09-102039j ot Plumbing
City of Federal Way '
Community Development Services Permit #: 09 -102039 -00 -PL
P.O. Box 9718 FILE Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
Project Name: LENZ �g _ 01
Project Address: 33020 10TH AVE SW UNIT 101 Parcel Number: 420500 2270
Project Description: Remove/replace electric water heater
Owner
Applicant
Contractor
JOHN E LENZ
FAST WATER HEATER CO (GENERAL)
FAST WATER HEATER CO (GENERAL)
ANN M LENZ
12601 132ND AVE NE
FASTWWH948BC (1/4/10)
33020 10TH AVE SW UNIT BB101
KIRKLAND WA 98034
12601 132ND AVE NE
FEDERAL WAY WA 98023-5054
KIRKLAND WA 98034
Water Heaters ................................. 1
PERMIT EXPIRES Monday, November 30, 2009
Permit Issjaed orn Wednesday, June 3, 2009
hereby. 4ify that the above information is correct and that the construction on the above d
titt? occuoarW attd the use will be in accordance witft the laws. rules and reaulatiorys of the
Owner
JUN 0 3 2009
FINALLO)l 6IIV/01
and
0
JUN 0 3 2009
-i
IL
�Community
THIS CARD IS TMAIN ON-SITE
CITY OF Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 09 -102039 -00 -PL
Owner: JOHN E LENZ
Address: 33020 10TH AVE SW UNIT 101
FEDERAL WAY, WA 98023-5047
FILE
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)
Approved to cover
By Date
❑ Final - Plumbing.,(4075)
Approved
By Date
❑ Rough Plumbing (4230)
Approved
By Date
❑ Gas Piping (4125)
Approved to release test
By Date
For inspector reference on
❑ Rough Electrical O FINAL - Electrical
Approved Approved
By Date By Date
49k RECEIVED BY
COMMUNITY DEVELOPMENTALARTMENT 446072 0 03
�
ederal Way ERMIT
N1TYDCVrL0PAfENrSrRV10ES JUN 0 3 2007P
coASF MF CO ME ELUPLE EN FP
33325 SIAVENINSOUrff - PO BOX9718
rEDERAL WAY, IVA 9812619718
253-835-2607- FAX 253,aM.2609 APPLICATION
Thefollowing is required information - an incomplete application will not be accepted. Please print legibly fin ink) or 4W.
PROPERTY INFORMATION
SITE ADDRESS - 33020 10 AVE SW #66101 SUITE/UNIT #
ASSESSOR'S TAX/PARCEL # _42 5002270
LOT SIZE Isfi
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
PROJECT INFORMATION
TYPE OF PERMIT o BUILDING A PLUMBING 0 MECHANICAL
13 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of Lvark included on t11tRgrrntt o
Igo
Remove/Replace Electric Water Heater
PROJECT NAME (Name of Business orOwner Last Name)
PEOPLE INFORMATION
PROPERTY TENZ, ANN & JOHN PRIMARY PHONR
OWNER f (253)838-17-43
CONTRACTOR
APPLICANT'
PROJECT
CONTACT
LENDER
EXISTING USE
COMPANY NAME
FAST WATER HEATER COMPANY
APPLICANT NAME
Carol Randall
MAILING ADDRESS
33020 10 AVE SW #BB101
CITY. STATE. ZIP
FEDERAL WAY, WA 98023
E-MAILADDR M -S
COMPANY NAME
FAST WATER HEATER COMPANY
APPLICANT NAME
Carol Randall
OFFICE PHONE —
( 425j636-7054
MAILING ADDRESS
ldzKaTAd WA 98034
CELL PHONE
12601 132ND AVE NE
,P
-
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
19 -87 -000047 -00 -BL
12/31/09
( 42%636-7055
CONTRACTOR'S REGISTRATION NUMBER
EXPIRATION DATE
E-MAIL ADDRESS
FASTWWH948BC
1/4/10
carolr@fastwaterheat:'1w
COMPANY NAME
APPLICANT NAME
OrrICr PHONE
FAST WATER HEATER COMPANY
Carol Randall
( 425)636_7054
MAILING ADDRESS
CnY. STA7E, ZIP
CELL PHONE
12601 132ND AVE NE
KIRKLAND, WA 98034
RELATIONSHIP TO PROJECT
MAX NUMBER
0 Architect 0 Tenant 0 Agent 0 Other Contractor
( 425}636-7055
NAME PRIMARY PHONE E-MAIL ADDRESS
NAME
Per.RCW 19.27.095:
Lender Information is required if project value exceeds $5,000
MAILING ADDRESS
PHONE
PROPOSED USE
f,XISTING ASSESSED/APPRAISED VALUE $ _VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? E3 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER o LAKEHAVEN a MOBLINE 0 TACOMA 0 PRIVATE (WELL)
SEWER SERVICE PROVIDER o LAHEHAVEN 0 HIGHLINE o PRIVATE (SEPTIC)
:oM
4
AREA DESCRIPTION
EBISTING
SQ. FT.
