04-104816 ` • r
City of Federal Way Plumbing Permit #: 04 - 104816 - 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) 835-305C
Project Name: VERMEULEN
Project Address: 439 SW 297TH Parcel Number: 720520 0110
Project Description: Replace electric hot water tank.
Owner Applicant Contractor
John A Vermeulen &Mary E Vermeulen FAST WATER HEATER COMPANY FAST WATER HEATER COMPANY
439 SW 297TH ST 12601 132ND AVE NE 12601 132ND AVE NE
FEDERAL WAY WA KIRKLAND WA 98034 KIRKLAND WA 98034
98023-3553 (425)814-8381
Plumbing Fixtures
Description ,Quantity Description Quantity r Description Quantity
Water Heaters p 1
PERMIT EXPIRES May 28,2005.
Permit issr--^^ November 29.2004
I hereby certify that L. :' "e inforu:at t n is correct and that tt co• ,ruction on the Plitive descnhed pry 413
the occupancy and the use will be in accordance with the laws,it,'.- - id regulatit s of the State of Washington and
the City of Federal Way.
Owner or agent: See Application Date: �(—a-�- o '1
a\Y
Fi
HALED
` THIS CARD IS TO REMAIN ON-SITE
CITY OF - x ■ Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-104816-00-PL
Owner: JOHN A VERMEULEN
Address: 439 SW 297TH ST
FEDERAL WAY, WA 98023-3553
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 Date 5 -13-05
,,,,,.• 1P••■,---- RECEIVED BY 19 4,.... .-_ _10___444_641766 !ter
FederaPANWITY DEVELOPMENT DEPARTMEPERMIT SF MF CO ME EL e--.)DLL EN FP
;;1117:11;a1;:=-24'thfl:ErAliblfm:97 la V 2 4 20
IP °4APPLICATION
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,,,,i.4,I-1113.FAX 231-661 4129
IPWW Olieth:734-Valt,C45
The oilowi • is re. irecl in °rotation-an incorn fete cr. .Negation will no be acce.(ed. Please rein( lc r(big(in ink)or
PROPERTY INFORMATION
SITE ADDRESS .439_SW 297 ST,FEDERAL,WAY,MA_98023. SUITE/UNIT /
ASSESSOR'S TAX/PARCEL Lt LOT SIZE
LEGAL DESCRIPTION fc.9 ACINC Estates, tot l.ft -
IA...*mee.te revAfele,;.■we+e....swee
PROJECT INFORMATION
TYPE OF PERMIT G BUILDING EXPLISMBING O 'MECHANICAL
U DEMOLITION a ELECTRICAL G ENGINEERING a FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION iThourae detailed desaiptton of work included on(las perui loan)
Remove/Replace Electric Heater
.... __
- - • _ ____ _____.__, _
pRoJEcT NAME Warne of Business or Owner Last Name) .. -
PEAll'LN 1.5731IIHA.770)
PROPERTY NAME PRIMARY PHONE
0wNER VERMEULEN. JOHN (2531941-1767
MAIUNG ADDRESS CrTY,STATE,411'
43101127 ST I ERA',..WAYOYA_98023_
—
CONTRACTOR APPIJCANT NAME. OFFICE 1110HE
COMPANY MAME
FAST WATER HEATER COMPANY (4251814-3124
piAtume.Annitess — CITY,STATE,ZIP CF.I.L PHONE
I 4: k KIRKLAND._WA.91034___ ..
cwt.OF FEDERAL WAY tiustliEs.5 Li,'NSF.NUMBER EXPIRATION DATE FAX NUMFIEN
_8 7, - -0 -0 '0_ 0.- 4—.7— -0 -0 - R L 425 814-9516
c-Litrtikkz..-10F'S REGISTRATION MEADER Fcopy el card rocialrsd tath eacb opplleall•M EXPIRATION Ex I
FASTWIIC052DE 02/16/2005
..
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PliONI",.-
..--
MAIL/NG ADDRESS .—.- - CUM STATE;24r cELL Priam,
„_._
siiII.nnotitiviir"SU PROJECT FAX PRIMOFP-
• CJ Architect U Tenant U Agent a Other (Describe)
CONTACT LAME ___ PRIMARY RIOE E.MAII,ADDRESS
_
LENVER Per RCP:19.27095: Umber information is' ■ NAME ---
revairrd if profirct"'aloe exceeds$5,000 --
MAURO ADDRESS — Cfri,3TAVE,VP
_ .., . _-
DETAILED BUILDING INFORMATION
EXISTING USE _____ PROPOSED USE _ - ..... ..._
_
EXISTING ASSESSED/APPRAISED VALUE $ _ s VALUE OF PROPOSED WORK $, $339.00 __...
SPRINISLERED BUILDING? U YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? IA YES a NO
WATER SERVICE PROVIDER a LAKEHAVEN u HIGHLINE ii TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKEHAVEN a HIGHLINE a PRIVATE(SEPTIC)
— __ _
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SO FT. _._. PROPOSED SQ. FT. TOTAL
— —
BASEMENT „�
FIRST —.. _,
---- —
SECOND
THIRD ____. _.
_M _,_ .._ __---- ._ ___
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
I
DECK(COVERED?(
GARAGE/CARPORT —I
!IOW MANY FLOORS? TOTAL ssmruc TOT AL Mums= rarueasrwonsa reOK CD..` i
•• R OF BEDROOMS ESTIMATED SELLING F RIGF" $"NE ONLY" NUMBER �_
•
FIXTURES
Indicate number of each 11ip'of future In be in,tallecl or relocated n• part of this;prujc cL Do not Inctacto arT ,Inq Ji,e-tures(0 remain.
MECHANICAL
Value of Meciwanieal Work $
MR HANDLING UNITS _,,,_ _ EVAPORATIVE COOLERS GA��S�yLOOS REFItIO..SYSTEMS
RHOS FANS I OODS icome,,,.cvi WOODSTUV ES
—, BOILERS FIREPLACE INSERTS RANGES MISC Qtkacnhe)
^_! COMPRESSORS _________ FURNACES GAS WATER HEATERS
DUCTS GAS I'IPE OUTLET_'(
PLUMBING
BATHTUBS ph Tuarvmw.r Comhal SHOWERS ...... WATER CLOSETS t;outq _ MISC(Uexnlx)
OISI'4WASHENS SINKS _,.,,�...,. DRINKING FOUNTAINS
OAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBDf
VS s,2'44'4„„- _ VACUUM BREAKERS N ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I carttfy 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 authorised by the owner of the above premises to perform the work for which the permit application Is made. r further agree to hol4
harmless the City of Federal Way as to any claim (Including costs, expenses, and attorneys'fees incurred in the inr.,estgation 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 cohere 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 ns a part of
this application.
NAME/TITLE ..�
C--hr/ perTit M AT 1123 .QS4
I ,,,"a1VRI iT,tk1
I
RELATIONSHIP TO PROJECT n Ow Tcr
n Agent X Contractor U Architect G Other
FOR OFFICE USE ONLY Y
o NEW a ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? ri YES a NO BASIC PLAN? a YES n NO
ZONING DESIGNATION CHANGE OF USE? o YES c NO
NEW ADDRESS REQUIRED? r) ES Y n NO UP/SEPA/SU? r YES o NO�
PLATTED LOT? a YES n NO DEMO PERMIT REQUIRED? n YFS a NO
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I; ,tH -#100,_March 30,200-1 Page 2 of� L'H:wdoute Revist■il'crniiL Application