01-101443City unity Development Services Federal Way
ConnnunPlumbing Permit #:01 -101443 - 00 - PL
33530 1st Way S
Federal Way, WA 98003-6210
Pb: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050
Project Name: PARKE
Project Address: 3137312TH S Parcel Number: 787520 0180
Project Description: PLUM - Remove/replace electric water heater
Owner
Applicant
Contractor
Rita J Parke
NETCLERK, INC
FAST WATER HEATER COMPANY
31373 12TH PL S
880 DUBUQUE AVE S
FAST WATER HEATER COMPANY
FEDERAL WAY WA
SAN FRANCISCO CA 94080
12601 132ND AVE NE
98003-5311
1 (425) 814-8381
Plumbing Fixtures
Qescri tion Quanfii Desai tion ' Quanti Desai fiian Qlaanti
Water Heaters 1
PERNHT EXPIRES October 9, 2001, IF NO WORK IS STARTED.
Permit issued on Apri112, 2001
I hereby certify that the above information is correct and that the construction on the above described property and
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: A�e Date:
rAa1 M1 G)(Ii)l4(c°
• CONSTRLOION PERMIT APPLICATION
APPLICATION NUMBERL,—O—L—APPLI ON —
:----------
1���aL�l d APPLICATION NUMBER: — — — — — — — — — —
**The followin isgequ reg,lnfQrMptivon - Please print (in ink) or type**
Please note: Electrical, Fire Pae�n LSV Engineering permits may require a separate application.
SITE ADDRESS: 31373 12TH PL S
■ PROPERTY INFORMATION
ASSESSOR'S TAX/PARCEL #: 7875200180 — — — — — — — —
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY)'
■ PROJECT INFORMATION
TYPE OF PROJECT (This application): ❑ BUILDING 0 PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
Remove/replace electric water heater
PROJECT NAM
PROPERTY OWNER:
CONTRACTOR:
NAME: DAYTIME PHONE:
Rita Parke 12535293267
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP):
31373 12th PI S Federal Way WA 98003
NAME:
DAYTIME PHONE:
14258143124
Fast Water Heaters Company
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP):
EVENING PHONE:
12601 132nd Ave. N.E. Kirkland
Wi 98034
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
19-87000047-00-bl
CONTRACTORS REGISTRATION NUMBER:
EXPIRATION DATE:
(copy of card required)
APPLICANT: NAME:
NetClerk Inc
DAYTIME PHONE:
8883301777
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP): EVENING PHONE:
720 Dubuque Ave South San Francisco S7 94080 6506240400
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑TENANT ❑ OTHER (DESCRIBE): 8778465888
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑
INFORMATIONE DETAILED BUILDING
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLED BUILDING? ❑ YES LINO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑HIGHLINE ❑TACOMA ❑PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
"NEW RESIDENTIAL CONSTRU ONLY"
NUMBER OF BEDROOMS' ESTIMATED SELLING PRICE:
FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
❑ ALTERATION ❑ REPAIR
❑ TENANTIMPROVEMENT
CENSUSCODE:
LOT SIZE.
ZONIMDESIG NATION:
0
FIRST
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES
ENO
SECT= TOWS RANGE
NEW ADDRESS REQUIRED?
YES ❑ NO ❑
0
SECOND
LINO
0
THIRD
0
FOURTH
0
OTHER FLOORS (DESCRIBE)
0
DECK
0
GARAGE
HOW MANY FLOORS?
0
TOTAL:
0
0
0
AIR HANDLING UNIT(S)
BBQ(S)
BOILERS)
COMPRESSOR(S)
DUCT(S)
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLERS) GAS LOG(S) REFRIG. a(STEM(S)
FAN(S) HOODS) WOODSTOVE(S)
FIREPLACE INSERTS) RANGE(S) MISC. ( )
FURNACE(S)
GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ G AS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) 1 WATER HEATER(S)
DISHWASHERS) RAIN WATER SYS. VACUUM BREAKER(S) 0 ELECTRIC ❑ GAS
DRINKING FOUNTAINS) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINKS) WATER CLOSET(S) MISC. ( )
INTERCEPTORS) SUMP(S)
BLOCKDISCLAIM ER/SIGNATU RE
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and
further, that I am authorized by the owner of the above premises to perform the work for which the permit application Is made. I
further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attomeys' fee incurred in the
Investigation and defense of such claim), whi may be made by any person, Including the undersigned, and filed against the City of
Federal Way, but only where such clai s out of the reliance of the city, including its officers and employees, upon the accuracy
of the information supplied to the a of this application.
NAME/TITLE: Scott Waterbury <Title> DATE. 03/30/2001
❑ PROPERLY OWNER iJAPPLICANT CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION
❑ ALTERATION ❑ REPAIR
❑ TENANTIMPROVEMENT
CENSUSCODE:
LOT SIZE.
ZONIMDESIG NATION:
BUILDINGSHELLONLY?
❑ YES ❑ ND
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES
ENO
SECT= TOWS RANGE
NEW ADDRESS REQUIRED?
YES ❑ NO ❑
PLATTED LOT? ❑ YES ❑ ND
CHANGE OF USE? ❑YES
LINO