02-101771City 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:
CROWELL
32015 28TH SW
Plumbing Permit #:02 - 101771 1.00 - PL
Project Description: PL - Remove/replace ELECTRIC water heater
Inspection request line: 253.835.3050
Parcel Number: 873190 0160
Owner
Applicant
Contractor
William C & Martha $t Crowell
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
32015 28TH AVE SW
12601 132ND AVE NE
12601 132ND AVE NE
FEDERAL WAY WA
KIRKLAND WA 98034
KIRKLAND WA 98034
98023-2277
1
1 (425) 814-8381
Plumbing Fixtures
Water Heaters I 1
PERMIT EXPIRES October 26, 2002, IF NO WORK IS STARTED.
Permit issued on April 29, 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: /�-� Q AgLzd d h- Date: (//Z1
UZ
Plumbing rough -in:
Water line:
Date:
Date:
FINAL PLUMBING: Date:
RECEIVED BY APPLICATION NUMBERS _ — — 7 L
ii,wARL— COMMUNITY DEVELOP M ENT 0 EPA RTME BER:_
APR 2 9 2002 -----
"The following is required information - Please print (in ink) or type** 706718
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
PROPERTYINFORMATION
SITE ADDRESS: 32015 28 AVE SW, FEDERAL WAY, WA 98023
ASSESSOR'S TAX/PARCEL #: 8731900160
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
PROJECT NAME: CROWELL, MARTHA
PROPERTYOWNER:
CONTRACTOR:
APPLICANT:
■ PEOPLE INFORMATION
NAME: CROWELL, MARTHA DAYTIME PHONE:
253 838-0810
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP):
32015 28 AVE 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:
19-87000047400-b1
425 814-9516
CONTRACTORS REGISTRATION NUMBER:
EXPIRATION DATE:
(copy of card required) FASTWHC052DF
02/16/2003
NAME:
DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP): EVENING PHONE:
<Street> <C4> <Zi >
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECr ❑TENANT [3 OTHER (DESCRIBE):
CONTACT PERSON FOR THIS PRO.3ECT: ❑ PROPERTY OWNER ❑ APPLICANT M CONTRACTOR]
INFORMATIONE DETAILED BUILDING
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 [3 PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑HIGHLINE ❑ PRIVATE (SEPTIC)
W J16
"NEW RESIDENTIAL CONSTRUCTION ONLY"
NUMBER OF BEDROOMS- ESTIMATED SELLING PRICE:
BASEMENT
HOW MANY FLOORS?
TOTAL:
FLOOR AREAS
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
❑ NEW ❑ ADDITION
0
❑ TENANT IMPROVEMENT
CENSUSCODE:
0
ZONING DESIGNATION:
0
O YES ❑ N:)
OOMP PLAN DESIGNATION
0
ENO
SECMN TOWNSHIP RANGE
0
YES ❑ NO ❑
PLATTED LOT? ❑ YES ❑ ND
0
X10
0
0
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)
BOILERS) FIREPLACE INSERT(S) RANGE(S) MISC. ( )
COMPRESSORS) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ G AS
PLUMBING
BATHTUB(S) LAVATORY(S) URINALS) I WATER HEATER(S)
DISHWASHERS) RAIN WATER SYS. VACUUM BREAKER(S) ® ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINKS) WATER CLOSET(S) MISC.
INTERCEPTORS) SUMP(S)
DISCLAIMER/ SIGNATURE 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
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
=ederal Way, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy
A the Information suoolied to the citv 4-A oart of this application.
NAME/TITLE. _,---� ' ''� �' Permit Mgr DATE' 04/24/2002
❑ PROPERLY OWNER ❑ APPLICANT in CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION
❑ ALTERATION ❑ REPAIR
❑ TENANT IMPROVEMENT
CENSUSCODE:
LOT SIZE:
ZONING DESIGNATION:
BUILDING SHELLONLY7
O YES ❑ N:)
OOMP PLAN DESIGNATION
BASIC PLAN? ❑ YES
ENO
SECMN TOWNSHIP RANGE
NEWADDRESSREQUIRED?
YES ❑ NO ❑
PLATTED LOT? ❑ YES ❑ ND
I CHANGEOFUSE? ❑YES
X10