04-101912•
• P f
Cityfof Federal Way Plumbing Permit #:04 - 101912 - 00 - PL
Community Development Services
33530 1st Way S
Federal Way,WA 98003-6210 Inspection request line: 253.835.3050
PI::253.661.4000 Fax:253.661.4129 `r
Project Name: MCLAUGHLIN
Project Address: 2158 SW 339TH Parcel Number: 330620 0230
Project Description: Replace electric hot water tank.
Owner Applicant Contractor
Lisa McLaughlin STERNOD ROOTER&PLUMBING SERVICE STERNOD ROOTER&PLUMBING SERVICE
2158 SW 339th St 13825 13TH AVE CT E 13825 13TH AVE CT E
Federal Way,WA 98023 TACOMA WA 98445 TACOMA WA 98445
(253)460-3392
Plumbing Fixtures
Description Quantity] Description kQuanti ' Description Quantity]
Water Heaters I 1
PERMIT EXPIRES November 13,2004.
Permit issued on May 17,2004
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. 4
Owner or agent: See Application Date: 5 -( 1
-P,. . o k 7- -
r)y-to( gtL Pt
rR. COM,1q rn,OEVEp)Mf g wy v wPME a ERVA its
Pede ai Way . PERMIT APPLICATION MAY 115•FAX:?53-6614179
munu.rityoffeekrahungcorn
I For Office Use Only: FW File Number: - 7 20q
The oilowin• is re•hired in ormation-an inco •lete • • •lication will not be acce•ted. Please • nt : •ib _ in or . -.
• PROPERTY INFORMATION
SITE ADDRESS: /'. V - S(O fj-(�I S( SUITE/APT#
ASSESSOR'S TAX/PARCEL #: %22 G k {0 - 0 C) SQUARE FOOTAGE OF LOT:
LEGAL DESCRIPTION Mg:Acme tite tot 1) 1�1 i-�L JT
� 4.-(r-.A‹ FtzJt"ar-n R,f-{ i_i!jam
(Attach separate page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT(This application): O BUILDING PLUMBING 0 MECHANICAL 0 DEMOLITION
O ELECTRICAL 0 ENGINEERING O FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only): C( `r(G (c 1 )A it i-(i i
PROJECT NAME Name 0 Business/Owner Last Name): LL . (1b . , L LA _ Si) _ W
• PEOPLE INFORMATION
PROPERTY NAMMj: I PRIMA
PRIMARY PHONE:OWNER .KEVi p McLMACl-1 UIJ -(ZMA )U(S
- �Lp
6 MAIUNG ADDRESS(STREET ADDRESS;I: I CITY,STATE,ZIP
7e). /7(0 3),- , Sr �=Drz _- .L)Ak / W/sc cle)023
CONTRACTOR: NAME COMPANY
OFFICE PHONE:
-erc JL) ?sh-z F441413106 5VL (ZS,)�� - X72-
MAILING ADDRESS(STREET ADDRESS;): CRY�STATE,ZIP CELL PHONE:
I'5Z�- l 3+r4 AVE_- iU` E 7th-e_ok\AA .(kX `19-11-1 ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: EXPIRATIQN DATE: FAX NUMBER:
2C - G ?z L G% 1 2 - `3 ca 12 / - t /Cj(- (263) `-1-7L,-"LZci
CONTRACTORS REGISTRATION NUMBER -
` I y� y� !� Q /� ''l /' EXPIRATION DATE:
(copy or card required with each applicatioa)S i G r?. IJ e L -1 e � s I W li 7 / ((2 /Of
LENDER: NAME:
Ilf Propeeed Value>415,0001 DAYTIME PHONE:
MAIUNG ADDRESS(STREET ADDRESS:I: I CITY,STATE,ZIP - ( )
APPLICANT: E: COMPANY OFFICE PHONE:
r JC (Zoc51 *PLUM PALiLicif(_ (29)) Lit j)--.�-3`12.
MAILING ADDRESS(STREET ADDRESS): CRY,STATE,ZIP EVENING PHONE:
t 2k---; - 13t(<I itiUE (►- e -rAcomA ( `iN<F,-- ( ) -
RELATIONSHIP TO PROJECT:
FAX NUMBER:
o Architect O Tenant Other(Describe). CE k.ITIZ c( ( (2 3)t 7( -2-2-9 (
ICONTACT PERSON FOR.THIS PROJECT: O Property Owner '(,Contractor O Applicant I E-MAIL ADDRESS:
• DETAILED BUILDING INFORMATION J
EXISTING USE: PROPOSED USE: .
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK: $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: 0 YES O NO
WATER SERVICE PROVIDER: O LAKEHAVEN O HIGHLINE 0 TACOMA O PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
f
v
• • PROJECT FLOOR AREAS
EXISTING S .FT. PROPOSED SQ. FT. TOTAL '
AREA DESCRIPTION _ Q
' BASEMENT ti
FIRST .
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT _
TOTAL EXISTING TOTAL PROPOSED TOTAL rasnNo AND PROPOSED
HOW MANY FLOORS?
"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 HOODSIcommaciay -WOODSTOVES
B FANS MISC(Describe)
BOILERS FIREPLACE INSERTS RANGES
_.COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
SHOWERS WATER CLOSETS Raiic�l MISC(Describe)
DISHWASHERS ryrTw�lShw<r Combo' DRINKING FOUNTAINS
DISHWASHERS SINKS RAINWATER SYS
GAS PIPE OUTLETS SUMPS
WASHING MACHINES URINALS HOSE BIBSS
LAYS IDathtoam sins
VACUUM BREAKERS i 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. 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
undersigned, and filed against the City of Federal Way,but only where such claim seseoui of the reliance o o s he city,lion
including its officers a, employees,upon the accuracy of the information supplied ty paw f
Ce al eiG CLC e DATE:
05 /L i
Rm
NAME/TITLE
( ig rc) (Title)`J
RELATIONSHIP TO P•IJECT: O Property Owner O Applicant contractor ❑ Architect 0
FOR OFFICE USE ONLY: .
a NEW ❑ADDITION a ALTERATION ❑REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? D YES o NO BASIC PLAN? u YES ❑NO
ZONING DESIGNATION: CHANGE OF USE? a YES n NO
NEW ADDRESS REQUIRED? n YES n NO UP/SEPA/SU? n YES n NO
PLATTED LOT? n YES n NO DEMO PERMIT REQUIRED? u YES a NO __
k