02-104295City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name:
Project Address
MARTIN
219 SW 292ND
Plumbing Permit #:02 -104295 - 00 - PL
Project Description: PL - Remove/replace ELECTRIC water heater
Inspection request line: 253.835.3050
Parcel Number: 119600 0856
Owner
Applicant
Contractor
Fred S & Dorothy E Martin
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
219 SW 292ND ST
12601132ND AVE NE
12601 132ND AVE NE
FEDERAL WAY WA
KIRKLAND WA 98034
KIRKLAND WA 98034
98023-3502
1 (425) 814-8381
Plumbing Fixtures
Permit issued on October 2, 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 ,A nniinu*ia n
Plumbing rough -in:
Water line:
FINAL PLUMBING:
Date: 1012-10"2
Date
Da/�
' le�
Date
RECEIVED BY LICATION NUMBER• _
COMMUNITY DEVELOPMENT DEPART — — — — — —
OCT 0 2 2002 -- _______
"The following is required information - Please print (in ink) or type** 762070
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
■ PROPERTY INFORMATION
SITE ADDRESS: 219 SW 292, FEDERAL WAY, WA 98023
ASSESSOR'S TAX/PARCEL #: 1196000856
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: MARTIN, FRED
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
■ PEOPLE INFORMATION
NAME: MARTIN, FRED DAYTIME PHONE: -7
(253)839-8719
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP):
PO BOX 54274 REDONDO, WA 98054
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-b1
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> <Cit > <Zi >
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑TENANT ❑OTHER (DESCRIBE):
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT M Ct
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 C3 PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑HIGHLINE ❑ PRIVATE (SEPTIC)
W716
**NEN RESIDENTIAL CON
NUMBER OF BEDROOMS' ESTIMATED SELLING PRICE:
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) I WATER HEATER(S)
DISHWASHERS) RAIN WATER SYS. VACUUM BREAKER(S) ® ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINKS) WATER CLOSET(S) MISC. ( )
INTERCEPTORS) SUMP(S)
DISCLAIMER/ SIGNATURE BLOCK
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 suoolled to the city ausa hart of this application.
NAME/TITLE. _,__`M� ~� '� ' Permit Mgr DATE: 09/30/2002
❑ PROPERLY OWNER ❑ APPLICANT $I CONTRACTOR
FOR OFFICE USE ONLY:
FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED S2. FT.
TOTAL
LOT SIZE:
BASEMENT
BUILDING SHELL ONLY?
❑ YES ❑ N:)
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES
C O
SEC.rM TOWNSHIP RANGE
NEW ADDRESS REQUIRED?
YES ❑ NO ❑
0
I CHANGE OF USE? ❑ YES
X10
FIRST
0
SECOND
0
THIRD
0
FOURTH
0
OTHER FLOORS (DESCRIBE)
0
DECK
0
URAGE
HOW MANY FLOORS?
0
TOTAL:
0 0
0
FIXTURES
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNITS)
EVAPORATIVE COOLER(S) GAS LOG(S)
REFRIG. SYSTEM(S)
BBQ(S)
FAN(S) HOODS)
WOODSTOVE(S)
BOILERS)
FIREPLACE INSERTS) RANGE(S)
MISC. ( )
COMPRESSOR(S)
FURNACE(S)
DUCT(S)
GAS PIPE OUTLET(S) HEAT SOURCE: ❑
ELECTRIC ❑ G AS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) I WATER HEATER(S)
DISHWASHERS) RAIN WATER SYS. VACUUM BREAKER(S) ® ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINKS) WATER CLOSET(S) MISC. ( )
INTERCEPTORS) SUMP(S)
DISCLAIMER/ SIGNATURE BLOCK
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 suoolled to the city ausa hart of this application.
NAME/TITLE. _,__`M� ~� '� ' Permit Mgr DATE: 09/30/2002
❑ PROPERLY OWNER ❑ APPLICANT $I CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION
❑ ALTERATION ❑ REPAIR
❑ 1ENANTIIMPROVEMENT
CENSUS CODE:
LOT SIZE:
ZONING DESIGNATION:
BUILDING SHELL ONLY?
❑ YES ❑ N:)
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES
C O
SEC.rM TOWNSHIP RANGE
NEW ADDRESS REQUIRED?
YES ❑ NO ❑
PLATTED LOT? L3 YES ❑ NJ
I CHANGE OF USE? ❑ YES
X10