02-102364City of Federal Way
Cenummity Development Services�� Plumbing Permit #: 02 - 102364 - 00 - PL
33530 1st Way S IV U [q
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050
Project Name: DOLE
Project Address: 123 S 340TH UnitI Parcel Number: 325945 0890
Project Description: PLUM - Remove/replace electril water heater
Owner
Applicant
Contractor
KAY DOLE
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
103 S 340TH ST UNIT 1
12601 132ND AVE NE
12601 132ND AVE NE
FEDERAL WAY WA 98003
KIRKLAND WA 98034
KIRKLAND WA 98034
(425)814-8381
Plumbing Fixtures
D`eseriptii_n.Q ' a
Water Heaters 1
PERMIT EXPIRES December 3, 2002, IF NO WORK IS STARTED.
Permit issued on June 6, 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: See Application Date:
v m1tYlY' ---
y APPLICATION NUMBER;(] -.1Q -gQ Pj,
im
RECEIVED BY
COMMUNITY DPVFLOPh4ENT DPP,ARTM]APPLICATION NUMBER: — — — — — — — — — —
NUMBER:APPLICATION — — — — — — — — —
"The followingAL;4uQe6inf=tion - Please print (in ink) or type" 720266
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
SITE ADDRESS: 103 S 340 ST #I, FEDERAL WAY, WA 98003
ASSESSOR'S TAX/PARCEL #:' 325945U89Lr
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):
PROJECT NAME: DOLE, KAY
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
Remove/Replace Electric Water Heater
■ PEOPLE INFORMATION
NAME: DOLE, KAY DAYTIME PHONE:
(253)835-4311
MAILING ADDRESS (STREET ADDRESS, QTY, STATE, IIP):
103 S 340 ST #I FEDERAL WAY, WA 98003
NAME:
DAYTIME PHONE:
FAST WATER HEATER COMPANY
(425)814-3124
MAILING ADDRESS (STREET ADDRESS, QTY, STATE. IIP):
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) FASTYMC052DF
02/16/2003
DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS, QTY, STATE, IIP): EVENING PHONE:
<Street> <City> <Zi >
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑TENANT ❑OTHER (DESCRIBE):
CONTACT PERSON FOR THIS PR03ECT: ❑ PROPERTY OWNER ❑ APPLICANT M CONTRACTON
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 El PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑HIGHLINE ❑ PRIVATE (SEPTIC)
RAQN6
* �NEWAESIDENTIAL CONSTRUCTION ONLY"
❑ NEIN ❑ ADDITION
NUMBER OF BEDROOMS'
ESTIMATED SELLING PRICE: $
CENSUSCODE:
LOT SIZE:
ff' AREAS
ZONING DESIGNATION:
BUILDING SHELL ONLY?
FLOOR
EXISTING SQ. FT.
PROPOSED S2. FT.
TOTAL
SECMN TOWNSHIP RANGE
NEWADDRESSREQUIRED?
BASEMENT
PLATTED LOT? ❑ YES ❑ NJ
I CHANGE OF USE? ❑ YES
EM
0
FIRST
0
SECOND
0
THIRD
0
FOURTH
0
OTHER FLOORS (DESCRIBE)
0
DECK
0
GARAGE
HOW MANY FLOORS?
0
TOTAL:
0 0
0
FIXTURES
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) RANGES)
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)
DISHWASHER(S) 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)
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
5urther 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
A the Information suoolied to the city As_A Dart of this application.
NAME/TITLE.'''' Pcrmit Mgr DATE: 06/03/2002
❑ PROPERLY OWNER ❑ APPLICANT $] CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEIN ❑ ADDITION
❑ ALTERATION ❑ REPAIR
❑ TENANT IMPROVEMENT
CENSUSCODE:
LOT SIZE:
ZONING DESIGNATION:
BUILDING SHELL ONLY?
El YES ❑ W
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES
ONO
SECMN TOWNSHIP RANGE
NEWADDRESSREQUIRED?
YES ❑ NO ❑
PLATTED LOT? ❑ YES ❑ NJ
I CHANGE OF USE? ❑ YES
EM