04-105094 f'
City of Federal Way
'Plumbing Permit #: 04 - 105094 - 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: MEYER
Project Address: 36915 4TH SW Parcel Number: 218820 1995
Project Description: Remove/replace electric water heater
Owner Applicant Contractor
Jeffrey L Meyer FAST WATER HEATER COMPANY FAST WATER HEATER COMPANY
36915 4TH AVE SW 12601 132ND AVE NE 12601 132ND AVE NE
FEDERAL WAY WA KIRKLAND WA 98034 KIRKLAND WA 98034
98023-7337
(425)814-8381
Plumbing Fixtures
Description I uantity Description Quantity Description Quantity
Water Heaters 1
PERMIT EXPIRES June 14,2005.
Permit issued on December 16,2004
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.
,See Application See App lication
Owner or agent: Date:
1 S
441kTHIS CARD IS TO REMAIN ON-SITE
CITY OF a ', Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-105094-00-PL
Owner: JEFFREY L MEYER
Address: 36915 4TH AVE SW
FEDERAL WAY, WA 98023-7337
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 arc 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/d J/;�
titl■CIVCLJDT
oe 41143CENUNITY DEVELOPMENT DEPARTMEN7
-0 --q-- - ---1-- C2-L - D 17#
'Federal Way PERMIT
vti.,, a,,,,,..„,s4,4,r,4:, 0 1 2004 sr MF CO ME FL PL DE EN FP
15:-.P.FiRSTIVAY S001-11-PO ROA 971A
kreitAL WAY,iv., vaass.crist APPLICATION
E /
n7 44,1 MS-FAX 25J-5614/29
orvitivirs.draiworivei
The °Malin. is re.aired in ornsation-an IrtCOM lete a ficahon will not be acce•ted. Please •rin t (Calblq(In ink/or to*e.
PROPERTY INFORMATION
SITE ADDRESS 30M i 4 AVF,SW_,FED.ERALWAY.,,WA 08023._ ELUTE/UNIT a
ASSESSOR'S TAX/PARCEL II 2188201995- - _ LOT SIZE (q)
LEGAL DESCRIPTION (e.g..Acme Rslates, Lot I)_ _
PAW
PROJECT INFORMATION
•
TYPE OF PERMIT ti klUILDING tXPLIIMEING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING ci FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provule detailed description of work included an this permit calf')
Remove/Replace Electric Water Heater
- . .
.„ . .
PROJECT NAME(Nanxc of Business or Owner Last Name) ,lite*A____ .
- _
'0 7.'01151x rioN
PROPERTY NAME PRIMARY pecis —r
OW NER MEYER.JEFF (2531988-1602
MAIUNO AD ct R Ess cm.STATE.VP
36915 4 AVE SW EEDERAI,WAV,NA, 98023 __
CONTRACTOR COMPANY NAME - APPLICANT NAME — birrICE NioHr
FAST WATER HEATER COMPANY (4251814-3124
-
1Air14to7,TaikitW--——'-------- CITY,STATE,ZIP CELL PHONE
2601_132NDAVE NE KIRKLA.NIL_WA__28113A__
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER 'IkATIQN DATE F' .NUMB
A - 13 k________ 425 814-9516
<401cribm...-k-54es Rs,GM-m.1%11041 NUMBER rcOpy of c.a.!regained Ida each•ppllestlool &XPIRATION DATF:
EASTWFIC052DE. — — — __ _ _ 02/16/2005
APPLICANT COMPANY NAME APPLICANT NAME ONVICE MORE
MAIUNO ADDRESS CD1', TATE,ZIP CELL Ph ONE ---
iekNYIDItilliP To TRW E;C:1
L7 Architect il Tenant 0 Agent 0 °the, (Describe)
CONTACT
NAME i PRAMARY PHO ---NE E-MAIL AOORMS
. ...
—
LENDER Per RCW 19.27.095: Limier irkforr a NAME
'Is'
nrquiiNKI If project value exceeds$5,000
_ .
. .„
OrdLINI.::Anint.E.Ss On%STATE,VP
.,
_ _ ,—__
DETAILED BUILDING INFORMATION
EXISTING US s _ PROPOSED USE _ _
„.... -
EXISTING ASSESSED/APPRAISED VALUE $_._ _._,., , _VALUE OF PROPOSED WORK $,3319 OIL. ____..... t
1
SPRINKLERED BUILDING? c_i YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES n NO i
WATER SERVICE PROVIDER rr LAKEHAVEN 0 HIGHLINE U TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER n LAKERAVEN 0 HIGHLINE li PRIVATE(SEPTIC)
,. ..
——
43 (,,.0° )(a)
i PROJECT FLOOR AREAS
. .
• AREA DESCRIPTION EXISTING SQT. PROPOSED SQ. FT. TOTAL
..
BASEMENT
- --
FIRST
--- -
SECOND
----- _,--__.
THIRD
FOURTH
---- _
ADDITIONAL FLOORS(nEsc R(13E)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL LATIUM . TOTAL TROTAMISO Tam.monaiTiii parciicaca-- .
"NEW HOMES ONLY" NUMBER OE BEDROOMS ESTIMATED SELLING PRICE $
- --, „
FECTURES
Indicate number of cuch (ype°frit hire(o br al...slat/ea'or refocatuct aN port of this profi,c1. Do not Include CYLSIltly ftchirei II)reion,n
- — _
MECILA NICAL
Value of Mechanical Work $_
AIR HANDLING UNITS EVAPORATIVE cooutRs _ GAS 1.005 REFEIG,SYSTEMS
BHQS FANS HOODS(Cornmem4i W0()DSTOVES
BOILERS _ FIREPLACE INSERTS RANGES MISC(Decibel
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS OAS PIPE OUTLETS
PLUMBING
BAnITUBS or TubiShowea-ConWat IS HOWERS WA'IER CLOSEZS go,-1,-,) _ MISC(Dradcribt)
DISHWASHERS SINKS „ DRINKING F01,;NTAINS
GAS PIPE OUTLETS — SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE mins
LAVS maw..sinki VACUUM BREAKERS - X ELECTRIC WATER HEATERS
- '
DISCLAIMER/SIGNATURE BLOCK
.
_ . . . - -
I car:try under portatty of perjury that the information furnished by me is true and correct to the best of my Icnowledge,and further. that I
1
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 costs, expenses, and attorneys'fees incurred in the Investigation and defense of
such chair , which'nay 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 ray as a part of
this application.
NAME/TITLE ..•••-"t"---7"----,---'-: ...----Cd.-%-e, < :,;--- ''-
(:54gra■wrc) • iTtlfri
RELATIONSHIP TO PROJECT LI Owner tt Agent X Contractor E Architect L) 011irr
FOR OFFICEUSE ONLY 1
0 NEW
a ADDITION
0
BUILDING SHELL ONLY?
ZONING DESIGNATION
-- - ALTERATION
0 YES 0 NO
0 REPAIR 2 TENANT IMPROVEMENT
BASIC PLAN? 0
CHANGE OF USE?
UP/SEPA/SU?
DEMO PERMIT REQUIRED? -
YES a NO
YES a
NEW ADDRESS REQUIRED? n YES o NO NO
a YES 0 NO
(1 YES 0 NO
u YES I,NO
P
•
•
.„„„...- . .._.,. _,,,-. ..........
BUIICIIII#1 00"`"'March 30,2001 Page 2 of 4 ktf landings-RevisxttiN Pernik Application