01-103367City t:f Federal Way Plumbing Permit #: 01 - 103367 - 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: D; lI{EZ 5 W 5 N t.lt P� # p
Project Address: Parcel Number: $56110 0520
Project Description: PLUM - Remove/replace electric water heater
Owner Applicant Contractor
Kirk A Dickey FAST WATER HEATER COMPANY FAST WATER HEATER COMPANY
1922 SW l' H PL #@D FAST WATER HEATER COMPANY FAST WATER HEATER COMPANY
FE- - AY WA 12601 132ND AVE NE 12601 132ND AVE NE
98023 KIRKLAND WA 98034 (425) 814-8381
Plumbing Fixtures
Descri tiQn Quanti Descri tion TL:uanti Description Quantity
Water Heaters 1
PERMIT EXPIRES February 23, 2002, IF NO WORK IS STARTED.
Permit issued on August 27, 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: ZZ
OQ
if
EIV
� MUNm•� VEI PMUE �
�'FPARTMENT CONSTRUCTION PERMIT APPLICATION
APPLICATION NUMBER'
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: 1922 SW 318TH PL D
ASSESSOR'S TAX/PARCEL #: 8561100520
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: Di
PROPERTYOWNER:
CONTRACTOR:
■ PEOPLE INFORMATION
NAME: DAYTIME PHONE:
KIRK DICKEY 12536619743
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP):
1922 SW 318th PI #D 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-bl
CONTRACTORS REGISTRATION NUMBER:
EXPIRATION DATE:
(copy of card required)
APPLICANT: I 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 ❑ CONTRACTO
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)
P40 7/6
"NEW RESIDENTIAL CONSTRUCTION ONLY"
NUMBER OF BEDROOMS' ESTIMATED SELLING PRICE:
FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED S . FT.
TOTAL
BASEMENT
0
FIRST
0
SECOND
0
THIRD
0
FOURTH
0
OTHER FLOORS (DESCRIBE)
0
DECK
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 INSERTS) RANGE(S) MISC. ( )
COMPRESSOR(S) FURNACE(S)
DUCT(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) SINKS) WATER CLOSET(S) MISC. ( }
INTERCEPTOR(S) 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
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 supp " to th city as a art of this application.
NAME/TITLE: DATE:08/23/2001
❑ PROPERLY OWNER ❑ APPLICAN ❑ ONTRACTOR
FOR OFFICE USE ONLY: iLJ
❑ NEW ❑ ADDITION
❑ ALTERATION ❑ REPAIR
❑ TENANTIMPROVEMENT
CENSUS CODE:
LOT SIZE:
ZONING DESIGNATION:
BUILDING SHELL ONLY?
❑ YES U W
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES
❑VO
SECTION TOWNSHIP RANGE
NEW ADDRESS REQUIRED?
YES ❑ NO ❑
PLATTED LOT? ❑ YES ❑ ND
CHANGE OF USE? ❑YES
❑NO