04-103393 •
C Federal Way Plumbing Permit #:04 - 103393 - 00 - PL
Community Development Services
33530 1st Way S
Federal
253 Way,WA Fax:253 6 Inspection request line: 253.835.3050
Ph 253 661 4000 Fax:253.661.4129 h 9
Project Name: KATAYAMA
Project Address: 2668 S 300TH Parcel Number: 798500 0030
Project Description: Remove/replace ELECTRIC water heater
Owner Applicant Contractor
Christine H B Katayama FAST WATER HEATER COMPANY FAST WATER HEATER COMPANY
2668 S 300TH ST 12601 132ND AVE NE 12601 132ND AVE NE
FEDERAL WAY WA KIRKLAND WA 98034 KIRKLAND WA 98034
98003-4226 (425)814-8381
Plumbing Fixtures
Description [uantityd Description 1Quantityl[ Description Quantity
Water Heaters 1 1
PERMIT EXPIRES February 21,2005.
Permit issued on August 25,2004
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.
Owner or agent:_ See Application Date:
FINALED
¢tl lei X o,
•
•
THIS CARD IS TO REMAIN ON-SITE
CITY OF ��--� Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-103393-00-PL
Owner: CHRISTINE H B KATAYAMA
Address: 2668 S 300TH ST
FEDERAL WAY, WA 98003-4226
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 must 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) ❑ Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date By Date By Date
Final-Plumbing(4075)
Approved
•
Date2-� 18��
RECEIVEDBY SF
m„or � COMMUMRYDEVELOPMENTDEPAR�1 E� - � b 33 �14�1,
Federal Way PERMIT �`
.1roXMVATTP DeVeloniENTSERVICES
AUG AU6 2 3 2004 MF CO ME EL EN FP,,
7530 FIRST WAY scull•Po pox 9778
PEDP,RALM'AY.WA IINIOJ-9778
APPLICATION
1 3.661-171S•FAX 253-6611119
/
The oIlowin• is re•wired in armation—an incorn tete a••lication will not be acce•ted. Please • nt le•ibi (In ink)or •
PROPERTY INFORMATION
SITE ADDRESS 2668 S 300 ST,.FED.FRAl.WAY,WA 9R(101 q,. _.._.._.� SUITE/UNIT
ASSESSOR'S TAX/PARCEL f 798500003O LOT SIZE(sf)
LEGAL DESCRIPTION (e.g.Acme Estates, Lot 1)
._
1..y.(t u*I p nlc Ya9•F*><MIw ieyd do a■pion)
PROJECT INFORMATION
TYPE OF PERMIT 0'BUILDING C(PLUMBING t3 MECHANICAL
O DEMOLITION 0 ELECTRICAL O ENGINEERING C] FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
Remove/Renlace Electric Water Heater
PROJECT NAME{Name of Business or Owner Last Name)
PE:F 1: OATr0
PROPERTY NAME PRIMARY PHONE •.
OWNER KATAYAMA. CHRISTINE (2531941-4629
MAIUNC ADDRESS CITY,STATE,ZIP
2668 S 300 ST FEDERAL WAY,WA 98003
CONTRACTOR COMPANY NAME APPLICANT NAME OFFI10E PHONE
FAST WATER HEATER COMPANY (4251814-3124
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
12601 1 2ND AVE N II{ RKLAND.WA 98034
CITY OP FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
-8 '7-- -0 -0-0_ 0-4_7- -0 _0 - II L 425 814-9516
CONTRACTORS REGISTRATION NUMBER 1copy at card regadrad velth each application/ EXPIRATION DATE
EASTWHC052DE_ _ _ _ _ 02/16/2005
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE _- _1
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSYSIPTO PROJECT FAX NUMBER
CI Architect Cl Tenant O Agent O Other(Describe) _y.
_
CONTACT NAME PRIMARY PHONE -....,. E-MAIL ADDRESS
LENDER 19.27.095: s
Per RC W Lender inform"altan is�
regr<It•ed ifpraiset who:exceeds.*3000*-
4tAtUNG ADDRESS Orr,STATE,
DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ _ VALUE OF PROPOSED WORK $ $3'I9 00 -
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES a NO
WATER SERVICE PROVIDER D LAKEHAVEN O HIGHLINE 0 TACOMA 17 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE U PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ. FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD _... -
FOURTH '-
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?) — –
GARAGE/CARPORT
HOW MANY FLOORS? LOYAL=MAO ......-_. TOTALPROevsui TOTAL=STOW ASOAsoroem -'
"NEW HOMES ONLY"" 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 REFRIG.SYSTEMS I'.
BBQS FANS I CODStCommacmr WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe(
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(of Tub/Shower Combq SHOWERS WATER CLOSETS troao - MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS ._..–. RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYS Igeov000 suWal VACUUM BREAKERS X ELECTRIC WATER HEATERS
DISCLAIMER/SIONATURE 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 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 08/1912004
(Striatum)
Permit MQr DATE `
ITtnel
RELATIONSHIP TO PROJECT U Owncr tl Agent i Contractor 0 Architect U Other
FOR OFFICE USE,ONLY
111 a NEW a ADDITION a ALTERATION o REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES a NO
ZONING DESIGNATION -- CHANGE OF USE? a YES o NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES o NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100-March 30,2004 Page 2of4 ' ktHandouts-Rcviscd\PcnnitApplicatiou `