03-103162If t
City 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: KACHMAN
Project Address: 648 SW 299TH PI
Project Description: Remove/replace gas water heater
Mechanical Permit #:03 - 103162 - 00 - ME
Inspection request line: 253.835.3050
Parcel Number: 233690 0030
Owner
Applicant
Contractor
Mildred Kachman & Norman Kachman
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
30535 28TH AVE S
12601 132ND AVE NE
12601 132ND AVE NE
FEDERAL WAY WA
KIRKLAND WA 98034
KIRKLAND WA 98034
98003-4802
1
1 (425) 814-8381
Mechanical Valuation..........................................449
Over the Counter Permit ...................................... Yes
PERMIT EXPIRES January 27, 2004.
Permit issued on July 31, 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.
Owner or agent: See 11 Date: See �pAlication
CITY OF 1'- LUtr"-N'- vvr-%'
BUILDING DEPT.
I-tEc-
CITY OF RECEIVED CONSTRUCTION PERMIT APPLICATION
PPUCATION NUMBER -
Federal Way JUL 3 12003 PPUCA110N NUMBER: J
PPUCMO� NY ""7-0 By
F ; FEDERAL VR AL VV Ay
**ThefiFg
�qftos6 =�16formatlon —Please print (in ink) or type* JUL 3 12003 018686
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
P'ROPEKTY INFORMATIC
SITE ADDRESS: 648 SW 299 PL, FEDERAL WAY, WA 98003 ASSESSORS TAX/PARCEL #: 2336900030
LEGAL DESCRIPTION OF SU53ECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY)-
■ PROJECT INFORMATION
TYPE OF PROJECT (This application): ci BUILDING n PLUMSING X MECHANICAL tj DEMOLITION
ri ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PR03ECT DESCRIPTION (Provide detailed description): Remove/Rel2lace Gas Water Heater
I
-OR14 c-fi[ryi#3 7i
Fj:i;A(qCKi1fl
KAXJNGG ADDRESS (STW'ffA_EbkL!K- 1 EVENING PHDNE�
RfcxliOfk;tC1P' FAX "twk-
n ARCHITECT 0 TENANT r.) OTHER ( DESCRIBE):
CONTACT PERSON FOR TMS PROJECT: o PROPERTY OWNER 0 APPLICANT CONTRACTOR
0 PR03ECT INFORMATION
EXLSTING USE:
EXISTING SMLD94G ASSESSED/APPRAISED VALUATION $_
PROPOSED USE: PROPOSED VALUATION FOR. IMPROVEMENTS: $__ -11449-00
SPRINKLIERED BUILDING? In YES n NO FIRE SUPPRESSION SYSTEM PROPOSEDJREQUIRED: u YES a NO
WATER SERVICE PROVIDER: o LAXEHAVEN n H14GHLINE a TAC014A 0 PRIVATE (WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE a PRIVATE (SEPTIC)
-46
'*NEW RESIDENTIAL CONSTRUCTION ONLY** I.
NUMBER R OF BEDROOMS:ESTIMATED SELLING PRICE.
PR03ECT FLOOR
AKttlill
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S)
EVAPORATIVE COOLER(S)
!CAS LOG(S)
REFRIG. SYSTEM(5)
., .., BBQ(S)
FAN(S)
HOOD(S)
_. WOODS'iOVE(S)
BOILERS) _
FIREPLACE INSERT($)
RANGE(S)
MISC. (
COMPRESSOR(S)
FURNACE(S)
_}
DUCT(S)
GAS PIK OUTLET(S)
NEAT SOURCE:
u ELECTRIC j GAS
PLUMBING
BATIITUB(S)
LAVATORY(S)
URINAL(S)
1 WATER HEATER(5)
DISHWASHER(S)
—RAINWATER SYS.
VACUUM BREAKER(S)
n ELECTRIC GAS
DRINKING FOUNTAIN(S)
SHOWER(S)
WASH MACHINE OUTLET
GAS PI'P'E OUTLET($)
SINK(S)
WATER CLOSET(S)
� MSC.
INTERCEPTOR(S)
SUMP(S)
DISCLAIMER /SIGNATURE RLC
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 holes harmless the. City of Federal Way as to any claim (including costs, expenses, and attorneys' fees Incurred ler 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, including its officers and employees, up=on the accuracy
of the information supplied to the city as a part of this application.
NAME/TITLE:— Permit Mt?r DATE; 07/30/2003
M PROPUtTY OWNER o APPLICANT S CONTRACTOR
rUNITY DEVVLOPMEW SERVICfES • 33530 FIRST WAY SOVM ■ PO aGX 9710 • FEDERAL WAYS WA "%3.9718.2SJ-"1-40W • FA% 253-"14I Z9