99-102797 CITY OF FEDERAL WAY NO: BLD99-0461
33530 First Way South ;;';'",O . ,:: if .,,;4:.,M.,: a,I 0 P (�
" "�;,1�a1 :,�I.: .., ,,. ISSUED: 07/22/99
Federal Way, WA 98003 Building Inspection Requests 253-661--4140 BY: HTS
253-661-4000 EXPIRES: 01/18/00
ADDRESS : 1030 SW DASH POINT RD
NO. : 515320-0441
PROJECT DESCRIPTION:PLMB - RETRO FIT ELECTRIC WATER HEATER
r OWNER :.-----••--- .. _===;= CONTRACTOR ----- ----------- -----• - T LENDER --- __ - --... --- _
CHARLES BUTLER FAST WATER HEATER 1
1030 SW DASH POINT RD i 12601 132ND AVE NE
FEDERAL WAY WA 98023 E KIRKLAND WA 98034 1
31-9840206-520-9986
1 FASTWHC052DF .
*** CONTRACTORS,_PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.6% ***
BLD?: MEC?: PLM?:X FLR--EXIST PRCP--- COMP PLAN •SFMD FEES:
uft.L�alY� vSi , v
TYPE OF WORK:ALT USE:RES 1ST.: 0: C:sf STORIES • C REQUIRED PARKIN . .: 2 SPRINKLERS?.... . .? PLUMBING FIXT....93* $ 7.00
CENSUS CATEGORY •800 2ND.: 0 •sf HEIGHT.....: O.00 ft I 1_44 *ti ��" as
�,. 9 HAZARD CLASS ' PLUMB PRMT ISSUANCE $ 20.00
OCCUPANCY GROUP 3RD.: 0: O.sx VALUATION ? REOUIREDSETBACKS F'°C FLOW.. . .: 0 ^^m
•? •? •? •? : CTiR: 3: 3:sf XIST .$: 0 , FRONT... 0.00 tt
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 0 SIDE - 0.00 ft WATER SERVICE..:?
:? :? :? :? : DECK: 0: 0:sf REAR • O.00:ft SEWER SERVICE..:?
OCCUPANT LOAD GAR.: 0: O:sf RECEIVED.:07/21/99
: 0: 0: 0: 0: TOIL: 0: D:sf i IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
•
illUEL TYPES.:? ? FANS 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 27.00
S PIPING.: 0 ft HOOD 0 0-3 TON 0 BATH TUBS • 0 DRINKING FOUNT.: 0
FURN<100K..: 0 DUCT WORK • 0 3-15 TON • 0 SHOWERS 0 SUMPS 0
GAS HWT • 0 WOOD STOVES...: 0 15-30 TON...: 0 LAVATORIES • 0 VAC BREAKERS...: 0
CONV BURNER: 0 FURN>100K • 0 30-50 TON...: 0 SINKS • 0 DRAINS • 0
BBQ • 0 MISC • 0 50+ TON • 0 DISH WASHERS • 0 LAWN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS ELEC WTR HEATERS...: 1 OTHER FIXTURES.: 0
RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT __- !1N_
-_ _-- DATE .3./1. /q?
1.�//q?_
FILE COPY
• BUILDING DIVISION
�� G 33530 First Way South
VV Federal Way,WA 98003
(206)661-4000
Fax(206)661-4129c
APPLICATION FOR BUILDING PERMIT
PLEASE PR/NT APPLICATION # 1-2)/.1. -I
Address
'
Tenant (if known) Lot# Assessor's Tax #
Building Owner's Name, ? 1 I Address
1 b-k_ /�'1/23/) `>CEJ �1 .. 11.1
City 2-4t//))4.9 J LL-- 1... I State £Ln/r1 Zip '7O3 Phone c-3-6.35 ll7J/
Nature of Work
Name (F,M,L)
Address
City State Zip
Contact Person Day Phone Other Phone Fax
Company Name
Address
City State Zip '~
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No
Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION /]C j
Please Complete Reverse Side
A
:�:� c�ClSil US..
n
� ��' ....................,,..........::.:::::. ..:.] 9 Proposed Use
Permit includes: 0 Building 0 Plumbing 0 Mechanical 0 Other
Type of Work: 0 Residential 0 New 0 Remodel 0 Number of Units_ ❑ Deck
❑ Commercial 0 Addition 0 Garage 0 Shed 0 Other
Enter 1st 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 ❑ Sewer Availability 0 On-Site Septic System Availability 0 Project Valuation S
Zoning I Lot Size Existing Bldg Valuation S
1E.>DEf i>ii iii `isi "><';' ' ''i>i">'Mga:i!'',x,x<
Name Address
City State Zip
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUM''B;IFN�I;„„
�1.>tflYCa`>::,!<!in.:::!^;i ? ::: i?i::?<:>:?iiiiM3iiiii<ii
Contractor Name . Address
/4y'" IA,1,14---f-it Z� 7) 4.24, / 23 S2k1 h /4/e. w
K. ,ii, 4
L-
City , � U � - C Iv State l^/ A Zip Ci t-1 j C
Contact / — / Phone �/Z. �,c /– Fax , L
(AMfiLj tig !?.) rS ()/1-. .P 1-7-i 3b/' /Ul 511/-9576.,
license # /ri4Stu,-)/( SZb Expiration Date'' �IC!/. Verified ❑ Yes ❑ No
#?CUi ::;::t:
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters / Sumps
.........................................................
.............................................................
............................................................ .
Lavatories Washing Machine Drains i taP'Fixture Count
0CHtAN1CA1. N 'C.... .......................................................` MECHANICAL EVALUATION ONLY $
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 Underground
BBQ's Wood Stoves 3-15 Tons Ttal.Urtit Cnurit.:
DISCLAIMER: I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and further,that I am authorized by the owner of
the above premises to rm the work for which permit 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 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 ut of the reliance of the city,includ' g its officers and employees,upon the accuracy of the information supplied to the city as a part of this application.
Owner/Agent: / ,1 / - 1 �� Date: 7/2A
BU4DING.APP
REVSED 12/11/98
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