03-1030383
City 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: HOUX
Project Address: 28417 15TH S
Project Description: Remove/replace electric water heater
Plumbing Permit #:03 -103038 - 00 - PL
Inspection request line: 253.835.3050
Parcel Number: 720300 0015
Owner
Applicant
Contractor
Samuel E Houx & Elizabeth Houx
FAST WATER HEATER_ COMPANY
FAST WATER HEATER COMPANY
28417 15TH PL S
12601 132ND AVE NE
12601 132ND AVE NE
FEDERAL WAY WA
KIRKLAND WA 98034
KIRKLAND WA 98034
98003-3168
(425)814-8381
Plumbing Fixtures
Water Heaters
PERMIT EXPIRES January 19, 2004. /
Permit issued on July 23, 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. (r See 1�nj�
Owner or agent: See A nn JL JL +1(1?1 Date: Application
w
CONSTRUCTION PERMIT APPLICATION
CITY OF RECEIVED BY
PLICATION NUMBER:
r
Federal Way JUL 2 3-2003 PLICM0114 NUMBER.
oucAtON NUMSER-
•
#The following is required information — Please print (in ink) or type,
018645
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
SITE ADDRESS: 28417 15 PL S, FEDERAL WAY, WA 98003 ASSESSORS TAX/PARCEL. #: 720300015
— — — — — — — — — —
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACK SEPARATE DESCRIP71ON IF LENGTHY)-
■ PR03ECT INFORMATION
TYPE OF PROJECT (This application): o BUILDING xPLUMSING G MECHANICAL -D DEMOLITION
n ELECTRICAL a ENG tNEER v4G D FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): Remoyg/Replace Electric Water Heater
I � �* =2 1. �--
HOUX, SAM
6 ADDRESS (sTRErr ADDRm. cin,. s-rxn', zip):
28417 15 PL S
FEDERAL WAY, WA 98003
( (253)145-1883 -
KWE: FAST WATER HEATER COMPANY
((425)$14-3124-
OWi ;M>MEI.S(STWCrAODKSr.;aTV,STA? ZIP)-,
MAIM Now,:
12601 132ND AVE NE KIRKLAND, WA 98034
MY OF WMI, WAY BUSMIMS UCWE WJMM'
I" NUI t:
87 - 000047 00
(425 )8.14-9516
REMnIATiON "KA;
Pall"T" CAM
FASTWHC052DF
02/16/2065
APPLICANT:
MALM ADDRESS (SMET ADbk"S; CTIYSTAY T, ZI) EWNING PHONE-.
WATIORW TOPW3WT� FAX "SM
o ARCHrFECT o TENANT o OTHER( DESCRIBE).
EXISTING USE.
:PROPOSED USE:
C-PRINKLERED BUILDING?
PROJECT INFORMATION
"ISTIM BUILDING ASSESSED/APPRAISED VALUATION $_
— PROPOSED VALUATION FOR IMPROVEMENTS: $ $339.00
* YES o NO FIRE SUPPRESSION SYSTEM PROPOSEO/REQUIRED: a YES a NO
* LAKE14AVEN n HIGHLINE o TACOMA t3 PRIVATE (WELT.)
o LAKEHAVEN o tUGHLINE a PRIVATE (SEPTIC)
......... a_ ...... ........ _ _— - _ -------_�__„ __.__
E '"tiEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRIDE:
FLOOR
BASEMENT
. .. - __.-- __._
FIRST
..._. ... __...... ...___...
THIRD
PROJECT..•
EXIST'IN 6mmQ. FT. n,
_ _
AREAS
PROPt7tSED FT,___ .
- _.-_
�. --
TOTAL _..._ . _�€
I
. _._. _ .. .._.._.
OTHER FLOORS (DESCRIBE)
_ ..... _ _------- __ ,...r
.. ...... .... .... ..
�G
HOW MANY FLOORS'
TOTAL:
Indicate number of each type of fixture
MiCHANICAL.
AIR HANDLING UNIT(S)
EVAPORATIVE COOLER(S) GAS LOG(S)
REFRIG. SYSTEM(S)
BBQ(S)
FAN(S) _ HOOD(S)
WOODST0VE(S)
BOrLER(S)
FIREPLACE INSERT($) � RANGE(S)
MISC. C )
COMPRESSOR(S)
FURNACE(S)
OUCi'(5)
GAS PIPE OUTLET(S) HEAT SOURCE:
a ELECTRIC a GAS
PLUMBING
BATHTUBS)
LAVATORY(S) URINAL(S)
1 SKATER HEATER(S)
DISHWASHER(S)
—RAINWATER SYS. VACUUM BREAKER(S)
ELECTRIC t.j GAS
DRINKING FOUNTAIN(S)
SHOWER(S) WASH MACHINE OUTLET
OAS PIPE OUTLET(S)
SINK(S) WATER CLOSET(S)
MISC.
INTERCEPTOR(S)
SUMP(S)
7ISCLAIMER /SIG NATURE ALC
I auft undier penty of pa ury that the Information wished by ane is true and correct to the best of my knowieci", and
further, that I anti authorized by the owner of the above premim to perform the work for which the permit application is made. I
further age to hold harmless the +Cky of Federal Way as to any claim (including costs, expenses, arm attorneW fees incurred in the
Investigation a:tiai defense of such clam), which may be :rude by any person, inciuding the underslWwd, and fled against the City of
Federal Way, but only where such claim arises out of the dance of the city, including its officers and employees, upon the accuracy
of the information supplied to the city as a part of this appiicat ion.
NAMEITITLEs '— �� , Permit Mgr DATE; 07/22/2003
E3 PROPERTY OWNER o APPUCA14T S CONTRACTOR
COMPWNTTY DEVaO "Errr SMMCES • 335M FIM WAY St VU1 • PO 9M 9YIS - RMOtAL WAY, WA 9e%3 -VIS • 2S3-661 : FAX. 253-6614129