04-105090 City of Federal Way
Community Development Services Mechanical Permit #: 04 - 105090 - 00 - ME
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
Project Name: KIRCHNER
Project Address: 5134 SW 327TH PI Parcel Number: 189832 0200
Project Description: Remove/replace gas water heater
Owner Applicant Contractor
Victoria M Kirchner &Carl S Kirchner FAST WATER HEATER COMPANY FAST WATER HEATER COMPANY
5134 SW 327TH PL 12601 132ND AVE NE 12601 132ND AVE NE
FEDERAL WAY WA KIRKLAND WA 98034 KIRKLAND WA 98034
98023-1942 (425)814-8381
Mechanical Valuation 1493 Over the Counter Permit Yes
PERMIT EXPIRES June 14,2005.
Permit issued on December 16,2004
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. See Application See Application
Owner or agent: Date:
It COO D Nr FINp ' 0111041
THIS CARD IS TO REMAIN ON-SITE
CITY OF A Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-105090-00-ME
Owner: VICTORIA M KIRCHNER
Address: 5134 SW 327TH PL
FEDERAL WAY, WA 98023-1942
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD.
Inspections are listed as close to sequential order as possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not
be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections
are logged on the back of this card.
,
0 Mechanical Rough-in(4165) CIGas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By G Date •►
�TMop 6.��` �� RECEIVED BY --q... - 4 c. S _0 lI�
. Federal 'vgI{I NITY DEVELOPMENT DEPARTME E R M I T •
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The otlowirt• Is re,uired in orrnation-an {acorn letc a••tic-anon wilt not be acce•ted. Please •r{nt legibly{(in tnk)or t . •
PROPERTY INFORMATION
SITE ADDRESS 5134.SW_327 P.L,.FEDERAL wAV WA 98023___.. ._ ._. ___ SUITE/UNIT I .
ASSESSOR'S TAX/PARCEL I 1898320200 - — .. -" _.. - LOT SIZE (;/) __
LEGAL DESCRIPTION to,q Aeme!';slate;, Lot 1) _ __._ _— - __ _ ___, _ —
PROJECT INFORMATION
TYPE OF PERMIT LI BUILDING ti PLUMBING XMECHANICAL
Ll DEMOLITION LI ELECTRICAL. n ENGINEERING is FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Ptos'cdc detailed description of work mcludefl on hits permit onto)
Remove/Renlace Gas Water Heater _ ^ ___, _
PROJECT NAME(Name ofBusiness of Owner Last Nwmi 4(, ,,__-•„„ _ —.. _ _____ _____
PENI,c 3:1:'':R!iA'CIiC'Ir
PROPERTY NAME, -.. -- 112,1A1AKY t'titr:I':- j
OWNER KIRCHNER. CARL (253)661-3194 )
MAILING AJSrKFEa COTY.STATE.'LIP
5134 SW 327 PL _FEDERAL WAY,WA.98023 _._ .
CONTRACTOR C'f1Mi•ANYN+i>•t: -..,... — -.-- _,_.AI'I'LIC.AN'TNAME r)1-Flt.F:1'IIorH
FAST WATER HEATER COMPANY (425)814-3124
"MAltrh..AI)DI< 4 -. . ---
. ----
Cr.IY,STATE,1Li-- -. .... - . - <'I:I.1.Piit)r:h " -- ,.
12601_.1.3.2ND_AYE..NE____. ______KIR LAND...WA..2803_4__ _ _
OW 01.I E.:I)t:KAI.WAY UUSINF,i UCCr(SL' Ni!MfiFti F.>LPil-AT!UN twit, FAX r.'IM;1El'
_8 7. - _O -0-0.F. 0_ 4_7_ -0 11
425 814-9516 ,
CU.••ti 'SO ^-i F£C.Z 1I&_ M t1UAlll[:k I
AL1Ocopy or cud requited will,earl,epa
piiciont.'_ ,__ -__.___ _.. • - - 1,X 111,A1 l'(;.4 UA i I. i
f EASTWH�052DE- __ — _ . . --- _.. — . — 02/16/2005
APPLICANT t't'MI'A NY N&ME AI'i'LICANT NAME, J —' in,1,1CT,I'lioNt ....
