04-100267 City of
unity evel way. Plumbing Permit #:04 - 100267 - 00 - PL
Community Development Services
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: WEST
Project Address: trsix--35a S `+ate Pi' SVv Parcel Number: 873201 0510
Project Description: Remove/replace electric water heater
Owner Applicant Contractor
JOHN&REBECCA WEST FAST WATER HEATER COMPANY FAST WATER HEATER COMPANY
32525 42ND PL SW 12601 132ND AVE NE 12601 132ND AVE NE
FEDERAL WAY WA 98023 KIRKLAND WA 98034 KIRKLAND WA 98034
(425)814-8381
Plumbing Fixtures
Description Quantity Description Quantify-1r Description Quantity
Water Heaters 1
PERMIT EXPIRES July 25,2004.
Permit issued on January 27,2004
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 Q,, 'rntication Date: See Application
d
CITY of 33530 RFIRST WAY SOIJPj.ppS[pp59718
Federal way PERMIT APPLICATION FEDERAL WAY,
FAt 9806.9418
45J.GG74417$•FAX:2$1662-41 20
!VII nu a r toff Me ratty n mom
•
For C)Qin Use Only: 0 `, 4 /'� 0_ / TD:
Se
FW File Number: f�[1 1/Y/}L/1 .� ��
The ollowin. is re.uired in ormation-an incorn.lete a.•Iication will not be acce.ted. Please .Tint le.ibl in in or .
- - -- , • PROPERTY INFORMATION
SITE ADDRESS: 32525 42 P1 SW ASSESSOR'S TAX/PARCEL #: 8_73_2_01_05_10 - _ _ _
LEGAL DESCRIPTION (eg: Acme Estates,Lot I)
(Attach separate pagexor lengthy-legal descnption)
SQUARE FOOTAGE OF LOT:
I.
' - • PROJECT INFORMATION
TYPE OF PERMIT (This application): o BUILDING
X PLUMBING o MECHANICAL 0 DEMOLITION
O ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only):
Remove/replace electric water heater
PROJECT NAME Name 0 Business/Owner Last Name): West
■ PEOPLE INFORMATION
PROPERTY NAME:
OWNER PRIMARY PHONE:
John/Rebecca West (253 )815-9477
MAILING ADDRESS(STREET ADDRESS;: CITY,STATE,ZIP
32525 42 P1 W Federal Way WA 98023
CONTRACTOR: NAME COMPANY -
OFFICE PHONE:
FAst Water Heater (425 )814-3124
MAILING ADDRESS(STREET ADDRESS;: CITY,STATE.ZIP
CELL PHONE:
12601 132 Ave NE <irkland WA 98034 ( ) _
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
EXPIRATION DATE: FAX NUMBER: —
-87- - .00D047_ _ _ - _ Q0 12 / 31 / (425 /814-9-516
CONTRACTORS REGISTRATION NUMBER:
FASTWHC052DF EXPIRATION DATE:
(copy of card required with each applieatioa( 2 / 16 / 05
LENDER NAME:
(I1 Proposed Value,$5.0001 DAYTIME PHONE:
-
MAILING ADDRESS(STREET ADDRESS;p: CITY,STATE,ZIP ( )
APPLICANT: NAME: COMPANY
OFFICE PHONE:
See Contractor ( )
MAILING ADDRESS(STREET ADDRESS: CITY,STATE.ZIP
EVENING PHONE:
RELATIONSHII'TO PROJECT: ( )
FAX NUMBER:
O Architect 0 Tenant 0 Other (Describe):
( ) -
CONTACT PERSON FOR THIS PROJECT: 0 Property Owner pl Contractor ❑ Applicant E-MAIL ADDRESS:
- • DETAILED BUILDING INFORMATION
EXISTING USE: •
PROPOSED USE:
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK: $ 349. 00
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
• PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOTED
`•NEW HOMES ONLY" NUMBER OF BEDROOMS:_ ESTIMATED SELLING PRICE: $
• FIXTURES
Indicate number of each type of fixture that is to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS ROODS(Commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/shower combo) SHOWERS WATER CLOSETS(roses MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYS
WASHING MACHINES URINALS HOSE BIBBS
LAVS(a+0.=sulk VACUUM BREAKERS / ELECTRIC WATER HEATERS
• 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 ant 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 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 officers and employ s,upon the accuracy of the information supplied to the city as a part of this application.
NAME/TITLE: / (%'//s DATE: 7/,---q;"
(Signature( (Title)
RELATIONSHIP TO PROJECT: ❑ Property Owner plicant Contractor ❑ Architect ❑
FOR OFFICE USE ONLY:
0 NEW a ADDITION ❑ALTERATION o REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES a NO BASIC PLAN? a YES a NO
ZONING DESIGNATION:? CHANGE OF USE? D YES o NO
NEW ADDRESS REQUIRED? o YES a NO UP/SEPA/SU? a YES a NO
PLATTED LOT? ❑YES a NO DEMO PERMIT REQUIRED? * a YES a NO
1:11.111e a, ii'.,-' I ..• ' Paget