01-103937City of Federal Way Plumbing Permit #: 01 - 103937 - 00 _ PL
Community Development Services
33530 1st Way S
Federal Way, WA 99003-6210
Pli:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: BECKMAN P�
Project Address: 1820 S 285TH'UnitC Parcel Number: 327614 0070
Project Description: PL - Remove & replace electric water heater
Owner Applicant Contractor
Agnes E Beckman FAST WATER HEATER COMPANY FAST WATER HEATER COMPANY
1810 S 285TH PL #C 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
Description 7Quantit Descri tion Quanti Description
quantlt
Water Heaters l
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.
r
Owner or agent: a IN O
�- Date: }
_r 411-1
I /-//, 71)
66
OMMIIn1'T . FCrHnPMDE�,)EpAjQ fSTRUCTION PERMIT APPLICATION
APPLICATION NUMBER' — — —
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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-C
ASSESSOR'S TAX/PARCEL #: 3276140070
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
TYPE OF PROJECT (This application): ❑ BUILDING id PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
Remove/replace electric water heater
PROJECT NAME: Beckman
PROPERTYOWNER:
CONTRACTOR:
APPLICANT:
■ PEOPLE INFORMATION
NAME: DAYTIME PHONE.
Agnes Beckman 12538292957
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP):
1810 S 285th PI #B-C Federal Way WA 98003
NAME:
DAYTIME PHONE:
14258143124133
Fast Water Heaters Company (SEA)
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP):
EVENING PHONE:
12601 132nd Ave. N.E. Kirkland
WF98034
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
19-87000047-00-bl
CONTRACTORS REGISTRATION NUMBER:
EXPIRATION DATE:
(copy of card required)
iff-IM14
DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP): EVENING PHONE:
<Street> <Cit > ST <Zi >
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑TENANT ❑ OTHER (DESCRIBE):
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTORS
0 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
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
AIR HANDLING UNIT(S)
BBQ(S)
BOILER(S)
COMPRESSOR(S)
DUCT(S)
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLERS) GAS LOG(S) REFRIG. SYSTEM(S)
FAN(S) HOOD(S) WOODSTOVE(S)
FIREPLACE INSERTS) RANGE(S) MISC. ( )
FURNACE(S)
GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ G AS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) 1 WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) fa ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC. ( )
INTERCEPTORS) SUMP(S)
BLOCK61SCLAIMElt/ SIGNATURE
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 pp !cation.
NAME/TITLE: X' f DATE:10/05/2001
❑ PROPERLYOWNER )3 APPLICANT ,'CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION
❑ ALTERATION ❑ REPAIR
❑ TENANTIMPROVEMENT
CENSUS CODE:
LOT SIZE:
ZONING DESIGNATION:
BUILDING SHELL ONLY?
DYES ❑ N:)
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES
LINO
SECTJON TOWNSHIP RANGE
NEW ADDRESS REQUIRED?
YES ❑ NO ❑
PLATTED LOT? ❑ YES ❑ ND
CHANGEOFUSE? DYES
❑NO