05-103694 •
City of Federal Way
'ommunily Development Services Plumbing Permit #: 05 - 103694 - 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: OST
Project Address: 34603 4TH S
Parcel Number: 276230 0090
Project Description: Replace electric hot water tank.
Owner Applicant
Contractor
Brent J Ost &April E Ost FAST WATER HEATER COMPANY
34603 4TH PL S FAST WATER HEATER COMPANY
12601 132ND AVE NE 12601 132ND AVE NE
FEDERAL WAY WA KIRKLAND WA 98034
98003-6729 KIRKLAND WA 98034
(425)814-8381
Plumbing Fixtures
Description 1Quanti J j Description
Water Heaters 1 iQUantlty Description �jQUantlt!/
CONDITIONS:
This parcel is located within a Wellhead Protection Area(Capture Zone 1)and must comply with FWCC,Chapter 22,
Article XIV"Critical Areas" and fill out a Hazardous Materials Inventory Statement, if applicable.
PERMIT EXPIRES July 27,2007.
Permit issued on July 27,2005
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: 7 -d 7_p S-
THIS CARD IS TO REMAIN ON-SITE
CITY OF . ''°�. Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-103694-00-PL
Owner: BRENT J OST
Address: 34603 4TH PL S
FEDERAL WAY, WA 98003-6729
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.
Rough Plumbing (4230) it. Gas Piping(4125)
❑ Plumbing Groundwork(4190) ❑ g
Approved to cover Approved Approved to release test
By
Date By Date By Date
0 Final-Plumbing (4075)
Approved
By _ ___ , , I Date. ( Z.. b
__C2 ._. ... - _1_ .S2... _...a ...1a. ,457-2%.c07-
REc 1401r D
Federal kr_tifax svELO
WV° PERMIT SF MF CO MP r g i,D N 143-
0 MMON/71114VALO,krAWV/VX7S
1 F7Fici**1414',WWAArY5°Crn,St,A 9.1;C4‘a,P6'-'79;X/:7 r'130- 2P 1 1PPLI CATI ON ri
...,,.i 4 11$•FAX 2,53-641 4119
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The °Maria+ is re tared in orniation-an tricorn late a• ticatioa wilt not be neve.ted. Please ..rint k Ibtft On ink)or tv .
PROPERTY INFORMATION
SITE ADDRESS i4603 4 PLS,FEDERAL WAY,MA,,,980111_ SUITE/UNIT 0 „„... .,.......
ASSESSOR'S TAX/PARCEL # _ 2762300090., - IP h. 1 ° --- ---- -- --- LOT SIZE(j)
LEGAL DESCRIPTION kg,Acme Pstates, Lot 1) - --
00,0d,...q.a.a.IN-pve P.lerOgi 4,01 W.....lwan,1
PROJECT INFORMATION
TYPE OF PERMIT U WADDING ILPLUMEING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL D ENGINEERING U FIRE PREVENTION SYSTEM.
PROJECT DESCRIPTION (Provide detailed description of work included this p :raii onto)
Remove/Replace Electric Water Heater
.. , .
. .
i=E°JCL:1' NAME (Nome of Busaress or Owner List Name)
IN I JIATION
' - .
PROPERTY wmg
PRIMARY PHDS F •—-—1
OWNER OST.APRIL (2531874-5342
............._ _
"(Arum)AeaRess ' arr.STATt.2,11;
3403,4 PI S _ FEDERALWAY.,3YA_9.8003
co NTRACTOrZ LXIMPANY SAMS APPLICANT sAme (wricE oloim
FAST WATER HEATER COMPANY (425)814-3124
-
mAicao.;ADDRESS CIEL,STATE,ZIP
26011,32ND_AYENE_ MRKLAND._WA._9&Q34.
clry oy FEDERAL WAY DUSPLESS LICENSE SUNNIER
-8 7---0 .0 -0_ a- 4-7— A .0 - il L
- CELL.*ALONE
425 814-9516
PACT)R%EY-CASTRATION MEADER',copy At Z414 reliiimM leak bliett*pp]F.:At:LAID"DATE FAX"ADE FXPIFEAT/ON DATE
1 EASTWIIC052DE _ ,...._ ...... _ 02/16/2007
. „,
APPLICANT compAni MANE APPLICANT LLANO. OPLICE!ILONA
MARINO ADDRE.SS - • CDC,STATE,ZIP CELL PHONE
, .....,.
