01-103219City of Federal Way Plumbing Permit #: 01 - 103219 - 00 - PL
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: DIXON
Project Address: 2369 SW 341ST Parcel Number: 330630 0320
Project Description: PL - Replacing existing electric water heater
Owner Applicant Contractor
Carl L Dixon FAST WATER HEATER COMPANY FAST WATER HEATER COMPANY
2369 SW 341 ST PL FAST WATER HEATER COMPANY FAST WATER HEATER COMPANY
FEDERAL WAY WA 12601 132ND AVE NE 12601 132ND AVE NE
98023-7736 KIRKLAND WA 98034 (425) 814-8381
Plumbing Fixtures
Descri tion Ouantit ❑escri tion Quantit Description Quanti
Water Heaters 1
PERMIT EXPIRES February 11, 2002, IF NO WORK IS STARTED.
Permit issued on August 15, 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 agentJet et eM�id�" ` Date:
d;�. IJot %ov'N0-- �S
Mechanical rough -in:
Gas pipe:
Date:
Date:
FINAL MECHANICAL: Date:
RECEIVED BY CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT F)PPA'Wr"r-1 APPLICATION NUMBER4.L " _ _
APPLICATION
AUG 15 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: 2369 SW 341 ST PL
■ PROPERTY INFORMATION
ASSESSOR'S TAX/PARCEL #: 3306300320
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):
Remove/replace electric water heater
PROJECT NAME: Dixon
PROPERTY OWNER:
CONTRACTOR:
• ■ PEOPLE INFORMATION
NAME: DAYTIME PHONE:
Christina M Dixon 12536612906
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP):
2369 SW 341st PI Federal Way WA98023
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 <Zip>
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)
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
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)
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)
URINAL(S)
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)
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 s�ch claim arises out of the reliance of the city, including its officers and employees, upon the accuracy
of the information suppl".e o the city as a}� art,o thi appli tion.
NAME/TITLE:- L���T� DATE:08/08/2001
❑ PROPERLYOWNER ❑ APPLICANT ❑ CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑
ALTERATION ❑ REPAIR
❑ TENANT IMPROVEMENT
CENSUS CODE:
LOT SIZE:
ZONINGDF5IGNATION:
BUILDING SHELL ONLY?
❑YES ❑ ND
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES
PTO
SECTION TOWNSHIP RANGE
NEW ADDRESS REQUIRED?
CHANGE OF USE? ❑YES
YES ❑ NO ❑
LINO
PLATTED LOT? ❑ YES ❑ ND