01-104172City of Federal Way
Conmumity Development Services
33530 1 st Way S
Federal Way, WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129
Project Name: NOE P'Jv
Project Address: 37136 4TH�SW
Plumbing Permit #: 01 - 104172 - 00 - PL
Project Description: PL - Remove/replace electric water heater
Inspection request line: 253.835.3050
Parcel Number: 218820 2755
Owner
Applicant
Contractor
DIANA NOE
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
37136 4TH AVE SW
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
FEDERAL WAY WA 98023
12601 132ND AVE NE
12601 132ND AVE NE
KIRKLAND WA 98034
(425) 814-8391
Plumbing Fixtures
Descri tion QuantiI Description Quanti Description Quapfi
Water Heaters 1
PERMIT EXPIRES April 29, 2002, IF NO WORK IS STARTED.
Permit issued on October 31, 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: '& CtA, .C.C�' 7�rh Date:
11/ze%el �7/
COMMUN(TY)FVFLOPMENBTDFPAPTMENTCONSTRUCTION PERMIT APPLICATION
n A �- APPLICATION NUMBER• '
m��....- - - - - - - - - -
APPLICATION NUMBER:
APPLICATION UMBER:— — — — — — — — — —
"'The following is required information - Please print (in ink) or type"'
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
L� ■ PROPERTY INFORMATION
SITE ADDRESS:37136 4th Ave SW
ASSESSOR'S TAX/PARCEL #: 218 8 2 0 2 7 5 5
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION
TYPE OF PROJECT (This application): ❑ BUILDING U PLUMBING � MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
Remove/replace electric water heater
PROJECT NAME: Noe
I ■ PEOPLE INFORMATION
PROPERTYOWNER:
CONTRACTOR:
APPLICANT:
CONTACT PERSON FOR TI
NAME: DAYTIME PHONE:
Diana J Noe 1206-369-1777
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP):
same Federal Way WA 98023
NAME:
DAYTIME PHONE:
Fast Water Heaters Company SEA
14258143124133
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP): EVENING PHONE:
12601 132nd Ave. N.E. Kirkland WP98034
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
19-87000047-00-bi
CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) FASTWHC052DF 2-16-02
NAME:
DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP):
EVENING PHONE:
<Street> <Cit > ST <Zi >
RELATIONSHIP TO PROJECT:
FAX NUMBER:
❑ ARCHITECT ❑TENANT ❑ OTHER (DESCRIBE):
E-MAIL ADDRESS
IIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR[__
IN DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: �$ 349. 00
SPRINKLED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑HIGHLINE ❑ PRIVATE (SEPTIC)
R40 716
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS, ESTIMATED SELLING PRICE:
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
0
FIRST
0
SECOND
0
THIRD
0
FOURTH
0
OTHER FLOORS (DESCRIBE)
0
DECK
0
GARAGE
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)
HOOD(S)
WOODSTOVE(S)
- BOILER(S)
FIREPLACE INSERT(S)
RANGE(S)
MISC. ( )
- COMPRESSOR(S)
FURNACE(S)
- DUCT(S)
GAS PIPE OUTLET(S)
HEAT SOURCE: ❑ ELECTRIC ❑ G AS
PLUMBING
- BATHTUB(S)
LAVATORY(S)
URINALS)
WATER HEATER(S)
- DISHWASHER(S)
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.
- INTERCEPTOR(S)
SUMP(S)
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 the permit application is made. I
further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fee incurred in the
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 out of the reliance of the city, including its officers and employees, upon the accuracy
of the information supplied to the city as a part of this application-
NAME/TITLE: DATE: /P
❑ PROPERLY OWNER ❑ APPLICANT &CONTRACTOR /
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑
ALTERATION ❑ REPAIR
❑ TENANTIMPROVEMENT
CENSUS CODE:
LOT SIZE:
ZONINGDESIGIVATION:
BUILDING SHELLONLY7
❑ YES ❑ ND
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES
LNO
SECrEDN TOWNSHIP RANGE
NEW ADDRESS REQUIRED?
YES ❑ NO ❑
PLATTED LOT? ❑ YES 0 ND
CHANGE OF USE? DYES
❑NO