08-100593 , , f -_
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City of Federal Way . Plumbing Permit Alb 8-100593-01
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: 2 t 35-305,
Project Name: NAMYNIUK } V
Project Address: 111 S 340TH ST Unit 10EE Parcel - : 3259' 0
Project Description: Remove/replace electric water heater
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Owner Applicant Contr •r
ANNIE NAMYNIUK FAST WATER HEATER CO 'IIIFFIFIFFIIIIIIIlIlIIIIII11P'KIRKL
NY FAST E: COMPANY
111 S 340TH ST UNITE 12601 132ND AVE FAS 9'-:: / 2010
FEDERAL WAY WA 98003 KIRKLAND WA 9803412601 e I 98034
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Water Heaters 1
PE' ; XPI- • Satu :y, February 6, 2010
1 • 1k„ 'ursday, February 7, 2008
I hereb «-r0 4t t •bove infor •n iso correc and that the construction on the above described property and
the occu®. th a will be in ordance with the laws, rules and regulations of the State ofi 3 ashington
n • the ofegeral Way. ,
`,, ror tI F See *d ation
0' ages ai1,'i191 F } to c �£ i' ; a
6p.
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• THIS CARD IS TWEMAIN ON-SITE
CITY OF '' - Community Developirent Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 08-100593-00-PL
Owner: ANNIE NAMYNIUK
Address: 111 S 340TH ST Unit 10E
FEDERAL WAY, WA 98003
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.
0 Plumbing Groundwork(4190) 0 Rough Plumbing(4230) 0 Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date By Date By Date
— fl Final-Plumbing(4075) 451
Approved
By G CAN) Date V l7
t. •
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
401 ,41/4 RECEIVED BY `�c\
A, 04 _ / 00573 '
" _
Frederal ITY DEVEMENT
PERMIT^�3ERkCEI DF
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ED AL WA AfH 63- B AP P LT CATI 41
FEDERAL WAY.WA 98063-9718
253-835.2607.FAX 253.835.2609 EB 0 7X008 1
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The following is required information-an incomplete applicationle/tilt L vfATse
print legibly an ink)or type.
• PROPERTY INFORMATION
SITE ADDRESS 111 S 340 ST#10E SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 3259450690 - _•y,— LOT SIZE(4)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot I)
(Anudr uparnfe page far tenggry Iegddeacrfpenrd
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING l!O PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
Remove/Replace Electric Water Heater
PROJECT NAME(Name of Business or Owner Last Name) N 4J4 Y I V I U
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER NAMYNIUK, ANNIE ( (253)376-52-36
MAILING ADDRESS CITY.STATE.ZIP E-MAIL ADDRESS
111 S 340 ST#10E FEDERAL WAY, WA 98003
CON RACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
FAST WATER HEATER COMPANY Carol Randall ( 800-454-8955
MAILING ADDRESS
CITY.S LATE,ZIP CELL PHONE
12601 132ND AVE NE KIRKLAND, WA 98034 ( )
CRY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
19-87-000047-00-BL 12/31/08 ( 425-1314-951-6
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
FASTW W H 948BC 1/4/2010 12:00:00AN
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
FAST WATER HEATER COI ( 8004354-8955
MAILING ADDRESS COY,STATE,ZIP CELL PHONE
12601 132ND AVE NE KIRKLAND, WA 98034 ( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
❑Architect 0 Tenant 0 Agent 0 Other ( 425-$14-9516
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT ( )
LENDER NAME Per ROW 19.27.095:
Lender information is required If project value exceeds$5,000
MAILING ADDRESS COY.STATE,ZIP PHONE
( ) -
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES ❑NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
a PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
EXISTING PROPOS® TOTAL raaw sasrna sr TOTAL PROPOSED Er TOTAL Br
NUMBER OF FLOORS
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• FIXTURES
Indicate number of each type offixture ixture to be instoiled or relocated as part of this project. Do not inclndo existing fixtures to remain.
MECHANICAL
Value of Mechanical.Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBBS FANS 0 GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(Commen:WI
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(art b/Shower Combo) LAVS Isathroamsmkai URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS Mite)
1 ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best of my
knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with all applicable
City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that the issuance of this permit
does not remove the owner's responsibility for compliance with local,state,or federal laws regulating construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including casts, expenses, and attorneys'fees incurred in the
investigation and defense of such claim), which may be made by arty person, including the undersigned, and filed against the city,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 as apart of this application.
,ca gevr
SIGNATURE: DATE 1/31/08
Property Owner and/or Authorized Agent
,7bi,�s9100 a�ei i eu7,
D NEW D ADDITION D ALTERATION o REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONIX? a YES a NO BASIC PLAN? D YES a NO
ZONING DESIGNATION _ CHANGE OF USE? � a YES D NO
NEW ADDRESS REQUIRED? a YES a NO _ UP/SEPA/SU? Y _ ,_ a YES a NO
_4 4 r
PLATTED LOT? D YES a NO DEMO PERMIT REQUIRED? a YES t?NO
e
Bulletin#100—January 1,2008 Page 2 of 4 klHandouts\Permit Application