02-101646City of Federal Way
Community Development Services Plumbing Permit #: 02 - 101646 - 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: SHERMAN
Project Address: 810 S 301ST Parcel Number: 515220 0020
Project Description: PL - Remove/replace ELECTRIC water heater
Owner
Applicant
Contractor
John E Sherman
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
810 S 301ST PL
12601 132ND AVE NE
12601 132ND AVE NE
FEDERAL WAY WA
KIRKLAND WA 98034
KIRKLAND WA 98034
98003-3752
(425)814-8381
Plumbing Fixtures
Water Heaters 1
PERMIT EXPIRES October 16, 2002, IF NO WORK IS STARTED.
Permit issued on April 19, 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: L A /0Ti
f I
Plumbing rough -in:
Water line:
FINAL PLUMBING: .-;
Date:
Date:
Date: �✓ �`�
y� RECEIVED BY APPLICATION NUMBER• L\'-!
—
� COMMUNITY DEVELOPMENT DEPARTA — — — — — — — —
"The following AS PWPU 'info7r��on - Please print (in ink) or type** 703704 ,
Please note. Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
PROPERTY IN•
SITE ADDRESS: 810 S 301 PL, FEDERAL WAY, WA 98003
ASSESSOR'S TAX/PARCEL #: 5152200020
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: SHERMAN, JOHN E.
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
■ PEOPLE INFORMATION
NAME: SHERMAN, JOHN E. DAYTIME PHONE:
(253)839-7098
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP):
810 S 301 PL FEDERAL WAY, WA 98003
NAME:
FAST WATER HEATER COMPANY
DAYTIME PHONE:
(425)814-3124
MAKING ADDRESS (STREET ADDRESS, CITY, STATE. IIP):
EVENING PHONE:
12601 132ND AVE NE
KIRKLAND WA 98034
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
19-87000047-00-bi
425 814-9516
CONTRACTORS REGISTRATION NUMBER:
EXPIRATION DATE:
(copy of card required) FASTWHC052DF
02/16/2003
NAME:
DAYTIME PHONE:
IMAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP):I EVENING PHONE:
<Street> <City> <7in>
TO
El ARCH
RELATIONSHIP ❑
ECT: TENANT ❑OTHER (DESCRIBE): I FAX NUMBER:
CONTACT PERSON FOR THIS PR07ECT: ❑ PROPERTY OWNER ❑ APPLICANT M CONTRACTOR J
DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSEDIAPPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ $339.00
SPRINKLED BUILDING? ❑ YES p NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑HIGHLINE ❑TACOMA El PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑HIGHLINE ❑ PRIVATE (SEPTIC)
W-7/6
**NEVI'RESIDENTIAL
NUMBER OF BEDROOMS' ESTIMATED SELLING PRICE:
TOTAL:
FLOOR AREAS
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
❑ NEW ❑ ADDITION
0
❑ TENANTDHPROVEMENT
CENSUSCODE'
0
ZONING DESIGNATION:
0
❑YES ❑ ND
COMP PLAN DESIGNATION
0
ENO
SEC.'TIDN TOWNSHIP RANGE
0
YES ❑ NO ❑
PLATTED LOT? 0 YES ❑ ND
0
EM
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 INSERTS) RANGE(S) MISC. ( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ G AS
PLUMBING
BATHTUBS) LAVATORY(S) URINALS) I WATER HEATER(S)
DISHWASHERS) RAIN WATER SYS. VACUUM BREAKER(S) ® ELECTRIC Q GAS
DRINKING FOUNTAINS) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) 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
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 suDDlied to the city as a part of this application.
NAME/TITLE.'Permit Mgr DATE' 04/17/2002
❑ PROPERLY OWNER ❑ APPLICANT $] CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION
❑ ALTERATION O REPAIR
❑ TENANTDHPROVEMENT
CENSUSCODE'
LOT SIZE:
ZONING DESIGNATION:
BUILDING SHELL ONLY?
❑YES ❑ ND
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES
ENO
SEC.'TIDN TOWNSHIP RANGE
NEWADDRESSREQUIRED?
YES ❑ NO ❑
PLATTED LOT? 0 YES ❑ ND
I CHANGE OF USE? ❑ YES
EM