02-100510City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name:
Project Address:
MIGITA
28505 29TH S
Plumbing Permit #: 02 - 100510 - 00 - PL
Project Description: PL - Remove/replace ELECTRIC water heater
Inspection request line: 253.835.3050
Parcel Number: 730320 0170
Owner
Applicant
Contractor
Kenneth Y & Helen B Migita
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
28505 29TH PL S
12601 132ND AVE NE
12601 132ND AVE NE
AUBURN WA
KIRKLAND WA 98034
KIRKLAND WA 98034
98003-3344
(425)814-8381
Plumbing Fixtures
NNW„®escnptiori
Water Heaters 1
PERMIT EXPIRES July 31, 2002, IF NO WORK IS STARTED.
Permit issued on February 1, 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: Date: �//
1 �
Rough -in inspection:
FINAL inspection:
Date
Date
ocl 14
` 3+E=tom .- -��,� 11_fLICATION NUMBER` — — — — —
APPLICATION NUMBER: — — —
P— — — — — ——
t
"The following is required information - Please print (in ink) or type" 670462
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
PROPERTY INFORMATION
SITE ADDRESS: 28505 29 PL S, FEDERAL WAY, WA 98003
ASSESSOR'S TAY4PARCEL #: 7303200170
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
1 ■ PROJECT INFORMATION
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
PROJECT NAME: MIGITA, KEN
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
Remove/Replace Electric Water Heater
■ PEOPLE INFORMATION
NAME: MIGITA, KEN DAYTIME PHONE:
1(253)946-0528MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP):—"'
28505 29 PL S FEDERAL WAY, WA 98003
NAME:
FAST WATER HEATER COMPANY
DAYTIME PHONE:
(425)814-3124
MAILING ADDRESS (STREET ADDRESS, QTY, STATE. ZIP):
EVENING PHONE:
12601 132ND AVE NE
KIRKLAND WA 98034
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
19-87000047-DO-bi
425 814-9516
OONTRACTORS REGISTRATION NUMBER:
EXPIRATION DATE:
(copy of card required) FASTVIHCO52DF
02/16/2002
(NAME: DAYTIME PHONE:
IMAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP):I EVENING PHONE:
<Street> <City> <7in>
I ❑ ARCH
RELATIONSHIPECr TO E OTENANT ❑OTHER (DESCRIBE): I FAX NUMBER:
CONTACT PERSON FOR THIS PR03ECT: ❑ PROPERTY OWNER ❑ APPLICANT M CONTRALTO
■IIaleI LLD 61ITEDl1►[eil►`t7sl:Tuh\i(al►
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)
W-7& t
A
"NEWIRESIDENTIAL CONSTRUCTION ONLY"
NUMBER OF BEDROOMS' ESTIMATED SELLING PRICE:
i
BASEMENT
THIRD
HOW MANY FLOORS?
TOTAL:
FLOOR AREAS
EXISTING SQ. FT.
PROPOSED S2. FT.
TOTAL
❑ NEW O ADDITION
0
❑ TENANTIMPROVEMENT
CENSUS CODE:
0
ZONMGDE IGNATION:
0
El YES ❑ NJ
COMP PLAN DESIGNATION
0
ONO
SECTION TOWNSHIP RANGE
0
YES ❑ NO ❑
PLATTED LOT? ❑ YES ❑ ND
0
ado
0
0
0
0
0
FIXTURES
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)
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) SINKS) WATER CLOSET(S) MISC.
INTERCEPTORS) SUMP(S)
BLOCK
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
rnestigation 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
if the Information suoolied to the city a,4_a nart of this application.
NAME/TITLE. ' ''��=''Permit Mgr DATE' 01/25/2002
❑ PROPERLY OWNER ❑ APPLICANT io CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW O ADDITION
❑ ALTERATION ❑ REPAIR
❑ TENANTIMPROVEMENT
CENSUS CODE:
LOT SIZE:
ZONMGDE IGNATION:
BUILDING SHELL ONLY?
El YES ❑ NJ
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES
ONO
SECTION TOWNSHIP RANGE
NEW ADDRESS REQUIRED?
YES ❑ NO ❑
PLATTED LOT? ❑ YES ❑ ND
I CHANGE OF USE? ❑YES
ado