03-104547A
•City Community
Federal
vel Way Plumbing Permit #: 03 - 104547 - 00 - PL
Community Development Services
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: ROBBINS
Project Address: 31023 10TH SW Parcel Number: 024800 0040
Project Description: Remove/replace electric water heater
Owner
Applicant
Contractor
Timothy C Robbins & Kathy M Robbins
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
31023 10TH AVE SW
12601 132ND AVE NE
12601 132ND AVE NE
FEDERAL WAY WA
KIRKLAND WA 98034
KIRKLAND WA 98034
98023-4502
(425) 814-8381
Plumbing Fixtures
Description Quantity Description Quantity Description Quanti
Water Heaters 1
PERMIT EXPIRES March 31, 2004.
Permit issued on October 3, 2003
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:
7�s�� 7 /Ci'` '
9 D6VEOPNIF
Y F RECEIVED By
ooyytjNrTyNTDF:PAR7VF:NTC0NSTRUCTT0N PERMIT APPLI=ON
CIT OOCT 0 3 2003 PUCATION NUMBER,
Federal Way PPUCAftON NUM'BER:
00LIC47"ION NUMBER:
*The following Is required information — Plea" pint (in ink) or type" 019043
Please note., Electrical, Fire Prevention Systems, and Engineering permits may require a separate application,
PROPERTY INFORMATION
.... .. ......
SITE ADDRESS: 31023 10 AVE SW, FEDERAL WAY, WA 98023 ASSESSORS TAX/PARCEL #- 0248000040
LEGAL DESCRIPTION OF SUEUECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PR03ECT INFORMATION
TYPE OF PROJECT (This application): o BUILDING xPILUMSING 0 MECHANICAL t) DEMOLITION
n ELECTRICAL o ENGINEERING D FIRE PREVENTION SYSTEM
PRO)ECT DESCRIPTION (Provide detailed description): Remove/Replace Electric Water Heater
PROJECT NAME:
M ihKOJECT f. O.
RAPIL
PROPERTY OWNER:1 DAYTIME PHOW.
ROBBINS, TIM
1((253)146-1112-
KOJ" AWRESS (jTKLrT ADDRM; CTTY. �TAn. ZIP)�
31023 10 AVE SW FEDERAL WAY, WA 98023
F-116 �11* I w +
KWE; FAST WATER HEATER COMPANY
((425)14-3124-
V#TMM
12601 132ND AVE NE KIRKLAND, WA 98034
crty of MIEVA WAY VJStWZ t451E �
FAX Mi0tut!
87 - 000047 00
(425 ) 814-951.6
CONTRACrOn GFS RA` MMOM, -
vasamm- cAn:
(co" of cmd niquirod) FASTWHC053..DF-- —
02/16/2065
MMJWuAZDRESS (-jMff gZkM- CRY.SfAR, ZM: V." ING PWAE-.
Rf1A'nWKW TO 09WEM FAY WASM
In ARCHITECT 0 TENANT 0 OTHER ( DESCRIBE)-._
CONTACT PERSON FOR THIS PROSECT: o PROPERTY OWNER o APPLICANT :R CONTRACTOR.
PROJECT INFORMATION
EXISTING USE: . EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ .................................. .
PROPOSED USE, PROPOSED VALUATION FOR IMPROVEMENTS. $----S339.00
SPRINKLERED BUILDING?
WATER SERVICE PROVIDER:
* YES n NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIREO., u YES a NO
* LAKEHAVEN o INIGHLINE a TAC004A o PRIVATE (WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN to HIGHLINE a PRIVATE (SEPTIC)
RE510tNTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS
ESTIMATED SELLING PRICE:
PR03ECM" FLOOR AREAS
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
BBQ(S) FAN(S) HOODS) WOODSTOVE(S)
SOILER(S) FIREPLACE INSERT($) RANGE(S) MISC. ( �)
C OM1PRESSO{R(S) FURNACES)
DUCT(s) GAS PIPE OUTLET(S) HEAT SOURCE: sa ELECTRIC u GAS
PLUMBING
BATHTUS(S) LAVATORY(S) URINAL(S) 1 WATER HEATER(S)
OISHWASHER(S) RAIN WATER SYS. VACUUM BREAKERS) ELECTRIC u GAS
DRINKING NTAIM(5) SHOWER(S) WASH MACHINE OUTLa
GAS PIPE OUTLET($) SINKS) WATER CLOSET(S) misc. (
INTERCEPTORS) SUMP(S)
DISCLAIMER/SIGNATURE BLOCK
I certify tinder penalty of perjury diet the Information furnished by me Is true and cvmacC to the beat of my knowledge, and
further, that I am authorized by the owner of the above premises to perform the wont for which the permit application is made: I
further agree to hold harmless the Ci