04-102220■
•
City of Federal Way Plumbing Permit #:04 - 10232`- 00 - PL
CCmmmnity Development Services
33530 1st Way S
Federal Way.WA 98003-1210 Inspection request line: 253.835.3050
Ph:253.661.4000 Fax:253.661.4129
Project Name'. RENNORD
Project Address: 912 SW 295TH
Parcel Number: 119600 2680
Project Description: Remove and replace electric water heater
Owner
Applicant Contractor
Adele S Rennord FAST WATER HEATER COMPANY FAST WATER HEATER COMPANY
912 SW 295TH ST 12601 132ND AVE NE 12601 132ND AVE NE
FEDERAL WAY WA KIRKLAND WA 98034 KIRKLAND WA 98034
98023-8213 (425)814-8381
Plumbing Fixtures
Description Quantitv1[ Description - :Quantiti i Description JQuantl yj
rWater Heaters 11 J
------------------ —
PERMIT EXPIRES November 30,2004.
Permit issued on June 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.
Date: 06 -O"5'C�e
Owner or agent: See Application
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✓ COMMUNITY OIVILAPMQIT SERVICES
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:ederal of. ,. :i.1 R ii/I 1 i Al PLI CA i JL`�J i V ?$3.667-III$ TAX 29:3.66(4/119
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■ PROPERTY INFORMATION
912 SW 295 ST,FEDERAL WAY,WA 98023 SttITE/A PT I ,r
SITE ADDRESS: - l:
ASSESSOR'S TAX/PARCEL e: 1196002680 ^ - _ , — _ SQUARE FOOTAGE OF LOT:
i
LEGAL DESCRIPTION (cg:Acme Gstates, Lot II
(Attach separate page for lengthy legal description)
■ PROJECT INFORMATION
TypE OF PERMIT(This appiicatIonI; O BUILDING X PLUMBING a MECHANICAL a DEMOLITION
o ELECTRICAL a ENGINEERING a FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onth):
Remove/Replace Electric Water Heater
Is
PROJECT NAME Name • Business/Owner Last Na : RENNORD. ADELLE 4
■ PEOPLE INFORMATION
PROPERTY NAME - PRIMARY PHONE:
OWNER RENNORD. ADELLE (253)839-6437
MAILINC ADDRESS/STREET ADDRESS:I'. CITY,STATE.ZIP
912 SW 295 ST FEDERAL WAY, WA 98023
CONTRACTOR: NAME COMPANY OFFICE PHONE
FAST WATER HEATER COMPANY (425)814-3124
' MAIUNG ADDRESS(STREET ADDRESS;I: CITY,STATE,ZIP CELL PHONE:
12601 132ND AVE NE KIRKLAND. WA 98034
CITY OP PEOERAL.WAY BUSINESS LICENSE NUMBER: EXPIRATION DATE: FAX NUMBER:
_8 7 - 0 0 0 0 4 7 - 0 0 425 814-9516
CONTRACTORS REOISTR.ATION NUMBER: EXPIRATION DATE:
(copy or.ud t.`rh.d with east.oppUc>Nes) FASTWHC052DF 02/16/2005 ,y
LENDER: NAME: DAYTIME PHONE: g
CUP/op.../VOA..ILOOOI
MAIUNG ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP
If
APPLICANT: NAME: • COMPANY 1 OFFICE PHONE: R"
- MAILING ADDRESS(STREET AUDRESSI: CITY,STATE,ZIP EVENING PHONE: 11y!"
RELATIONSHIP TO PROJECT: FAX NUMBER: r.
0 Architect CI Tenant a Other(Describe)..
I CONTACT PERSON FOR THIS PROJECT: O Property Owner X Contractor 0 Appllcaat
EMAIL ADDRESS:
■ DETAILED BUILDING INFORMATION
EXISTING USE: PROPOSED USE:
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK: S $339.00
SPRINKLERED BUILDING? a YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: 0 YES a NO ,,
WATER SERVICE PROVIDER 0 LAKEIIAVEN a HIGIILINE 0 TACOMA 17' PRIVATE(WELD
SEWER SERVICE PROVIDER U LAKERAVEN 0 IUGHLINE a PRIVATE(SEPTIC) ■
I
■ PROJECT FLOOR AREAS
AREA DESCRIPTION _ EXISTING SQ.FT. PROPOSED SQ. Fr. TOTAL i:
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL,EXISTING rater PROPOSED row.V S!I S MD PROPOSED
"NEW HOMES ONLY NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ _
MIIIIIIIIIIIIIIIIIMIIIIIIIIIIIIEIEEIIIIIIIIIIIIIIIIIINIIIIIIMIIIMIIK
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. 1
liMECUANICAL
Value of Mechanical Work $.
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
HOODS tco �c.i WOODSTOVES
-- BOLL m
FANS MSC(Describe)
BOILERS FIREPLACE INSERTS RANGES
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
WATER CLOSETS(foca) MISC(Describe}
} BATHTUBS(. run/sno+ercomGol SHOWERS DRINKING FOUNTAINS
DISHWASHERS SINKS RAINWATER SYS
GAS PIPE OUTLETS SUMPS
WASHING MACHINES URINALS HOSE BIBBS
LAYS C0rrr..v aws 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 ant 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'fess 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: � �s� . Permit Mir DATE: 06/01/2004
(Signature) Ditto
RELATIONSHIP TO PROJECT: ❑ Property Owner ❑ Applicant XContractor ❑Architect ❑
f
FOR OFFICE USE ONLY.
a NEW o ADDITION o ALTERATION n REPAIR a TENANT IMPROVEMENT
BUISIDUR SHELL:ONLY? o YES a NO BASIC PLAN? o YES o NO It
ZONDIG DESIGNATION: • CHANGE OF USE? o YES a NO
NEW ADDRESS REQUIRED? ❑YES a NO UP/SEPA/SU? o YES a NO .
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? o YES a NO
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