02-100248.City of Federal Way
Conununity Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name: ADAMS
Project Address: 32843 4TH S
Project Description: PLUM - Replace electric water heater
Plumbing Permit #: 02 -100248 - 00 - PL
Inspection request line: 253.835.3050
Parcel Number: 926871 0150
Owner
Applicant
Contractor
H Claudia Adams
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
32843 4TH LN S
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
FEDERAL WAY WA
12601 132ND AVE NE
12601 132ND AVE NE
98003-7305
KIRKLAND WA 98034
1 (425) 814-8381
Plumbing Fixtures
Descriptions : Quantit
Descri ion Quantity Description':.. Quantit
Water Heaters 1
PERMIT EXPIRES July 16, 2002, IF NO WORK IS STARTED.
Permit issued on January 17, 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.
i
Owner or agent: UZ
Date:
Z- �/o Z-' ;'�
APPLICATION NUMBER;_ _ !,
APPLICATION NUMBER: ----- ---
-------
-The following is reiriid jnf"�rr(io
troA - Please print (in ink) or type" 665825
Please note: Electrical. Fire Prevention Systems and Engineering permits may require a separate application.
PROPERTY O. •
SITE ADDRESS: 32843 4 LANES, FEDERAL WAY, WA 98003
ASSESSOR'S TAX/PARCEL #: 9268710150
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PR03ECT 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: ADAMS,CLAUDIA
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
■ PEOPLE INFORMATION
NAME: ADAMS, CLAUDIA DAYTIME PHONE:
253 874-2810
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, 2IP):
32843 4 LANE S FEDERAL WAY, WA 98003
NAME:
DAYTIME PHONE:
FAST WATER HEATER COMPANY
(425)814-3124
MAILING ADDRESS (STREET ADDRESS, CITY, STATE. ZIP):
EVENING PHONE:
12601 132ND AVE NE
KIRKLAND WA 98034
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
19-87000047-00-bi
425 814-9516
OONTRACTORS REGISTRATION NUMBER:
EXPIRATION DATE:
(copy of card required) FASTVVHC052DF
02/16/2002
NAME:
DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP): EVENING PHONE:
<Street> <City> <ZiD>
IRELATIONSHIP
T.
❑ ARCHITECTPRO]E ❑TENANT C3 OTHER (DESCRIBE): I FAX NUMBER:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT M CONTRACTOR]
DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ $339.00
SPRINKLED BUILDING? ❑ YES El NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑YES ❑ NO
WATER SERVICE PROVIDER: Q LAKEHAVEN ❑HIGHLINE ❑TACOMA El PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑HIGHLINE Q PRIVATE (SEPTIC)
W-7/6
�b
**NEW RESIDENTIAL CONSTRUCTION ONLY"
NUMVER OF BEDROOMS' ESTIMATED SELLING PRICE:
FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED S2. FT.
TOTAL
BASEMENT
❑ ALTERATION ❑ REPAIR
❑ TENANTDWROVEMENT
CENSUS OODE:
LOT SIZE:
ZONING DESIGNATION:
0
FIRST
COMP PLAN DESIGNATION
BASIC PLAN? O YES
ONO
SECrMN TOWNSHIP RANGE
NEW ADDRESS REQUIRED?
YES ❑ NO ❑
0
SECOND
EM
0
THIRD
0
FOURTH
0
OTHER FLOORS (DESCRIBE)
0
DECK
0
WAGE
HOW MANY FLOORS?
0
TOTAL:
0
0
0
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLERS) GAS LOG(S) REFRIG. SYSTEM(S)
BBQ(S) FAN(S) HOODS) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC. ( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ G AS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) I WATER HEATER(S)
DISHWASHERS) RAIN WATER SYS. VACUUM BREAKER(S) ® ELECTRIC ❑ GAS
DRINKING FOUNTAINS) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) 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
�urther 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
;ederal Way, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy
)f the information suoolied to the city as._A part of this application.
NAME/TITLE. " ' "� _ Permit Mgr DATE: 01/14/2002
❑ PROPERLY OWNER ❑ APPLICANT ZI CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION
❑ ALTERATION ❑ REPAIR
❑ TENANTDWROVEMENT
CENSUS OODE:
LOT SIZE:
ZONING DESIGNATION:
BUILDING SHELL ONLY?
❑ YES ❑ NO
COMP PLAN DESIGNATION
BASIC PLAN? O YES
ONO
SECrMN TOWNSHIP RANGE
NEW ADDRESS REQUIRED?
YES ❑ NO ❑
PLATTED LOT? ❑ YES ❑ NO
I CHANGE OF USE? ❑ YES
EM