04-105182 City of Federal Way Plumbing Permit #: 04 - 105182 - 00 - PL
Commununity ity 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: PARRISH
Project Address: 36206 6TH SW Parcel Number: 302104 9077
Project Description: Replace electric hot water tank.
Owner Applicant Contractor
Delores M Parrish WASHINGTON WATER HEATERS INC WASHINGTON WATER HEATERS INC
36206 6TH AVE SW 8714 59TH DR NE 8714 59TH DR NE
FEDERAL WAY WA MARYSVILLE WA 98270 MARYSVILLE WA 98270
98023-7215
(360)653-6429
Plumbing Fixtures
Description Quantity Description !Quantity Description Quantity
Water Heaters
L
PERMIT EXPIRES June 20,2005.
Permit issued on December 22,2004
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: wI - -Q V
1
THIS CARD IS TO REMAIN ON-SITE
CITY OF `: Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-105182-00-PL
Owner: DELORES M PARRISH
Address: 36206 6TH AVE SW
FEDERAL WAY, WA 98023-7215
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 /t/ f--
Y� Date f ((t /�
_ U J. • UJ/LV V•! J.V•Y U BEG 'VGYI� J
,..1 11 I li VfiA(1 L..':]1 4LIJ VVI
oLfl 1 2004 3� L IJl�DPIEPMt CEtp l
3:7530 MST SOOTH•PO DCA 5718 yz_
c7n w PZOB&WAI',TVA 98043-9718 f\ 4
. Federal Way RMIT APPLICATION
253461-4115•PAN:W-604
129
d7.Oduru8za
Ll7/OF EDERA '
- LIEHNG DEPT,
} m.! ana.�.on I W File Number: — -
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The eiiowi • Si -•utred •• • on-an Inc• •lets • • •UUentCon mall not be • •• •tad. Please •• t le.•ib n in or _ • .
//,�, //
El PROPERTY LNI'ORN1ATION
SITE ADDRESS: .0�J (5tv 6) SUITE/APT$ .64-
ASSESSOR'S PARCEL i:2 Q j. 1 (2 -1 d Z7 SQUARE FOOTAGE OF LOT: ArI -
LEGAL DESCRIPTION(eg:Aano Estates,Lot.11
(Attach separate page for tengthy regal description)
U. PROJECT IP/FORMATION
TYPE OF PERMIT(This application) c BUILDING 411BING ❑ MECBANICAL C DEIKOLPHON
c ELECTRICAL C ENGINEERING 0 FIRE PREVENTION SYSTEM
•
PI:<�T D RIPTlON�I�vide dews ed de ption of tscrk■ 1uded on this .: • nnir .
C/ ) t.c. mfr-(C- Of
PROJECT NAME(!lame 0 Business/Owner Lost Namd: /
• PEOPLE NNFORMA.TLON .
PROPERTY E — ___...______.—. -T PIiIMAFR PRONE: '
OWNER cl�•P r I OS3) J�7 -35,7 j
MAILINC _ .C� 1 _._, .A5 TE 7,�aja7dot —9ir4
CONTRACTOR: NAME. O PA OF E PHON i—1
MAILING ADDRESS WI kW/ULU cSS:l:5 C _ ST, F.,ZIP CELL PHONE:
CITY FkL'YIiAL�Y B 6�5 L1�:8V8E NUMBER: 1��%PLRA A'/OW� FAX NUMB/5 -
Q 3 - / o_ � � _L Y - _ _ iZ " 5/ ' " (0�L - /Y
CON(1.ACTOICS REGISTRATION NUMBER: /� C /� p AXPIRA�TIION DATE: 1
Ropy at out Dumbed vlth each appDcaHoa(��/ it J g 4. s-_/ O 0 v f [ /I7( /Ott
LENDER: NAAME: _ DAYTIME PRONEt
ura.Te..e vols.,W.00al ----
MAILING ADDR.9E(STREET ADDRESS;]--- CITY,STATE,ZIP
i •
APPLICANT Ny�E. ---� cGD�tl1r I OFFICE PHUn
C./i(-„/"n 4 U-� ✓ ziD. /„,( vx Cali 0011 ) 11� c�'S�_
