11-101259f
City of Federal Way
0 r . Mumbing
Community Development Services Permit #: 11 -101259 -00 -PL
P.O. Box 9718 E,
Federal Way, WA 98063-9718 Inspection Request Line:
Ph: (253) 835-2607 Fax: (253) 835-2609 p q (253) 835-3050
Project Name: OWENS
Project Address: 33020 10TH AVE SW Unit C101 Parcel Number: 420500 0250
Project Description: Remove/replace electric water heater
Owner
Applicant
Contractor
FLORENCE B OWENS
FAST WATER HEATER CO (GENERAL)
FAST WATER HEATER CO (GENERAL)
33020 10 AVE SW UNIT C101
12601 132ND AVE NE
FASTWWH948BC (1/4/12)
FEDERAL WAY WA 98023-5051
KIRKLAND WA 98034
12601 132ND AVE NE
KIRKLAND WA 98034
Water Heaters ................................. 1
PERMIT EXPIRES Sunday, October 2, 2011
Permit Issued on Tuesday, April 5, 2011
hereby certify that the above information is correct and that the construction on the abo
the occupancy and the use will be in accordance with the laws, rules and regulations of
Owner or
1� ,
and
ington
r, r
CITY OF '111�&
Federal Way
PERMIT #:
Project:
THIS CARD IS TO MAIN ON-SITE
Construction I ection Record
INSPECTION REQUE TS: (253) 835-3050
11 -101259 -00 -PL Address: 33020 10TH AVE SW Unit C101
FLORENCE B OWENS FEDERAL WAY, WA 98023-5051
Scheduled inspections may 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.
rl Final - Plumbing (4075)
Approved
By Date
Plumbing Groundwork (4190)
Rough Electrical
Approved
Rough Plumbing (4230)Gas
Piping (4125)
Approved to cover
Right of Way
Approved
Approved
By
Approved to release test
By
Date
By
Date
By
Date
rl Final - Plumbing (4075)
Approved
By Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY or M Y T
Federal Way -eC
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253.835 2607• PAX 253-8352609 v irii
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534281
Bulletin#100
Page 1 of 4
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APR 0 4 2Gl1
CTTy ()F FEDERAL WAY
SITE ADDRESS
33020 10 AVE 1OF
SUITE/UNIT 0 ZON ASSESSOR'S TAR/PARCEL #
4205000250 _
NAME OF PROJECT
(TenantorHomeowner Name)
WIENS, FLORENCE
11 BUILDING IX PLUMBING ❑ MECHANICAL '
TYPE OF PERMIT
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION
Remove/Replace Electric Water Heater
PROJECT DESCRIPTION
Detailed description of work to
be included On this permit only
--
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NAME
PRIMARY PHONE
PROPERTY OWNER
OWENS, FLORENCE
((253)p38-6764
MAILING ADDRESS, CITY, STATE, ZIP
E-MAU.
33020 10 AVE SW #C101 FEDERAL WAY, WA 98023
OWNER IS ALSO:
❑ CONTRACTOR ❑ APPLICANT PROJECT CONTACT
ME
FAST WATER HEATER COMPANY
PRIMARY PHONE
425-936-70'8'f
CONTRACTOR
NAILING ADDRESS, CITY, STATE, ZIP
12601 132ND AVE NE KIRKLAND, WA 98034
FAX
425-q36-70135
WA STATE CONTRACTOR'S LICENSE 0
ERFDtATION DATE
FEDERAL WAY SUSMss LICENSE N
FASTWWH948BC
1/4/12 /
19 -87 -000047 -00 -BL
APPLICANT
NAME
FAST WATER HEATER COMPANY
PRIMARY PHONE
425 -q36 -70S14
MAD.ING ADDRESS, CITY, STATE, ZIP
PAR
3201 132N[2 &ENE KIRKLAND WA 98034
425- 36-70$5
PROJECT CONTACT
(The individual to receive and
NAME
TLk C CZ,5 kms. /
PRIMARY PHONE
(425-636-70 8 q
MAMINO ADDRESS, CITY, STATE, ZIP
12601 132ND AVE NE KIRKLAND, WA 98034
respond to all correspondence
concerning this application)
FAS
425-q36-70, SS
ALTERNATE CONTACT NAME:
PRIMARY PHONE
_
E -MAD.
u h'e-1 �ShJ 44ec).c a-fer c
PROJECT FINANCING
Required forprojects with
NAME
❑ OWNER-FIIRAMCLD
MAU.ING ADDRESS, CITY, STATE. ZIP
PRIMARY PHONE
value of $5,000 or more
(RCW 19.27.095)
I certify under penalty of pedury that I am the property owner or authorized agent of the property owner. I cert{fy that to the
best of my knowledge, the igformation submitted in support of this permit application is true and correct. I certify that I will comply
with all applicable City ttf 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,
X 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 drfense qr 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
iqur oration supplied to the city as apart aff thisapplication.
SIGNATURE: +,ktkx C/gv v ^� DATE 3/28/11
PRINT NAME: , RA k i 4) C as
Bulletin#100
Page 1 of 4
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APR 0 4 2Gl1
CTTy ()F FEDERAL WAY
2,4
gtiING FIXTURES
WATER PURVEYOR
Indicate number of each type offtxture
to be installed or relocated as part
of this project. Do not include existingfirturestoremaim
BATHTUBS for Tub/showerComto)
LAVS pandsfulu)
T0ILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS putchcn/utaiW
X WATER HEATERS (lilecfrlc)
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL F=URFS
GENERAL INFORMATION
PROJECT VALUATION
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF MMING IMPROVEMENTS
CJ JIJ, Fes—
EXISTINo/PREVIOUS USE
LOT SIZE (In Sgmwe Fast)
E3aSnNO FIRM SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
o Yes ❑ No
❑ Yes ❑ No
APFA DESCRIPTTION Area Construction # of
In Square Feet Occupancy Group(s)a Stories Additional Information
N>s� lu[NII
ADDITION
Bulletin 4100 — 4/17/2009 Page 2 of 4 kAliandoutsTermit Application