02-104627Nto
City Federal Way
Comm&tity Development Services Plumbing Permit #:02 -104627 - 00 - PL
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33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050
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Project Name: RAE
Project Address: 1040 S 320TH Unit2C Parcel Number: 868240 0240
Project Description: PL - Remove/replace ELECTRIC water heater
Owner
Applicant
Contractor
JORDAN RAE
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
1040 S 320TH ST UNIT 2C
12601 132ND AVE NE
12601 132ND AVE NE
FEDERAL WAY WA 98003
KIRKLAND WA 98034
KIRKLAND WA 98034
(425)814-8381
Plumbing Fixtures
Water Heaters 1
PERMIT EXPIRES April 16, 2003, IF NO WORK IS STARTED.
Permit issued on October 18, 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 -See
Owner or agent: Application Date:
Plumbing rough -in:
Date
Water line:
Date
FINAL PLUMBING: Q�b ' �i 1 l 2 71 Z)
Date
RECEIVED by f�
COMMUNITY DEVELOPMENT DEPAR PLICATION NUMBER _ _ _ _ _ L
_ _ f-
OCT 18 2002 _____
"The following is required information - Please print (in ink) or type" 767747
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
..O• FORMATION
SITE ADDRESS: 1040 S 320 ST #Z, �/FEDERAL WAY, WA 98003
ASSESSOR'S TWPARCEL #: 8682400240
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PR03ECT INFORMATION
TYPE OF PROJECT (This application): ❑ BUILDING ® PLUMBING ❑ MECHANICAL Q DEMOLITION
Q ELECTRICAL Q ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
PROJECT NAME: JORDAN, RAE
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
Remove/Replace Electric Water Heater
■ PEOPLE INFORMATION
NAME: JORDAN, RAE DAYTIME PHONE:
(253)945-0553
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP):
1040 S 320 ST #2 FEDERAL WAY, WA 98003
NAME:
DAYTIME PHONE:
FAST WATER HEATER COMPANY
(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:
19-87000047400-bl
425 814-9516
OONTRACTORS 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> <Zip>
RELATIONSHIP TO PROJECT: I FAX NUMBER: I
❑ ARCHITECT ❑TENANT ❑OTHER
CONTACT PERSON FOR THIS PRO]ECT: ❑ PROPERTY OWNER Q APPLICANT M CONTRAcroN
E DETAILED BUILDING O• •
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VAWATION S
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ $-339.00
SPRINKLED BUILDING? ❑ YES Q NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑YES ❑ NO
WATER SERVICE PROVIDER: Q LAKEHAVEN ❑HIGHLINE ❑TACOMA [3 PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑HIGHLINE ❑ PRIVATE (SEPTIC)
W-7/6
{ "NEW RESIDENTIAL
NUMBER OF BEDROOMS' ESTIMATED SELLING PRICE:
FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
❑ ALTERATION ❑ REPAIR
❑ TENANT D WROVEMENT
CENSUSCODE:
LOT SIZE:
'
ZONING DESIGNATION:
0
FIRST
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES
ONO
SECTION TOWNSHIP RANGE
NEWADDRESSREQUIRED?
YES ❑ NO ❑
0
SECOND
LINO
0
THIRD
0
FOURTH
0
OTHER FLOORS (DESCRIBE)
0
DECK
0
ARA E
HOW MANY FLOORS?
0
TOTAL:
0
0
0
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 Q G AS
PLUMBING
BATHTUBS) LAVATORY(S) URINAL(S) 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)
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
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 SUDDlied to the city as
a Dart of this application.
", '-- '". '= c _` Permit Mgr 10/16/2002
NAM E/TITLE. DATE:
❑ PROPERLY OWNER ❑ APPLICANT $] CONTRACTOR
FOR OFFICE USE ONLY:
❑ NBN ❑ ADDITION
❑ ALTERATION ❑ REPAIR
❑ TENANT D WROVEMENT
CENSUSCODE:
LOT SIZE:
'
ZONING DESIGNATION:
BUILDING SHELL ONLY?
[3 YES ❑ ND
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES
ONO
SECTION TOWNSHIP RANGE
NEWADDRESSREQUIRED?
YES ❑ NO ❑
PLATTED LOT? L] YES ❑ ND
I CHANGE OF USE? ❑ YES
LINO