02-105108City of Federal Way
Cormntu ity Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name:
Project Address:
PUERTO
4012 SW 337TH
Plumbing Permit #:02 -105108 - 00 - PL
Project Description: PL - Remove/replace ELECTRIC water heater
Inspection request line: 253.835.3050
Parcel Number: 921151 0610
Owner
Applicant
Contractor
Joselito W & Erlinda Lalas
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
2361 ORCHARD LN
12601 132ND AVE NE
12601 132ND AVE NE
CORONA CA
KIRKLAND WA 98034
KIRKLAND WA 98034
91720-5782
1
1 (425)814-8381
Water Heaters
Plumbing Fixtures
PERMIT EXPIRES May 14, 2003, IF NO WORK IS STARTED.
Permit issued on November 15, 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
Plumbing rough -in:
Water line:
Date: i1 1 oy
Date
Date
FINAL PLUMBING:
Date
• '�"'�` APPLICATION NUMBER• —
--— — — — — — —
1e�Q�2
..The following is required information - Please print (in ink) or type** 016786
NOV I note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
PROPERTY INFORMATION
BUIL
SITE ADDRESS: 4012 SW 337 ST, FEDERAL WAY, WA 98023
ASSESSOR'S TAX/PARCEL *: 9211510610
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PR03ECT INFORMATION
TYPE OF PROJECT (This application): ❑ BUILDING CO PLUMBING ❑ MECHANICAL Q DEMOLITION
Q ELECTRICAL Q ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
Remove/Replace Electric Water Heater
PROJECT NAME: PUERTO, CATHERINE
PROPERTYOWNER:
CONTRACTOR:
APPLICANT:
■ PEOPLE INFORMATION
NAME: PUERTO, CATHERINE DAYTIME PHONE:
_ (253)835-9093
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, IIP):
4012 SW 337 ST FEDERAL WAY, WA 98023
NAME:
DAYTIME PHONE:
FAST WATER HEATER COMPANY
(425)814-3124
MAILING ADDRESS (STREET ADDRESS, QTY, STATE, ZIP):
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> <City> <Zi >
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑TENANT ❑OTHER (DESCRIBE):
CONTACT PERSON FOR THIS PR0)ECT: ❑ PROPERTY OWNER Q APPLICANT M
BUILDINGN DETAILED •• •
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMEINTS: $ $339.00
SPRINKLED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: QYES ❑ NO
WATER SERVICE PROVIDER: Q LAKEHAVEN QHIGHLINE ❑TACOMA [3 PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑HIGHLINE ❑ PRIVATE (SEPTIC)
W716
'F*NEVVIZESIDENTIAL CONSTRUCTION ONLY"
NUMBER OF BEDROOMS ESTIMATED SELLING PRICE: $—
"0.
PLUMBING
BATHTUBS) LAVATORY(S) URINAL(S) 1 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)
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
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' fee incurred in the
investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the City of
Federal Way, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy
of the Information suoolied to the citv as -0 hart of this application.
NAME/TITLE.'' y' ` -'''� • Permit Mgr DATE: 11/13/2002
❑ PROPERLY OWNER ❑ APPLICANT $] CONTRACTOR
FOR OFFICE USE ONLY:
FLOOR
EXISTING SQ.- FT.
PROPOSED SQ. FT.
TOTAL
❑ TEN WDWROVEMENT
CENSUSCODE•
BASEMENT
ZONING DESIGNATION:
BUILDINGSHELLONLY?
❑YES ❑ N3
COMP PLAN DESIGNATION
BASIC PLAN? (3 YES
ONO
SECMN TOWNSHIP RANGE
NEW ADDRESS REQUIRED?
YES ❑ NO ❑
0
I CHANGE OF USE? ❑ YES
010
FIRST
0
SECOND
0
THIRD
0
FOURTH
0
OTHER FLOORS (DESCRIBE)
0
DECK
0
WAGE
HOW MANY FLOORS?
0
TOTAL:
0
0
0
FIXTURES
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNiT(S)
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: ❑
ELECTRIC ❑ G AS
PLUMBING
BATHTUBS) LAVATORY(S) URINAL(S) 1 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)
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
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' fee incurred in the
investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the City of
Federal Way, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy
of the Information suoolied to the citv as -0 hart of this application.
NAME/TITLE.'' y' ` -'''� • Permit Mgr DATE: 11/13/2002
❑ PROPERLY OWNER ❑ APPLICANT $] CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION
❑ ALTERATION ❑ REPAIR
❑ TEN WDWROVEMENT
CENSUSCODE•
LOT SIZE:
ZONING DESIGNATION:
BUILDINGSHELLONLY?
❑YES ❑ N3
COMP PLAN DESIGNATION
BASIC PLAN? (3 YES
ONO
SECMN TOWNSHIP RANGE
NEW ADDRESS REQUIRED?
YES ❑ NO ❑
PLATTED LOT? ❑ YES ❑ N:)
I CHANGE OF USE? ❑ YES
010