01-104744City of Federal Way
Community Development Services
33530 1 st Way S
Federal Way, WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129
Plumbing Permit #:01 - 104744 - 00 - PL
Inspection request line: 253.835.3050
Project Name: JENKINS tom&
Project Address: 28015 20TH�S Parcel Number: 422231 0510
Project Description: PL - Installation of (1) electric water heater
Owner
Applicant
Contractor
John D & Karen A Jenkins Jr.
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
28015 20TH AVE S
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
FEDERAL WAY WA
12601 132ND AVE NE
12601 132ND AVE NE
98003-3200
KIRKLAND WA 98034
(425) 814-8381
Plumbing Fixtures
Description Quanti _ Description Quanti Description Quantit
Water Heaters 1
PERMIT EXPIRES June 12, 2002, IF NO WORK IS STARTED.
Permit issued on December 14, 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:
"CEIVED
APPLICATION NUMBERD I- _ _ DIZ �z
ar+°a"C 14 200 — — — -- — ---- -- -- -- —
N----------------
•"3ieTw+ j }Iformation - Please print tin ink) or type" 635585
Please note: Electrical, Fire Preventionyyr6mms and Engineering permits may require a separate application.
■ PROPERTY INFORMATION
SITE ADDRESS: 28015 20 AVE S, FEDERAL WAY, WA 98003
ASSESSOR'S TAXNPARCEL #. 4222310510
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION
TYPE OF PROJECT (This application): ❑ BUILDING ® PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): Water Heater Installation
PROJECT NAME:
^t ■ PEOPLE INFORMATION
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
NAME: JENKINS, JOHN & KAREN DAYTIME PHONE:
(253)941-5970
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP):
28015 20 AVE S
NAME: FAST WATER HEATER COMPANY
76-tv-PI)14-31"l4
MAILING ADDRESS (STREET ADDRESS, CITY, STATE. ZIP):
EVENING PHONE:
12601 132ND AVE NE
KIRKLAND. WA 98034
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
19-87000047-00-bi
425 814-9516
CONTRACTORS REGISTRATION NUMBER:
EXPIRATION DATE:
FASTWHC052DF
02/16/2002
(copy of card required)
NAME: DAYTIME PHONE-
941-5970
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP): EVENING PHONE:
<Street> 28015 20 AVE S <Cit > FEDERAL WAY <Zi >98003
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑TENANT ❑OTHER (DESCRIBE):
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT M CONTRACTOR( -� f
DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSEDIAPPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ $339.00
SPRINKLED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: OYES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑HIGHLINE ❑TACOMA ❑PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑HIGHLINE ❑ PRIVATE (SEPTIC)
W 716
**NEW RESIDENTIAL C3NS�rRtJCTIQN ONLY**
NUMBER OF BEDROOMS ESTIMATED SELLING PRICE:
FLOOR AREAS
f FLOOR
EXISTING S . FT.
PROPOSED S . FT.
TOTAL
BASEMENT
0
FIRST
0
SECOND
0
THIRD
0
uR rH
0
OTHER FLOORS (DESCRIBE)
0
DECK
D
.GARAGE
HOW MANY FLOORS?
0
TOTAL:
0
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)
BOILER(S) FIREPLACE INSERTS) RANGE(S) MISC. ( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ G AS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) I WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ® ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) 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
Weral Way, but only where such claim arises out of the reliance of the city, Including its officers and employees, upon the accuracy
3f the Information SIIDDIied to the city 45 a Dart of this application.
VAME/TITLE. r r �c r� , Permit Mgr DATE: 12/11/2001
❑ PROPERLYOWNER L] APPLICANT $] CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR
❑ TENANT IMPROVEMENT
CENSUS CODE:
LOT SIZE:
ZONI14GDESIG7NATION:
BUILDING SHELL ONLY?
El YES ❑ N:)
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES
ENO
SEC.TZON TOWNSHIP RANGE
NEW ADDRESS REQUIRED?
YES ❑ NO ❑
PLATTED LOT? ❑ YES ❑ ND
CHANGEOFUSE? ❑YES
EM