03-100819City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Mechanical Permit #:03 - 100819 - 00 - ME
Jnspection request line: 253.835.3050
Project Names- - - MILOSCIA p4& _
Project Address: - 30720 19TWS - Parcel Number: 092104 9144
Project Description: Remove and replace gas watewr heater. - -
Owner
Applicant
Contractor
Mark A & Meschell M Miloscia
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
30147 46TH AVE S
12601 132ND AVE NE
12601 132ND AVE NE
AUBURN WA
KIRKLAND WA 98034
KIRKLAND WA 98034
98001-2957
(425)814-8381
Mechanical Valuation..........................................449 Over the Counter Permit ...................................... Yes
PERMIT EXPIRES August 25, 2003.
Permit issued on February 26, 2003
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. //ryry
Owner or agent:
See Application Date: U n
CONSTRUCTION PERMIT APPLICATION
CITY OFV;::� RECEIVED BY 4FPLICALit NN Et BER.: 0 r4E.
I.- - LOOT 00-
COMMUNrFY DEVELOPMENT DT:PARTWA
Federal Way APPUCA-110IN NUMBER:
FEB 2 6 2003 APPLICATI.ON NUMBER:
The following is req,.6red infocruation - Please print (in ink) or type. 017655
Pleasc! note.: Eloctncal, Fere Pr4',-vi,',!nVon 5y5tvms and Engineering permits may require a separate appitication,
PROPERTY INFORMATION
SII E ADDRESS - 30720 19 AVE S, FEDERAL WAY, WA 98003 ASSESSOR'S TAXIPARCEL,9., 0921049144
.. .......... --l-1-1-1 . . ............. .
L.LGAL DESCRIPTION OF SUBIECT PRC. PFRT-Y (ATTACH SEPARATE DESCRIPHON IF LLNGTtIY)-.
.... .......
PR03ECT INFORMATION
TYPE OF PROJECT (This application): BUILDING PLUMBING )C- MECHANICAL DEMOLITION
EI.ECTRICAL
ENGINEERING FIRE PREVENTION SYSTEM
PROTECT DESCRIPTION (Provide detailed description). Remove/Replace Gas Water Heater
CONTACT PERSON FOR THIS PROKCT; r') PROPERTY OWNER n APPLICANT CONTRACTOR L
PRO3ECT INFORMATION
J
EXISTING USE: .. . .......................... EXISTING BUILDING ASSESSED/APPRAISED VALUATION
PROPOSfO USE, PROPOSED VALUATION FOR IMPROVEMENTS: t $449.00
SPRINKLERED BUILDING? I YES f I NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: YES I NO
WATER SERVICE PROVIDER: ic- LAKE HAVEN -i HIGHLINE "I TACOt4A cl PRIVATE (WELL)
SEWER SERVICE PROVIMR: ci LAKEHAVEN :-' MGHLINE :,i PRrVATE (SEMC)
-NCV, RESIDENTIAL CONSTRUCTION ONLY"
Nidi
R F LOORS (DESCRIBE
DECK
Indicate number of each type of fixture
MECHANICAL
AIR HANDLIN43 UNITtS) ......... . .. . . __ EVAPORATIVE COOLER(S) GAS LOG(S) RErRIG. SYSTEM(S)
BBQ(S) FAN(S)HOOD(S)
BOILER(S) FIREPLACE INSER'l (S) RANGE(SWOODSIOVE(S))
COMPRFSSOR.(S) w FURNACE(S)
................. . .. DUCT($) GAS PIPE OUTLET(S) HEAT SOURCE: u ELECTRIC GAS
PLUMBING
. . . .
.......... BAT111"US(S) — - LAVATORY(S) . . .... URINAL(S) I 'WATLIZ HEATFR(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER.(S) ' ELECTRIC X GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLE:T(S) SINK(S) WATER CLOSET(S) misc.
INTERCEPTOR(S) SUMP(S)
DISCLATMER/SIGNATURE SWCK
..........
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" tees incurred in the
investigationand 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, including its officers and employees, upon the accuracy
of the information supplied to the city as a part of this application-
NAME/IITLE: Permit Mgr DATE: 02/25/2003
'
PROPERTY OWNER ..i APPLICANT X CONTRACTOR
ONEW 0 ALTERATION 0 REPAIR, TENANT IM
CENSU
ZONING I)MGN ATI0lN,(-.-
BUILDING SHEU YE.
R' A" q T'r— P1 A N' 7' rn gree 4f
TOWNSHIP RANGE
- ----------...... -'— . ...................
LOT? ."o YES, zi No
COMMUN[Ty MVIJ iNIMEM �kRVICL5 - 33530 F1F6'T WAY SOUT14 - PO VIX97111 - Kli-A RAL WA-, WA W063,9718 - 253-661-40M, - rAJX: 253-6061-4129