03-105290City 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:
10►_11;N/_1cl 11
2020 SW 318TH \
Plumbing Permit #:03 -105290 - 00 - PL
Project Description: Remove and replace electric water heater
Inspection request line: 253.835.3050
Parcel Number: 856110 1710
Owner
Applicant
Contractor
Patricia A Farnand
WASHINGTON WATER HEATERS INC
WASHINGTON WATER HEATERS INC
2020 SW 318TH PL #3B
8714 59TH DR NE
8714 59TH DR NE
FEDERAL WAY WA
MARYSVILLE WA 98270
MARYSVILLE WA 98270
98023-5124
(360)653-6429
Plumbing Fixtures
Description Quantity Description Quanti Description Quantity
Water Heaters
PERMIT EXPIRES June 15, 2004.
Permit issued on December 18, 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: /
Owner or agent. JN 0 C.v-- Date:
RECEIVED BY CONSTRUCUON PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT" PLICAT ON NUMBER: �-�
�w DEC 0 2 2003 PPLICATION NUMBER:
APPLICATION NUMBER: - —
z **Xhe following is required information - Please print (in ink) or typo**v
Please note: Electrical, Fire Prevention Systems and Engineering Permits may require a separate application.
SITE ADDRESS: ZO �•il " �`(�PI -i�„ij u Woiq, SSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
IIII'PROJECT
TYPE OF PROJECT (This application): n BUILDING 'PLUMBING a MECHANICAL o DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION jWrovide detailed description}:
PROJECT NAME: 11 LI%V y �ul*u
'PROJECT•• -
PROPERTY OWNER: NAMe: ,n �� DAYrIME PHONE:
a -f- yv-l- .kc
f
CONTRACTOR:
APPLICANT:
3-02-0 ✓..'-'- l V �O \ ,art 1'�7 1 ` W Waal Wo, 6A � o-L_d...�_.—, ,
NAME: -----__---. _. —�
w A -✓!,d I
MAILING ADDRESS (STREET ADDRMS t7rY STATE, ZIP,:_
DA(fTME PHONE: — -----
) (, -
EVENINGG
}PHO/NE: f 7 q
CITY f�c RAL AY B,JSINESS LICENSE NUMBER •
- -�L-ti
FAX NUMBER:
4� Yom` REGI UM)KR: c. � / �7 _..
copy of and nqw ) / (� � ✓ I'1 � J- � 1
EXPIRATION DATE: r
/7 6V -.
NAME:t DA-� YTIME PHONE:
MAILING ADDRESS (STREETADDRESS; CITY, STATE, ZIP): _. _ ----- - --- -�F - EVENIPJG PHONE:
REL4TIONSHIP f(- PROJEI-r: _ FAX NU B � . -
❑ARCHITECT ❑ TENANT * OTHER ( DESCRIBE):, �L�� C` CI-c� � (`bi,�}
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER n APPLICANT CONTRACTOR j
PROJECT•• •
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION
PROPOSED USE: _ — PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSEDJREQUIRED: n YES a NO
WATER SERVICE PROVIDER: a LAIMHAVEN T -j HIGHLINE a TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: n LAIEHAVEN L, HIGHLINE o PRIVATE (SEPTIC)
NUMBER OF BEDROOMS:
ESTIMATED SELLING PRICE:
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
FIXTURES
Indicate number of each type of fixture
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES ❑ NO
FIRST
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? 0 YES 0 NO
AIR HANDLING
SECOND
GAS LOG(S)
G
REFRIG. SYSTEM(S)
M
UNIT(S)
THIRD
BBQ(S)
FOURTH
HOOD(S)
WOODSTOVE(S)
BOILERS)
OTHER FLOORS (DESCRIBE)
RANGE(S)
MISC. ( )
COMPRESSOR(S)
DECK
DUCT(S)
GARAGE
HOW MANY FLOORS?
HEAT SOURCE:
❑ ELECTRIC ❑ GAS
TOTAL:
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' fees 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 supplied to the city as a part of this application.
NAME/TITLE: aC� DATE: S —ZY, ' O3
❑ PROPERTY OWNER ❑ APPLICANT X CONTRACTOR
fd-61ArolJJ"A1C-43o1;IWA
❑ NEW ❑ ADDITION ❑ ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE:
LOT SIZE:
ZONING DESIGNATION:
FIXTURES
Indicate number of each type of fixture
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES ❑ NO
MECHANICAL
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? 0 YES 0 NO
AIR HANDLING
EVAPORATIVE
GAS LOG(S)
G
REFRIG. SYSTEM(S)
M
UNIT(S)
COOLER(S)
BBQ(S)
FAN(S)
HOOD(S)
WOODSTOVE(S)
BOILERS)
FIREPLACE INSERTS)
RANGE(S)
MISC. ( )
COMPRESSOR(S)
FURNACE(S)
DUCT(S)
GAS PIPE OUTLET(S)
HEAT SOURCE:
❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S)
LAVATORY(S)
URINAL(S)
WATER HEATER(S)
DISHWASHER(S)
RAIN WATER
VACUUM BREAKER(S)
34� ELECTRIC ' ❑ GAS
SYS.
DRINKING
SHOWER(S)
WASH MACHINE
+
FOUNTAIN(S)
OUTLET
GAS PIPE OUTLET(S)
SINKS)
WATER CLOSET(S)
MISC. ( )
INTERCEPTORS)
SUMP(S)
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' fees 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 supplied to the city as a part of this application.
NAME/TITLE: aC� DATE: S —ZY, ' O3
❑ PROPERTY OWNER ❑ APPLICANT X CONTRACTOR
fd-61ArolJJ"A1C-43o1;IWA
❑ NEW ❑ ADDITION ❑ ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE:
LOT SIZE:
ZONING DESIGNATION:
BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES ❑ NO
SECTION TOWNSHIP RANGE
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? 0 YES 0 NO
CHANGE OF USE? ❑ YES ❑ NO