05-103067 f
City of Federal Way Plumbing Permit #: 05 - 103067 - 00 - PL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-30511
Project Name: HASELHORST
Project Address: 32530 52ND SW Parcel Number: 189830 0090
Project Description: Remove and replace electric water heater
Owner Applicant Contractor
Lisa Haselhorst FAST WATER HEATER COMPANY FAST WATER HEATER COMPANY
32530 52ND PL SW 12601 132ND AVE NE 12601 132ND AVE NE
FEDERAL WAY WA KIRKLAND WA 98034 KIRKLAND WA 98034
98023-1933 (425)814-8381
Plumbing Fixtures
Description Quantity] Description ;Quantity Description Quantity,
Water Heaters
PERMIT EXPIRES June 27,2007.
Permit issued on June 27,2005
RECEAEL E :
I hereby certify that the above information is correct and that the construction on teekamanistaita# jNENT
the occupancy and the use will be in accordance with the laws,rules and regulations of the State of Washin ton;and
the City of Federal Way. JUN 15 200
(
Owner or agent: See Application Date:
THIS CARD IS TO REMAIN ON-SITE
CITYUP -- Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-103067-00-PL
Owner: LISA HASELHORST
Address: 32530 52ND PL SW
FEDERAL WAY, WA 98023-1933
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 ate 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
l❑ Final- Plumbing (4075)
Approved
By Date 110
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or 11110 .--- C? - _Lo a 0 4298
Federal Way
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FEDtk fa WAY,WA v806117,40,00.40 DV
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The allow{ is/:::.tared in °rotation-an tneont tete a. licatian will nal be acce•ted. Please .rint legIbto(in
PROPER? INFORMATION
SITE ADDRESS 32530.51PL SWFEDERAL wAV,WA_98023_. SUITE/UNIT it
ASSESSOR'S TAX/PARCEL • LOT SIZE
LEGAL DESCRIPTION (itp. Acme Rate , Lot 1) _ _ _ _
cAAs.t...7.0.0.4..Iouge fo,4,soird Itsft.i AL.,,,,,Aam
PROJECT INFORMATION
TYPE OF PERMIT t) BUILDING XPLUNIIIING Ca MECHANICAL
0 DEMOLITION L) ELECTRICAL a ENGINEERING a FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on tins perrnit ortly)
Remove/Renlace Electric Water Heater
PROJECT NAME(Name of Business or Owner Last Name) - - _ ._
.
PEP'. II/..37 DU
- —
PROPERTY YAWL PP/MARY PlIoNF I
OWNER HASELHORST. LISA (253874-6439 1
mAn.ii.0 AP/WENS CITY,STATE Z ,IP
32530 52 PL SW _FEDER AI,_WAY,WA 98023
CONTRACTOR CX)APANT NAME ANS./CANT NAME
FAST WATER HEATER COMPANY (4251814-3124
ilk/TN.:ANOLT ,-;. arr%STATE,ZIP
2601_1.32ND.A.V_ENE__ ..KIRKLA.N.ILIYA,181/34
CEP(OF FEDERAL WAY ItLISINeSS LICENSE NUMBER EX PIRANON DATE FAX t.'iNINCI:
_8 7 - ...0 0 -0_ 0.- 4-7- -0 -0 - 11 I„ 425 814-9516
1 ruNcvN.c.ToRN NsulsmumuN Num:1,ER .1vmd E./Null-0d with*web eppliretioal
[EASTWBC052.DE. 02/16/2007
APPLICANT co isti,Any NAME — APPLICANT NAME
MAIL- ANDEESS CITY,STATE,DE CELL
.
10.-4ALIONSI WP ./Es.aLE,C1 FA X NI ME*
0 AI yl •O tt Tenant LI Agent ii Odom (h-Ncribe)
CONTACT °pun: „_ I mamma ettoNi-- — -1 1,41An,o.tne°„-,-
- ___ __
k
LENDER Per RCLI7 19.27.095: Lender Infarntation is,k mho:
required If project value exceeds$5,000
MINTING AOLIVESS ' CITY,STATE.PP
DETAILED BUILDING INFORMATION
. , ,, „_........
EXISTING usr _PROPOSED USE
....— ... ..
EXISTING ASSESSED/APPRAISED VALUE $ _YALUE OF PROPOSED WORK $ 8339.00. ._
SPRINKLERED BUILDING? Li YES LI NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? II YES '-i NO '
■
WATER SERVICE PROVIDER n LAKEHAVEN 0 IUGHLINE Cl TACOMA to PRIVATE (WELL)
SEWER SERVICE PROVIDER n LAICEHAVEN (i IIIGIILINE f 1 PRIVATE(SEPTIC)
.. ...— . .. _ .
PROJECT FLOOR AREAS
.
' AREA DESCRIPTION EXISTING,SQ FT.... PROPOSED SQ. F�T. 1 TOTAL
BASEMENT ---_
FIRST
SECOND
THIRD 3
FOURTH
ADDITIONAL FLOORS(U ESCR i f i E) )
DECK(COVERED?)
______±[ -
GARAGE/CARPORT
flow MANY FLOORS? mru cwssoro retM.rmirtaa:
s•NF;W HOMES ONLY" NUMBER OF/BEDROOMS__.,..,, ESTIMATED SELLING MICE $ .
FIXTURES _ _ _
Indicate number of each type of/i i n fro to be Installed or relocated ed ns part of thin.project. L) no:eiclo.le crI littri if! rre to rr ,;,.,
Value orMechooical Work E
MR HANDLINGUNrk:.: _.. ____....... EVAPORATIVE COOLERS GAS LOGS Pr It',S SY .t:.,t,.
BINS FANS - HOLDS ueeensome, ',k GO:K.;LOVES
- ... ...... BOILERS FIREPLACE,INSERTS RANGES RISC Clete IOW/
COMPRESSORS FURNACES GAS WATER HEATERS
- OAS GAS PIPE Ut1TLF,TS
PLUMBING
_ BATHTUBS
_ tecTanp!aww,rCemgW SHOWERS WATER CLC7St:TS Fa7 __ Niese ;I_rn-ri'rY
- „� DISHWASHERS SINKS ___ -.. DRINKING FOUNTAINS •
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE DIMS
LAVBlawvonn%eel ..__.__.. ., VACUUM BREAKERS _ ELECTRIC I!A:Ir t1-
DISC'LAIMER/StQNATlRE 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 abooe 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 ineestiyation 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 officer's and employees, upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE �w—` c -:" ,EermiA11 DATE 06/20/2005
(S,pp .�... f#Olr
RELATIONSHIP TO PROJECT ii Owrier 0 Agent X Contractor 0 Architect U Other
l FOR OFFICE USE ONLY
■ NEW a ADDITION a ALTERATION a REPAIR n TENANT IMPROVEMENT
I t3UILDING SHELL ONLY? to YES a NO BASIC PLAN? YES NO
ZONING DESIGNATION CHANGE OF USE? o YES NO
NEW ADDRESS REQUIRED? fl YES it NO UP/SEPA/SU? t-YES t, NO
PLATTED LOT? ,t YES a NO DEMO PERMIT REQUIRED? YES ■ NO
C
Itttilclin 4100..March 30,2001 Page 2 ad LAHandaota Kew' tRI'cnuu A pp i 1'0.r r