE $ ....,__ _ _._ VALUE OF PROPOSED WORK $ $339.00_
SPRINKLERED BUILDING? G) YES II NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? I 1 YES '1 NO
WATER SERVICE PROVIDER Ct LAKEHAVEN U HIGHLINE U TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER C) LAKEHAVEN I) 111GRLJNE r I PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
_
AREA DESCRIPTION EXISTING
SQ. FT. PROPOSED SQ. FT. I TOTAL
EASEMENT
___ —______._. ..._. .. _ro__
FIRST _..._
SECOND 1 i
THIRD )
E0IINIII i
ADDITloNAL FLOORS{DESCRIBE)
o
I
,
DI(F;ILIOVFRi.D'?
GARAGE/CARPORT I
.__....__ . ,.„,_ w....._....__,. ._. ..
IIOW MANY FLOORS? tvtLextsiuu totat<rsarusm , totM MI else.,rg rcur,veU
1
i
"•NF,W HOMES ONLY " NUMBER OF BEDROOMS ESTIMATED SELLING PR/CE I S,_-_.
FIXTURES
lndiccttc number of each Hir?e of funin•to he installed or fetal-rood as part of the:projec■ Do nix include-exr,tunH li■'e,rf• f,,,,,;11,1,,,
MECfiAMCAt
Value of Meciamicat Work % .. .,_..
AIR HANDUNG UNITS __...._, .�. EVAPORATIVE CO(}I,GRS .,,..._____•__ GAS LOGS .....__ F'i i t :7, ;";[:arc
RSQS FANS I1OOC)S rr.,r„,a"ic, _._. .. _. Wi}i>llS"1'f)V i?S
._. BOILERS FIREPLACE 1NSh ttTS RANGES _. MIa(:t:>,,,,,nix•)
COM.PRESSORS _.�......_.._.._..., FW1NACFS GAS WATER FI F.;A i'1 RS
t)..... GAS PIPE OUTLETS
PLLIMTtJNO
CiAT1iTLLS rrunlw,.w,cnro4a SItOtt'f'R't AAlER CLOSES .....
DISHWASHERS _. SINKS ,.
DRINKING' H.fl 1;AI t+ S
.__
GAS PIPE OUTLET'S SUMPS ___,r,,,,,,,,,„_
RAINWATER SYST
WASHING MACHINES URINALS HOSE BIRDS
41V3 mam sirdcnt VACUUM L9RI,AKIs`ItB ELECTRIC WATER NEATER:. I
DISCLATMER(SIONATURE BLOCK .
i,.r H.&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 a.ryrre to hot./
harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred in the tn,..e tlyation and defense of
such claim), which may be made by any person, including the undersigned,and filed against the Oily of Federal Way but only u.hrrr such rin,m
arises out of the reliance of the city, including its officers and employees,upon the accuracy of the information supplied to the city 0%a part of 1
this application.
NAME/TITLE ... `> „ r c ..Permit.M�r ..DATE 05/31/2005
l'.irRn2;utry tT,+.krl
RELATIONSHIP TO PROJECT ti Owner it Agent X Contractor . Arrhitcrt 0 0111e! .__
FOR OFFICE USE ONLY l
NEW n ADDITION a ALTERATION tt REPAIR r)TENANT IMPROVEMENT
BUILDING SHELL ONLY? t)YES 0 NO BASIC PLAN? ri YES NO
) ZONING DESIGNATION CHANGE OF USE? to YES NO
I NEW ADDRESS REQUIRED? a YES II NO UP/SEPA/SU? !. YES NO
PLATTED LOT? to Y .ES t¢NO DEMO PERMIT REQUIRED? YES
I' .ic iiiA.l ll -March 30,2004 Page. 2of4 i'lland,l , l vI,r.11'.ni fA;H, r,..
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