03-105483City of Federal Way
Community Development Services Plumbing Permit #: 03 - 105483 - 00 - PL
33530 1 st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050
Project Name: BECKER
Project Address: 2029 S 287TH Parcel Number: 422200 0050
Project Description: Replacing an ELECTRIC water heater
Owner
Applicant
Contractor
Diane Becker
WASHINGTON WATER HEATERS INC
WASHINGTON WATER HEATERS INC
27559 25TH DR S
8714 59TH DR NE
8714 59TH DR NE
FEDERAL WAY WA
MARYSVILLE WA 98270
MARYSVILLE WA 98270
98003-6925
1
1 (360)653-6429
Plumbing Fixtures
Description Quantity DescriptionIQuantityl ! Description [uantityl
F -Water Heaters 1
PERMIT EXPIRES June 15, 2004.
Permit issued on December 18, 2003
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: l c> J\ -s 0 CA- — Date: G 3
12 lklo F61-- — F//(/� 11��
• '� Y CONSTRUCTION PERMIT APPLICATION
'�. L�rtfiENT DEPARTMEM
CITY OF �� PPLICXHON NUMBER: _ V I"'
NIi�I)M11'� U�.'" _ - � _
Federal Vlfay C� DO PPLICKHON NUMBER: _ _ - _ — — _ _ — - _
OE PPLICATION NUMBER: - -
—The following is required information - Please print (in ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
PROPERTY• •
SITE ADDRESS: ,?� % �j ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH r-,EPA2A1TdD`ESCRIPTION IF LENGTHY):
--��NPRWECTINFORMATIONV
TYPE OF PROJECT (This application): ❑ BUILDING PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL � ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide /detailed }description):
PROJECT NAME: IIX.V
PEOPLE• •
PROPERTY OWNER: NAME:; DAYTIME PHONE=
A)/ zel Y, -z i � %-II e lei i ( > -
MAILING ADDRESS (STREET ADDRESS; CITY, STA Z P):
c-
G-'�'`G����z��G,CCt?
CONTRACTOR:
APPLICANT
NAME:
[
I DAYTIME PHONE: i
I
MAILING ADDRESS STREET ADDRESS; CITY, STATE, ZIP):
-71V `%
EVENING PHONE:
f /f fi / f l(� r vj ,,l r
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: I
FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER:
W �- � A
[ EXPIRATION DATE' _
(copy of care required)
NAME: DAYTIME PHONE: i
MAILING ADDRESS (SIRE ADDRESS; CITY, STATE, ZIP): EVENING PHONE:
i RELATIONSHIP TO PROJECT: �/� FAX NUMBER:
❑ ARCHITECT ❑ TENANT i:OTHER ( DESCRIBE): -
E -MAIL ADDRESS:
I
CONTACT PERSON FOR THIS PROJECT: ❑PROPERTY OWNER .A/� PPLICANT U CONTRACTOR L
DETAILED BUILDING INFORMATION,
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE:
SPRINKLERED BUILDING?
WATER SERVICE PROVIDER
PROPOSED VALUATION FOR IMPROVEMENTS: $
❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES ❑ NO
o LAKEHAVEN (i HIGHLINE o TACOMA f I PRIVATE (WELL)
SEWER SERVICE PROVIDER: a LAKEHAVEN [ j HIGHLINE ri PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY** +
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PR03ECT FLOOR AREAS
FLOOR
EXISTING SQ. FT. _
PROPOSED SQ. FT.
TOTAL
BASEMENT
❑ CONTRACTOR
COMP PLAN DESIGNATION
!BASIC PLAN? = = ❑ YES ❑ NO
FIR
NEW ADDRESS REQUIRED? ` ❑ YES ❑ NO
PLATTED LOT?-, -':11 YES o'NO
CHANGE OFUSE7 - ❑ YES' -❑ NO
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
AIR HANDLING UNIT(S)
BBQ(S)
BOILERS)
COMPRESSOR(S)
DUCT(S)
BATHTUB(S)
DISHWASHERS)
DRINKING FOUNTAIN(S)
GAS PIPE OUTLET(S)
INTERCEPTOR(S)
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLER(S)
FAN(S)
FIREPLACEINSERT(S)
FURNACE(S)
GAS PIPE OUTLET(S)
PLUMBING
LAVATORY(S)
RAIN WATER SYS.
SHOWER(S)
SINK(S)
SUMP(S)
Value of Mechanical Work: $
GAS LOG(S) REFRIG. SYSTEM(S)
HOOD(S) WOODSTOVE(S)
RANGE(S) MISC. ( )
HEAT SOURCE: ❑ ELECTRIC ❑ GAS
URINAL(S) WATER HEATER(S)
VACUUM BREAKER(S) ELECTRIC ❑ GAS
WASH MACHINE OUTLET
WATER CLOSET(S) MISC. ( )
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 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 of
Federal Way, 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 city as a part of this application.
NAME/TITLE: -as.X-'
O'ADDInON o ALTERATION `'O REPAIR ❑TENANT IMPROVEMENT '
DATE:
LOT SIZE:
❑ PROPERTY OWNER S�APPLICANT
❑ CONTRACTOR
COMP PLAN DESIGNATION
!BASIC PLAN? = = ❑ YES ❑ NO
FOR OFFICE USE ONLY:
O'ADDInON o ALTERATION `'O REPAIR ❑TENANT IMPROVEMENT '
CENSUS'CODE: ;- -
LOT SIZE:
'ZONING DESIGNATION : - _
BUILDING SHELLONLY7 OYES -`.-❑ NO
COMP PLAN DESIGNATION
!BASIC PLAN? = = ❑ YES ❑ NO
SECTION TOWNSHIP RANGE
NEW ADDRESS REQUIRED? ` ❑ YES ❑ NO
PLATTED LOT?-, -':11 YES o'NO
CHANGE OFUSE7 - ❑ YES' -❑ NO
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 2S3-661-4000 • FAX: 253-6661-9129
WWW.CityQmeralwav com