00-105990City Federal Way
Community Development Services
Applicant
Plumbing Permit #:00 -105990 - 00 - PL
33530 1 st Way S
Federal Way, WA 98003-6210
ACTION WATER HEATERS ONLY INC
Inspection request line: 253.661.4140
Ph: 253.661.4000 Fax: 253.661.4129
12704 NE 124TH ST, SUITE 43
(3:30pm cut-off for next day inspections)
Project Name: BEESON
Project Address: 4104 SW 328TH Parcel Number: 873204 0160
Project Description: PL - Replace existing electric hot water tank.
Owner
Applicant
Contractor
Irvin R Beeson
ACTION WATER HEATERS ONLY INC
ACTION WATER HEATERS ONLY INC
4104 SW 328TH PL
12704 NE 124TH ST, SUITE 43
FEDERAL WAY WA
KIRKLAND WA 98034
12704 NE 124TH ST, SUITE 43
98023-2655
KIRKLAND WA 98034
Plumbing Fixtures
Description Quanti Description I Quantity F Description Quantit
Water Heaters
PERMIT EXPIRES June 11, 2001, IF NO WORK IS STARTED.
Permit issued on December 13, 2000
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: Date: Z — /S 0D
BURZ1NG Drvgmx
olrlor G • 33530 First WaySotrth
��ZFIt_ Y1RECEIVED Federal Way, WA'98003
/lxly 1AIrry nn r�i nnn�� IT r1FpQ� rar !r
(253).661-4000
DEC 112000 Fax (253)6614129
APPLICATION FOR BUILDING PERMIT
PLEASE PR/NT APPLICATION # 0 0 - S-161 0
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Tenant (if known) -_.r Lot # Assessor's Tax #CH -0 (-J
Building Owner's Name f-vW C �0vj Address
city r Q- State W Zi G.L Phone _ `?L4
Nature of Work Q -P
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Contacrt Pers'
Day Phone
Other Phone Fax
Company Name
Address
City
State
Zi
Contact Person
Phone
Fax
Contractor's # (card must be presented)
Expiration Date
Verified ❑ Yes ❑ No
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Name
Address
City
State
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Phone
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LEGAL DESCRIPTION
Please Complete Reverse Side
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Fermlt includes:
FAdifto Use
❑ din
❑ Plumbin
Proposed Use
chunicnl
❑ Other
❑ Deck
Type of Work:
Enter 1st Floor
Area Basement
Water Availability❑
❑ Residential
❑ Commercial
sq It
i t
Sower Availabilit
❑ New ❑ Remodel
❑ Addition ❑ G—rana
2nd Floor aq ft 3rd Floor aq ft
DocksFl a ft Gara e a ft
❑ On -Situ Sa tic S atom Availability ❑
Lot Situ
❑ Number of Units _
❑ Shad
Existing Floor Area
Pro orad Total Area
Pro oct Valuation
Exiatin Bld Valuation
❑ Other
lq t
Vqt
8
S
Contractor Norne
City
Contact
License tt
Name
City K \ V -,-V— \C
Contact
-1-
Limnos N Ad T t
Wolof Closats
t3athtubs
Showers
Lavutonos
Electric Water Heaters
Washing Machina
Address
Address
State
Phone
Expiration Data
Fax
❑ Yes ❑ No
AddressITIO _ +L+ ' - * - I f
C, t
Stats Zi O
034-
Phone Fo
1
t�� 7�
FYnir-ation Date (ZJ\1 Verified Q Yee Q No
Urinals
Drinkin Fountai
Sum s
Drains
Other
t Total FixtureCot
n11ECHAr111CAL;UNtT C.QUNT _ MECHANICAL EVALUATION ONLY S
Fuel T e (electric/othor) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Lonfith of Gas Piping Rana Air Handling > — 10,000 CFM 30-50 Tons
Furn <100K BTUs
Gas Lo Unit Heater 50+ Tons
Furn > 100 BTUs
Fans Miscellaneous Fuol Tenke
Gus Hwt
Hood Boilers Above Ground
Underround
Conv Burner
Duct Work 0-3 Tons
BBQ's
Wood Stuves 3-15 Tons Totul Unit Count
DISCLAIMER: I ccrtily under penalty of perjury that lite udortnation furnished by me is true And softest to the bat of my knowledge, and further, Uwt I stn audwrized by the owum
tl)c above prenniscs to pertorrn the work for which perntit application is made. I further agree to save hamtless tine City of Federal Way as to any claim (including costs, cxpertaes, and
attorneys'' fees incurred in investigation and defense of such ciaim), which Wray be made by luny person, uncluding the undcrslgrucd and filed agauut the City of Federal Way, but only
where such claun arises out of the reliance of the city, including its urticas told empluyea, upon tits accuracy ol'thc utlornnation supplied to the city as a pari of Chia applicatiea
Ih,II i) 41 p � n 0 4,, Date:
Owner/Agent:
it or AN
IyrNY a/3WY7