02-100110City Federal way
Community Development Services Plumbing Permit #: 02 -100110 - 00 - PL
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050
Project Name: PEPLOWSKI `
Project Address: 32706 17TH SW Parcel Number: 010453 0360
Project Description: PL - Remove/replace electric water heater
Owner
Applicant
Contractor
Tina Smith
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
32706 17TH AVE SW
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
FEDERAL WAY WA
12601 132ND AVE NE
12601 132ND AVE NE
98023-5406
KIRKLAND WA 98034
(425) 814-8381
Water Heaters
Plumbing Fixtures
PERMIT EXPIRES July 7, 2002, IF NO WORK IS STARTED.
Permit issued on January 8, 2002
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: enF_M� e 010 Date:
Vi�
A pc�
IL
APPLICATION NUMBER;,Q j-jQ D i1Q_ QQ
ow
e�- RECEIVED BY
rr W� WTYDIIE►n�V��E��LO��PMQQEN(T��DEAPPLICATION 9ATION NUMBER: ----- -----
"The following is requir>ki'Dhlbhfi AQ;lease print (in ink) or type" NUMBER:
' 656760
Please note: Electrical, Fire Prevention Systema and Engineering permits may require a separate application.
PROPERTY INFORMATION
SITE ADDRESS: 32706 17 AVE SW, FEDERAL WAY, WA 98023
ASSESSOR'S TAX/PARCEL #: 0104530360
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION
TYPE OF PROJECT (This application): ❑ BUILDING ® PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
Remove/replace electric water heater
PROJECTNAME: Peplowski
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
■ PEOPLE INFORMATION
NAME: DAYTIME TINA DAYTIME PHONE:
(253)835-9806
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP):
32706 17 AVE SW Federal Way 98023
NAME: FAST WATER HEATER COMPANY
D�425)8144
MAILING ADDRESS (STREET ADDRESS, CITY, STATE. IIP):
EVENING PHONE:
12601 132ND AVE NE
KIRKLAND WA 98034
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
19-87000047400-b1
425 814-9516
CONTRACTORS REGISTRATION NUMBER:
EXPIRATION DATE:
FASTWHC052DF
02/16/2002
(copy of card required)
NAME:
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP):
< <City:1
RELATIONSHIP TO PROJECT:
❑ ARCHITECT ❑TENANT ❑OTHER
DAYTIME PHONE:
EVENING PHONE:
FAX NUMBER:
CONTACT PERSON FOR THIS PR03ECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTON
BUILDINGE DETAILED •• •
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION S
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ 349.00
SPRINKLED BUILDING? Q YES []NO, FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑HIGHLINE ❑TACOMA Ll PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑HIGHLINE ❑ PRIVATE (SEPTIC)
W-:716
**iVEW F-SIDENTIAL CONSTRU
NUMBER OF BEDROOMS' ESTIMATED SELLING PRICE:
FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
❑ ALTERATION ❑ REPAIR
❑ TENANTDwROVEMENT
t
IAT SIZE:
ZONING DESIGNATION:
0
FIRST
COMP PLAN DESIGNATION
BASIC PLANT ❑ YES
ENO
SECTION TOWNSHIP RANGE
NEW ADDRESS REQUIRED?
YES ❑ NO ❑
0
SECOND
X10
0
THIRD
0
FOURTH
0
OTHER FLOORS (DESCRIBE)
0
DECK
0
GARAGE
HOW MANY FLOORS?
0
TOTAL:
0
0
0
FIXTURES
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S)_.._GAS LOG(S) REFRIG. SYSTEM(S)
BBQ(S) FAN(S) HOODS) WOODSTOVE(S)
BOILERS) FIREPLACE INSERT(S) RANGE(S) MISE. ( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ G AS
PLUMBING
BATHTUB(S) LAVATORY(S) URINALS) I WATER HEATER(S)
DISHWASHERS) RAIN WATER SYS. VACUUM BREAKER(S) ® ELECTRIC ❑ GAS
DRINKING FOUNTAINS)---- SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLETS) SINKS) WATER CLOSET(S) MISC.
INTERCEPTORS) SUMP(S)
BLOCKDISCLAIMER/ SIGNATURE
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and
urther, that I am authorized by the owner of the above premises to perform the work for which the permit application is made. I
vrther agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fee incurred in the
nvestigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the City of
Wer -al Way, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy
if the Information suoolied to the city a a oart of this application.
NAME/TITLE. "' Permit Mgr DATE: 12/28/2001
❑ PROPERLY OWNER i] APPLICANT $] CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION
❑ ALTERATION ❑ REPAIR
❑ TENANTDwROVEMENT
CENSUSCODE:
IAT SIZE:
ZONING DESIGNATION:
BUILDING SHELL ONLY?
El YES ❑ ND
COMP PLAN DESIGNATION
BASIC PLANT ❑ YES
ENO
SECTION TOWNSHIP RANGE
NEW ADDRESS REQUIRED?
YES ❑ NO ❑
PLATTED LOT? ❑ YES ❑ ND
I CHANGEOFUSE? ❑YES
X10