01-104621City 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: HERNAND5,/G
Project Address: 36002 14TH�SW
Plumbing Permit #:01-104621 - 00 - PL
Project Description: PLUMB - Install hot water heater in existing dwelling unit.
Inspection request line: 253.835.3050
Parcel Number: 218000 0590
Owner
Applicant
Contractor
Rodney J Heinzman
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
36002 14TH AVE SW
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
FEDERAL WAY WA
12601 132ND AVE NE
12601 132ND AVE NE
98023-7244
KIRKLAND WA 98034
(425) 814-8381
Plumbing Fixtures
_ Description Quantit I Description Quanti Description Qu—an ti.
i 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: -im
Date:
-Al APPLICATION NUMBERAPPLICATION NUMBER:— — — — — — — — — — "191,
A----------
"The following is required information - Please print (in ink) or type" 628873
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
■ PROPERTY INFORMATION
SITE ADDRESS: 36002 14 AVE SW, FEDERAL WAY, WA 98023
ASSESSOR'S TAX/PARCEL #: 2180000590
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
PROPERTY OWNER:/
CONTRACTOR:
■ PEOPLE INFORMATION
NAME:DAYTIME PHONE:
HERNANDEZ, KIM
(425)277-5359
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP):
36002 14 AVE SW
NAME:
HEATER COMPANY
D(425)814-31'l4
ST WATER
MOTUNG 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-bl
425 814-9516
CONTRACTORS REGISTRATION NUMBER:
EXPIRATION DATE:
FASTWHC052DF
02/16/2002
(copy of card required)
NAME: DAYTIME PHONE:
277-5359
AILING ADDRESS (STREET ADDRESS, CITY, STATE, 4P): EVENING PHONE:
< V-3-6002-14-A-�S-W TEDERAL WAY <ZiD>98023
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT an*ANT ❑OTHER (DESCRIBE);
E-MAIL ADDRESS
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ COHTRACTO N DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ $339.00
SPRINKLED BUILDING? 0 YES [] NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑HIGHLINE ❑TACOMA ❑PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑HIGHLINE ❑ PRIVATE (SEPTIC)
W r16
"NI-W RESIDENTIAL
NJMBER OF BEDROOMS• ESTIMATED SELLING PRICE:
I 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
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)
BOILERS) FIREPLACE INSERT(S) RANGE(S) MISC. ( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC Q G AS
PLUMBING
BATHTUBS) LAVATORY(S) URINALS) 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) SINKS) WATER CLOSET(S) MISC. ( )
INTERCEPTORS) SUMP(S)
]TS['i_ATMFR/STC;NATIIRF RLC
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
rnvestigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the City of
�deral 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 sucolied to the citv_as a hart of this application.
NAME/TITLE. "� '�J -� ` r ;-- , Permit Mgr DATE: 11/27/2001
❑ PROPERLY OWNER ❑ APPLICANT ZI CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑
ALTERATION ❑ REPAIR
❑ TENANT IMPROVEMENT
CENSUS CODE:
LOT SIZE:
ZONING DESIGNATION:
BUILDING SHELL ONLY?
❑ YES ❑ N:)
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES
ONO
SEGTIDN TOWNSHIP RANGE
NEW ADDRESS REQUIRED?
YES ❑ NO ❑
PLATTED LOT? Ll YES ❑ N:)
CHANGE OF USE? DYES
LM