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01-103033City of Federal Way Community Development Services 33530 I st Way S Federal Way, WA 98003-6210 Ph:253.661.4000 Fax:253.661.4129 Project Name: BEATY Project Address: 528 S 302ND 5t Plumbing Permit #:01 - 103033 - 00 - PL Project Description: PLUMB - Remove and replace electric water heater Inspection request line: 253.835.3050 Parcel Number: 064300 0080 Owner Applicant Contractor J D Beaty WDF NORTHWEST PERMIT & NETCL ABC WATER HEATERS & PLUMBING 528 S 302ND ST 3816 E MADISON 1702 A 128TH ST SW FEDERAL WAY WA SEATTLE WA 98116 EVERETT WA 98204 98003-4053 (425) 514-0406 Plumbing Fixtures Description Quantit Description Description Q►iantit Water Heaters I PERMIT EXPIRES April 6, 2002, IF NO WORK IS STARTED. Permit issued on October 8, 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: /b/`616 1 Ai-r02-01 09:55 FROM-NORTHWEST-CASSIMAR 206-374-0834 T-921 P-01/02 F-612 CONSTRUCTION PERMIT APPLICATION APPLICATION NUMBER• 1 NUMBER: - APPLICATION NUMBER: — — -- — — — — — "The Fallowing 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. 528 S 302ND ST ASSESSOR'S TAX/PARCEL #: 0643000080 LEGAL DESCRIPTION OF SUHJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): TYPE OF PROJECT (This application): 0 BUILDING 0 PLUMBING ❑ MECHANICAL Q DEMOLITION (] ELECTRICAL ❑ ENGINEERING[] FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Prcmvide detailed description): Remove and replace electric water heater PROJECT NAME PROPERTY OWNER: CONTRACTOR: ■ PEOPLE INFORMATION NAME: DAYTIME PHONE: J AMES D BEAN 12538390650 AIAILING ADDRESS (STREET ADORM, CITY. STATE, ZIP): 528 S. 302nd ST Federal Way Wa 98003 NAME: DAYTIME PHONE: A,BC Water Heaters $ PlLjrnbjng 14255140406 MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP): EVENING PHONE: 1702 A 128th St.SW Everett Wi 98204 CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: 4255140369 CONTRACTORS REGISTRATIONNUMBER: q EXPIR�A-.TII�OrN DATE: (�:0py of card required)" APPLICANT: NAME: _Scott Waterbury MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP): 720 Dubuque Ave South San Francisco RELATIONSHIP TO PROJECT, El ARCHITECT _ _ ❑TENANT ❑ OTHER (DESCRIBE): CONTACT PERSON FOR THIS PROUCT: ❑ PROPERTY OWNER ❑ APPLICANT C/ 94080 DAYTIME PHONE: 8883301777 EVENING PHONE: 6506240400 FAX NUMBER: 8778465888 IL ADDRESS EXISTING USE:. EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE; PROPOSED VALUATION FOR IMPROVEMENTS: $ 500.00 SPRINKLED BUILDING? © YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: DYES ILl NO WATER SERVICE PROVIDER: © LAKEHAVEN ❑HIGHLINE ❑TACOMA []PRIVATE (WELL) SEINER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE A PRIVATE (SEPTIC) M 716 Al.,-02-01 09:55 FROM-NORTHWEST-CASSIMAR 206-374-0834 T-921 P.02/02 F-612 "NEW RESIDENTIAL CONSTRUCTION ONLY** i-IL6 C___,_d VO4:� NUMBER OF BEDROOMS ESTIMATED SELLING PRICE: $_._ FLOOR AREAS FLOOR, EXISTING 5 . FT. PROPOSED . FT. TOTAL BASEMENT 0 FIRST 0 SECOND 0 THIRD 0 FOURTH 0 _ OTHER FLOORS (13I5SCRIBE) 0 DECK 0 GARAGE _ HOW MANY FLOORS? 0 TOTAL: 0 0 0 FIXTURES A Indicate number of each type of fixture MECHANICAL AIR HANDLING UNIT(S) EVAPORATIVE COOLERS) GAS LOG(S) REFRIG. SYSTEM(S) BBQ (S) FAN (S) HOOD (S) W OO DSTOVE(S) BOILER(S) -. FIREPLACE INSERT(S) RANGE(S) MISC_ ( ) COMPRESSOR(S) FURNACES) DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ G AS PLUMBING BATHTUBS) LAVATORY(S) URINAL(S) 'i WATERHEATER(S) DISHWASHER(S) RAIN WATER SYS. —.VACUUM BREAKER(S) ELECTRIC EJ GAS --- DRINKING FOUNTAIN(S)--•-- SHOWER(S) ---WASH MACHINE OUTL Jr GAS PIPE OUTLETS) SINK(S) 'WATERCLOSET(S) MISC. I NTERCEPTOR(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 harmicss 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 when, 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 applicad NAME/TITLE: Scet> Wete bW— QJ f le> DATE: 08/02/2001 ❑ PROPERLY OWNER ❑ PPIXANT ONTRAC'rOR FOR OFFICE USE OFILY: ❑ NEW ADDITION 0 ALTERATION © REPAIR © TENANTIMPROVEMENT CENSUS IDDIDE: LOT SIZE: - Z NENG pESZGNAT[CN: BUILDING SHELLONL.Y? ❑ YES Q PD — - COMPPLANDESIGNATION BASIC PLAN? AYES LINO SB[.TJ<ON TOWNLSIjW RANGE NEWADDRESSREQUIRED? YES ❑ NO ❑ PLATTED LOT? Q YES ❑ I D CHANGE OF USE? DYES 0W