01-103942City of Federal Way Plumbing Permit #: 01 - 103942 - 00 - PL
Community Development Services
33530 1 st Way S
Federal Way, WA 98003-6210
ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: FOLEY 0
Project Address: 18RS 285TH UnitD Parcel Number: 327614 0080
Project Description: PL - Remove & replace electric water heater
Owner Applicant Contractor
Ellen G Foley FAST WATER HEATER COMPANY FAST WATER HEATER COMPANY
1810 S 285TH PL #D FAST WATER HEATER COMPANY FAST WATER HEATER COMPANY
FEDERAL WAY WA 12601 132ND AVE NE 12601 132ND AVE NE
98003-3026 KIRKLAND WA 98034 (425) 814-8381
Plumbing Fixtures
L.Descri tion JQuantU Description lQuantq I Description Quantit
Water Heaters 1
PERMIT EXPIRES April 8, 2002, IF NO WORK IS STARTED.
Permit issued on October 10, 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: ly Date-
P1 C4 VV'J--) / % el*,- �) C--, \ 0 L 4 -z - / z - 0Z C- cli
CONSTRUCTION PERMIT APPLICATION
APPLICATION NUMBER;_ `
OCT 10 2001 APPLICATION NUMBER: — — — — — — — — — —
**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.
SITE ADDRESS: 1810 S 285TH PL B-D
ASSESSOR'S TAX/PARCEL #: 3276140080
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
TYPE OF PROJECT (This application): ❑ BUILDING 0 PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
Remove/replace electric water heater
PROJECT NAME:
PROPERTYOWNER:
CONTRACTOR:
APPLICANT:
NAME: DAYTIME PHONE:
Ellen Foley 12538396606
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP):
1810 S 285th PI #B-D Federal Way WA 98003
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-bl
CONTRACTORS REGISTRATION NUMBER:
EXPIRATION DATE:
(copy of card required)
NAME: I 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
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTORS
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 7/6
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS• ESTIMATED SELLING PRICE:
FLOOR AREAS
FLOOR
EXISTING S . 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)
BOILERS) 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) URINALS) 1 WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) 0 ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC. ( )
INTERCEPTOR(S) SUMP(S)
DISCLAIMER/ SIGNATURE BLOCK
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 toAhe city as a part of this placation.
NAME/TITLE: Gr DATE:10/03/2001
❑ PROPERLYOWNER APPLICANT ( ONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION
❑ ALTERATION ❑ REPAIR
❑ TENANT IMPROVEMENT
CENSUS CODE:
LOT SIZE:
ZONING DESIGNATION:
BUILDING SHELLONLY?
❑ YES ❑ ND
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES
❑VO
SECTION TOWNSHIP RANGE
NEW ADDRESS REQUIRED?
YES ❑ NO ❑
PLATTED LOT? ❑ YES ❑ ND
CHANGEOFUSE? DYES
❑NO