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01-100824City of Federal Way Community Development Services Plumbing Permit #: 01 - 100824 - 00 - PL 33530 1st Way S Federal Way, WA 98003-6210 Inspection request line: 253.661.4140 Ph: 253.661.4000 Fax: 253.661.4129 (3:30pm cut-off for next day inspections) Project Name: OSBORN Project Address: 28601 21ST S Parcel Number: 422200 0130 Project Description: PL - Replace electric hot water tank, Owner Applicant Contractor William L Osborn NETCLERK, INC FAST WATER HEATER COMPANY 2860121 STAVE S 880 DUBUQUE AVE S FAST WATER HEATER COMPANY FEDERAL WAY WA SAN FRANCISCO CA 94080 12601 132ND AVE NE 98003-3339 1 (425) 814-8381 Plumbing Fixtures Description Quan#' ` Description Quanti Descri kion Quantity Water Heaters PERMIT EXPIRES August 26, 2001, IF NO WORK IS STARTED. Permit issued on February 27, 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: f L Date: — 7 D APPLICATION FOR BUILDING PERMIT PLEASE PRINT BUILDING DmsioN 33530 FIRST WAY SOUTH FEDERAL WAY, WA 98003 (253) 661-4000 Fax (253) 661-4129 APPLICATION # Q I` I 0 0 0 j'1— 0 L— 3tTE"Li1CAIION Site address 28601 21ST AVE S Federal Way WA 98003 Tenant name Lot # Assessor's Tax # 4222000130 Building Owner's Name William Osborn Address 2860121 st Ave S city Federal Way I state WA zip 98003 Phone 2538397091 Description of work Remove/replace electric water heater AAPLICAN Name (F, M, L) NetClerk Inc Address 720 Dubuque Ave city South San Francisco state zip 94080 Contact Person Day Phone Other Phone Fax BUt 40i - GONTRAG iOR 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 ARGHITEGT, Name Address City State zip Contact Person Phone Fax Legal Description Please Complete Reverse Side U�l2E _ - Existing Use City Proposed Use Zip Permit Includes ❑ Building 0 Plumbing ❑ Mechanical ❑ Other Type of work: ® Residential [] Commercial ❑ New ❑ Remodel 0 Addition ❑ Repair ❑ # of bedrooms_ ❑ Garage ❑ Deck ❑ Shed Enter 1st Floor Area Basement sq ft 2nd Floor sq It Decks sq ft 3rd Floor sq ft Garage sq ft sq ft Existing Floor Area Proposed Total Area Q Water Availability ❑ Sewer Availability ❑ On site Septic System Availability ❑ Project Valuation $ 349.00 Zoning Lot Size Existing Bldn Valuation $ i}ER For new residential only - Proposed selling cost: $ 15 - 20 Tons 0 Name Q Range Address Air Handling > = 10,000 CFM Q City 0 --------......-- ..................... Fum <100K BTUs State Zip sq ft sq ft Contractor Name Address City State Zip Contact Phone Fax License # Expiration Date Verified El Yes ❑ No PLUMBI! NT TO , Contractor Name Address Sinks City State Zip Contact Phone Fax License # Expiration Date Verified ❑Yes ❑ No Water Closets 0 Sinks Q Urinals Q Lawn Sprinklers Q Bathtubs Q Dish Washers Q Drinking Fountains Q Other 0 Showers Q Electric Water Heaters 1 Sumps Q Lavatories Q Washing Machine 0 Drains Q Totai 9 �[re Count 1 HANICAL: UNIT COUNT MECHANICAL EVALUATION ONLY $ Fuel Type (gas/electdc/other) Q Gas Dryer 0 Air Handling < = 10,000 CFM 0 15 - 20 Tons 0 Length of Gas Piping Q Range 0 Air Handling > = 10,000 CFM Q 30 - 50 Tons 0 --------......-- ..................... Fum <100K BTUs - Q --- Gas Log 0 Unit Heater 0 +50 Tons 0 Frun >100 BTUs .... _.......... _........ -._._.............................. Gas Hwt .................. _..-.-.__.-_-... --............................................. Conv Burner - ........ _.... .............. _.__ .. _ ........... BBQ's Q _... _....... _..... . 0 0 ....... , .. 0 .........................- Fans -................................_._........_.. Hood —_._........._... _.... _............. _...------ Duct Work _._........ _._...... __................................ ........ Wood Stoves 0 Q .... _............................. ._..._.._.. Q _... _ --- .. __ Q Miscellaneous 0 _ ..__..- ................. _......... ---- Boilers 0 __._.._._.._._......_............--- .... 0- 3 Tons Q .........---... ............... _..__.— ...... ... _...... 3 - 15 Tons 0 Fuel Tanks - -- Above Ground Underground TotI 1 Unit Court 0 0 0 Q DISCLAIMER: I certify under penalty of perjury that the information fumished 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 attomeys' 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: 02/15/2001 BUILDING/APP REVISED 5/18/99