01-100326City of Federal Way
Cortanunity Development Services
33530 1 st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name: BLAU
Project Address: 30857 22ND S
Plumbing Permit #:01-100326 - 00 - PL
Inspection request line: 253.661.4140
(3:30pm cut-off for next day inspections)
Project Description: PL - Replace existing electric hot water tank.
Parcel Number: 053700 0570
Owner
Applicant
Contractor
William F Blau
NETCLERK, INC
FAST WATER HEATER COMPANY
30857 22ND AVE S
880 DUBUQUE AVE S
FAST WATER HEATER COMPANY
FEDERAL WAY WA
SAN FRANCISCO CA 94080
12601 132ND AVE NE
98003-4931
(425)814-8381
�D,escription Quant'
Water Heaters
Plumbing Fixtures
Permit issued on
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:po
r�
Elm
PLEASE PRINT
•
At ted. i-24-01
BUILDING DmsioN
33530 FmsT WAY SOUTH
FEDERAL WAY, WA 98003
(253)661-4000
Fax (253) 661-4129
APPLICATION FOR BUILDING PERMIT
APPLICATION # ®� .
BITE LC3CATIt�N Site address 30857 22ND AVE S Federal Way WA 98003
Tenant name Lot # Assessor's Tax # 0537000570
Building Owner's Name William Blau Address 30857 22nd Ave S
city Federal Way I state WA zip 98003 1 Phone 2538399654
Description of Work Remove/replace electric water heater
APPLICANT
Name (F, M, L) NetClerk Inc
Address 720 Dubuque Ave
city South San Francisco State
Zip 94080
Contact Person
Day Phone Other Phone
Fax
UiL MO CL}NTRACTOR
Federal Way Business License #
Company Name Fast Water Heaters Company
Address 12601 132nd Ave. N.E.
city Kirkland
state WA
zip 98034
Contact Person Pamela Hill X133
Phone 4258143124
Fax
Contactor's # (Card must be presented) FASTWHC052DF
Expiration Date
02/16/2001
Verified []Yes []No
ARCHITECT
Name
Address
City State Zip
Contact Person Phone Fax
Legal Description
Please Complete Reverse Side
C
0
a
iUCTURt~" -
Existing Use
City
State
Proposed Use
Contact
Permit Includes
❑ Building
0 Plumbing
Expiration Date
❑ Mechanical
❑ Other
Type of work:
® Residential
❑ Commercial
❑ New
0 Addition
❑ Remodel
❑ Repair
❑ # of bedrooms_
❑ Garage
❑ Deck
❑ Shed
Enter 1st Floor
Area Basement
sq ft 2nd Floor
sq It Decks
sq It
sq It
3rd Floor
Garage
sq ft
sq ft
Existing Floor Area
Proposed Total Area
sq ft
sq It
Water Availability ❑
Sewer Availability ❑
On site Septic System Availability ❑
Project Valuation
1$349.00
-Zoning
0- 3 Tons 0
_................. _.
Lot Size
-- - --_. _ .. .......... _........................ _...... _.............. _.......... _...........
BBQ's 0
Existing Bldg Valuation
3 - 15 Tons 0
For new residential only - Proposed selling cost:
Name
MECHANICAL CONTRACTOR
Address
State
Contractor Name
Address
City
State
Zip
Contact
Phone
Fax
License #
Expiration Date
Verified ❑Yes ❑ No
-PLU�BIPIG CONTRACTOR . f
Contractor Name
Address
Sinks 0
City
State
Zip
Contact
Phone
Fax
License #
Expiration Date
Verified ❑Yes ❑ No
FLUMBiNG F13IRillNi ''
Water Closets
0
Sinks 0
Urinals
0
Lawn Sprinklers 0
Bathtubs
0
Dish Washers 0
Drinking Fountains
0
Other 0
Showers
0
Electric Water Heaters 1
Sumps
0
+50 Tons 0
.....
Lavatories
0
Washing Machine 0
Drains
0
TFixture Count 1
MECHANICAL UNIT COUNT
MECHANICAL EVALUATION ONLY $
Fuel Type (gas/electric/other) 0
Gas Dryer 0
Air Handling < = 10,000 CFM 0
15 - 20 Tons 0
Length of Gas Piping 0 ......... -...._............... _..---
Range 0
... --�----_--.-_-...---._..._-.....__............__._..............................................._._......._._.._..._....----.._......—..__.._..__
Air Handling > = 10,000 CFM 0
30 - 50 Tons 0
-----.._ ........................................._O
Fum <100K BTUs
Gas L 0
Unit Heater 0
+50 Tons 0
.....
------- .... _..... _........................................ ........... _..
Frun >100 BTUs 0
......—.................................0
-- - --
Fans 0Miscellaneous
._......-- ---- .._..Boilers
----... _._-.............. _.._......................................................... ..........
0
..._......................_.................0....._........................................_.....Above
.._...-__.._.-
Fuel Tanks 0
GasHwt
_._._.._.--..................... _................ ........ .................
Hood.
......................................... _ ... _..... _... --......... _.._... -
—..--._..._....-.......... .......... _.................... .... _............................................................_._
Ground 0
........................................ _..... ---
Conv Burner 0
Duct Work 0
0- 3 Tons 0
_................. _.
Underground 0
-- - --_. _ .. .......... _........................ _...... _.............. _.......... _...........
BBQ's 0
.............. ........................................................................... ......................................-_........_....._.—_._.........................__........_.........
Wood Stoves Q
3 - 15 Tons 0
Total Unit Count (}
DISCLAIMER: 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 permit application Is made. I further agree to save harmless the City of
Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in investigation and defense of such claim), which may be made by
any person, including the undersigned, against the City of Federal Way, but only where such claims arises out of the reliance of the city, including its offi-
cers and employees, upon the accuracy of the information supplied to the city as a part of this application.
Owner/Agent: Date: 01/16/2001
BUILDING/APP
REVISED 5118/98