04-104685 City of Federal Way Plumbing Permit #: 04 - 104685 - 00 - PL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
Project Name: MORALES
Project Address: 4608 SW 319TH Parcel Number: 873179 0330
Project Description: Replace electric hot water tank.
Owner Applicant Contractor
Reuban J Morales WASHINGTON WATER HEATERS INC WASHINGTON WATER HEATERS INC
31521 39TH AVE SW 8714 59TH DR NE 8714 59TH DANE
FEDERAL WAY WA MARYSVILLE WA 98270 MARYSVILLE WA 98270
98023-2110 (360)653-6429
Plumbing Fixtures
Description 1Quantity Description Quantity Description Quantity
Water Heaters 1
PERMIT EXPIRES May 16,2005.
Permit issued on November 17,2004
I hereby certify that the above information is correct and that the construction on the above described property
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 A p l 'ati on Date: I I "I —�
11/1' , a6
cir
THIS CARD IS TO REMAIN ON-SITE
CITY OF = Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-104685-00-PL
Owner: REUBAN J MORALES
Address: 4608 SW 319TH PL
FEDERAL WAY, WA
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
By C (Ai Date(/- (D - G2
Cn C u"C�IDGVCE'VED BY 01- 1o' ( 5'�� �„ lj u e`d i 1 E 40PMENTDEPARTMENT. HHl'�"� I
+ 1 • • a OCT (o.%$M UXIl)'IAi1'F.LUPA SERVICES
_ NOV 0 5 1 3353OFIRSTWArunmi•I)xos'nu
• Federa Wa 2004 PERMIT APPLICATION 9 2004 FEUF.RA.1115. A.A 98dL41.4i
:53�(,l1��141 is•FAC 75.i�LLl�i i_q
u-..r n�nffed ruh,ay mm
1I I
re.bn .L.cha FW File Number: - - - I
L ------ ---- -----._.---- --- . - t 111
The olt owin. isre.uiredinormation-aninco •t etea.•lication will not beacce•ted. Please .runtle•ibl in in or .
. .. • • PROPERTY INFORMATION
SITE ADDRESS: yb 0 cK d5(A-) 3/14- P gS O Z,7jASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION (cg: Acme Estates,Lot I)
(Attach separate page for lengthy legal deseriphon)
SQUARE FOOTAGE OF LOT:
• PROJECT INFORMATION
TYPE OF PERMIT(This application): O BUILDING (YPIMBING a MECHANICAL H DEMOLITION
D ELECTRICAL a ENGINEERING a FIRE PREVENTION SYSTEM
PROJ 1'DESCRIPTION(Pr vide ailed description of work included on this permit only):
• /t er !y-Gtr f (/ I x.-42 (-V'c G f2-e 5( ' 0 I. / .
PROJECT NAME Name 0 Business/Owner Last Name):/v/0/ ie-5
• PEOPLE INFORMATION
PROPERTY 1;1•••NAME: PRIMARY PHONE:
OWNER: .c (1-0.1.-6(1-0.1.-64-14 An-P-1-(0--6 Z ) fit#
-�
`�
MAILING ADDRESS(STREET ADDRESS;): CI , ZIP
3/5213 9a-- e 5�,ti ; /' al a 990 Z3
CONTRACTOR: NAME / COMPANY -- OF 1 5 P NE:oasA- car 0-0-4-1.zr5
— (le e -'-# /t i' 1 7r - i'
-
MAILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP CELL PHONE:
(253.385 7
CITY 3 -FEDERAL WAY 5 5 %CE�NUMBER: EXPIRATION DA/d t (A16-e4 _7Y5y
CONTRACTOR'S REGISTRATION NUMBER: ��/ / 3/ /J SVC(D EXPIRATION DATE:
(copy or card required with each application)K/ fi"S / a.-- -- t 0 0 /o t /h lei
LENDER: NAME: DAYTIME PHONE:
