04-104982 City of Federal Way Plumbing Permit #: 04 - 104982 - 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: MOURIKIS
Project Address: 28606 16TH S Unit404 Parcel Number: 720581 0320
Project Description: Remove/replace electric water heater
Owner Applicant Contractor
Mourikis FAST WATER HEATER COMPANY FAST WATER HEATER COMPANY
31007 G ST 12601 132ND AVE NE 12601 132ND AVE NE
OCEAN PARK WA KIRKLAND WA 98034 KIRKLAND WA 98034
98640-5221 (425)814-8381
Plumbing Fixtures
Description [Quantity Description Quantity Description !Quantity
Water Heaters
PERMIT EXPIRES June 7,2005.
Permit issued on December 9,2004
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 flppI e 4 evi Date: t LI lI G Y
THIS CARD IS TO REMAIN ON-SITE
ctrr of
Community Development Inspection Record-
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-104982-00-PL
Owner:
Address: 28606 16TH AVE S Unit 404
FEDERAL WAY, WA 98003-6119
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
arc 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/ 2.1 �-
Fe d,eral Way
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PROPERTY INFORMATION
SITE ADDRESS 28606.1CAVES.11404,XEDERALIVAY,__WA...9.8003,_ SUITE/UNIT It
ASSESSOR'S TAX/PARCEL I 72058103,20- _.
LOT SIZE( )
LEGAL DESCRIPTION (e.g.Acme Estates, Lot 1), - ... __ ______-_... ._..
Pite F-4A-A0w IoAAI A.ww ywow$
PROJECT INFORMATION
TYPE OF PERMIT ci BUILDEMG txPLUMBING 0 MECHANICAL
U DEMOLITION 0 ELECTRICAL a ENGINEERING U FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onhi)
Remove/Realace Electric Water Heater
PROJECT NAME (Name of Business or°loner Last Natnti MOIA6b5
PE3 I,I: N E CT Qs1171D SI
PROPERTY NAME ..•
PRIMARY PHONE -
OWNER MOURIKIS. GEORGIA (3601581-3351
MAILINO ADDRESS CITY.S ATE,VP
31007 G s_T .. ____[_OCEANTARliwWA. 98640 i
...
r 0 NTP_ACTO rZ COMPANy-NAmE APPLICANT NAME
FAST WATER HEATER COMPANY (4251814-3124
INAILmo ADDRES CITY,STATE,VP cELL r)RINE -
_ i I I ..132.NDAMNE_______ ..KIRKLANI_WIL98113
CITY ov peDeRAt.WAY ausiNEsS Lick:1,45E NL/mDER r..xmceATION PAIL FAX HumnEv
-8 7. -_11 .00 0— 4-7— -0 .0 M L 425 814-9516
corrakhcroses REGItiTRATIOR NumLIER/very of card requlawd with~It Application' EXPIRATION DA.1
EASTWI-1C052.DE 02/16/2005
_ __
_ _ - _ _ _ ...
APPLICANT COMPANY NAME APPLICANT NAME OFFICE 1110 NI,
--.
MAURO ADDRESS STATE ,,ZIP CELL PiviNIE
__ , ...i
A.DON:itill,I0 Tvii.TEc•r __ FAX NUMBER ---
LT Architect U Tenant 0 Agent a Other(Describe)
.. ,
-_ -
CONTACT SAME PRIMARY PDONE E-MAIL ADORE.SS
LENDER Per RCW 19.27.09S: Lender infornicrthin iitc..
reqtrti;ed(f project va1sto exceeds$5,000
— ,
, -
I/MING ADDRESS ori,STEW,VP
DETAILED BUILDING INFORMATION
- -
EXISTING USE .PROPOSED USE
EXISTING AssRssED/APPRAtsED VALUE $, _ _ , _____ _vmArD OP PROPOSED WORK $ $319O0 .....
SPIUNKLERED BUILDING? U YES Li NO FIRE SUPPRESSION SYSTEM PROPOSED4LEQUIRED? 11 YES n NO
WATER.SERVICE PROVIDER 11 LAXEHAVEN 0 HIGRLINE U TACOMA Li PRIVATE(WELL)
SEWER SERVICE PROVIDER n LAREILAVEN It IIIGEILINE it PRIVATE(SEPTIC) .
-___
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ,FT. PROPOSED IQ. FT.
BASEMENT
FIRST
SECOND
THIRD
_ .
rouRTH
ADDITIONAL,FLOORS(DESCRII3E)
1—
DECK(COVERED?)
GARAGE/CARPORT
— .' • i
HOW MANY FLOORS? rier.o.aro.* TOT.I.reorusen --
TOTIJ.IMMO A:iiiiarTaco'
..----
"NEWHOMES ONLY" NUMBER BEDROOMS-
ER OF ,,_, ESTIMATED SELLING PRICE $ _ _ --
FIXTURES
Indicate(Lumber ut each fype of fixture to be oros1(41W tor relocated as'nut of this prow L■Q nor trochaic crazting fi,rtoire,;If,r vrnerrri
NIECELANICAL
Value of Mechanical Work $__
MR HANDLING UNITS EVAPORATIVE COOLERS GAS LOOS REERIG.SYSTEMS
BBQS FANS I IIDO DS(c.....ute,,, WWII/STOVES
--.--
BOILERS FIREPLACE INSERTS' RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
UUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS pe Tub/S1,...,cemtel . SHOWERS WATER CLOSETS ussm MISC(Dry nbc)
DISHWASHERS SINKS DRINKING FOLINTAJNS
GAS PIPE OUTLETS SUM PS RAINWATER SYST
WASHING MACHINES URINALS HOSE 13111113
LAVS gieoesels Sukkv) VACUUM BREAKERS X E,LECTRIC WATER HEATERS
- --..
' .
_ DLSCLALKER/SIONATURE BLOCK
1 cort(fy 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. 1 farther agree to hold
harmless the City of Federal Way as to any claim(including costs, expense', and attorneys'fees incurred In the Investigation and defense of
each 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 at a part of
this application.
NAME/TITLE .....---e"-:"-----„--.,-7..,..,..- ....4-,.c2...,.....;,....---
1.'lliprktt:r<1 , ____._PermitMer,
(Ttlirt
RELATIONSHIP TO PROJECT U Owncr D Agent X Contractor :„!. Archilvct L.1 C)t
r
iDirArTE 12/07/200_4_
FOR OFFICE USE ONLY 1
._ _
o NEW a ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? rt YES a NO BASIC PLAN? a YES c NO
ZONING DESIGNATION CIIANGE OF USE? a YES c NO
NEW ADDRESS REQUIRED? n YES 11 NO UP/SEPA/SU? E,YES a NO
PLATTED LOT? __ YES a NO DEMO PERMIT REQUIRED? a YES 1.„NO
_ _ 1.1
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Bulletin NI 00-March 30,2001 Page 2 of1 1011and outs- Eevisedt,Perut 0 A pplicatt.I.