04-100378 City of Federal way
Community Development Services Plumbing Permit #:04 - 100378 - 00 - PL
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:251661.4129 Inspection request line: 253.835.3050
Project Name: CAREY
Project Address: 219 SW 324TH Parcel Number: 926490 1610
Project Description: Replace electric hot water tank.
Owner Applicant Contractor
Steven M Carey STERNOD ROOTER&PLUMBING SERVICE STERNOD ROOTER&PLUMBING SERVICE
219 SW 324TH CT 13825 13TH AVE CT 13825 13TH AVE CT
FEDERAL WAY WA TACOMA WA 98445 TACOMA WA 98445
98023-5634
(253)460-3392
Plumbing Fixtures
Description Quantity Quanti
tY Description p bi Description (Quantity
Water Heaters 1.1 -1 1 — -- -
PERMIT EXPIRES August 1,2004.
Permit issued on February 3,2004
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 Application Date: a- 3 - U `/
311i °I--/ 07r- - /04/4,44,./‘
�t�� i111
RECEIVED BY ` r
COMMUNITY DEVELOPMENT DEPARTMENT (�
0 3 2004 CONSTRUCTION PERMIT APPLICATION
' c:TY OF - RECEIVED BY LIGATION NUMBER: [j4- i_00331 - �L
Federal WayOMMUNITY DEVELOPMENTDEPARTMEAPPLICATIONNUMBER: - -
FFR �y ji, ilk APPLICATION NUMBER: - -
**The following Is required information-Please print(in Ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
Q • PROPERTY INFORMATION
SITE ADDRESS: 24 l �W Z`I'"' ( T ASSESSOR'S TAX/PARCEL I q Z(� Q - ttQ �, 29 171
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): 101 ( ) T C.4Ivt pc
DNI I NG t ? 1-1 '-I-
• PROJECT INFORMATION
TYPE OF PROJECT(This application): o BUILDING ..PLUMBING o MECHANICAL o DEMOLITION
o ELECTRICAL o ENGINE/MG o FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): s n . •T PLA
PROJECT NAME: 1- ZL m(sj -1
• PROJECT INFORMATION o,
PROPERTY OWNER: (�
(25->i 62;23E3
u �
7,2_L-014 C,T -cazta,6606..9 Ik)Pc
CONTRACTOR: DAYTIME O2 12x�rtl" M P51.0.(9 C9 12ULC ZS- O -32fi2
MOM ADORNS(STREET ADORES;are,STATE,ZIP): 7152_ NG PHDN
-I i ,vE G� e TAa3lvt4 t 9EJ-{ifs Ei - Z
OTY OF FEDERAL WAY 5 5INES5 LICENSE NUMBER: F X NIJPROl;
2-0 - Q Q`f`iQ - j��/��.l 2 �-4-7(-2? 1 l
((amo�Cf id ?ION M1MBBt: C T t L" 1'L ci s a'�`w� C�DATE:t( /o'
APPLICANT: �6�wAA ` 5(92-14C. ?7)LEL,C.% T t Z
MAILING ADORES(STREET ADOR85;CITY,STATE.ZIP): ` EVENING PHONE:
- 13fci Ave e < :oc-v\A (,L1 -q�ei -S 0- Y-FL -339 z-
o ARCHITEC PROW;TENANT ER(DESCRIBE):( `R CZAa z— (2 53)
MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER D APPLICANT CONTRACTOR
• PROJECT INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINIG.ERED BUILDING? o YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: o YES o NO
WATER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE o TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE D PRIVATE(SEPTIC)
1
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE:
• PROJECT FLOOR AREAS
FLOOR earn=SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
•
GARAGE
HOW MANY FLOORS?
TOTAL:
■ FIXTURES
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: a ELECTRIC a GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) I WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ELECTRIC ❑GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET/
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
• DISCLAIMER/SIGNATCIRE BLOCK
I certify under penalty of perjury t hat the inform etlon furnished by me la 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 dabs(Including costs,expenses,and attorneys'fees Incurred In the
Investigation and defense of mach claim),which may be made by any person,induding the undersigned,and filed against the City of
Federal Way,but only where such claim arises out of the reliance of the dty,Including Its officers and employees,upon the accuracy
of the Information supplied to the dty as a apart of this sap—palleation.
NAME/TITLE: L "SitzvvGV-�— N �1 c MAdd/e- --i'L_ DATE: G� Z9 G+
o PROPERTY OWNER 0 APPUCANT IO•TRACTOR
FOR OFFICE USE ONLY:
a NEW a ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
•
ZONING DESIGNATION: BUILDING SHELL ONLY? o YES a NO
COMP PLAN DESIGNATION BASIC PLAN? a YES o NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? a YES a NO
PLATTED LOT? o YES o NO CHANGE OP USE? o YES a NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO SOX 9718•FEDERAL WAY,WA 98063-9718.253-661.4000•FAX:2536614129