04-101313 City of
unFederal Way
Community Development Services Plumbing Permit #:04 - 101313 - 00 - PL
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4003 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: ELLERSON
Project Address: 2834 SW 341ST Parcel Number: 010921 0150
Project Description: Remove/replace electric water heater
Owner Applicant Contractor
James Seb Lee &Nancy Partz Lee FAST WATER HEATER COMPANY FAST WATER HEATER COMPANY
2834 SW 341ST CT 12601 132ND AVE NE 12601 132ND AVE NE
FEDERAL WAY WA KIRKLAND WA 98034 KIRKLAND WA 98034
98023-7604 (425)814-8381
Plumbing Fixtures
Descriotion [Quantii r Description Qtaanti Description ;Quantity'
Water Heaters 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 Application See Application
Owner or agent: Date:
.KHott, i\wcoLea.
41rr
. RECEIVED BY
- COMMUNITY DEVELOPMENT DEPARTMENT CK1859
COMMUNITY IMMANENT SERVICES
J73J0 FIRST WAY SOUTH•PO BOX 9Jt a
�s FEDERAL WAY,WA 911041 9714
5'ri PERMIT ?A�'PLICATION
-rid Way 251641-411S•FAX 13)441 119
nioir.ntynffrl,;y.,J.�slx
- - TD
For aOffice�Vat oaY. 1=1V File Number: - '3
—
The o/lowin. is re•aired in.ormation-an Inca •tete a••//cation will not be acct•tart Please •Tint /e•WI (/n ink or • .
■ PROPERTY INFORMATION
SITE ADDRESS: 2834 SW 341 CT,FEDERAL WAY,WA 98023 SUITE/APT II
ASSESSOR'S TAX/PARCEL.: 0109210150 — - — W , SQUARE FOOTAGE OF LOT:
LEGAL DESCRIPTION(eg:Acme Estates,Lot II
(Attach separate page for lengthy legal description)
■ PROJECT INFORMATION
TYPE,01 .P *IT rode ap011catiO3t1: O BUILDING X PLUMBING D MECHANICAL O DEMOLITION
❑ ELECTRICAL O ENGINEERING o FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only):
Remove/Replace Electric Water Heater
PROJECT NAME Name • Business/Owner Last Na : ELLERSON.JERRY
• PEOPLE INFORMATION
PROPERTY NAME; PRIMARY PHONE:
owttER: ELLERSON. JERRY _ (2531946-8185
MAILING ADDRESS(STREET'ADDRESS:I' CITY.STATE,ZIP
2834 SW 341 CT FEDERAL WAY,WA 98023
CONTRACTOR: NAME COMPANY OFFICE PRONE:
FAST WATER HEATER COMPANY (4251814-3124
,. MAIUNO ADDRESS(STREET ADDRESS:R CITY,STATE,VP CEU.,PHONE:
12601 132ND AVE NE KIRKLAND. WA 98034
UTY 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 REGISTRATION NUMBER: EXPIRATION DATE:
(copy.T..xa a.i.h a with..cr.ppDe.t1..� FASTWHCQ52DF 02/16/2005
LENDER: NAME: DAYTIME PHONE:
LHMMpa.ea".I.* /$.0001
MAIUNG 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:
C Architect 0 Tenant D Other(Describe/
CONTACT PERSON FOR THIS PROJECT: O Property Owner X Contractor O Applicant I B MAIL ADDRESS'
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE:
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK: $ $339.00
SPRINKLERED BUILDING? a YES O NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: U YES Cl NO
WATER SERVICE PROVIDER: O LAKEHAVEN O RIGULINE O TACOMA n PRIVATE(WELL, -
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
■ PROJECT FLOOR AREAS
if AREA DESCRIPTION EXISTING SQ.FT_ ..... PROPOSED S .FFT. TOTAL
1
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?) - -"-
GARAGE/CARPORT
HOW MANY FLOORS? TOTA1.tw tine TOTAL PROPOSED TOTAL DOSTsNO AND PROPOSED
"NEW HOMES ONLY • NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
FIXTIIR.ES.
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 HOODS 1Coamc;Aq WOO➢STOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(.r Tub/SAwereoub.N SHOWERS WATER CLOSETS(folk+) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYS
WASHING MACHINES URINALS HOSE BIBBS
LAOS Is.ur.s.Sulk VACUUM BREAKERS X 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 am authorized by the owner of the above premises to perform the work for which the permit
application is made. '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 MEr DATE: 03/31/2004
(Signature) moo
RELATIONSHIP TO PROJECT: ❑ Property Owner ❑ Applicant XContractor ❑Architect ❑
FOR OFFICE,USE,ONLY.
a:NEW', o ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUY IG SHELL;ONLY? o YES a NO BASIC PLAN? a YES ❑NO
ZOIIIIIQ DESIGNATION CHANGE OF USED ❑YES a NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? a YES o NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO 1
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