01-102450City or Federal Way Community Development Services Plumbing Permit #: 0l-102450 - 00 - PL
33530 1st Way S
Federal Way, WA 98003-6210
Ph:253.661.40W Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: SPENCER pej&
Project Address: 35023 28TH'9W Parcel Number: 351800 0180
Project Description: PLMB - Replace electric hot water tank.
Owner Applicant Contractor
George D Spencer NORTHWEST PERMIT FAST WATER HEATER COMPANY
35023 28TH AVE SW 2320 1ST AVE SUITE 250 FAST WATER HEATER COMPANY
FEDERAL WAY WA SEATTLE WA 98121 12601 132ND AVE NE
98023-3082 (425) 814-8381
Plumbing Fixtures
Descri lion 1Quanti Descri tion Quanta Description Quarlti
Water Heaters 1
PERMIT EXPIRES December 16, 2001, IF NO WORK IS STARTED.
Permit issued on June 19, 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: S V� -^ Date: �� t
JUN-19-01 10:45 FROM-NORTHWEST-CASSIMAR
206-374-0834 T-611 P.01/03 F-145
\\II t �
CONSTRUCTIOYN IT AP7LICATION
0"APPLICATION NUMBER;0J- i k_ Y"t--L =
APPUC-ATI ON NUMB= ---
��,5 A Pt_ICAT I OWNUMBER: — — .— — ---- --
��q,� �`-�'�''rhe ft7liowing is required infarmat'san lease print (in ink) or type"
' Please�Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
SITE ADDRESS:.35023 28TI-I AVE SW
■ PROPERTY INFORMATION _
ASSESSOR'S TAX/PARCEL #: 351 P000180
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION I
TYPE OF PROJECT (This application): ❑ BUILDING 0 PLUMBING ❑ MECHANICAL ❑ DEMOLITION
U ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
remove/replace electric water heater
PROJECT NAME:�L
PROPERTYOWNER:
CONTRACTOR:
■ PEOPLE INFORMATION
NAME: DAYTIME PHONE:
Dan SPENCER 12538158787
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP):
35023 28th ave SW Federal Way wa 98023
NAME: I DAYTIME PHONE:
Fast Water Heaters Company SEA 4268143124
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP): EVENING PHONE:
12601 132nd Ave. N.F. Kirkland WE 98034
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
19-87000047-00-b1 _
CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required)
htp(oa
APPLICANT: NAME: DAYTIME PHONE:
Scott Waterbury 8883301777
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP): EVENING PHONE:
720 Dubuque Ave South San Francisco CA 94080 6506240400
RELATIONSHIP TO PROJECT: FAX NUMBER:
Q ARCHITECT OTENANT �jjdTHER (DESCRIBE). -YL8778465888
f V I E-MAIL ADDRESS
CONTACT PERSON FOR THIS PR03ECT. ❑ PROPERTY OWNER ❑ APPLICANT'k,�&ONTRACTO customerservic,
EXISTING USE: — EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED !lSE:__._._ PROPOSED VALUATION FOR IMPROVEMENTS: S 349 - --
SPRINKLED BUILDING? Q YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: pYES ❑ NO
WATER SERVICE PROVIDIER: ❑ LAKEHAVEN ❑HIGHLINE ❑TACOMA ❑PRIVATE (WELL)
SEWER SERVICE PROVIDIER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
R]D OM
JUN-19-01 10:45
FROM-NORTHWEST-CASSIMAR
206-374-0894
T-611 P.02/03 F-145
,. �.-...•ram v- If ---
**NFW RESIDENTIAL
NUMBER OF BEDROOMS:
ION ONLY*
ESTIMATED SELLING PRICE:
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S)—GAS LOGS). REFRIG. SYSTEM(S)
BBQ(S) FAN(S) — HOOD(S) WOODSTOVE(S)
�- BOILER(S) FIREPLACE INSERT(S)RANGE(S) MISC. ()
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ELECTRIC ❑GAS
PLUMBING
BATHTUB(S) LAVATORY(S) _URINAL(S) "I WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. —VACUUM BREAKER(S) 0 ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLETS) SINK(S) - WATER CLOSET(S) MISC.
INTERCEPTOR(S) SUMP(S)
l certify under penalty of perjury that the informationfurnished by me is true and correct to the best of my lcnowiedge,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 cialm), which may be made by any person, including the undersigned, and filed against tine City of
Federal Way, but only whet-e such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy
of the information supplio.d to that as a w,r �of hi application.
NAME/TITLE•Scott WatFrrbUrY ��Title� DATE: 06/1SI2001
❑ PROPERLY OWNER ❑ APPLICANT ❑ CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION
CENSUSCODE:
Z0r4MDES3GW TJODN:
QOMP PLAN II)MGNATION
SECTION TOMNSFRP RANGE
PLATTED LOT? 13 YES ❑
ALTERATION ❑ REPAIR
LOT Sl2E:
BUILDING SMELLONLY?
BASIC PLAN? ❑ YES
NEW ADDRESS"QUIREO?
C HANGF.OF USES ❑YES
❑ TEMANTIMPROVEMENT
Q YES ❑ N3
YES ❑ NO