02-105570City of Federal Way
Community Development Services Plumbing Permit #: 02 -105570 - 00 - PL
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050
i
Project Name: MA LD
Project Address: 286 16TH S Unit401 Parcel Number: 720581 0450
Project Description: PLUMB - Remove and replace ELECTRIC water heater
Owner
Applicant
Contractor
Catherine Mayfield
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
28602 16TH AVE S #401
12601 132ND AVE NE
12601 132ND AVE NE
FEDERAL WAY WA
KIRKLAND WA 98034
KIRKLAND WA 98034
98003-6120
1
1 (425)814-8381
Plumbing Fixtures
Water Heaters 1
PERMIT EXPIRES June 11, 2003, IF NO WORK IS STARTED.
Permit issued on December 13, 2002
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: 12-11 3IaZ
0
RECEIVED By. APPLICATION NUMBER•
> ij,,,l'OMMUNITYDEVELOPMENT DEPARTMENT APPLICATION NUMBER:
DEC 13 2002 -- - - - - - -
"The following is required information - Please print (in ink) or type** 788948
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
I ■ PROPERTY INFORMATION
SITE ADDRESS: 28602 16 AVE S #401, FEDERAL WAY, WA 98003
ASSESSOR'S TAX/PARCEL #: 7205810450
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PR03ECT INFORMATION
TYPE OF PROJECT (This application): ❑ BUILDING ® PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
PROJECT NAME
Remove/Replace Electric Water Heater
MAYFIELD, CATHERINE
PRQPERTY OWNER:
CONTRACTOR:
APPLICANT:
NAME: MAYFIELD, CATHERINE DAYTIME PHONE:
(253)529-0473
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP):
28602 16 AVE S #401 FEDERAL WAY, WA 98003
NAME:
DAYTIME PHONE:
FAST WATER HEATER COMPANY
(425)814-3124
MAILING ADDRESS (STREET ADDRESS, CITY, STATE. ZIP):
EVENING PHONE:
12601 132ND AVE NE
KIRKLAND WA 98034
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
19-87000047-00-bi
425 814-9516
CONTRACTORS REGISTRATION NUMBER:
EXPIRATION DATE:
(copy of card required) FASTWHC052DF
02/16/2003
NAME:
DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP): EVENING PHONE:
<Street> <City> <Zi >
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑TENANT ❑OTHER (DESCRIBE).-
CONTACT
DESCRIBE);
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT M CONTRACTOR
0 DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ $339.00
SPRINKLED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑HIGHLINE ❑TACOMA C1 PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑HIGHLINE ❑ PRIVATE (SEPTIC)
W716
**NEW RESIDENTIAL CONSTRU
NUMBER OF BEDROOMS' ESTIMATED SELLING PRICE:
FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
HOOD(S)
WOODSTOVE(S)
BOILERS)
FIREPLACE INSERT(S)
RANGE(S)
MISC. ( )
0
FIRST
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES
DUCT(S)
GAS PIPE OUTLET(S)
HEAT SOURCE: ❑ ELECTRIC ❑ G AS
YES ❑ NO ❑
0
SECOND
EM
BATHTUB(S)
LAVATORY(S)
URINALS) I
WATER HEATER(S)
DISHWASHERS)
0
THIRD
ELECTRIC ❑ GAS
DRINKING FOUNTAINS) SHOWER(S)
WASH MACHINE OUTLET
GAS PIPE OUTLET(S)
SINKS)
0
FOURTH
INTERCEPTORS)
SUMP(S)
0
OTHER FLOORS (DESCRIBE)
0
DECK
0
ARAGE
HOW MANY FLOORS?
0
TOTAL:
0
0
0
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S)
EVAPORATIVE COOLER(S)-GAS LOG(S)
REFRIG. SYSTEM(S)
8BQ(S)
FAN(S)
HOOD(S)
WOODSTOVE(S)
BOILERS)
FIREPLACE INSERT(S)
RANGE(S)
MISC. ( )
COMPRESSOR(S)
FURNACE(S)
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES
DUCT(S)
GAS PIPE OUTLET(S)
HEAT SOURCE: ❑ ELECTRIC ❑ G AS
YES ❑ NO ❑
PLUMBING
I CHANGE OF USE? ❑ YES
EM
BATHTUB(S)
LAVATORY(S)
URINALS) I
WATER HEATER(S)
DISHWASHERS)
RAIN WATER SYS.
VACUUM BREAKER(S) ®
ELECTRIC ❑ GAS
DRINKING FOUNTAINS) SHOWER(S)
WASH MACHINE 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
`urther, that I am authorized by the owner of the above premises to perform the work for which the permit application is made. I
vrther agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fee incurred in the
nvestigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the City of
:ederal Way, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy
)f the Information suoolied to the citv as ., -o part of this application.
NAME/TITLE.'"=- �' '' ` "' , Permit Mgr DATE: 12/09/2002
❑ PROPERLY OWNER ❑ APPLICANT :0 CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION
❑ ALTERATION ❑ REPAIR
❑ TENANT DWROVEMENT
CENSUSCODE:
LOT SIZE:
ZONING DESIGNATION:
BUILDING SHELL ONLY?
❑ YES ❑ ND
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES
ONO
SECTION TOWNSHIP RANGE
NEWADDRESSREQUIRED?
YES ❑ NO ❑
PLATTED LOT? ❑ YES ❑ ND
I CHANGE OF USE? ❑ YES
EM