01-101751City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129
Plumbing Permit #:01-101751 - 00 - PL
Inspection request line: 253.835.3050
Project Name: D�V S�vJ
Project Address: ��}8-'FH S'ldb' Unit2A Parcel Number: 856110 0050
Project Description: PLMB - Replace electric hot water tank.
Owner
Applicant
Contractor
NETCLERK, INC
FAST WATER HEATER COMPANY
220=4 A S22 44 A S:AZV�:)
880 DUBUQUE AVE S
FAST WATER HEATER COMPANY
FEDERAL WAY WA 98023
SAN FRANCISCO CA 94080
12601 132ND AVE NE
(425)814-8381
Cz o Z 4 -5 3 LPL, ,
Water Heaters
I hereby certify that the .abo on
the occupancy and th4w'U
the City of Federa
Owner or agent
l
0
Plumbing Fixtures
Description Quanti
2001, IF NO WORK IS STARTED.
on May 3, 2001 �`µs
F F'/
IN
, 0 e' C--J
isFIY
CONSTRUCTION PERMIT APPLICATION
APPLICATION 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: 31841 18TH_AVE SW 2A
■ PROPERTY INFORMATION
ASSESSOR'S TAX/PARCEL #: 8561100050 —
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:
APPLICANT:
CONTACT PERSON FOR T
■ PEOPLE INFORMATION
NAME: DAYTIME PHONE:
Tonya Davis 12539252178
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP):
2024 A SW 318th PI Federal Way WA 98023
NAME:
DAYTIME PHONE:
14258143124
Fast Water Heaters Company
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP); EVENING PHONE:
12601 132nd Ave. N.E. Kirkland W1 98034
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
19-87000047-00-bi
CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required)
NAME:
DAYTIME PHONE:
NetClerk Inc
8883301777
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP):
EVENING PHONE:
720 Dubuque Ave South San Francisco CF 94080
6506240400
RELATIONSHIP TO PROJECT:
FAX NUMBER:
❑ ARCHITECT ❑TENANT ❑ OTHER (DESCRIBE):
R778465888
E-MAIL ADDRESS
HIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTO
customerservice@netclerk
N DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ 3i1{
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)
**NEUJ 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:
0
0
0
AIR HANDLING UNIT(S)
BBQ(S)
BOILER(S)
COMPRESSOR(S)
DUCT(S)
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLERS) 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)
DISHWASHER(S) RAIN WATER SYS.
DRINKING FOUNTAINS) SHOWER(S)
GAS PIPE OUTLET(S) SINK(S)
INTERCEPTOR(S) SUMP(S)
)TSCLATMER/SIGNATURE BLC
URINAL(S) 1 WATER HEATER(S)
VACUUM BREAKER(S) 0 ELECTRIC ❑ GAS
WASH MACHINE OUTLET
WATER CLOSET(S) MISC. ( )
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 a person, including the undersigned, and filed against the City of
Federal Way, but only where such clai r' a out of the r Of t , including its officers and employees, upon the accuracy
of the information supplied to the cl f t
NAME/TITLE•Scott Waterbury DATE: 0 4/05/2001
❑ PROPERLY OWNER ❑ A�P ICANT CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑
ALTERATION ❑ REPAIR
❑ TENANTIMPROVEMENT
CENSUSCODE:
LOT SIZE:
ZONING DESIGNATION:
BUILDINGSHELLONLY7
El YES ❑ ND
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES
ENO
SECTION TOWNS1-QP RANGE
NEW ADDRESS REQUIRED?
YES ❑ NO ❑
PLATTED LOT? ❑ YES 0 ND
CHANGE OF USE? DYES
LINO