02-102951City Federal Way
Community Development Services Plumbing Permit #: 02 - 102951 - 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: JOSLIN
Project Address: 31616 54TH SW
Project Description: PL - Remove/replace electric water heater
Parcel Number: 189850 0170
Owner
Applicant
Contractor
Billy K Joslin
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
31616 54TH AVE SW
12601 132ND AVE NE
12601 132ND AVE NE
FEDERAL WAY WA
KIRKLAND WA 98034
KIRKLAND WA 98034
98023-2015
1 (425)814-8381
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Plumbing Fixtures
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Water Heaters 1
PERMIT EXPIRES January 8, 2003, IF NO WORK IS STARTED.
Permit issued on July 12, 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: ?*,
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-'The fdilo)wling is required information - Please print (in ink) or type" 731058
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. P /
SITE ADDRESS: 31616 54 AVE SW, FEDERAL WAY, WA 98023
ASSESSOR'S TAX/PARCEL #: 1898500170
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROTECT 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: JOSLIN, NANCY
PROPERTY OW NER:
CONTRACTOR:
NAME: JOSLIN, NANCY DAYTIME PHONE:
(253)927-0643
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, IIP):
31616 54 AVE SW FEDERAL WAY, WA 98023
NAME:
DAYTIME PHONE:
FAST WATER HEATER COMPANY
(425)814-3124
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, IIP):
EVENING PHONE:
12601 132ND AVE NE
KIRKLAND WA 98034
QTY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
19-87000047-00-bl
425 814-9516
0ONTRACTORS REGISTRATION NUMBER:
EXPIRATION DATE:
(copy of card required) FASTWHC052DF
02/16/2003
APPLICANT: INAME: I DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS, QTY, STATE, IIP): EVENING PHONE:
<Street> <Cit > <Zi >
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT OTENANT ❑ OTHER (DESCRIBE):
E-MAIL ADDRESS
CONTACT PERSON FOR THIS PROJECT: Ll PROPERTY OWNER ❑ APPLICANT M CONTRACTO
INFORMATION0 DETAILED BUILDING
EXISTING USE: EXISTING BUILDING ASSESSEDIAPPRAISED 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)
R40716
*RESIDENTIAL CONSTRUCTION ONLY"
NUMBER OF BEDROOMS' ESTIMATED SELLING PRICE: $
FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED , FT,
TOTAL
BASEMENT
❑ ALTERATION O REPAIR
❑ TENANT IMPROVEMENT
CENSUSCODE:
LOT SIZE:
ZONING DESIGNATION:
0
FIRST
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES
ENO
SECTION TOWNSHIP RANGE
NEW ADDRESS REQUIRED?
YES ❑ NO ❑
0
SECOND
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0
THIRD
0
FOURTH
0
OTHER FLOORS (DESCRIBE)
0
DECK
0
ARA E
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, SYSTEM(S)
BBQ(S) FANS) HOODS) WOODSTOVE(S)
BOILERS) FIREPLACE INSERT(S) RANGE(S) MISC. ( )
COMPRESSOR(S) 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 BREAKERS) ® 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
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' fee incurred in the
investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the City of
Federal Way, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy
of the information SuDDiied to the citv as_a oart of this application.
NAME/TITLE. "'may—�''� Permit Mgr DATE: 07/08/2002
❑ PROPERLY OWNER ❑ APPLICANT :0 CONTRACTOR
FOR OFFICE USE ONLY:
❑ NaN O ADDITION
❑ ALTERATION O REPAIR
❑ TENANT IMPROVEMENT
CENSUSCODE:
LOT SIZE:
ZONING DESIGNATION:
BUILDING SHELL ONLY?.
❑ YES ❑ ND
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES
ENO
SECTION TOWNSHIP RANGE
NEW ADDRESS REQUIRED?
YES ❑ NO ❑
PLATTED LOT? ❑ YES ❑ NJ
I CHANGE OF USE? ❑ YES
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