02-100333City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Plumbing Permit #: 02 -100333 - 00 - PL
Inspection request line: 253.835.3050
Project Name: RUGH
Project Address: 32018 42ND SW Parcel Number: 873196 0600
Project Description: PL - Remove & replace electric water heater
Owner
Applicant
Contractor
Terrance F & Betty D Rugh
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
32018 42ND PL SW
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
FEDERAL WAY WA
12601 132ND AVE NE
12601 132ND AVE NE
98023-2404
KIRKLAND WA 98034
(425) 814-8381
r; 1 4, r4�' / -2, /1 zo �': � 5
Plumbing Fixtures
�,�- �'P' �,-,Description Quantit
Water Heaters
PERMIT EXPIRES July 23, 2002, IF NO WORK IS STARTED.
Permit issued on January 24, 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: I iq WU C � � U V V Date: — —C�
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• 'A.
"'W PLICAT7 �V NUMBERLO
+Jh.R -PFULATION NUMBER: ------ ---
-ONITMBER
.----------
"The following is required infodrtm! >slease print (in ink) or type" 668207
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
PROPERTY O.
SITE ADDRESS: 32018 42 PL SW, FEDERAL WAY, WA 98023
ASSESSOR'S TWPARCEL #: 8731960600
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
PROJECT NAME: RUGH, TERRANCE
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
■ PEOPLE INFORMATION
NAME:RUGH, TERRANCE DAYTIME PHONE:
(253)838-4191
MAILING ADDRESS (STREET ADDRESS, QTY, STATE, ZIP)-.
32018 42 PL SW FEDERAL WAY, WA 98023
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-bl
425 814-9516
CONTRACTORS REGISTRATION NUMBER:
EXPIRATION DATE:
(copy of card required) FASTWHC052DF
02/16/2002
NAME:
DAYTIME PHONE:
IMAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP):I EVENING PHONE:
<Street> <City> <Zie>
IRELATIONSHIP
❑ ARCHITECT ❑
PRO]ECT: TENANT ❑OTHER (DESCRIBE): I FAX NUMBER: I
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 [] NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑HIGHLINE ❑TACOMA ❑PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑HIGHLINE ❑ PRIVATE (SEPTIC)
7/6
I
*'ANEW, ESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS' ESTIMATED SELLING PRICE:
BASEMENT
TH
DECK
HOW MANY FLOORS?
TOTAL:
FLOOR AREAS
EXISTING SQ. Fr.
PROPOSED Sq. FT.
TOTAL
❑ NEW ❑ ADDITION
0
❑ TENANT IMPROVEMENT
CENSUS CODE•
0
ZONING DESIGNATION:
0
O YES ❑ N:)
COMP PLAN DESIGNATION
0
ENO
SECTION TOWNSHIP RANGE
0
YES ❑ NO ❑
PLATTED LOT? 0 YES ❑ N:)
0
EM
0
0
0
0
0
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNITS) EVAPORATIVE COOLERS) GAS LOG(S) REFRIG. SYSTEM(S)
BBQ(S) FAN(S) HOODS) WOODSTOVE(S)
BOILERS) 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 CLOSETS) MISC. ( )
INTERCEPTORS) SUMP(S)
DISCLAIMER/ SIGNATURE BLOCK Nam
I certify under penalty of perjury that the Information furnished by me is true and correct to the best of my knowiedge,and
vrther, 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
Weral 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 suDDIled to the citv as o hart of this application.
NAME/TITLE..""� ''r='Permit Mgr DATE: 01/21/2002
❑ PROPERLY OWNER ❑ APPLICANT $] CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION
❑ ALTERATION ❑ REPAIR
❑ TENANT IMPROVEMENT
CENSUS CODE•
LOT SIZE:
ZONING DESIGNATION:
BUILDING SHELL ONLY?
O YES ❑ N:)
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES
ENO
SECTION TOWNSHIP RANGE
NEW ADDRESS REQUIRED?
YES ❑ NO ❑
PLATTED LOT? 0 YES ❑ N:)
I CHANGE OF USE? ❑ YES
EM