02-103808y
Ci�Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name: PARKER
Plumbing Permit #:02 - 103808 - 00 - PL
Project Address: 4519 SW 319TH
Project Description: PL - Remove/replace electric water heater
Inspection request line: 253.835.3050
Parcel Number: 873179 C000
Owner
Applicant
Contractor
DAVID PARKER
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
4519 SW 319TH PL
12601 132ND AVE NE
12601 132ND AVE NE
FEDERAL WAY WA 98023
KIRKLAND WA 98034
KIRKLAND WA 98034
(425)814-8381
Plumbing Fixtures
Water Heaters 1
PERMIT EXPIRES March 4, 2003, IF NO WORK IS STARTED.
Permit issued on September 5, 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- ODI � f ��c%'14 Date:
V r.> (—
"'�` APPLICATION NUMBER• a —
L ]APPLICATION NUMBER:=. - - - - - - - - -
"The following is required information - Please print (in ink) or type** 016199
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
SITE ADDRESS: 4519 SW 319 PL, FEDERAL WAY, WA 98023
TWPARCEL #: 8731790210
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION
TYPE OF PROJECT (This application): D BUILDING ® PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGDVEERM ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
Remove/Replace Electric Water Heater
PROJECTNAME: PARKER,DAVID
PROPERTY OW NER:
CONTRACTOR:
APPLICANT:
■ PEOPLE INFORMATION
NAME: PARKER, DAVID DAYTIME PHONE:
(253)838-3756
MAILING ADDRESS (STREET ADDRESS, QTY, STATE, Zip):
4519 SW 319 PL FEDERAL WAY, WA 98023
NAME:
DAYTIME PHONE:
FAST WATER HEATER COMPANY
(425)814-3124
MAIUNG 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-DO-bl
425 814-9516
CONTRACTORS REGISTRATION NUMBER:
EXPIRATION DATE:
(copy of card required) FASTYMC052DF
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 CONTRACTORS
0 DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ $339.00
SPRINKLED BUILDING? ❑ YES (3 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
**NEW RESIDENTIAL CONSTRUCTION ONLY" .
NOMBER OF BEDROOMS
ESTIMATED SELLING PRICE: $
❑ NEW ❑ ADDITION
❑ ALTERATION ❑ REPAIR
FLOOR AREAS
CENSUS CODE:
LOT SIZE:
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
OOMP PLAN DESIGNATION
BASIC PLAN? ❑ YES
BASEMENT
SECTION TOWNSHIP RANGE
NEW ADDRESS REQUIRED?
YES ❑ NO ❑
PLATTED LOT? Ll YES ❑ ND
I CHANGEOFUSE? ❑YES
EM
0
FIRST
0
SECOND
0
THIRD
0
FOURTH
0
OTHER FLOORS (DESCRIBE)
0
DECK
0
GARAGE
HOW MANY FLOORS?
0
TOTAL:
p 0
0
FIXTURES
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S)
EVAPORATIVE COOLER(S)-GAS LOG(S)
REFRIG. SYSTEM(S)
BBQ(S)
FAN(S) HOODS)
WOODSTOVE(S)
BOILERS)
FIREPLACE INSERTS) RANGES)
MISC. ( )
COMPRESSOR(S)
FURNACES)
DUCT(S)
GAS PIPE OUTLET(S) HEAT SOURCE: ❑
ELECTRIC ❑ G AS
PLUMBING
BATHTUB(S) LAVATORY(S) URINALS) I WATER HEATER(S)
DISHWASHERS) RAIN WATER SYS. VACUUM BREAKER(S) Co 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 suoolied to the city 4s , -o part of this application.
NAME/TITLE. DATE:
,,. .�'= Permit Mgr 09/04/2002
❑ PROPERLY OWNER ❑ APPLICANT $] CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION
❑ ALTERATION ❑ REPAIR
❑ TENANT IMPROVEMENT
CENSUS CODE:
LOT SIZE:
ZONING DESIGNATION:
BUILDING SHELL ONLY?
❑YES ❑ ISD
OOMP PLAN DESIGNATION
BASIC PLAN? ❑ YES
CNO
SECTION TOWNSHIP RANGE
NEW ADDRESS REQUIRED?
YES ❑ NO ❑
PLATTED LOT? Ll YES ❑ ND
I CHANGEOFUSE? ❑YES
EM