11-104742PI mbing
City of Federal Way
Community & Econ. Dev. Services µ e w ,.• .:, Perot #; I i -10474 -00-PL
33325 8th Ave S w
Federal Way, WA 98003`
Ph: (253) 835-2607 Fax: (253) 835-2609,— ? Inspection Request Line: (253) 835-3050
Project Name: RICHARDSON
Project Address: 33020 10TH AVE SW UNIT 0302 Parcel Number: 420500 0560
Project Description: Replace electric hot water tank.
Owne
Apolican
Contractor
MARK B RICHARDSON
JULIE CASKEY
FAST WATER HEATER CO (GENERAL)
33020 10TH AVE SW UNIT 0302
FAST WATER HEATER COMPANY
FASTWWH948BC (1/4/12)
FEDERAL WAY WA 98023
12601 132ND AVE NE
12601 132ND AVE NE
KIRKLAND WA 98034
KIRKLAND WA 98034
Plumbing Futures +
Water Heaters ................................. 1
PERMIT EXPIRES Sunday, May 27, 2012
Permit Issued on Tuesday, November 29, 2011
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and thews ill be in accordance with the laws, rules and regulations of the State of Washington
d the City of Federal Way.
Owner or agent: 'Date: 11—al—It
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CITY 4F <;Np
Federal Way
THIS CARD IS TO MAIN ON-SITE
a Construction I ection Record
INSPECTION RE �S• 835-3050
AV
PERMIT #: 11 -104742 -00 -PL Address: 33020_.10TH AVE SW UNIT 0302
Project: MARK B RICHARDSON FEDERAL WAY, WA 98023-5094
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.
Final - Plumbing (4075)
Approved
By Date
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
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
F°dFede,,WE- W IVEPOPERMIT
COMMUNITY DEVEIAPMENT SERVICES 9 c APPLICATION
253-835-2607• FAX 253.835-
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SITE ADDi&W
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SUITE/UNIT #
D-302
PROJECT VALUATION
ZONING
ASSESSOR'S TAIL/PARCEL #
$ `��� �''
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0 5 (0 C)
TYPE OF PERMIT
D BUILDING )( PLUMBING D MECHANICAL
D DEMOLITION D ENGINEERING D FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
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PROJECT DESCRIPTION
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Detailed description of work to
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be included on this permit only
PROPERTY OWNER
NAME
Ra1 4.1-61:5071,253.32-0.900
PRIMART PHONE
!3 o O t C)+iq FNe S W-4 0-302-
E-MAIL
CITY
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STATE
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ZIP
NAME _F
PHONE j �2��
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CONTRACTOR
MAILING ADDRESS
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EXPIRATION DATE.�^�
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FEDERAL WAY BUSINESS LICENSE #
NAME
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MAILING ADDRESS
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APPLICANT
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FAX
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PROJECT CONTACT
individual
NAME
PHONE 2
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(The to receive and
MAILING ADDRESS
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EM`AIL
i�,itL° "6t4f fC
respond to all correspondence
concerning this application)
CITY�1
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STATE
ZI
FAX
4,-3 -Seo -7OK
ALTERNATE CONTACT NAME-
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PHONE
3
E-MAIL �� �-' Q v f S
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PROJECT FINANCING
NAME
OWNER -FINANCED
Requtred value of $5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW7 9.27 095)
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
issuance of this permit does not remove the owner's responsibility for compliance with Iocal, state,
or federal laws regulating
construction or environmental Iaws.
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 as a part of this application.
SIGNATURE:
n /
DATE
PRINT Vt,l
S
NAME:
Bulletin # I 00 - January 1, 2011 v Page I of 3 k:\Handouts\Permit Application
V1
YYN
a
a
Indicate how numy of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
T,
— LAVS (Hand Sh*.)
TOILETS
WATER PIPING
DISHWASHERS
— RAINWATER SYSTEMS
URINALS
VALVE OF NECUAMCAL WORK
(a copy of bid or estimate must be provided)
Indicate how many of each type of Ixture to be installed or relocated as
part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS
FANS
GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER
FIREPLACE INSERTS
HOODS tc.erei.4
BOILERS
FURNACES
HOT WATER TANKS (G")
COMPRESSORS
GAS LOG SETS
REFRIGERATION SYST
DUCTING,
GAS PIPING
WOODSTOVES,
Indicate how numy of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS foT.b/w.comm
— LAVS (Hand Sh*.)
TOILETS
WATER PIPING
DISHWASHERS
— RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
ExisTnia FIRE sPFxqkLER sysTzm?
PROPOSED FIRE SUPPRESSION sysmm?,
7
COVERED ENTRY
ii Yes n No
DRINKING FOUNTAINS
SINKS (xitchen/utaivA
WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
WASHING MACHINES
Bulletin #100 — January 1, 2011 - Page 2 of 3 kAHandouts\Perrnit Application
IRK MA, 1140
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEVER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
^A 777- 77,
AREA DESCRIPTION
In Square Feet
Occupancy Group(s)
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
ExisTnia FIRE sPFxqkLER sysTzm?
PROPOSED FIRE SUPPRESSION sysmm?,
7
COVERED ENTRY
ii Yes n No
Ei Yes o No
Bulletin #100 — January 1, 2011 - Page 2 of 3 kAHandouts\Perrnit Application
IRK MA, 1140
Area
AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL
FOR OFFICE USE
^A 777- 77,
AREA DESCRIPTION
In Square Feet
Occupancy Group(s)
FIRST FLOOR (or Mobile Horne)
Additional Information
07
7
COVERED ENTRY
R n 4
�kl
GARAGE El CARPORT D
ADDITION
OTHER
(46SCM
Area Totals MSTMO FROPOSM TMAL
P),
ESTIMATED SELLING PRICE
# OF BEDROOMS
Bulletin #100 — January 1, 2011 - Page 2 of 3 kAHandouts\Perrnit Application
IRK MA, 1140
Area
Construction
# of
AREA DESCRIPTION
In Square Feet
Occupancy Group(s)
stories
Additional Information
7
IA-
%
�kl
ADDITION
R
-1
Area
Construction
# of
AREA DESCRIPTION
Occupancy Group(s)
Additional Information
in Square Feet
e
Stories
-M
-r� 7v -v T", Pz
TENANT AREA ONLY
AREA
�7 U1 7
Bulletin #100 — January 1, 2011 - Page 2 of 3 kAHandouts\Perrnit Application