00-103347 • •
City or Federal way
Community Development services Plumbing Permit#:00 - 103347 — 00 — PL .
33530 1st Way S
Federal Way,WA 98003-6210 Inspection request line: 253.661.4140
Ph:253.661.4000 Fax:253.661.4129
(3:30pm cut-off for next day inspections)
Project Name: HALL
Project Address: 2100 S 336TH UnitI4 Parcel Number: 259620 0430
Project Description: MEC-Replace electric water heater
Owner Applicant Contractor
Shannon D Miller NONE ACTION WATER HEATERS ONLY INC
2100 S 336TH ST#I4
FEDERAL WAY WA 12704 NE 124TH ST,SUITE 43
98003-8969 NONE KIRKLAND WA 98034
Plumbing Fixtures
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3.4
Water Heaters 1
PERMIT EXPIRES December 11,2000,IF NO WORK IS STARTED.
Permit issued on June 14,2000
I hereby certify that the above information is correct and that the construction on the above described propert)
the occupancy and the use will be in accordance with the laws,rules and regulations of the State of Washingt.
the City of Federal Way.
Owner or agent: /Mail/4d- sdee16,440.4;"/ Date: 4 l U v
Ne01)441-citf P;;4a
�z
BuiLWNGWilmot(
error O [" • • 33530 First'.WayiSouith
EEFederal Way,Wk 98003
FiY (253)16614000
Fax(253)'66174129
APPLICATION FOR BUILDING PERMIT
PLEASE PRINT APPLICATION # OO + 103M 4.
'N ,�, yl.. ..... Y^
4v .,' .a ;';. ..t.f." _ 02 Address d. 1 c,O 3 - 3 3 s-r U ioiT q $L:3
Tenant(if known) Lot#t Ass s is T N
o 6110
Building Owner's Name
5.-1-go30\yril, Address )00 5. 330 5T uoi-r14. -ti
City FE 0612PC LOA(` 'State Gv w _Zip erS 06 3 1 Phon{253)8`x4- y5O 1
Nature of Work ' E9LI4r4 e/6C ►9.7s2 /-1-&4=1-7-&12
Warr; �'Ci2:t •<}.i xis:t:,.w::<i<;.>;.;,•s:.,.y,.:.;;i•::: .t,•..
Name (F,M,L) '
1�'T2pn� W Y=•T$'e »5a o ruLy
Address
0.
1014 , 1� p q 5) ' `�3
q�
City K( yo Iv _ State 1,0 Zip gD 3L.1
C tact Person Day Phon IML1Other Phone Fax c-1')--S-)
ry)eall
atemetiostiitostals
Company Name
Address
City State Zip
Contact Person Phone Fax
Contractor's I(card must be presented) Expiration Date Verified 0 Yes 0 No
:L ' : .f\'ari'i�}'.nv: ti•:jiiiii::;:
Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
•
Please_Complete Reverse Side eVi5
anr\-\ ,
.;;:>r<:;:•::;.:•>: :>.••::;?> ... •: :: :: ::;:.ie• T ExistingUse Proposed Use
� ;;>:.::r• :••..�:.:::Permit includes: 0 sing 0 Plumbing •ehenicel 0 Other
Type of Work: 0 Residential 0 New 0 Remodel 0 Number of Units 0 Dick
0 Commercial 0 Addition 0 Garage 0 Shod 0 Other
Enter l et Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft
Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area sq ft }
Water Availability 0 Sewer Availability 0 On-Site Septic System Availability 0 Project Valuation $ t
Zoning I Lot Size
Existing Bldg Valuation $
Nana Address
City State I Zip
0 r r int i k" ::'>;;`;r.
Contractor Name Address
State Zip
City Phone Fax
Contact ,
Expiration Date Verified 0 Yes 0 No
License
Contractor Name ACT��, Address 1�1 J2y 57 403
AC -4)0 Lt7 n � lees Oali(4 . , 'IN=U-L. Zip �O�3y
K X,� )O State
City 1 l Fax (y25)
Contact Pons
License I OC/I 10110 550P _Expiration Date 12)))00 Verified Yes 0 No
4, eJV,
Water Closets Sinks Urinals Lawn Sprinklers _
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters ' Sumps ..
CLavatories Washing Machine Drains , Total Fixture Courlt,•••::,i:.••.;
.
M CHANLCA,LONIT.COUNT:; :::.:
. : ONLY $
V
[ MECHANICAL EVALUATION
lv Fuel Type (electric/other) Gas Dryer Air Handling < 10,000 CFM 15-30 Tons _
Length of Gas Piping Range Air Handling > = 10,000 CFM 30-50 Tons
_Furn <100K BTUs Gas Log Unit Heater 50+ Tons
Furn >100 BTUs Fans Miscellaneous Fuel Tanks
Gas Hwt Hood , Boilers Above Ground
Cony Burner Duct Work 0-3 Tons Underjround
tiBQ•s Wood Stuvas 3-15 Tons Total Unit Count, ..,..,:.;;I:,.•:,;:%,.
DISCLAIMER: 1 certify under penalty of perjury that the information famished by me is true and correct to the best of my knowledge,and further,that I am authorized by the owner
the above premises to per ems the work for which pemut application is made.I further agree to save harmless the City of Federal Way as to any claim(including costs,expenses,and
attorneys'fees incurred in investigation and defense of such claim),which may be made by any person,including the undersigned,and filed against the City of Federal Way,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 city as a part of this application.
��l� �`h,n r /,
Owner/Agent: L�t� 1 d i10m �- Dote: (l/lD/r
M.+Dwa AreCUl
14.1i01/1201/1/7