p!r.•r•.<e vd�e 85,00al __ ( ) -
MAILING ADDRESS(STREET ADDRESS): CITY,STATE,ZIP
APPLICANT: NAME. mot' /' COMPANY '�l OFFICE PI Pl 101(5: p,
��-• "'\OAP.' V-oa-e∎ ({. • ( .- L (tai/ ) .9-7g -DS
' MAILING ADDRESS(STREET ADDRESS): CITY,STATE,ZIP EVENING PHONE:
322) CS Ste("' AL-44 5 -`G. ri" L-06t°tcw( ('63 ) 335 1c '7 '
RELATIONSHIP TO PROJECT , FAX NUMBER:
a Architect a Tenant 'Other(Describe): CyPbra/tr ( 'i3-6 ?`(5 y
CONTACT PERSON FOR THIS PROJECT: a Prdperty Owner a Contractor , Applicant E-MAIL ADDRESS: ,
I DETAILED BUILDING INFORMATION •
EXISTING USE: • PROPOSED USE: •
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK: $
SPRINKLERED BUILDING? a YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: D YES a NO 1
WATER SERVICE PROVIDER: o LAKEHAVEN a HIGHLINE o TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: i) LAKEHAVEN I I HIGHLINE TI PRIVATE(SEPTIC)
.1, VC' LUUt J.U.LU I',lA cODUU1• 14V 1.111 rnurIlALr'aI «JVUL
I •
.r PROJECT FLOOR AREAS
AREA DESCRIPTION EIUSTTNO SQ.FT. 1 PROPOSED SQ.PT_ TOTAL ---
BASEMENT
FIRST
SECOND --
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? Tam.mummn :' 1 IOW,PaaOIOm ic*u sae�i•oAND?aonoir+
i I 11
lIA*NE W HOMES ONLY" NUMBER OF BEDROOMS:_ . ESTIMATED SELLING,PRICE: $_ _-I
III FIKT)IRES
Indicate number of each type of fixture Una is in be installed or:eiocated as part of this project. Do not)dude westing fixtures to remain.
MECHANICAL
Value of Mechanical Work $ _.
AIR HA:'DLINO UNITS _ EVAPORATIVE COOLERS GAS LOGS REPRIO.SYSTEMS
BBQS _ FANS _ HOODS(Commr clan WOODSTO733
_ BOILERS _ FIREPLACE INSERTS RANGES MISC(Dexrbe)
COMPRESSORS FURNACES ______ QAB WATER HEATERS
DUCTS CAS PIPE CUTLETS
PLUMBING
BATHTUBS K,:Tubrma,"e,c,nam, SHOWERS WATER CLOSETS rr,uo MISC(Describe)
Di8}:WASHERS SINKS —_ DRINKING FOUNTAINS
GAB PIPE OUTLETS BUMF S —_ R INWATER SYS
WASHING MACHINES URINALS / 110SE BIBB8
LAYS IEallwoom me* -______ VACUUM BREAKERS � ELECTRIC WATER HEATERS
I cerglY tender penalty of perjury that the information furnished by me is true and correct to the beet of my
knowledge,and further, that I am authorised 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 costa,e'cpenaea,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 racy of the information supplied to the city as a part of this application.
RAbtE/TI17 B: DATE
—
(iitnntvrr) iltX)
RELATIONSHIP TO PROJECT: O Property Owner 1 cart a Contractor a Architect L _
1.FGA er0 U9&P4T. . ,I —_
a NBW ❑ADDTTIOIf c ALTERATTON o REPAIR, TENAM7 IMPROVEMENT
BUII.DINCi 89BLL:ONLYt _ [YES ❑HO_ BASIC PLANT — ❑YES ❑NO
ZONING DESIGNATION: CHANGE OF USED YES NO
NEW ADDRESS REQUIRED? ❑YES t:NO UP(SEPA/SU? 'a YES c NO
PLATTED LQ""? _ c YES c NO DEMO PERMIT REQUIRED? o YES n NO �
Lim U if:i.,h.I( —,:::rCgva^V I- .")04 Page 2
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