01-104622City of Federal Way
Community Development Services
33530 1 st Way S
Federal Way, WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129
Project Name: CO�LFX 3z3,,
Project Address; 2'S 3233RD Unit9-D
Plumbing Permit #: 01-104622 - 00 - PL
Project Description: PLUMB - Install hot water heater in existing dwelling unit.
Inspection request line: 253.835.3050
Parcel Number: 132151 0040
Owner
Applicant
Contractor
Christopher S Cottle
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
533 S 323RD PL UNIT 9D
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
FEDERAL WAY WA 98003-5835
12601 132ND AVE NE
12601 132ND AVE NE
KIRKLAND WA 98034
(425) 814-8381
Plumbing Fixtures
Description {Quanti Description . Quant3 _ Description Quan_fi#y�
Water Heaters 1
PERMIT EXPIRES June 2, 2002, IF NO WORK IS STARTED.
Permit issued on December 4, 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:
APPLICATION NUMBER• 1 '
----- ---
AP-- -------
"The following is required information - Please print (in ink) or type" 013560
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application-
E ■ PROPERTY INFORMATION
SITE ADDRESS: 533 S 323 PL #9D, FEDERAL WAY, WA 98003
ASSESSOR'S TWPARCEL #: 1321510040
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
l ■ PROJECT INFORMATION
TYPE OF PROJECT (This application): ❑ BUILDING ® PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENMEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): Water Heater Installation
PROJECT NAME:
PROPERTYOWNER:
CONTRACTOR:
APPLICANT:
■ PEOPLE INFORMATION
NAME: COTTLE, CHRIS DAYTIME PHONE:
(253)835-1890
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP):
533 S 323 PL #913
NAME: FAST WATER HEATER COMPANY
_
D2425)814-3114
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:
835-1890
MAILING DRESS (STREET ADDRESS, CIT,.STATE, ZIP): EVENING PHONE:
<Street> 533 23•P-L&D <Cit > FEDERAL WAY <ZiD>98003
RELATIONSHIP TO PRO]E _ _ FAX NUMBER:
❑ ARCHITECY ❑TENANT ❑0'rHER (DlISt URE);
E-MAIL ADDRESS
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT M CONT
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ $339.00
SPRINKLED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑YES <] NO
WATER SERVICE PROVIDER: Q LAKEHAVEN ❑HIGHLINE ❑TACOMA ❑PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑HIGHLINE ❑ PRIVATE (SEPTIC)
Wb-7/6
**NEW RESIDENTIAL
NUMBER OF BEDROOMS' ESTIMATED SELLING PRICE:
FLOOR AREAS
FLOOR
EXISTING S . FT.
PROPOSED S . FT.
TOTAL
BASEMENT
0
FIRST
0
SECOND
0
THIRD
0
FOURTH
0
OTHER FLOORS (DESCRIBE)
0
DECK
0
ARAGE
HOW MANY FLOORS?
0
TOTAL:
0
0
0
AIR HANDLING UNIT(S)
BBQ(S)
BOILERS)
COMPRESSOR(S)
DUCT(S)
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLERS) GAS LOG(S) REFRIG. SYSTEM(S)
FANS) HOOD(S) WOODSTOVE(S)
FIREPLACE INSERT(S) RANGE(S) MISC. ( )
FURNACE(S)
GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ G AS
PLUMBING
BATHTUB(S) LAVATORY(S) URINALS) I WATER HEATER(S)
DISHWASHERS) RAIN WATER SYS. VACUUM BREAKER(S) ® ELECTRIC ❑ GAS
DRINKING FOUNTAINS;- 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
;ederal Way, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy
)f the Information suoolled to the city as a Dart of this application.
VAME/TITLE. DATE:
r� (.r` , Permit Mgr 11/28/2001
-
❑ PROPERLYOWNER ❑ APPLICANT $] CONTRACTOR
FOR OFFICE USE ONLY:
(I NEW ❑ ADDITION ❑
ALTERATION ❑ REPAIR
❑ TENANT IMPROVEMENT
CENSUSCODE:
LOT SIZE:
ZONING DESIGNATION:
BUILDING SHELL ONLY?
D YES ❑ N:)
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES
LNO
SECTION TOWNSHIP RANGE
NEW ADDRESS REQUIRED?
YES ❑ NO ❑
PLATTED LOT? ❑ YES ❑ ND
I CHANGE OF USE? ❑YES
IM