drr:NG A:'D.ES3(STREET DRESSI' ;27:(111'1. .g✓ y EvENING PHONE: '-�-
i55l—PROJECT: FAX is S 1 64
CC,� 1w ' (TO
IATIONSHIP❑Architect u Tenant %Other(Describe)• p_(ar/f ! YL( (fk4/ )E375 -7757
CONTACT PERE(JN FOR THIS PROJECT: O Property Owner detractor r iceut LA2 At�R.7 C_
" °ET.ATLED Ft:HuiING INFORMATION •
EXISTING USE PROPOSED USE:
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SFR/MILDRED BUILDING? c YES ❑NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: C YES 0 NO
WATER SERVICE PROVIDER: ❑ LAl{EIL4VEN 0 HIGHLINE a TACOMA C PRIVATE IWELLI
SEWER SERVICE PROVIDER: C LAKEHAVEN a HIGHLINS 0 PRIVATE(SEPTIC)
U1: Up:suits 1U.1V t'AA soouU111so 1.111 rCLCAALrA,t 181UUL /
a • .• PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. ) PROPOSED SQ.PT. TOTAL
BASEMENT
FIRST
SECOND .__
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE) - -- - --
DECK(COVERED?) J I "-
GARAGE/CARPORT
HOW MANY FLOORS? TarAe rweran."` fogLEI1Oniuea Teta mammaA:n yuwrossi
11
a!NEW HOMES ONLY' NUMBER OF BEDROOMS:_ _ EsT[MAThIJ SELLING PRICE: $_ J
NI NIX'MINES
Indicate number of each type of fixture that is to be installed to relocard an part of this project. Do not include meeting fixtures to remain.
MSCHANIC IL
Value ofMechaniml Work $
AIR IIANDLWO UNITS EVAPORATIVE COOLERS GAS LOGS REPRIO.SYSTEMS
BEGS _ FANS _----- HOODS(Camm.naD WOODSTOVEB
BOILERS _ FIREPLACE INSERTS __ RANGES MISC(De crbe)
COMPRESSORS _ FURNACES __ GAB W.1TERP.EAT°RS
DUCTS GAS PIPE CUTLETS
PLUMBING
BATHTUBS p:T.mrsm«.,eenw, SHOWERS WATER CLOSETS
(roac,) M1SC(Describe)
DIBh'V:YSHERS SINKS DRINKING FOUNTAINS
OAS PIPE OUTLETS BUMPS RAINWATER SYS
WASHING MACHINES URINALS HOSE B[BDB
LAYS 1130.1reoa Sims -- VACUUM BREAKERS / ELECTRIC WATER HEATERS
• , -,('IAI1: F _ P42,tot.- 4;2.: :h
I certify Tender penalty of perjury that the iry.ormation furnished by me is true and correct to the beet of my
knowledge,and further, that I am authorized by the owner of the above premises to perform the Mork for which the permit
application is made. t 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 by as a part of this application.
NAME/TITLE: •-•-4 :1\OV (9 ---(-1(4--4 L1/455(-- _ DATE: Z/l5 (OLI
(Signature) ��_ ///yyy jlihei
RELATIONSHIP TO PROJECT: o Property Owner 7epplioant Contractor ❑Architect L -
FQR QPI?IOE1USE ONLY "I I w ,
.) Tr.,cl:Yl
NLW ❑ADDiTIOlt.'.' c ALTERATION.. .:o REPAIR :; ' u'TEltANT:IM ROV'EMEI T
BUIIrDING SHISLL.QRLT• c YES:c NO BASIC PLAN? . 0 YES' . ❑NO
ZONING DESIGNATION: : :, " ::' CHANGE OP USE -, o YES. a NO•NNW ADDRESS:REQUIRBBD? 0 c NO ' •• UP/SEPA/STJ? a YES. c NO
PLATTED t Q 17 ''t TES.. . NO ''''-'7:7-1"--
' : DEMO PERSI T REQUIRED? . . e TSS .❑NO
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