01-100104 gls3
• •
City Federal Way
Community Development Services Plumbing Permit #:01 - 100104 - 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: COLLINGS
Project Address: 123 S 340TH UnitH Parcel Number: 325945 0800
Project Description: PLUMB-Replace electric water heater in existing single family residence
Owner Applicant Contractor
KIM COLLINGS NETCLERK,INC FAST WATER HEATER COMPANY
105 S 340TH ST UNIT H 880 DUBUQUE AVE S FAST WATER HEATER COMPANY
FEDERAL WAY WA SAN FRANCISCO CA 94080 12601 132ND AVE NE
98003
(425)814-8381
Plumbing Fixtures
Description Quantity r Description 11Quantity Description Quantity
Water Heaters 1
PERMIT EXPIRES July 8,2001,IF NO WORK IS STARTED.
Permit issued on January 9,2001
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: Date:
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APPLICATION FOR BUILDING PERMIT
PLEASE PRINT
SIT
BUILDING DIVISION
33530 FIRST WAY SOUTH
FEDERAL WAY, WA 98003
(253)661-4000
Fax (253) 661-4129
APPLICATION # 0I — 1001p {- f it-
E LOCATION
Site address 105 S 340TH ST H
FEDERAL WAY WA 98003
Tenant name
Lot #
Assessor's Tax # 3259450800
Building Owner's Name Kim Collings
Address 105 S 340th St #H Heritage Condominiums
city Federal Way I State WA
Zip 98003
Phone 2538745628
Description of work Remove/replace electric water heater
APPLICANT
O,A-i o ,, - rP_of rro 10
Name (F, M, L) NetClerk Inc r ,
Address 720 Dubuque Ave
city South San Francisco
State
zip 94080
Contact Person Day Phone
Other Phone
Fax
BUILDING CONTRACTOR
Federal Way Business License #
ame Fast Water Heaters Company
2601 132nd Ave. N.E.
E
city Kirkland
state WA
zip 98034
Contact Person Pamela
7�
Phone 4258143124
Fax
Contactor's # (Card must be presented) FASTWHC052DF
Expiration Date
02/16/2001
Verified Yes ❑ No
ARCHITECT
Name
Address
City
State Zip
Contact Person
Phone Fax
Legal Description
Please Complete Reverse Side
STI
2UCTURE
Existing Use
Proposed Use
Permit Includes
❑ Building
0 Plumbing
❑ Mechanical
❑ Other
Type of work:
0 Residential
❑ Commercial
❑ New
0 Addition
❑ Remodel
❑ Repair
❑ # of bedrooms____
❑ Garage
❑ Deck
❑ Shed
Enter 1st Floor _______
Area Basement __________
--- sq ft 2nd Floor..
sq ft Decks
sq ft
_Y _., sq ft
3rd Floor _________
Garage _________
sq ft
sq ft
Existing Floor Area
Proposed Total Area
--------- -_ sq ft
sq ft
Water Availability ❑
Sewer Availability ❑
On site Septic System Availability ❑
Project Valuation
$ 349.00
Zoning
Lot Size
Existing Bldg Valuation
I $
LENDER
For new residential only - Proposed selling cost: $
Name
Address
City
State Zip
MECHANICAL CONTRACTOR
Contractor Name
Address
City
State
Zip
Contact
Phone
Fax
License #
Expiration Date
Verified ❑Yes ❑ No
PLUMBING CONTRACTOR
Contractor Name
Address
City
State
Zip
Contact
Phone
Fax
License #
Expiration Date
Verified ❑Yes ❑ No
PLUMBING FIXTURE COUNT
Water Closets
0
Sinks 0
Urinals
0
Lawn Sprinklers 0
Bathtubs
0
Dish Washers 0
Drinking Fountains
0
Other 0
Showers
Lavatories
0
0
Electric Water Heaters 1
Washing Machine 0
Sumps
Drains
0
0
Total Fixture Count 1
MECHANICAL UNIT COUNT
I
MECHANICAL EVALUATION ONLY $
Fuel Type (gas/electric/other) 0
Gas Dryer 0
Air Handling < = 10,000 CFM 0
15 - 20 Tons 0
Length of Gas Piping 0
Range 0
Air Handling > = 10,000 CFM 0
30 - 50 Tons 0
Furn <100K BTUs 0
Gas Log 0
Unit Heater 0
+50 Tons 0
Frun >100 BTUs 0
Fans 0
Miscellaneous 0
Fuel Tanks 0
Gas Hwt 0
Hood 0
Boilers 0
Above Ground 0
Conv Burner 0
Duct Work 0
0- 3 Tons 0
Underground 0
BBQ's 0
Wood Stoves 0
3 - 15 Tons 0
Total Unit Count 0
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 perform 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 in investigation and defense of such claim), which may be made by
any person, including the undersigned, against the City of Federal Way, but only where such claims arises out of the reliance of the city, including its offi-
cers and employees, upon the accuracy of the information supplied to the city as a part of this application.
Owner/Agent: _ Date: 12/27/2000
BUILDINGIAPP
REVISED 5118199