04-100739 City of
unFederal way
Community Development Services Plumbing Permit #:04 - 100739 - 00 - PL
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: SIMPSON
Project Address: 517 SW 312TH Parcel Number: 555920 0020
Project Description: Replace electric hot water tank.
Owner Applicant Contractor
Lilly A Simpson FAST WATER HEATER COMPANY FAST WATER HEATER COMPANY
517 SW 312TH ST 12601 132ND AVE NE 12601 132ND AVE NE
FEDERAL WAY WA KIRKLAND WA 98034 KIRKLAND WA 98034
98023-4819
(425)814-8381
Plumbing Fixtures
[ Description Quantity r Description Quantity Description Quantityl
Water Heaters 1 1 - -
PERMIT EXPIRES August 29,2004.
Permit issued on March 2,2004
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: 3 -.
I ((_4 C" 4:2•-- ( C• '171—
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RECEIVED BY
COMMUNITY DEVELOPMENT DEPARTMENT ]5 7 l
coMMJNITY OF,vELOPMENT SERYIC'ES
(Pr a'� 11510 FIRST WAY SALMI•PO BOX 9718
-edera! Way FEDERAL WAY,WA 9806.19718
ERMIT APPLICATION 153.461-1„'S.FAX 253661.1129
x7/PA*(47779 7
r_
Fw od«t,.,Only F'1V FLIP NtTmt1¢T, TD
6 - 1 0 0 7 D7_ - /) .fr i
The ollowi is ••aired is Orrnation-an taco .lete a• llcation wilt not be acce•ted. Please •rint Ie•IbI (in Ink or
■ PROPERTY INFORMATION
SITE ADDRESS: 517 SW 312 ST, FEDERAL WAY, WA 98023
SUITE/APT
ASSESSOR'S TAX/PARCEL #: 5559200020 - _ SQUARE FOOTAGE OF LOT:
a2o 'i
LEGAL DESCRIPTION leg:Acme Estates.Lot 1/
(Attach separate page for lengthy legal description)
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• PROJECT INFORMATION
TYPE OF PERMIT/This analicationit 0 BUILDING X PLUMBING ❑ MECHANICAL O DEMOLITION
0 ELECTRICAL, 0 ENGINEERING El FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(P.-o✓ide detailed description of work included on this Permit anlu!
Remove/Replace Electric Water Heater
PROJECT NAME Name :. Business/Owner Last N• _T SIMPSON. SCOTT
• PEOPLE INFORMATION
PROPERTY NAME
OWNER: SIMPSON. SCOTT
(2531529-0752
PHONE
MAILING ADDRESS(STREET ADDRESS,[ CITY.STATE,ZIP (2531529-0752
517 SW 312 ST FEDERAL WAY, WA 98023
CONTRACTOR: NAME
COMPANY OFFICE PHONE:
FAST WATER HEATER COMPANY (4251814-3124
MAIUNO ADDRESS(STREET ADDRESS:/. CITY,STATE,ZIP CELL PHONE'
12601 132ND AVE NE KIRKLAND, WA 98034
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: EXPIRATION DATE: FAX NUMBER:
8 7 - 0 0 0 0 4 7 - 0 0 425 814-9516
CONTRACTOR'S REOISTRATION NUMBER: EXPIRATION DATE.
(copy of cord t.yairod with each appUcattoat FAST W HC052DF
02/16/2005
LENDER: ' NAM(;:
(It Rvpa•c1 Mato •µ.00o1 DAYTIME PHONE.
MAILING ADDRESS(STREET ADDRESS:); I CITY,STATE,ZIP
APPLICANT: NAME: COMPANY
OFFICE PHONE;
MAILING ADDRESS(STREET ADDRESS( CITY,STATE,ZIP EVENING PHONE. —'
RELATIONSHIP TO PROJECT; FAX NUMBER:
O Architect O Tenant O Other(Describe).
[CONTACT PERSON FOR THIS PROJECT: 0 Property Owner X Contractor O Applicant E•la^It ADDRESS:
I
• DETAILED BUILDING INFORMATION
EXISTING USE: PROPOSED USE:
EXISTING ASSESSED/APPRAISED VALUE VALUE OF PROPOSED WORK: s $339.00
SPRINKLERED BUILDING? O YES O NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: O YES 0 NO
WATER SERVICE PROVIDER: a LAKEHAVEN q HIGHLINE O TACOMA n PRIVATE(WELL
SEWER SERVICE PROVIDER: p LAKEHAVEN O HIGHLINE 11 PRIVATE(SEPTIC(
■ PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ. FT.--` PROPOSED SQ. F . - T
BASEMENT
__4• _._ TOTAL
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT -_
HOW MANY FLOORS? TOTAL ewrrine TOTAL aaorosu, TOTAL=SO NO MD PROPueo
••NEW HOMES ONLY" NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
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.
MECFUAMCAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRLG.SYSTEMS
. BBQS FANS HOODS(Coomod.q WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
_COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS r.,rueisr„...,c«oey __.__ SHOWERS _ WATER CLOSETS xro;r,) MISC(Dexribel
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYS
WASHING MACHINES URINALS HOSE 6IBBS
LAYS re«nnoe VACUUM BREAKERS X ELECTRIC WATER HEATERS
• DISCLAIMER/SIGNATURL 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 above premises to perform the work for which the permit
application is made. Ifurther 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 employees,upon the accuracy of the Information supplied to the city as a part of this application.
NAME/TITLE: . Permit Mgr DATE: 02/18/2004
(Signature) Mile)
RELATIONSHIP TO PROJECT: 0 Property Owner a Applicant XContractor ❑ Architect 0
FOR OFFICE.USE,ONI Y s
O NEW o ADDITION o ALTERATION o REPAIR a TENANT IMPROVEMENT
CI SHELL:.ONLY? a YES o NO BASIC PLAN? a YES a NO
ZONING DES'tOWATION: CHANGE OF USE? 0 YES ONO
NEW ADDRESS REQUIRED? o YES ONO UP/SEPA/SU? o YES O NO
PLATTED LOT? a YES O NO DEMO PERMIT REQUIRED? O YES a NO
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Patio 2