03-10546314oT
of Federal Way
Community
Plumbing Permit #:03 -105463 - 00 - PL
ComDevelopment Services
Theodore C Ballew
33530 1st Way S
FAST WATER HEATER COMPANY
Federal Way, WA 98003-6210
Fax: 253.661.4129
Inspection request line: 253.835.3050
Ph: 253.661.4000
FEDERAL WAY WA
Project Name: BALLEW
Project Address: 528 SW 294TH
Project Description: Replace electric hot water tank.
Parcel Number: 119600 1750
Owner
Applicant
Contractor
Theodore C Ballew
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
528 SW 294TH ST
12601 132ND AVE NE
12601 132ND AVE NE
FEDERAL WAY WA
KIRKLAND WA 98034
KIRKLAND WA 98034
98023-3540
(425)814-8381
Plumbing Fixtures
Description' Quantity ! DescriptionMQuantity I Description JQuantity
Water Heaters
J
PERMIT EXPIRES June 14, 2004.
Permit issued on December 17, 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: _ See Application Date: Z-1-7 0 3
[> � C.t (� , �7: , C 0//- Z dl , Q '9'e G- �J
PL- t4,q'o -r
CONSTRUCTION PERMIT APPLICATION
.. ........ 11 ............... -
CITY OF "
PLICATION NUMBER: 4
Federal WaybN N
PPUC�* UMBER:
NUM BER:,-M W, -
#*The following Is required information — Please pint (in ink) or type" 1018
Please note. Electrical, Fire Proverition SWerni and Engineering permits may require a separate application.
1 0 PROPERTY INFORMATION
SITE ADDRESS: 528 SW 294 ST, FEDERAL WAY, WA 98023 ASSESSOR'S TAX/PARCEL#: 1196001750
LEGAL DESCRIPTION OF SUFUECT PROPERTY (ATTAC4 SEPARATE DESCRIPTION IF LENGTHY):
PROJECT INFORMATION
TYPE OF PROJECT (TWs; application): a BUILDING XPLUMSING 0 MECHANICAL tj DEMOLITION
ri ELECTRICAL o ENGtNEFAUNG 0 FIRE PREVENTION SYSTEM
PROXCr DESCRIPTION (Provide detailed description): Remove/Replace Electric Water Heater
PROPERTY OWNER:
[A-01 C k F-1" a 2 41
BALLEW, THEODORE
528 SW 294 ST
PROJECT INFORMATION
FEDERAL WAY, WA 98023
((253)p9-8916 -
E;
FAST WATER HEATER COMPANY
WtjMt WONE:.
((425)�14-3124-
f0iiUliifid AWRPS&(STI &*T9XWS5, MY, 517Ar� ZIP)-,
VVERM ptfw
12601 132ND AVE NE KIRKLAND, WA 98034
)
afy oF MWEVA WAT 1XISMSS
FAX *0480:
87 000047 00
(425 ) 814-9516
CDKTRACFM REMSTRATION
(OW of Mrd rWrAfed) FASTWHC052DF02/16/2065
- - - - - - - - - -
1
Roof-, - - ----- ----- - - -
0A'frM PHONE:
KAILM ADDRESS (SMrT AMWS%- MY, STAT9, UP):
EvfNING PWAE�
-
RE ATIOWMP TO M=; -------
PAX MMUk:
n ARCHITEa 0 TENANT 0 OTHER (DESCRIBE)._
(
`0RTHIS PROJECT: uPROPERTY 0WNER oAPPLICANT :RcotfrACTOR
E44AIL ADDRESS,
PROPOSED USE:
SPRINKLERED BUILDING?
WATER SERVICE ODER:
SEWER SERVICE PROVIDER -z
■ PROJECT INFORMATION
PROPOSED VALUATION FOR IMPROVEMENTS; $339.00
0 YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: u YES ca NO
o LAKEHAVEN a H16HUNE o TAC004A t3 PRIVATE (WELL)
o LAKEHAVEN 0 M4GHUNE 13 PRIVATE (SEPTIC)
NUMBER OF BEDROOMS:
ESUMATED SELLING PRIM;
PRO3ECT FLOOR AREAS
AIR HANDLING UNIT(S)
$B2(S)
SOILER(S)
COMPRESSOR(S)
O=(S)
SATHTUS(S)
DISHWASHER(S)
DRINKING FOUNTAtN(S)
GAS PIPE OUTLET(5)
INTERC EPTOR($)
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLER(S) GA t*G(S) RLFRIG. SYSTEM(S)
FAN(S) HOOD($) WO ODSTOVE(5)
FIREPLACE INSERT(S) RANGE(S) mmr- ( )
FURN#ACE(S)
GAS PIK OUTLET(S) HENT SOURCE. 0 ELECTRIC 'i CAS
PLUMBING
LAVATORY(S)
RAIN WATER SYS.
SHOWERS
SINK(S)
Sump(S)
URINAL(S) L ' WATER HEATER(S)
VACL904 BREAKER(S) ELECTRIC:. 1A 'GAS
WASH MACHINE O1UTLET
WATER CLOSET(S) MISC. ( )
WSCLAIMERISIGNA`fURE ALC
I cerlffy under penalty of perjury that the information furnished by me is true and carr 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
mer agree to hold harmless the City of Federal Way as to any claim (including costs, exp, and attorneys' fees Incurred to the
Investigation and desfenso of such Claim), which may be ttnatie by any person, inch the undersigned, and (lead against the C y of
Viral Way, but only where such claim arises out of the reliance of the city, Including its officers and employees,
of the Informationsupplied to the city as a part of this application. upon the accuracy
NAMEITITLEz -�" -' `� ->'`a Permit Mgr DATE, 12/15/2003
ra PROPERTY OWNER ei APPLICANT 16 CONTRACTOR
COMMMITY "ENT SEWMEs • 33530 FIRST WAY SOiJ`tH • PO 9 XK 9718 • r9 RAL WAY, WA 98%3-4718 + 2531461-4000 *FAX: 253.46t -4 t t9