04-103213 r ,
City°`Fade's'Way Plumbing Permit #:04 - 103213 - 00 - PL
Community Development Services
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: CAVAZOS
Project Address: 32600 1ST S Unit33 Parcel Number: 169730 0150
Project Description: Remove and replace electric water heater
Owner Applicant Contractor
Cynthia Cavazos FAST WATER HEATER COMPANY FAST WATER HEATER COMPANY
32409 1ST PL S#33 12601 132ND AVE NE 12601 132ND AVE NE
FEDERAL WAY WA KIRKLAND WA 98034 KIRKLAND WA 98034
98003-5710 (425)814-8381
Plumbing Fixtures
Description Quantity� Descr i tion �Quanti tY Descri tion 1Quantity
Water Heaters I 1
PERMIT EXPIRES February 8,2005.
Permit issued on August 12,2004
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. S ee
Owner or agent: `1 p jica tj0� Date: D C'
p — J 2.`
11 6
•
THIS CARD IS TO REMAIN ON-SITS
CITY OF
vCommunity Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-103213-00-PL
Owner: CYNTHIA CAVAZOS
Address: 32600 1ST AVE S Unit 33
FEDERAL WAY, WA 98003-5700
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD.
Inspections are listed as close to sequential order as possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work roust not
be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections
are logged on the back of this card.
❑ Plumbing Groundwork(4190) ❑ Rough Plumbing(4230) 1E1 Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date By Date l By Date
Final -Plumbing(4075)
Approved
By ni„c* Date j� p 9
By
A41/1/1� /°� 25- a
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D.""'"'� CZ - I L ±s23
Federal Way RECEIVED BY
YruiUATrrnsvrcor Nrs tvicas_ "� DEVELOPMENTDEPAUME�TIF CO ME E DE EN FP
Islrtrl lnY.D VEWM� RECEIVED BY
r=J7rJIAL WAY,wA sa� NI Y DEVELOPANNYVCATIOGN 1 2004 SO
2.59-661-411s•FAX 2SJ 66.14129
tesinegiverakotimstemt AUG 11 RECD
The ollowl . is re.tared in ermataon-an inco tete • ••licatioa wall not be acce•led. Please . nt te.lbl (In ink)or ,
PROPERTY INFORMATION
SITE ADDRESS 32409 1 Pi.S#32409,FEDERAL,WAV WA 9R003 SUITE/UNIT;Y
A.;SESSOR'S TAX/PARCEL t _„.1697300150_ LOT SIZE (sf)
LEGAL DESCRIPTION (e.g.Acme Estates, Lot 1)
µo•.•h sslww.yyK R•I.*ahv te9d e.xa;jranl ..
PROJECT INFORMATION
TYPE OF PERMIT U BUILDING tXPLUMBING a MECHANICAL
❑ DEMOLITION a ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onluj
Remove/Renlace Electric Water Heater
PROJECT NAME(Name of Business or Owner Last Name)
PEOF.4. :k C$Z.MAII(..1
PROPERTY NAME PRIMARY PHONE
OWNER CAVAZOS, CYNTHIA (2061261-6435
MAILING ADDRESS CITY.STATE,ZIP p
32409 1 1 L S #32409 FEDERAL WAY, WA 98003
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
3AST WATER HEATER COMPANY (4251814-3124
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
12601 132ND AVENE iRKI AND_WA 98034
CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER EXPIRATION DATE FAX NUMBER
-8 7- --0 -0-0- 0- 4_7— -0 -0 - a L 425 814-9516
CONTRACTORS REGISTRATION NUMBER jeopy of cud required It excL xpplIcxtlonl EXPIRATION DATE
EASTW1ICD52DE _ _ _ _ 02/16/2005
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE.21P CELL.PHONE
R£LATIONSHLPTO PROJECT '_ _ FAX NUMBER � f
7 Architect O Tenant a Agent U Other(Describe)
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
LENDER Per RCW 19.27.09$ Lender information is 't NAME
required If protect value exceeds 5000.
A/ATUNG ADDRESS art.STATE,ZIP
15t ; t II I II I * I 44 ;:1' iy
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $,, VALUE OF PROPOSED WORK $4319 00
SPRINKLEREII BUILDING? 0 YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES a NO _
WATER SERVICE PROVIDER D LAKEHAVEN a HIGHLINE a TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER U LAKEHAVEN 0 HIGHLINE a PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ. FT. TOTAL
• BASEMENT
FIRST
-
SECOND
THIRD
t_
FOURTH --
ADDITIONAL FLOORS(DESCRIBE) — — j
DECK(COVERED?)
GARAGE/CARPORT -" -
HOW MANY FLOORS? TOTAL sanrao .._` Toni.rsoroesn TOTAL METRO uo rsoroxo t .
'VIEW HOMES NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $,_
FIXTURES
Indicate number of each type of fixture 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
SYSTEMS FANS HOODSic.mattAy WOODSTOVES BOILERS
FIREPLACE INSERTS RANGES MIST(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING •
i .
BATHTUBS for Tun/Snow's Combo] SHOWERS WATER CLOSETS _ C
DISHWASHERS SINKS DRINKING FOUNTAINS '" - MIST(Describe)
GAS PIPE OUTLETS SUMPS RAINWATER SYST 1.
WASHING MACHINES URINALS HOSE BIBBS
LAYS tsauroo ■34141 _-- VACUUM BREAKERS X ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I cartify 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 s �-' -•,�+`° Permit Mgr DATE 0$/1012004
(Signature) (rncj
RELATIONSHIP TO PROJECT it Owner II Agent X Contractor D Architect O Other
FOR OFFICE USE,ONLY
a NEW n ADDITION ❑ALTERATION n REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES o NO _ BASIC PLAN?
n YES a NO ),::..
ZONING DESIGNATION CHANGE OF USE? a YES o NO
NEW ADDRESS REQUIRED? n YES n NO UP/SEPA/SU? a YES a NO
PLATTED LOT? n YES a NO DEMO PERMIT REQUIRED? u YES ❑NO
Bulletin#100-March 30,2004 _ Page 2 of 4 kV Handouts-Revised\Pennit Application