04-101311m.
r City of Federal Way
Cemmmnity Development Services Plumbing Permit #:04 - 101311 - 00 - PL
33530 1st Way S
Federal Way,WA 98003-6210 1
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: BUTLER
Project Address: 36809 4TH SW Parcel Number: 218820 0555
Project Description: Remove/replace electric water heater
Owner Applicant Contractor
Donald T Butler &Julie A Butler FAST WATER HEATER COMPANY FAST WATER HEATER COMPANY
36809 4TH AVE SW 12601 132ND AVE NE 12601 132ND AVE NE
FEDERAL WAY WA KIRKLAND WA 98034 KIRKLAND WA 98034
98023-7343 (425)814-8381
Plumbing Fixtures
Description _rQuantityj Description 1Quantity! Description 1jQuantity!
Water Heaters I 1
PERMIT EXPIRES October 5,2004.
Permit issued on April 8,2004
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
See App litl0 See A pplication
Owner or agent: ca n Date:
/“M 1,a -CjtA a ( CI k l - Z 7-0 47C-
4
RECEIVED BY
COMMUNITY DEVELOPMENT DEPARTMENT CK1859
COMAAJMTV DEVELOPMENT SERVICES
:JJ3,90 FIRS7 WAY SOUTH•PO BOX 971d
ere os n. FEDERAL WAY,WA 9304 9718
A
Federal Way PERIVIlt PLICATION 25166'-41 a•FAX.JSJ 6b/4139
�4-_ n
For Mace Mace v«Only FW File Number: - .0 1 Z. L " t/ (� TU —
The olloarin. is re•aired in ormation-an into •lett a••lication will not be acce•tad. Please •tint le•ibl in in or •
■ PROPERTY INFORMATION
SITE ADDRESS: 36809 4 AVE SW, FEDERAL WAY,WA 98023 SUITE/APT
ASSESSOR'S TAIL/PARCEL II: 2188200555 - _ _ SQUARE FOOTAGE OF LOT:
LEGAL DESCRIPTION leg:Acme Estates, Lot II
(Attach separate page for lengthy legal description)
■ PROJECT INFORMATION
TYPE OF PERMIT rrbis application): 0 BUILDING X PLUMBING 0 MECHANICAL 0 DEMOLITION
0 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 • B Sirtess/Otuner Last Na : BUTLER. JULIE
IN PEOPLE INFORMATION q'
^ROPERTY NAME: PRIMARY PHONE:
OWNER: BUTLER. JULIE (253)835-3595
MAILING ADDRESS(STREET ADDRESS:1: CITY.STATE.ZIP . k
36809 4 AVE SW FEDERAL WAY, WA 98023
CONTRACTOR: NAME COMPANY OFFICE PHONE:
FAST WATER HEATER COMPANY (425)814-3124
MAIUNO ADDRESS(STREET ADDRESS;1: CITY,STATE,ZIP CELL PHONE:
12601 132ND AVE NE KIRKLAND.WA 98034
CITY OP FEDERAL WAY BUSINESS LICENSE NUMBER: EXPIRATION DATE: FAX NUMBER:
_8 7 - 0 0 0 0 4 7 - 0 0 425 814-9516
C •NTRACTOR`S REGISTRATION NUMBER: EXPIRATION DATE:
(vv,orcazd rK.het with each ippu . . FASTWHC052DF 02/16/2005
LENDER: NAME: DAYTIME PHONE'.
tit Peopo•cd ww•a bA00)
MAIUNO ADDRESS(STREET ADDRESSy: CITY,STATE,ZIP
APPLICANT: NAME: COMPANY OFFICE PHONE:
MAIUNG ADDRESS(STREET ADORESSI: CITY.STATE,ZIP EVENING PHONE:
RELATIONSHIP TO PROJECT: FAX NUMBER:.
CI Architect CI Tenant 0 Other(Describe
( AIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: O Property Oaner X Contactor 0 Applicant 4
I DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE:
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK: $ $339.00
SPRINICLERED BUILDING? O YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: C)YES O NO
WATER SERVICE PROVIDER: 0 LAKEHAVEN p IIIGHLINE O TACOMA U PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKEILAVEN Ta IIIGHLINE 0 PRIVATE(SEPTIC(
h - ti
• PROJECT FLOOR AREAS
BASEMENT AREA DESCRIPTION
EXISTING SQ.FT. PROPOSED SQ_F_ TOTAL
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?) --
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL EXISTING TOTAL eaoaascD TOTAL uusnr<o u D rxuwsaD
"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 $
MR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
...BHQS FANS HOODS tc ;.y WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Deacnbe)
_COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
rimmINO
BATHTUBS t tTub/Sl.o+er eooabq SHOWERS WATER CLOSETS troJH} MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYS
WASHING MACHINES URINALS HOSE BIBBS
LAVStexati.s au* VACUUM BREAKERS X ELECTRIC WATER HEATERS
• DISCLAIMER/SIGN:at_ELBLOCK
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 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: 03/31/2004
(Signaturel rritkl
RELATIONSHIP TO PROJECT: ❑ Property Owner ❑ Applicant XContractor ❑Architect ❑
r
1`OROFFICE USE ONLY:.
a IitEW': a ADDITION a ALTERATION a REPAIR o TENANT IMPROVEMENT
BDII,DIXG SHED.ONLY? o YES a NO BASIC PLAN? ❑YES a NO
ZOItI o DESIGNATION ',CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? ❑YES o NO UP/SEPA/SU? o YES a NO a
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? O YES a NO
tluJlel)a 110
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