MAII.NIIAr)Uklti, Ci EY,!iTATC,ZIP t LLL I'li'INI
k1.lJtlt(K:111i'St.)Rtt111°.7 IA. .I)M::r I<'
tl Atchutrt I1 Tenant t Agent U Other(!)t'"•ribe)—_. ____. _.., __.
C UtiTAC^'I `hAM1: - I P!<!MAKY rl1 J`1F hV�SAtI,AIIt)Kh.,=ti
LENDETi Per RCN'19.27.095: Lender information is' '
tf Nniar.� )
required if protect value exceeds$5,000 ` _ _ .__ _..__,.
r,IAILIN'l Al)t14tEES— UT',St Al F.,Ili'
DETAILED}WILDING INFORMATION
EXISTING USE _, , . . PROPOSED USE ....—_ I
EXISTING ASSESSED/APPRAISED VALUE $ ,-_-, VALUE OF PROPOSED WORK $ $449.00
SI'RINKLEREI) BUILDING? I1 YES I NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? i) YES "1 NO
WATER SERVICE PROVIDER nLAKEHAVEN a HIGHLINE I I TACOMA ti PRIVATE(WELL) i
SEWER SERVICE PROVIDER ri LAKEHAVEN 11 IIIGHLINE 11 PRIVATE(SEPTIC) 1
■ PROJECT FLOOR AREAS
t AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ. FT. _
BASEMENT --- --TOTAL _I
FIRST .
SECOND —
._
TIIIED
FOtifiTII
}
ADDTTFONAL FLi.K)RS(t)i .`:3(•I IfiF•;) I 3
GARAGE/CARPORT
-11OW MANY FLOORS' Tot u.uutu� Toru.tookrvsu 3j T•)774nuSiittr,,..}u rP,i-Yi D
••N1sW HOMES ONLY•• NUMBER OF,BEDROOMS-,__,,_ ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be Installed or relocated cls part of this project Do not ntcludc existing f inureto(I'M/jilt
MECHANICAL __�. - — _
Value ofAJecduzmca1 Work S_. _____
_••_ _ AIR I)ANNI.1LING UNITS `•,__ EVAJK)RNIIVI':COt)LF S _� GAS I.C)GS Ni•.FI'I G StiS"EM"
ti:IQS FANS IiO)US p••s,:m.,„.t, __.-_ tl') )U;.T(r.'i•:::
BOILERS ERS FIREPLACE INSERTi _ RANGES Milie P.-A.4'04,-1
COMPRESSORS FURNACES .X GAS WATER IiEATI,N7; ,
_ _ I)UUIS GAS PIPE OUTLETS ,
PLUM73ING
BATITULiS ,�Tu154u...rc,arr _ SHOWERS lVtF?CLOSt^S .„ .. -- ._ ti..r:•; .-,.,,,ir; 1
_.____
UISIJWA.SIIERS `:INKS DRINKING I-OuNrAI?i.,
_._ GAS PIPE OUTLETS ;;U-MPS . . ___ RAINWATER SYST
WASNINO MACHINES URINALS , , , , , 110SE JlMIMS
LAVS Sttatko._t a4�k.r_, ..,. VACUUM I1REARFb'S ELECTRIC WATER IIEAT i•.P.< I
DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perfury that the information furnished by me is true and correct to the best of my knowledge, and further, that I
am authorised 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'fees incurred in the investigation and defense of i
such eiaimj which may be made by any person, including the undersigned, and ftlad 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/TITLE ..-`” '"J-- iG : -' ~ ______._ .Permit Mgr DATE 1.030/2004
RELATIONSHIP TO PROJECT :I Owner ti Agc•uL X Contl.ti,nr :: Arehuet t t: Othrr•— —_
FOR OFFICE USE ONLY
u NEW r.ADDITION n ALTERATION i, REPAIR t:TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? ;•YTS NO 1
ZONING DESIGNATION
CI3ANGE OF USE? u YES NO
l NEW ADDRESS REQUIRED?- tt YES NO UP/SEPA/SU? YES .D NO
i PLATTED LOT? r t YES (: NO DEMO PERMIT REQUIRED? :• YES • NO
Iitalctut ii 10t) March 30.2001 I'ap'2 of 4 1\I I:nnt,'uts I(t'N i•..-,1 linnet Aplrli,a:1.w