04-101190City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name: BALIKOV
Project Address: 1112 SW 326TH P
Project Description: Remove/replace GAS water heater
Mechanical Permit #:04 -101190 - 00 - ME
Inspection request line: 253.835.3050
Parcel Number: 926494 0430
Owner
Applicant
Contractor
Martin Balikov & Susan E Balikov
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
1112 SW 326TH PL
12601 132ND AVE NE
12601 132ND AVE NE
FEDERAL WAY WA
KIRKLAND WA 98034
KIRKLAND WA 98034
98023-4921
(425)814-8381
Mechanical Valuation..........................................449 Over the Counter Permit...................................... Yes
PERMIT EXPIRES September 27, 2004.
Permit issued on March 31, 2004
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: . Qei1catio. Date: ?yam pN
NOTE: FINAL INSPECTION REQUIRED UPON
COMPLETION OF WORK
Mechanical rough -in:
Date
FINAL MECHANICAL: 3D a Z/
Date
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ederal Way PERMIT APPLICATION
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I FW File Number: (j) 4, fj no �m
The fallotuina is
will not be
SITE ADDRESS: 1112 SW 326 PL, FEDERAL WAY, WA 98023 SVITF./An f
AssEssows TAx/pARCEL #: 9264940430 — - — — — — SQUARE FOOTAGE OF LOT:
LEGAL DESCRIPTION leg: Aom Estates, 14t ))
(Attack separate~ for lengthy legal desch;p0bov
PROJECT INFOMIATION
TYM Oy FXRwT to& &*vw&t6ou1: 0 BUILDING C3 PLUMBING X MZCKAMCAL 0 DEKOLrmx
a ELECTRICAL a 13 FIRE PREVZNTZON 8Y&T=9
::PROJECT DESCRIPTION (Provide detailed description of work included on this earld on
Remove/ReDlace Gas Water Heater
PROJECT NAM (Name Offtsinomalowner umvamA- BALIKOV. MARTIN & SUSAN
1x*14#•
LENDER.,
APPLIC"IN
IWO. WMARPHOXV
BALIKOV. MARTIN & SUSAN (253)838-3066
MMU0 ADDRESS (STRFCt A00909X CITY, STATE. ZIP
1112 SW 326 PL FEDERAL WAY, WA 98023
NAME
COMPANY
-OP—WA PHONE
FAST WATER HEATER COMPANY
CrrY, STATE, 7AF
(425)814-3124
MAJUNG ADDRESS iMECT ADDRESS
Crry. STATE, gip
CM PHONE:
12091 2ND AVE NE
KIRKLAND. WA 98034
CITY OF FrANUM WAY DMNESS [ACENSE NUMBER. EXPIRATION 9 -M -fl:
PAX MUMSM'
8 7 - 0 0 0 0 4 7- 0 0
1 425 814-9516
3TRA'n;f" md2m-ail: 9XP1RATM NCM --
(to" 490044 twa.iW" mmu arpwau-A YA-$TYVUC45ZPk - — — — — — 02/16/2005
NMI: DAYTIME MONE:
MAIUNG ADDRESS (STREET ADDRESS* CITY, STATE, OF I
NAME,
COMPANY
-OP—WA PHONE
MAJUNG ADDRESS (STREET ADDRESS!:
CrrY, STATE, 7AF
EVENING PHONE:
BUT—OWIP-Ta R—mem
a Architect a Tenant C3 Other (Describet
FAX 04511-
PROPOSED USE:
EXISTING ASSESSED/APPRAISED VALUE # --YALUE OF PROPOSED WORK: $ $449.00
SPRINKLrAMD BUILDING' 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: 0 YES 0 NO
WATER SERVICE PROVIDER. a LAKOUVEN 0 HIGHLIKE o TACOMA n PRIVATE (WELL)
SEWER SERVICE PROVIDER. o LAKEHAvEN 0 H1GHLINE o PRIVATE (SEPTIC)
® PROJECT FLOOR AREAS
AREA _ EA DESCRIPTION
EXISTING SQ. FT.
PROPOSED S . FT.
TOTAL
BASEMENT
DRINKING FOUNTAINS
GAS PIPE OUTI.E'TS
SUMPS
FIRST
WASHING MACHINES
URINALS
HOSE BIBBS
SECOND
VACUUM BREAKERS
ELECTRIC WATER HEATERS
NOW ADI)RESS REQUIRED? .-0 YES a NO
THIRD
ONO
PLAITED LdT? o YES o NO
DELLO PERMIT REQUIRED? a YES
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK (COVERED?)
—
GARAGE/CARPORT
HOW MANY FLOORS?
Tru.UISMr.
mea FaoFoaw
rums.EXISTMAKDFROPM90
••1vEW Fio1KES ONLY" NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
radicate number of each type of fixture that is to be installed or relocated as part of this project. Do not include existing fixtures to rel
ACECHAMCAL
Valu# of Uechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LAGS REFRIG. SYSTEMS
BBQS FANS HOODSIC--&-04 WOODSTOVES
T_ BOILERS FIREPLACE INSERTS RANGES MISC (Descn'be)
---COMPRESSORS FURNACES GALS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS _(.,n,b/sna ercoo✓io}
SHOWERS
WATER CLOSETS tiei4ti} MISC (Describe)
DISHWASHERS
SINKS
DRINKING FOUNTAINS
GAS PIPE OUTI.E'TS
SUMPS
RAINWATER SYS
WASHING MACHINES
URINALS
HOSE BIBBS
LAVS moh..o ai k
t
VACUUM BREAKERS
ELECTRIC WATER HEATERS
DISCIALMEROISIGNATURL BLOCK
I cerWN under penalty of perjury that the Information furnished by nw 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' fe#s 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 arises out of the reliance of the city,
i+tebm%V its of toirs and employees, upon the accuracy of the information supplied to the city as a part of this application.
NAME/TITLE: -'- '. Permit MLr DATE. 03/24/2004
(Signatu-4 rritk)
RELATIONSHIP TO PROJECT, O Property Owner ❑ Applicant XContractor ❑ Architect ❑
FnR OFFICE,IIBE,OM.Y::..�, _ ;
o IEEW O ADDI MON
a ALTERATION
a REPAIR o TENANT IMPROVEMENT
Q.>li ONLY? a YE3 a 1[O
BASIC PLAN? a YES
n NO
7.011LfCID 1`iK)If:
,CHANGE OF USE? 13 YES
a NO
NOW ADI)RESS REQUIRED? .-0 YES a NO
IJP/SEPA/SU? o YES
ONO
PLAITED LdT? o YES o NO
DELLO PERMIT REQUIRED? a YES
a NO
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