PROPOSED
SQ. FT.
TOTAL
SQ. FT.
BASEMENT
BBQS
FANS
GAS WATER HEATERS MISC (Describe)
FIRST
FIREPLACE INSERTS
HOODS tcammomtatl
COMPRESSORS
SECOND
RANGES
DUCTS
GAS LOG SET'S
THIRD
o NO
NEW ADDRESS REQUIRED? DYES o NO
UP/SEPA/SU?
ADDITIONAL FLOORS (DESCRIBE)
❑ NO
PLATTED LOT? O YES ONO
DEMO PERMIT REQUIRED?
DECK (0 COVERED OR L UNCOVERED?)
❑ NO
GARAGE ❑ CARPORT O
NUMBER OF FLOORS
ezisnsc
PROPOSED
TOTAL
mw
rrxtstavasr
mrnctRarosansr
roriusF
'*NEW HOMES ONLY"* NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type offleture to be Installed or relocated as part of this project. Do not include evisting futures to remain,
Value of Mechanical Work $
(A COF OF BID OR E.STWATG MUST BE, INCLUDSD WITH APPLICATION)
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS PIPE OUTLE"T"S WOODSTOVES
BBQS
FANS
GAS WATER HEATERS MISC (Describe)
BOILERS
FIREPLACE INSERTS
HOODS tcammomtatl
COMPRESSORS
FURNACES
RANGES
DUCTS
GAS LOG SET'S
REFRIG. SYSTEMS
BATHTUBS iwTub/Show rCoiutwl
LAVS (Matttmoman1w)
URINALS 10IfSC (Describe)
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
DRINKING FOUNTAINS
SHOWERS
WATER CLOSETS mllcl
ELECTRIC WATER HEATERS_
_ SINKS
WASHING MACHINES
HOSE BIBBS
SUMPS
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I cerft that to the best of my
knowledge, the information submitted in support of this permit application is true and correct. I certVy that i will comply with all applicable
City of FedePal 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 responsib£lityfor compliance with local, state, orfederat taws 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 fited against the city, but only
where such claim arises out of the reliance of the city, including its gfJicers and employees, upon the accuracy of the information supplied to
the city as apart of this application.
SIGNATURE:
Property Owner and/or Authorized
6/2/09
P'OR OFFYCE UBE QNLY ;'
O NEW a ADDITION
o ALTERATION
o REPAIR O TENANT DdPROVEMENT
BUILDING sHELL ONLY? DYES o NO
BASIC PLAN?
O YES
O NO
ZONING DESIGNATION
CHANGE OF USE?
O YES
o NO
NEW ADDRESS REQUIRED? DYES o NO
UP/SEPA/SU?
o YES
❑ NO
PLATTED LOT? O YES ONO
DEMO PERMIT REQUIRED?
o YES
❑ NO
Bulletin #100 --January 1, 2009
Page 2 of 4
k\HandoutslPermit Application .