02-102765City Community Development Services Federal Way
Commun
Applicant
Plumbing Permit #:02 -102765 - 00 - PL
33530 1st Way S
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
Federal Way, WA 98003-6210
12601 132ND AVE NE
12601 132ND AVE NE
Ph: 253.661.4000 Fax: 253.661.4129
KIRKLAND WA 98034
Inspection request line: 253.835.3050
Project Name: DONALDSON
Project Address: 153 S 330TH UnitB Parcel Number: 928870 0220
Project Description: PL - Remove/Replace electric water heater
Owner
Applicant
Contractor
Carlton E & Jill H Rapozo
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
153 S 330TH ST #B
12601 132ND AVE NE
12601 132ND AVE NE
FEDERAL WAY WA
KIRKLAND WA 98034
KIRKLAND WA 98034
98003-6316
1
1 (425)814-8381
Plumbing Fixtures
no
MIN
frrk tlf)il :
Water Heaters
PERMIT EXPIRES December 28, 2002, IF NO WORK IS STARTED.
Permit issued on July 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. See Application
Owner or agent: Date:
�'z
APPLICATION NUMBERLP 2= L Q 1APPLICATIUN NUMBER:
31 �•o
"The following is required information - Please print (in ink) or type** 015650
Please note. Electrical, Fire Prevention Systems and Engineering permits may require a separate aRft"ED BY
SITE ADDRESS: 153 S 330 ST #B, FEDERAL WAY, WA 98003 v
ASSESSOR'S TAY4PARCEL *: 9288700220
LEGAL DESCRIPTION OF SUBJECT PROPERIY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION
TYPE OF PROJECT (This application): ❑ BUILDING ® PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGWEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
Remove/Replace Electric Water Heater
PROJECT NAME: DONALDSON, TOMMY
PROPERTY OWNER:
CONTRACTOR:
■ PEOPLE INFORMATION
NAME: DONALDSON, TOMMY DAYTIME PHONE:
(253)815-9332
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, IIP):
153 S 330 ST #B FEDERAL WAY, WA 98003
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:
19-87000047-004A
425 814-9516
OONTRACrORS REGISTRATION NUMBER:
EXPIRATION DATE:
(copy of card required) FASTWHC052DF
02/16/2003
APPLICANT: I NAME: I DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP): EVENING PHONE:
<Street> <Ci <Zi >
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑TENANT ❑OTHER(DESCRIBE):
E-MAIL ADDRESS
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT M CONTRACTO
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VAWATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ $339.00
SPRINKLED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑YES ❑ NO
WATER SERVICE PROVIDER: Q LAKEHAVEN ❑HIGHLINE ❑TACOMA (3 PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑HIGHLINE ❑ PRIVATE (SEPTIC)
W716
**NEW RESIDENTIAL CONSTRUCTION ONLY"
NUMBER OF BEDROOMS
ESTIMATED SELLING PRICE: $
❑ NEW ❑ ADDITION
❑ ALTERATION (3 REPAIR
FLOOR AREAS
CENSUSCODE:
LOT SIZE:
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. Fr.
TOTAL
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES
BASEMENT
SECOON TOWNSHIP RANGE
NEW ADDRESS REQUIRED?
YES ❑ NO ❑
PLATTED LOT? ❑ YES ❑ N3
I CHANGEOFUSE? ❑YES
ONO
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 UNIT(S)
EVAPORATIVE COOLER(S) GAS LOG(S)
REFRIG. SYSfEM(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 ❑GAS
PLUMBING
BATHTUBS) LAVATORY(S) URINAL(S) 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)
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
vrther, 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
nvestigation and defense of such claim), which may be made by any person, induding the undersigned, and filed against the City of
1'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 citv 4s_o hart of this application.
Sr 06/27/2002
NAME/TITLE. "'"��'� �`�'''�� ° Permit M DATE:
❑ PROPERLY OWNER ❑ APPLICANT ZI CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION
❑ ALTERATION (3 REPAIR
❑ TENANTDWROVEMENT
CENSUSCODE:
LOT SIZE:
ZONING DESIGNATION:
BUILDING SHELLONLY?
❑ YES ❑ N:)
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES
040
SECOON TOWNSHIP RANGE
NEW ADDRESS REQUIRED?
YES ❑ NO ❑
PLATTED LOT? ❑ YES ❑ N3
I CHANGEOFUSE? ❑YES
ONO