03-104279r 4
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: KIM oe/
Project Address: 32718 19TH SW
Project Description: Remove/replace gas water heater
Mechanical Permit #:03 -104279 - 00 - ME
Inspection request line: 253.835.3050
Parcel Number: 010455 0520
Owner
Applicant
Contractor
Hyoung Kim & Myong Sook Kim
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
32718 19TH AVE SW
12601 132ND AVE NE
12601 132ND AVE NE
FEDERAL WAY WA
KIRKLAND WA 98034
KIRKLAND WA 98034
IigCfts 1 ,Ayaluation..........................................449
Over the Counter Perm it...(.425)•81.4-3384.••••••••
Yes
PERMIT EXPIRES March 15, 2004.
Permit issued on September 17, 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. see Application.
Owner or agent: Date: see Application
y
CITY*GF 4A RECEIVED BY
Fe- d era 1 VO4 Wryr)EVELOPMENT DEPARTV7N'-
SEP 15 2003
I I I I a 0 1 " r# a to
1100ri'll
EMON NUMBER-
V'PP-tCATION NUMBER:
""The following is required information — Please print (in ink) or type'. 018942
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
PROPERTY INFORMATION
SITE ADDRESS: 32718 19 AVE SW, FEDERAL WAY, WA 98023 ASSESSORS TAX/PARCEL #- 0104550520
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
TYPE OF PROJECT MT is application): o BUILDING n PLUMSINO X MECHANICAL r! DEMOLITION
riELECTRICAL Q ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): Remove/Replace Gas Water Heater
PROJECT NAME: KID4, H
;53 ';CT INFORMATION
PROPERTY OWNER:
KIM, HYOUNG
KAJUN5A0PRVZG-,TRU1AL" ;CITY, STAU, ZIP):
32718 19 AVE SW FEDERAL WAY, WA 98023
DAMME FHME.-,
((206)28-1551-
KAXIWG ADDRESS (STREET AD0PA-'S%- C111,SrArt, airy ): EMING PHONE
RRAnow'WTO PROXM FAX "UR,
n ARCHITECT 0 TENANT 0 OTHER( DESCRIBE):,
CONTACr PERSON FOR THIS PR03ECT: n PROPERTY OWNER DAPPLICANT 3?CONTRACTOR
0 PROJECT INFORMATION
SPRINKLERED BUILDING?
WATER SERVICE PROVIDER.
SEWER SERVICE PROVIDER%
EXISTING BUILDING ASSESSED/APPRAISED VALUATION
PROPOSED VALUATION FOR IMPROVEMENTS; $— $449.00
* YES n NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED, YES o NO
* LAKEHAVEN n HIOHLINE In TACOMA a PRIVATE (WELL)
c3 LAKEHAVEN 0 HIGHLINE 13 PRIVATE (SEPTIC)
*:14EW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS,
ESTIMATED SELLING PRICE:
PR03ECT FLOOR AREAS 1
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S)
EVAPORATIVE COOLER(S)
GAS .OG(S)
REFRIG. SYSTEM(S)
- BBQ(S)
FAN(S)
HOOD(S)
WOODSiOVE(S)
BOILERS)
FIREPLACE INSERT(S)
.a RANGE(S)
MISC. ( )
COMPRESSOR(S)
FURNACE(5)
DUCT(S)
GAS PIIS OUTLET(S)
HEAT SOURCE:
a ELECTiuC u GAS
PLUMBING
BATHTUS(S)
_ LAVATORY(S)
URINAL(S)
1 WATER HEATER(S)
DISHWASHER(S)
RAINWATER SYS.
VACUUM BREAKER(S)
0 ELECTRIC Xr GAS
DRINKING FOtiNTAIN(S)
SHOWER(S)
WASH MACHINE OUTLET
GAS PIPE OUTLET(S)
SINK(S)
WATER CLOSET(S)
� , . misc.( )
INTERCEPTOR(S)
SUMP(S)
BLOCK
I certify Under penalty of perjury that the information burnished 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 claire (including costs, expenses, and attomeys' fees Incurred in the
Investigation and de€ense of such Bairn), 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 appikation.
NAME/TITLE: �'--Permit Mer DATE; 09/11/2003
.a PROPERTY OWNER 0 APPLICANT CONTRACTOR
ODMMUNMY VVYVLOPMEW SMVIC S+33530 FIRST WAY SOUni • P9 BOX 970 • FEDLAAL WAY, WA 99063-9718. 257-661-40Q0 • PAX: 253-661-4179