12-100851City of Federal Way Plumbing
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Community & Econ. Dev. Services Permit #: 12-100851 -00-PL
33325 8th Ave S�.,�
Federal Way, WA 98003 Inspection Request Line: (253) 835-3050
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: BAKER
Project Address: 31841 1"TI SW Unit 1D �k v 'a LQ 31$ Parcel Number: 856110 0040
Project Description: Remove/replace electric water beater
Plumbing Fixtures
Water Heaters ................................. 1
CONDITIONS:
PERMIT EXPIRES Tuesday, August 21, 2012
Permit Issued on Thursday, February 23, 2012
1 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 acc/o�rdance with the laws, rules and regulations of the State of Washington
�e� i'1ap�h�������al Way.
Owner or agent: ' I(� Date:
FEB 28 2012
Owner
A►�n
Contractor
PATRICK R & KRIST NE M BAKER
FAST WATER HEATER CO (GENERAL)
FAST WATER HEATER CO (GENERAL)
2028 S 318TH ST UNIT ID
12601 132ND AVE NE
FASTWWH948BC (1/4/14)
FEDERAL WAY WA 98023
KIRKLAND WA 98034
12601132ND AVE NE
KIRKLAND WA 98034
Plumbing Fixtures
Water Heaters ................................. 1
CONDITIONS:
PERMIT EXPIRES Tuesday, August 21, 2012
Permit Issued on Thursday, February 23, 2012
1 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 acc/o�rdance with the laws, rules and regulations of the State of Washington
�e� i'1ap�h�������al Way.
Owner or agent: ' I(� Date:
FEB 28 2012
THIS CARD IS TOMAIN ON-SITE
CITY OF
Construction 11 ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #:
12 -100851 -00 -PL
Address: 31841 18TH AVE SW Unit 1D
Project: PATRICK R & KRISTINE M BAKER FEDERAL WAY, WA 98023-5157
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD, Inspections are listed as close to sequential order as
possible (read left to right, top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is approved. Check with your
inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections are logged on the back of this card.
0 Final - Plumbing (4075)
Approved
By �, V Date ���
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CIT/ 0{ .
Federal Way
COMMUNITY DEVELOPMENT SERVICES
253-835-2607• FAX 253-835-2609
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*PERMIT RECLAIVE5t)
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APPLICATION
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SITE ADDRESS v I L --UC
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UITE/UNIT N
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PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL t/
TYPE OF PERMIT
❑ BUILDING APLUM SING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/tlomeownerLast Name)
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PROJECT DESCRIPTION
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Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
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PRIMARY PHONE
25�2 Q (_ C�
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MAILING 202 ADDR5
E-MAIL
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NAME
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MAILING ADDRESS
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E-MAIL
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CONTRACTOR
CITY
STATE-
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WA TATE CONT'CTOR'S LICENSE I
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(EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
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MAILING ADDRESS
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E-MAIL
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APPLICANT
CITY
STATE
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FAX
2. 3 70'3 S
PROJECT CONTACT
NAME
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PHONE 2
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(The individual to receive and
`M`AILING ADDRESS
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E-MAIL
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respond to all correspondence
concerning this application)
CIT \�` \
STATE
21
FAX
ALTERNATE CONTACT NAME:
PHONE
E-MAIL �� C a I Lt
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PROJECT FINANCING
NAME
OWNER -FINANCED
Required value of $5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(R('W 79.27.095)
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best
Of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in
the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the ci as apart of this application.
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SIGNATURE: DATE 2 1 J-2—
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PRINT NAME:
PRINT
Bulletin #100 - January 1. 2011 U Page 1 of 3 k:\Handouts\Petmit Application
YVA
a a
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fu tures to remain.
BATHTUBS (-Tub/Sh—Comb.)
LAVS (Hand Sinks)
TOILETS
WATER PIPING
fd
VALVE OF MECHAMCAL WORK $
URINALS
(a copy of bid or estimate must be provided)
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS
FANS
GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER
FIREPLACE INSERTS HOODS (co, -tai)
BOILERS
FURNACES
HOT WATER TANKS (c—)
COMPRESSORS
GAS LOG SETS
REFRIGERATION SYST
DUCTING
GAS PIPING
WOODSTOVES
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fu tures to remain.
BATHTUBS (-Tub/Sh—Comb.)
LAVS (Hand Sinks)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
❑ Yes ❑ No
DRINKING FOUNTAINS
SINKS (Kirch—/UtihtAl
WATER HEATERS (E]-Uic)
HOSE BIBBS
SUMPS
WASHING MACHINES
J _';'OTAidPa i'
I MR
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet) EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No
�, Yes ❑ No
AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
in Square Feet a Stories
NEW BUtLDMO
s
ADDITION
JAL -
AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
in S4uare Feet Tvue Stories
TENANT AREA ONLY
P t.OJWr AREA ONLY
Bulletin #100—January 1, 2011 - Page 2 of 3 k:\Handouts\Permit Application