Loading...
02-101751FCity of Federal W,, Community Development Services 33530 Isl Way S Federal Way, WA 98003-6210 Ph: 253.661.4000 Fax: 253.661.4129 Project Name: SMITH Project Address: 1604 SW 351ST Project Description: PLUM - Replace electric water heater t Plumbing Permit #:02 -101751 00 - PL Inspection request line: 253.835.3050 Parcel Number: 920200 0120 Owner Applicant Contractor Chizuko Smith ACTION WATER HEATERS ONLY INC ACTION WATER HEATERS ONLY INC 1604 SW 351 ST ST 12704 NE 124TH ST SUITE 43 12704 NE 124TH ST SUITE 43 FEDERAL WAY WA KIRKLAND WA 98034 KIRKLAND WA 98034 98023-6918 (425)820-8848 Plumbing Fixtures Water Heaters 1 PERMIT EXPIRES October 23, 2002, IF NO WORK IS STARTED. Permit issued on April 26, 2002 1 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: G�S0 Ow7 I13/D v -- RECEIVED BY CbMMUNITYDEVELOPME!11''�roT""c Ali F�ETZEIVED BY CONSTRUCTION PERMIT APPLICATION VV Ewe muNrr DEVELOPMENT DFPa1ApR47j 5 2002 PPLICATION NUMBER: APR 2 5 202 APPLICATION NUMBER: APPLICATION NUMBER: **The following Is required information — Please print (in ink) or type** Please 6-66: 046an al Fre Prevention Systems and Engineering g permitr may require a separate application. SITE ADDRESS: t�()� su) ?j`),5T 5:T ASSESSOR'S TAX/PARCEL #: (% LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): TYPE OF PROJECT (This application): ❑ BUILDING ""PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description): _ 9 em0l 7l ( TP / Lo. . L / , , 1 0 ) � I V -,- PROJECT PROJECT NAME: aROPERTY OWNER: CONTRACTOR: APPLICANT: (STREET ADDRESS; CITY, STATE, ZIP): NAMt: MAfUNO ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): RELATIONSHIP TO PROJECT: ❑ ARCHITECT ❑ TENANT ❑ OTHER (DESCRIBE): CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICAN CONTRACTOR EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION DAYTIME PHONE: EVENING PHONE: FAX NUMBER: E-MAIL ADDRESS: PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $kms \ :1 11q, (1 - SPRINKLERED BUILDING? 11 YES El NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED:%El YES ❑ NO WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC) DAYTIME PHONE: MAILING ADDRESS STREET ADDRESS; C ,STATE, �_ %- � ^ ` r P`/HONE: i D3 CITY OF FEDERAL WAY BUSINE 5 LICENSE NUMBER: I `EEV/,ENING Z4 " Do 3� —L? ^ CONTRACTORS REGISTRATION NUMBER: — — FAX NUMBER: _ _ (copy of card required) G'� 1 v` (� /h L ©� EXPIRATION DATE: U NAMt: MAfUNO ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): RELATIONSHIP TO PROJECT: ❑ ARCHITECT ❑ TENANT ❑ OTHER (DESCRIBE): CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICAN CONTRACTOR EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION DAYTIME PHONE: EVENING PHONE: FAX NUMBER: E-MAIL ADDRESS: PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $kms \ :1 11q, (1 - SPRINKLERED BUILDING? 11 YES El NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED:%El YES ❑ NO WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC) **NEW RESIDENTIA! CONSTRUCTION ONLY** NUMBtR OF BEDROOMS: ESTIMATED SELLING PRICE: ■ PROJECT FLOOR AREAS FLOOR EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL BASEMENT FIRST SECOND THIRD FOURTH OTHER FLOORS (DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL: OWL AIR HANDLING UNIT(S) BBQ(S) BOILER(S) COMPRESSOR(S) DUCT(S) BATHTUB(S) DISHWASHERS) DRINKING FOUNTAIN(S) GAS PIPE OUTLET(S) Indicate MECHANICAL EVAPORATIVE COOLER(S) FAN(S) FIREPLACE INSERTS) FURNACE(S) GAS PIPE OUTLET(S) PLUMBING LAVATORY(S) RAIN WATER SYS. SHOWERS) SINKS) SUMP(S) GAS LOG(S) RIG. SYSTEMS) HOOD(S) STOVES) RANGE(S) MIS HEAT SOURCE: ❑ ELECTRIC URINAL(S) WATER HEATS VACUUM BREAKER(S)ELECTRIC ID GAS WASH MACHINE OUTLI/ WATER CLOSET(S) misc.( I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that I am authorized by the owner of the above premises to perform the work for which the permit application is made. I further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in the investigation and defense of s ch claim), which may be made by any person, including the undersigned, and filed against the City of Federal Way, but %nly where s�h clai rises out of the reliance of the city, including its officers and employees, upon the accuracy of the Information����.,�:d: �� � -��t - - _ -_ -___--ion. r 11, COMMUNITY DEVELOPMENT SERVICES • 33S30 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 2S3-661-4000 • FAX; 253-661-4129 www. citvoffederalway. com