02-105528City of Federal Way
Community Development Services
Applicant
Plumbing Permit #: 02 - 105528 - 00 - PL
33530 1 st Way S
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Inspection request line: 253.835.3050
Project Name: HART
Project Address: 32829 4TH S
Project Description: PL - Remove/replace electric water heater
Parcel Number: 926871 0180
Owner
Applicant
Contractor
Donald C & Susan D Hart
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
37718 27TH PL S
12601 132ND AVE NE
12601 132ND AVE NE
FEDERAL WAY WA
KIRKLAND WA 98034
KIRKLAND WA 98034
98003-7542
1
1 (425)814-8381
Plumbing Fixtures
x;'
Water Heaters I 1
PERMIT EXPIRES June 8, 2003, IF NO WORK IS STARTED.
Permit issued on December 10, 2002
I hereby certify that the above information is correct and that the construction on the abovcrlbe property and
the occupancy and the use will be in accordance with the laws, rules and regulations of th fp�jo�
the City of Federal Way.
Owner or agent: See Application Date:
r�r�l ��13��l� f��
RECEIVED BY
DOMMUNfT-"7-„Tn=aAR LICATION NUMBER:ps—i= _ WWI
DEC 10 2002 - - - - - - - - -
"The following is required information - Please print (in ink) or type** 788562
Please note. Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
■ PROPERTY INFORMATION
SITE ADDRESS: 32829 4 LN S, FEDERAL WAY, WA 98003
ASSESSOR'S TWPARCEL #: 9268710180
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION
TYPE OF PROJECT (This application): ❑ BUILDING ® PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
Remove/Replace Electric Water Heater
PROJECT NAME: HART, DONALD
PEOPLEINFORMATION
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
NAME: HART, DONALD DAYTIME PHONE:
MAILING ADDRESS( ADDRESS, CITY, STATE, 1IP): (253)874-5508
32829 4 LN S FEDERAL WAY, WA 98003
NAME:
FAST WATER HEATER COMPANY
DAYTIME PHONE:
DAYTIME PHONE:
EVENING PHONE:
<Street> <Cit > <Zi >
(425)814-3124
MAILING ADDRESS (STREET ADDRESS, CITY, STATE. IIP):
EVENING PHONE:
12601 132ND AVE NE
KIRKLAND WA 98034
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
19-87000047-00-bl
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, IIP):
EVENING PHONE:
<Street> <Cit > <Zi >
RELATIONSHIP TO PROJECT:
FAX NUMBER:
❑ ARCHITECT ❑TENANT ❑OTHER DESCRIBE:
CONTACT PERSON FOR THIS PROJECT: L3PROPERTY OWNER L]APPLICANT M CONTRALTO E-MAIL ADDRESS
E DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSEDIAPPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ $339.00
SPRINKLED BUILDING? i] YES [) NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑HIGHLINE ❑TACOMA [3 PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑HIGHLINE ❑ PRIVATE (SEPTIC)
an_„s
I'*NElly. RESIDENTIAL
NUMBER OF BEDROOMS' ESTIMATED SELLING PRICE: I
FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
❑ ALTERATION ❑ REPAIR
❑ TIENANTIMPROVEMENT
CENSUS CODE:
LOTSIZE:
ZONING DE5IGNATION:
0
FIRST
COMP PLAN DESIGNATION
BASIC PLAN? Q YES
CNO
SECTM TOWNSHIP RANGE
NEWADDRESSREQUIRED?
YES ❑ NO ❑
0
SECOND
❑NO
0
THIRD
0
FOURTH
0
OTHER FLOORS (DESCRIBE)
0
DECK
0
ARAE
HOW MANY FLOORS?
0
TOTAL:
0
0
0
FIXTURES
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNITS) EVAPORATIVE COOLERS) GAS LOG(S) REFRIG. SYSTEM(S)
BBQ(S) FAN(S) HOODS) WOODSTOVE(S)
BOILERS) FIREPLACE INSERT(S) RANGES) MISC. ( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: Q ELECTRIC Q G AS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) 1 1 WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ® ELECTRIC Q GAS
DRINKING FOUNTAINS)-- SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINKS) WATER CLOSET(S) MISC.
INTERCEPTORS) SUMP(S)
BLOCKDISCLAIMER/ SIGNATURE
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
�urther agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fee incurred in the
rriestigation 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 suDolied to the citv as a Dart of this application.
NAME/TITLE.._.--`="�%"''-'' �'' � Permit Mgr DATE' 12/09/2002
❑ PROPERLY OWNER ❑ APPLICANT $] CONTRACTOR
FOR OFFICE USE ONLY:
O NEW ❑ ADDITION
❑ ALTERATION ❑ REPAIR
❑ TIENANTIMPROVEMENT
CENSUS CODE:
LOTSIZE:
ZONING DE5IGNATION:
BUILDING SHELL ONLY?
❑ YES ❑ HD
COMP PLAN DESIGNATION
BASIC PLAN? Q YES
CNO
SECTM TOWNSHIP RANGE
NEWADDRESSREQUIRED?
YES ❑ NO ❑
PLATTED LOP ❑ YES 0 ND
I CHANGEOFUSE? ❑YES
❑NO