02-104486itc of Federal NVay
Community Dewt-lopment Services
53530 iA W2y S
Federal Way, WA 98003-6210
j ph: 253.661.4000 Fax: 253.661.4129
Project Name: GREEN
Plumbing Permit #:02 - 104486 - 00 - 'A':!
Project Address: 28843 23RD S
Project Description: PL - Remove!replace electric water heater
Inspection request line: 253.835.3050
Parcel Number: 422250 0260
Owner
Applicant
Contractor
Edward D & Pong Suk Green
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
28843 23RD PL S
12601 132ND AVE NE
12601 132ND AVE NE
FEDERAL WAY WA
KIRKLAND WA 98034
KIRKLAND WA 98034
98003-7925
(425) 814-8381
Plumbing Fixtures
fesrptii4'u_ntiisflor.ta;r�ti
rWater Heaters—I 1 J
PERMIT EXPIRES April 8, 2003, IF NO WORK IS STARTED.
Permit issued on October 10, 2002
I hercl_,y 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 EIWIRsI tYn ant;
the City of Federal Way. COMMUNITY DEVELOPMENT DEPARTMENT
Owner or agent: I�D�L►c —__ Date:oub
rAPPLICATION NUMBER;QZ" _ k— cva
' COMMUNrrY DEVELOPMENT RECEIVE�BY DEPARTM
SITE ADDRESS:
"The following Groluilev:rtaiotion - Please print (in ink) or type" 764546
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
■ PROPERTY -INFORMATION
28843 23 PL S, FEDERAL WAY, WA 98003
ASSESSOR'S TAX/PARCEL #: 4222500260
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PR0IECT INFORMATION
TYPE OF PROJECT (This application): ❑ BUILDING ® PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING [3 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION' (Provide deta!led description):
Remove/Replace Electric Water Heater
PRO] ECT NAME: GREEN, EDWARD
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
■ PEOPLE INFORMATION
NAME' GREEN, EDWARD DAYTIME PHONE:
_ (253)529-8854
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP):
28843 23 PL S FEDERAL WAY, WA 98003
NAME:
DAYTIME PHONE:
FAST WATER HEATER COMPANY
(425)814-3124
MAILING ADDRESS (STREET ADDRESS, QTY, STATE. IIP):
EVENING PHONE:
12601 132ND AVE NE
KIRKLAND WA 98034
QTY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
19-87000047400-b1
425 814-9516
OONTRACTORS REGISTRATION NUMBER:
EXPIRATION DATE:
(copy of card required) FASTVMC052DF
02/16/2093
NAME:
DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP): EVENING PHONE:
<Street> <Citp <Zi >
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT []TENANT ❑OTHER (DESCRIBE):
CONTACT PERSON FOR THIS PR03ECT: ❑ PROPERTY OWNER ❑ APPLICANT M CONTRALTO
0 DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VAWATION $
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 El 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. Fr.
TOTAL
BASEMENT
HOODS)
WOODSTOVE(S)
BOILERS)
FIREPLACE INSERT(S)
RANGE(S)
MISC. ( )
0
FIRST
COMP PLAN DESIGNATION
BASIC PLAN? O YES
DUCT(S)
GAS PIPE OUTLET(S)
HEAT SOURCE: ❑ ELECTRIC Q G AS
YES ❑ NO ❑
0
SECOND
EM
BATHTUB(S)
LAVATORY(S)
URINAL(S) 1
WATER HEATER(S)
DISHWASHERS)
0
THIRD
ELECTRIC ❑ GAS
DRINKING FOUNTAINS) SHOWER(S)
WASH MACHINE OUTLET
GAS PIPE OUTLET(S)
SINK(S)
0
FOURTH
INTERCEPTORS)
SUMP(S)
0
OTHER FLOORS (DESCRIBE)
0
DECK
0
URAGE
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)
RANGE(S)
MISC. ( )
COMPRESSOR(S)
FURNACE(S)
COMP PLAN DESIGNATION
BASIC PLAN? O YES
DUCT(S)
GAS PIPE OUTLET(S)
HEAT SOURCE: ❑ ELECTRIC Q G AS
YES ❑ NO ❑
PLUMBING
I CHANGE OF USE? ❑ YES
EM
BATHTUB(S)
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)
SINK(S)
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. knowiedge,and
'urther, that I am authorized by the owner of the above premises to perform the work for which the permit application is made.1
'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 suoolied to the city As_a nart of this application.
NAME/TITLE. -I-4='i, '="' �#`'' Permit Mgr DATE: 10/07/2002
❑ PROPERLY OWNER ❑ APPLICANT $] CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION
❑ ALTERATION ❑ REPAIR
❑ TENANTDKPROVEMENT
CENSUSCODE•
LOTSIZE:
ZONING DESIGNATION:
BUILDING SHELI.ONLY?
❑ YES ❑ N:)
COMP PLAN DESIGNATION
BASIC PLAN? O YES
ONO
SECTION TOWNSHIP RANGE
NEW ADDRESS REQUIRED?
YES ❑ NO ❑
PLATTED LOT? ❑ YES ❑ N:)
I CHANGE OF USE? ❑ YES
EM