01-102153City of Federal Way Plumbing Permit #: 01-102153 - 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: K 3LLY �� t
Project Address: 18140 S 336TH�Unit102
Project Description: PLMB - Replace electric hot water tank.
Owner
Noreene V Kelly
1830 S 336TH ST 4C102
FEDERAL WAY WA
98003-8981
Applicant
NETCLERK, INC
880 DUBUQUE AVE S
SAN FRANCISCO CA 94080
Parcel Number: 788070 0100
Contractor
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
12601 132ND AVE NE
(425)814-8381
Plumbing Fixtures
Description Quenti Description Quanti Description
❑uantit
Water Heaters I
PERMIT EXPIRES November 27, 2001, IF NO WORK IS STARTED.
Permit issued on May 31, 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: S- 3 l, O I
Irei'_�a"�,d�r� r..�dr��5
(;BMMUNITy OENEL0pMEK'1'- l)[ All l ldi LlV 7
CONSTRUCTION PERMIT APPLICATION
APPLICATION NUMBER• a1-- -LP-ZLS 3 _:�-1°� -
APPLICATION-`J 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: 1830 S 336TH ST C102
■ PROPERTY INFORMATION
ASSESSOR'S TAX/PARCEL #- 788070010— _ _
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
I. ■ PROJECT INFORMATION
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;
PROPERTY OWNER:
CONTRACTOR:
- ■ PEOPLE INFORMATION
NAME: DAYTIME PHONE:
Noreene Kelly 12536612708
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP):
1830 S 336th St #C102 Federal Way WA 98003
NAME:
DAYTIME PHONE:
Fast Water Heaters Company
14258143124
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP):
EVENING PHONE:
12601 132nd Ave. N.E. Kirkland
WE 98034
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
19-87000047-00-bi
CONTRACTORS REGISTRATION NUMBER:
EXPIRATION DATE:
(copy of card required)
APPLICANT: NAME:
Scott Waterbury
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP):
720 Dubuque Ave South San Francisco
RELATIONSHIP TO PROJECT:
❑ ARCHITECT ❑TENANT ❑ OTHER (DESCRIBE):
CF 94080
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑
EXISTING USE: _
PROPOSED USE:
■ DETAILED BUILDING INFORMATION
DAYTIME PHONE:
8883301777
EVENING PHONE:
6506240400
FAX NUMBER:
8778465888
E-MAIL ADDRESS
customerservice
EXISTING BUILDING ASSESSED/APPRAISED VALUATION $—
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)
**NEW RESIDENTIAL CONSTRUCTION ONLY:"
NUMBER OF BEDROOMS' ESTIMATED SELLING PRICE:
FLOOR AREAS
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:
p
p
1 0
FIXTURES
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S)GAS LOG(S)
BBQ(S) FAN(S) HOOD(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S)
COMPRESSOR(S) FURNACE(S)
REFRIG.SYSTEM(S)
WOODSTOVE(S)
MISC. ()
T DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ G AS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) 1 WATER HEATER(S)
DISHWASHERS) RAINWATER 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)
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 clai is out of the reliance of the city, including its officers and employees, upon the accuracy
of the information supplied to tip of this application.
NAME/TITLE• Scott Waterbury <Title> DATE: 05/22/2001
❑ PROPERLY OWNER ❑ LI ANT ❑ CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑
ALTERATION ❑ REPAIR
❑ TENANTIMPROVEMENT
CENSUSCODE:
LOTSIZE:
ZONING DESIGNATION:
BUILDING SHELL ONLY?
❑ YES ❑ m
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES
❑VO
SECOON TOWNSHIP RANGE
NEW ADDRESS REQUIRED?
YES ❑ NO ❑
PLATTED LOT? ❑ YES ❑ ND
CHANGE OF USE? ❑YES
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