03-100352City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Plumbing Permit #:03 -100352 - 00 - PL
Project Name: CHARLEBOIS
Project Address: 31624 54TH SW
t.
Project Description: Remove/replace ELECTRIC water heater
Inspection request line: 253.835.3050
Parcel Number: 189850 0160
Owner
Applicant
Contractor
Michael S Charlebois
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
31624 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
Plumbing Fixtures
Water Heaters F-1 —1
PERMIT EXPIRES July 23, 2003, IF NO WORK IS STARTED.
Permit issued on January 24, 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 A DDlie-atia n Date:
Plumbing rough -in:
t Water line:
FINAL PLUMBING:zg/��
Date
D [t
Date
RECEIVED BY
COMMUNITY DE!/ELDPb171,1T DFPARTMENT
�, J�p�
CONSTRUCTION PERMIT PE IT APPLICATIONc}rx r° _J 9•4 2003p=... ,.
h PPUCA°TION NUM61Cj. µ
Federal Way
APPUCA-ftON NUMBER:
APPLICATION NUMBER:
**The following is required information -Please print (in ink) gar type" `�`) 017348
Please note. Electri"11, Fire: Prevention Systems and Engineering permits may require a sepatate application.
PROPERTYO- a
SITE ADDRESS; 31624 54 AVE SW, FEDERAL WAY, WA 98023 ASSESSOR'S TAX[PARCEL. . 1898500160
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY).
TYPE Of PR03E if (This application). ri BUILDING XPLUMBING 13 MECHANICAL ;w OVE , 9LITION
ra FLECiRICAI o ENGINEERING a FIRE PREVENTION SYSTEM
PROJECT ISE-SCRIPTION (Provide detailed description)- Remove/Replace Electric Water Heater
PROJECT NAME; GIIARLSI,
PROPERTY" OWNER, 1 WM:
CHARLEBOIS, MICHEAL
+ TaurD
31624 54 AVE SW
FEDERAL WAY, WA98023
'AST WATER HEATER COMPANY
12601 132ND AVE NE
w� t � R � 't•�t�i%+�u,�Y was t� a.rrEre�.� a�r�.
KIRKLAND, WA 98034
DAI'Mllr Ftem:
(253)38-2975
4-3124-
87 - 000047 - 00 (425 814-9516
TiN% MAMMA
rdtaysa) FASTWHC052DF 02/16/2043
n ARCHITECT oTENANT ra OTHER ( DESCRIBE): f
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER n APP I+CANT CONTRACTOR
PROJECT•• r
EXI" r'iIW USE. EXIw TMT BUILDING ASSESSED/APPRAISED VALUATION
PROPOSED USE; PROPOSED VALUATION 1FORIM OVE'MENTS. $_ $339.00
SPRINKLERE'D BUILDING? r: YES (":3 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED. �i YES NO
WATER SERVICE P'ROVIDER': o LAKEHAVEN n I IGHL NE ci 'TACOMA a PRIVATE (WELL)
SEWER SERVICE PROVIDER* L) LAKEHAVEN r, HIGHLIINE o PRIVATE (SEPTIC)
k'-f%t,.W RESIDENTIAL CONSTRUCTION ONLY*
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE:
... ....................
PRO3.F.CT FLOOR AREAS
..........
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS t4DG(S) REFRIG. SYSTEMS)
BBQ(,S) FAN(S) HOOD(S) WOODS10VE(S)
SOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.
COMPRESSOR(S) FURNACE(S)
DUCT($) GAS PIPE OUTLET(S) HEAT SOURCE, u.ELEcrw GAS
PLUMBING
BA` nTUB(S) LAVATORY($) URINAL(S) WATER flEATER(S)
DISHWASHER(S) RAIN WATER SYS, VACUUM BREAKER(S) X ELECTRIC GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISS
INTERCEPTOR(S) w SUMP(S)
31SCLATMER/SIGNATURF RI -P
I certify wider 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 daim), which may be made by any person, Including the undersigned, and filed against the City of
Federal Way, but only where such clairn 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 appjicgitjon.
NAME/TITLE- GATE; 01/16/2003
awtZeTT171- =qt* I
CORMUNrry MVTE.OPMEW $kRVICES # 33530 fIRST WAY SOUT11 - PO WX 9718 - FEDERAL WAY, WA '48063-9718 - 253-461-40W - FAX: 253-661-4129
WW