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11-104217Way Applican City of Federal Community Development Services P.O. Box 9718 is Federal Way, WA 98063-9718 FAST WATER HEATER CO (GENERAL) Ph: (253) 835-2607 Fax: (253) 835-2609 12601 132ND AVE NE Project Name: HH STAD Project Address: 33020 10TH AVE SW UNIT 1,304 Proj ect Description: Remove/replace electric water heater . Plumbing Permit #: 11 -104217 -00 -PL Inspection Request Line: (253) 835-3050 Parcel Number: 4205001500 Owne Applican Contractor MARK R HILSTAD FAST WATER HEATER CO (GENERAL) FAST WATER HEATER CO (GENERAL) 33020 10TH AVE SW UNIT L304 12601 132ND AVE NE FASTWWH948BC (1/4/12) FEDERAL WAY WA 98023-5091 KUM AND WA 98034 12601 132ND AVE NE KHUCLAND WA 98034 Water Heaters ................................. 1 PERMIT EXPIRES Saturday, April 14, 2012 Permit Issued on Monday, October 17, 2011 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and fhe use will be in accordance with the laws, rules and regulations the State of Washington and the Ci pf Federal Way. 669 A lication Owner or agent: See Applicalion �� Date: DCT 17.2011 OCT.17 2011 % :_.�,o I dZ/V /I I THIS CARD IS TO REMAIN ON-SITE crry oConstruction Iection Record Federal 'Wad/ INSPECTION REQUE TS: (253) 835-3050 PERMIT #: 11 -104217 -00 -PL Address: 33020 10TH AVE SW UNIT L304 Project: MARK R HILSTAD FEDERAL WAY, WA 98023-5091 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. E] Plumbing Groundwork (4190) E] Rough Plumbing (4230) Final Electrical Approved Gas Piping (4125) Approved to cover By Approved Approved to release test By Date By Date By Date Final - Plumbing (4075) Approved By Date El Rough Electrical Approved Final Electrical Approved Right of Way Approved By Date By Date By Date error Federal Way COMMUNITY DEVELOPMENT SERVICES 253-835-2607• FAX 253-835.2609 uwu-dtgo edemlwog.com 10P E R M I T O MF CO ME <0 DE EN FP APPLICATION RECEIVE® OCT 17 2011 SITE ADDRESS SUITE/UNIT # 3020 1 o+k-\ prve' SW CITY OF FEDERAL &Y-60 '. PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL A CM -- �1-7qct- � o .S O D TYPE OF PERMIT Q BUILDING PLUMBING 0 MECHANICAL Q DEMOLITION 0 ENGINEERING Q FIRE PREVENTION NAME OF PROJECT (Tenant Name/HomeoumerLast Name) del<ge eC / G /rn PROJECT DESCRIPTION L3 Detailed description of work to be included on this permit only PROPERTY OWNER NAME mad -Y-1 ` PRIMARY PHONE (v2 - 3MAILING ADDRESS0 E-MAIL CITY e(a I STATE WA ZIP 9oa 3 NAMENa:ja �k PHONE MAILING ADDRESS Z i0. �c t ria Cis CONTRACTOR AS\CITY �' Gt. STWA ATE 9 —lac✓(-:36-7� WA ATE CONTRACTOR'S LICENSE N EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE ((��M NAME F W l� MAILING ADDRESS Do 'lam E- AH J ul,'-e ,� a -4e ,t APPLICANT CITY STATE IP GZj 2 FAX 17 O'3 S \ Z 3 PROJECT CONTACT NAME S PHONE 0 Qp (The Individual to receive and MAILING ADDRESS t E_MAIL respond to all correspondence concerning this application) CIT STATE FAX ALTERNATE CONTACT NAME: S`i'c �(a PHONE 3 ©< E-MAH. , c PROJECT FINANCING NAME OWNER -FINANCED Required value of $5,000 or more MAILING ADDRESS, CITY, STATE, ZIP PHONE IRCW 19.27 095) 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 isF. ance 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 ci �asapartvfthisqpplicativn. l SIGNATURE: DATE o AS PRINT NAME Bulletin #1100 - January I, 2011 Page 1 of 3 k:\Handouts\Permit Application u1 m Ah r1 i%Z tvm m . LAVS (Hand Sb** TOILETS 12,54 "M DISHWASHERS — RAINWATER SYSTEMS VALUE OF MZCMMCAL WORK (a copy of bid or estimate must be provided) OTHER (Describe) Indicate how many of each type of re to be installed or relocated as part of this project. Do not include existingfixtures to remain. AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe) AIR CONDITIONER FIREPLACE INSERTS HOODS tc..mr6� WASHING MACHINES BOILERS FURNACES HOT WATER TANKS (G—) COMPRESSORS GAS LOG SETS REFRIGERATION SYST � 01 DUCTING GAS PIPING WOODSTOVES Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. BATHTUBS (or Tub/shop combo) . LAVS (Hand Sb** TOILETS WATER PIPING DISHWASHERS — RAINWATER SYSTEMS URINALS OTHER (Describe) DRAINS SHOWERS VACUUM BREAKERS EXISTING FIRE SPRINKLER SYSTEM? DRINKING FOUNTAINS — SINKS (Kbaen/utaiW WATER HEATERS (Electric) ii Yes Ei No HOSE BIBBS SUMPS WASHING MACHINES 4AW �*4 CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS # Of AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE EXISTING/PREVIOUS USE LOT SIZE (In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?, ii Yes Ei No Ei Yes Ei No K, �*4 AREA DESCRIPTION n� Occupancy Group(s) Construction # Of AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE t: "Z4 a Type Stories FIRST FLOOR (or Mobile Home) % -40; ..... ..... COVERED ENTRY ADDITION � 01 I C P MOM 11A � _ GARAGE 0 CARPORT 0 Area Occupancy Group(s) 4, # of Additional Information (de's g Area Totals =SMG *0,08,0 TMAL ;,w Mr v ESTIMATED SELLING PRICE $ # OF BEDROOMS Bulletin #100—January 1, 2011 - Page 2 of 3 k:\Handouts\Permit Application AREA DESCRIPTION Area Occupancy Group(s) Construction # Of Additional Information in Square Feet Type Stories ADDITION C P MOM 11A _ AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information in ware Feet Type Stories ;,w Mr v 'N TENANT AREA ONLY Bulletin #100—January 1, 2011 - Page 2 of 3 k:\Handouts\Permit Application