01-102057City of Federal Way Plumbing Permit #: O1-102057 - 00 - PL
Conununity 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: BELANTE C
Project Address: 1800 S 330TE( nitA108 Parcel Number: 298690 0080
Proiect Description: Pi, - RF,P1.ACF, F,IX WATER HEATER.
Owner
Applicant
Contractor
Russell Belante
NETCLERK, INC
FAST WATER HEATER COMPANY
1800 S 330TH ST #A-108
880 DUBUQUE AVE S
FAST WATER HEATER COMPANY
FEDERAL WAY WA
SAN FRANCISCO CA 94080
12601 132ND AVE NE
98003-9474
(425) 814-8381
Plumbing Fixtures
Descri tion Quanti Dest;ri tian Quar t' [Description [�uanii
Water Heaters 1
PERMIT EXPIRES November 20, 2001, IF NO WORK IS STARTED.
Permit issued on May 24, 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: 4,5 a
uVK.
L.
l c_�
CONSTRUCTION PERMIT APPLICATION
APPLICATION NUMBER D — L
f,
OP F.
��� APPLICATION NUMBER: — — — — — — — —
"The following is li � [ IzlTed :rnf }1 tai'- Please print (in ink) or type""
Please note: Electrical, Fire Prevention Systems and i ni gineering permits may require a separate application.
SITE ADDRESS: 33010 17TH PL S A108
■ PROPERTY INFORMATION
ASSESSOR'S TAX/PARCEL #: 2986900080 — — —
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ 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:
T W Belante 12538384448
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP):
33010 17th PI S #A108 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
WY 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
DAYTIME PHONE:
8883301777
EVENING PHONE:
6506240400
FAX NUMBER:
8778465888
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR4 customerservice@netclerk
■�lal_�I�a�1:11�1��11►`[�ll►`I1�]:�SC\�[�l►
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)
CONSTRUCTION ONL
NUMBER OF BEDROOMS! ESTIMATED SELLING PRICE:
FLOOR AREAS I
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
0
0
AIR HANDLING UNIT(S)
BBQ(S)
BOILER(S)
COMPRESSOR(S)
DUCT(S)
FIXTURES
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
FAN(S) HOOD(S) WOODSTOVE(S)
FIREPLACE INSERT(S) RANGE(S) MISC. ( )
FURNACE(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 FOUNTAINS) 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 claim ises ut of the reliance of the city, including its officers and employees, upon the accuracy
of the information supplied to the ci a o this application.
NAME/TITLE• Scott Waterbury <Title> DATE:05/11/2001
❑ PROPERLY OWNER ❑ APINEAAT ❑ CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑
ALTERATION ❑ REPAIR
❑ TENANTIMPROVEMENT
CENSUSCODE:
LOTSIZE:
ZONINGDESIGNATION:
BUILDINGSHELLONLY?
❑ YES ❑ ND
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES
❑VO
SECTION TOWNSHIP RANGE
NEW ADDRESS REQUIRED?
YES ❑ NO ❑
PLATTED LOT? ❑ YES ❑ ND
CHANGE OF USE? ❑ YES
LINO