08-104088 •
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Plumbing
City of Federal Way Q
Community Development Services Permit #: 08-104088-00-PL
P.O.Box 9718
Federal Way,WA 98063-9718
Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p q
y
Project Name: CAMPBELL
Project Address: 416 S 321ST PL Unit J-7 Lk `: Parcel Number: 926660 0710
Project Description: Remove/replace electric water heater
Owner Applicant Contractor
JERRY CAMPBELL FAST WATER HEATER CO(GENERAL) FAST WATER HEATER CO(GENERAL)
P O BOX 724 12601 132ND AVE NE FASTWWH948BC(1/4/10)
CLE ELUM WA 98922 KIRKLAND WA 98034 12601 132ND AVE NE
KIRKLAND WA 98034
Plumbing Fixtures
Water Heaters 1
PERMIT EXPIRES Sunday, March 1, 2009
Permit Issued''on°Tuesday, September 2, 2008
I hereby certify that the above inion is correct and that the constructiont : abo described property and
the occupancy and th se wild a ,�* A_- -°t ' e laws,rules and re o� : � �'I� 0
e � li Y of Federal Way.
Owner or agent: [3ae
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THIS CARD IS TOAEMAIN ON-SITE
CITY OF ommunitY DevelopnWnt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-104088-00-PL
Owner: JERRY CAMPBELL
Address: 416 S 321ST PL Unit J-7
Federal Way, WA 98003-5805
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) ❑ 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 A vC/ Date 'L
,t)/9
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
' "r'°` �a� RECEIVE p��I
- 1 0 0 8
Federal "COAIMUNITYDEVELOPM P " G1MIT 413793
COMMUNTYot:VEWPMEWrSERVtCE4 SF MF CO ME EL®DE ESI FP
333256ntAVEWET%IH.P°47189718 [q pLICATIONa� �
FE0ERA7 WAY,WA 96063.97!8 1 �L 1 x
253.835.2607'FAX 253435-2609
www.citisofferlemItuait.com
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
■ PROPERTY INFORIIIATION
SITE ADDRESS 416 S 321 PL#J7 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 9266600710 - —_ __ LOT SIZE(sp
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attud,seporalt page far lengthy le®aldexrtptlon)
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 1>SI PLUMBING ❑ MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit oniti)
Remove/Replace Electric Water Heater
PROJECT NAME(Name of Business or Owner Last Name) C A M PBL.
■ PEOPLE INFORMATION
PROPERTY NAME CAMPBELL, JERRY PRIMARY PHONE
OWNER ( (509)853-6466
MAILING ADDRESS CITY.STATE.ZIP E-MAIL ADDRESS
PO BOX 724 CLE ELUM, WA 98922
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
FAST WATER HEATER COMPANY Carol Randall ( 800-154-8955
MAILING ADDRESS CITY.STATE,ZIP CELL PHONE
12601 132ND AVE NE KIRKLAND, WA 98034
COY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
19-87-000047-00-BL 12/31/08 ( 425-314-9516
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE EMAIL ADDRESS
FASTWWH948BC 1/4/10
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
FAST WATER HEATER COI ( 8004154-8955
MAILING ADDRESS CITY,STATE.ZIP CELL PHONE
12601 132ND AVE NE KIRKLAND, WA 98034 ( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect ❑Tenant ❑Agent ❑ Other ( 425-$14-9516
PROJECT NAME PRIMARY PHONE EMAIL ADDRESS
CONTACT ( ) -
LENDER NAME Per RCW 19.27.095:
Lender information is required If project value exceeds$5.000
MAILING ADDRESS CM.STATE,ZIP PHONE
( ) -
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑YES ❑NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES 0 NO
WATER SERVICE PROVIDER C! LAKEBAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
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
NUMBER OF FLOORS EXISTING PROPOSED TOTAL rorAL.a:mmoer TOTALrWWPOBCD sr TOTALS?
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
■ FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not Include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WFFH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
Begs FANS 0 GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS ICommerelaq
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(orThb/showerCumbo) LAYS(Bathroom Anise; URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS roma
1 ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE HIBBS 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 ail 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 taws.
I further agree to hold harmless the City of Federal Wag as to any claim(including casts, expenses,and attorneys'fees incurred in the
investigation and dgfense of such claim), which may be made by any 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.
e.
SIGNATURE: DATE 8/28/08
Property Owner and/or Authorized Agent
NEW o ADDITION o ALTERATION o REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? o YES ❑NO
ZONING DESIGNATION CHANGE OF USE? o YES a NO
NEW ADDRESS REQUIRED? a YES n NO UP/SEPA/SU? o YES a NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? ❑YES a NO
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