03-105030It
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: KRSUL
Project Address: 2327 SW 350TH P1
Project Description: Replace gas hot water tank.
Mechanical Permit #: 03 -105030 - 00 - ME
Inspection request line: 253.835.3050
Parcel Number: 176110 0400
Owner
Applicant
Contractor
Rudolf Krsul & Nadine D Krsul
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
2327 SW 350TH PL
12601 132ND AVE NE
12601 132ND AVE NE
FEDERAL WAY WA
KIRKLAND WA 98034
KIRKLAND WA 98034
98023-3084
\
(425)814-8381
Mechanical Valuation..........................................449 Over the Counter Permit ...................................... Yes
PERMIT EXPIRES May 5, 2004.
Permit issued on November 7, 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. p
Owner or agent: See Application'' Date: 11-7-03
RECEIVED BY CONSTRUCTION PERMIT APPLICATION
cl Ty OF T�'F)PVFI. OP�IENT DEPARTMENT . . ... . . . .................... . .... .............................. ........... 1;11;.R
PPUCA-nON NUMBER: oa'L0'EQ3!2
rU
Federal Way NOV 0 6 2003 PPUCAAMN NUMBER'
0 PPUC
IlCkb'HON NUMBER:
**The following is required information — Please print (in ink) or type* 019285
Plense note. Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
PROPERTY INFORMATION
SITE ADDRESS: 2327 SW 350 PL, FEDERAL WAY, WA 98023 ASSESSOR'S TAX/PARCEL #: 1761100400
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PROJECT INFORMATION
TYPE OF PROJECT (This application): n BUILDING n PLUM SING )0 M.*�CHANICAL B DEMOLITION
n ELECTRICAL o ENGINEERING ri FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): Remove/Replace Gas Water Heater
CONTRACTOR:
APPLICANT,
ri ARCHITECT 0 TENANT 0 OTHER (DESCRIBE): 1(
CONTACT PERSON FOR THIS PR03ECT: n PROPERTY` CrWNER o A"LICANT R CONTRACTOR
N PROJECT INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSEDIAPPRAMD
PROPOSED USE:
SPRINKLERED BUILDING?
WATER SERVICE PROVIDER:
PROPOSED VALUATION FOR IMPROVEMENTS, $449.00
P, YES n NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED- o YES to NO
0 LAKEHAVEN n HIGHLINE 0 TACOMA n PRIVATE (WELL)
SEWER SERVICE PROVIDER* o LAKEHAVEN n RIGHUNE a PRIVATE (SEPTIC)
"*NEWsRES'IDENTIALCONSTRUCTION ONLY**
'NUMBER OF BEDROOMS-,
ESTIMATED SELLING PRICE:
■ PROJECT FLOOR AREAS
Indicate nurnber of each type of fixture
MECHANICAL
AIR HANDLING U rT(S)
EVAPORATIVE COOLER(S)
GAS LOG($)
REFRIG. SYSTFM(S)
BBQ(S)
FAN(S)
HOODS)
WOODSTOVE(S)
SOILER(S)
COMPRESSORS)
FIREPLACE" INSERT(S)
FURNACE(S)
RANGE(S)
MSC:. ( -
DUCT($)
GAS PIPE OUTLET(S)
HEAT SOURCE;
a ELECTRIC o GAS
PLUMBING
BATHTUS(S)
LAVATORY(S)
URINAL(S)
1 WATER HEATFR(S)
__.. DISHWASHER(S)
RAIN WATER SYS.
VACUUM BREAKER(S)
1 ELECTRIC X GAS
[DRINKING FpUNTAIN(S)
SHOWER($)
WASH MACHINE OUTLET
a . a GAS PIPE OUTLET(S)
SINK(S)
WATER CLOSET(S)
�. MISC. ( )
INTERCEPTOR(SS) �
_ SUMP(S)
13LOCK
I curry Under penalty of perjury than the information furnished by me is true and correct to the best of my knowledge, and
further, hark I am authorized by the owner of the above premises to perform the wont 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' fees incurred in the
Investigation and deform 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 anises out of the reliance of the city, including its *Mcers and employees, capon the accuracy
of the information supplied to the city as a part of this application.
EVAMEITI'i'LE: — ,Permit Mgr_._ DATE.- 11/05/2003
PROPERTY OWNER -1 APPLICANT CONTRACTOR
COMMUNI'r y DeVtt,OPMENT S VICES • 335M FIRST WAY SOtM • PO BOX 9716 • FEDLRAL AY, WA 98063.9718. 253-"1-4000 • PAX;; 253-661-4129