09-100988 RECEIVED BY
411. COMMUNITY DEVELOPMENT DEPARTMENT j�
437055 0 7 / a 0 / eCITY 6I2'
4pERMIT
Federal Way MAR �. 6 2000
OMMUNIIYDEVELOPAIENT SERVICES SF MF O ME EL D E EN FP
325 D AVENUE SOUTPO H APPLICATION
FEDERAL WAY.WA 98063-9718 - / /
253.835,2607•FAX 253.835.2605
1,1,o_;_tir 10/jenlr;rultivanoni
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION
SITE ADDRESS 32324 4 PL S#Q4 SUITE/UNIT# ,
ASSESSOR'S TAX/PARCEL# 9266601280 - _ _ LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy leges description)
MI PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING X PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu)
Remove/Replace Electric Water Heater
PROJECT NAME(Name of Business or Owner Last Name) &O
in PEOPLE INFORMATION
PROPERTY N`VNGOM, ALICE PRIMARY
RI ARYP1-LONE
OWNER (25 )874-07_91
MAILING ADDRESS CITY.STATE,ZIP E-MAIL ADDRESS
33001 30 AVE SW FEDERAL WAY, WA 98023
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
FAST WATER HEATER COMPANY Carol Randall ( 425-)636-7054
eticMAILING ADDRESS IP CELL PHONE
12601 132ND AVE NE Og( TAB, WA 98034 ( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRA770N DATE FAX NUMBER
19 87-000047-00-BL 12/31/09 ( 425)-636-7055
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
FASTWWH948BC 1/4/10 carolr@fastwaterheater.com
APPLICANT' COMPANY NAME APPLICANT
Carol Randall (FF4 OFFICE
PHONE 7054
FAST WATER HEATER COMPANY
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
12601 132ND AVE NE KIRKLAND, WA 98034 ( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant 0 Agent 0 Other Contractor ( 425)-636-7055
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT ( ) -
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY.STATE.ZIP PFIONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 RIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 BIGHLINE 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
EXISTING PROPOSED TOTAL TOTAL EA75T(N0 SF TOTAL PROPOSED SF TOTAL 5F
NUMBER OF FLOORS
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type offixture 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 WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
Bags FANS GAS WATER HEATERS MISC[Describe)
BOILERS FIREPLACE INSEICib HOODS icommcn)nH
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SLIS REFRIG.SYSTEMS
PLUMBING URINALS IoltSC(Describe)
BATHTUBS(orTub/Sltnvor Combo) LAVS(Bathroom Sinks)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS raw
X 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 hest 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 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, 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 a part of this application.
3/13/09
SIGNATURE: DATE
Property Owner and/or Authorized Agent
FOR OFFICE USE ONLY
❑NEW a ADDITION o ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? ❑YES a NO
ZONING DESIGNATION CHANGE OF USE? ❑YES o NO
NEW ADDRESS REQUIRED? a YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES ❑NO DEMO PERMIT REQUIRED? o YES a NO
Bulletin#100—January I,2009 Page 2 of 4 k\Handouts\Permit Application
•
City of Federal Way Plumbing.09-100988-00-PL
Community Development Services Permit #:
P.O.Box 9718 !1
Federal Way,WA 98063-9718 p( Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609 p q
a'rf
a1
Project Name: ONGOM
Project Address: 431 S 321ST PL Unit 4 Parcel Number: 926660 1280
Project Description: Remove/replace electric water heater
Owner Applicant Contractor
ALICE ONGOM FAST WATER HEATER CO(GENERAL) FAST WATER HEATER CO(GENERAL)
32324 4TH PL S UNIT Q4 12601 132ND AVE NE FASTWWH948BC(1/4/10)
FEDERAL WAY WA 98003-5821 KIRKLAND WA 98034 12601 132ND AVE NE
KIRKLAND WA 98034
•
0iutxmbl t /iii
Water Heaters 1
PERMIT EXPIRES Saturday, September 12, 2009
Permit Issued on Monday, March 16, 2009
I hereby certify that the above information is correct and that the construction on the above described propertyand
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
edate:
.cation
MAR 16 2009
Ei‘q,
-1
Mtail
• . • Nil" THIS CARD IS TCSMAIN ON-SITE
CITY OF litommunity Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 09-100988-00-PL
Owner: ALICE ONGOM
Address: 431 S 321ST PL Unit 4
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.
❑ Plumbing Groundwork(4190) ❑ Rough Plumbing(4230) El Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date By Date By Date
— 0 Final-Plumbing(4075)
Approved
Bye Date 7 - 2-6
. i
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date