-
StrIAIWYLLPASPTP LARTEL-7 PAC SUMP FP '
Li Alai:EMI t i Tenant 0 Agent 0 Other (Describe)
..„........„,
— .,..,
CONTACT - 1 pgampy PEONS - -
R,MAII,ADDRESS
I END! F Per RCII019.27094: Lender in,ferniaNO;#0.0!;:.t., NAME
required tiprojeet value exceeds$5,000': ,
_
...,_ -
MAILING ADDRESS • ' CM,STATE„TAP
DETAILED BUILDING INFORMATION
ExisTING USE PROPOSED USE ._
— .
EXISTING ASSESSED/APPRAISED VALUE $ -..,
_ VALUE OF PROPOSED WORK $, $339-00 . ..,
,
SPRINKLERED BUILDING? n YES n NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? U YES U NO
WATER SERVICE PROV/DER o LAKEIIAVEN 0 HIGH-LINE U TACOMA 0 PRIVATE(WELL)
SEWER.SERVICE PROVIDER o LAREIIAVEN Li INGEILINE 1:1 PRIVATE(SEPTIC
,. —,......— ...—
•
PROJECT FLOOR AREAS
—
-ilk ., AREA DESCRIPTION EXISTING sg,FT. PRoPosED sq.,Fr.
----_,
BASEMENT
.. .
FIRST
__ , ,
• S14:COND
_
_I .._
TH )
;
rouRTH
_
--,.
AnDmo L riA FLOORS mesc RI fi El
DEC-k ICOVEREI).1
—„_
GARAGE/CARPORT
i
i.,_____
I IOW MANY FLOORS? TOTAZ MITUPG. 1r4t14.14009X211 1 rota enema mu 0%4-p.ix-wp i
"N8W HOMES ONLY" NUMBER OF BE. ESTIMATED SELLING PRICE S
I
PIXTURM
- - - -
Indicate IlUrriber tit'each lupe()Mixture to be,rtuutlied to-retoetztect ou part of thl,,,itroteei. De.r4,7(triclude er.773;o1r;ji.7',r+'; to r■—• ,,
---
MV:It.te ofNLCchanicat Work $
AIR HANDLING UNITS
HHOS
puriffuh:OILERS
COMPRESSORS ,_, „,__ EVAPORATIVE COOLERS
FANS
FIREPLACE,INSERTS
FURNACES
OAS PIPE OUTLETS
1ATIITUBS ior T.ttyStw•oer( SHOWERS
, __ DISHWASHERS
GAS PIPE OUTLETS
WASHINCI MACHINES
LAVE pathroo41 NA do0 SINKS
swaps
URINALS
_..., VACUUM 13RF,ARIF.,.; GAS LOGS
, litAl=r- m"'"I'
GA,S WATER HEATERS Willa SYSTEMS
wowsToms
MISC!Describe)
WATER CLOSETS rrssm liliSC ithmenbel
, DRINKING FOUNTAINS
RAINWATER SYST
HOSE BEMS
. x7 ELECTRIC WATER HEATERS'
• ,
DISCLAMERISIONATURE 3LOC1C
-- _ -...----------
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 claim), which may be mode by any person, including the undersigned,mid filed against the City of Federal Way,but only where such claim
arises out of the reliance of the city, including its officers and entpioyees, upon the accuracy of the information supplied to the city as a part of
this application,
... _ .
NAMErTITLE _ ...---':--7---- ...,,,-- ---7__.„,- ..--..--. ..„..-. r.,_,,,,,,,
...Pernik Mar DATE 0,7/26/2005
(tiepuet;rei
peel
RELATIONSHIP TO PROJECT LI OvAier Cl Agent X Contractor 0 Architect 0 Othrr
FOR OFFICE USE ONLY
o NEW 0 ADDITION 0 ALTERATION o REPAIR o TENANT IMPROVEMENT
.„
BUILDING SWELL ONLY 0 YES 0 NO BASIC PLAN? u YES r NO
.,.
- .._ .
ZONING DESIGNATION
CHANGE OF USE? r,3 YES o NO
, .
NEW ADDRESS REQUIRED? r/YES ii NO LIP/SEPA/SU? r5 YES o NO
_
PLATTED Lor? IA YES CI NO DEMO PERMIT REQUIRED? u YES L.NO
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lullotin#100 -March 30,2004 Page 2 or4 fAllandrilits-ReviscdiPerinit Application