05-104310 I 3
• City of Federal Way Mechanical Permit#: 05 - 104310 - 00 ME
Community Development Services
P.O Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-305C
Project Name: Kitchpanich
Project Address: 2824 SW 342ND Pi Parcel Number: 294450 0320
Project Description: Change out(1)Gas Water Heater.
Owner Applicant Contractor
Steven S Kitchpanich WASHINGTON WATER HEATERS WASHINGTON WATER HEATERS
2824 SW 342ND PL 32015 56TH AVE S 32015 56TH AVE S
FEDERAL WAY WA AUBURN WA 98001 AUBURN WA 98001
98023-7618 (800)978-8588
Mechanical Valuation 900 00 Over the Counter Permit Yes
PERMIT EXPIRES February 20,2006.
Permit issued on August 24,2005
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 Application Date: 8b(4.55
w
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record .
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-104310-00-ME
Owner: STEVEN S KITCHPANICH
Address: 2824 SW 342ND PL
FEDERAL WAY, WA 98023-7618
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) ❑ Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By j Date 5, 2 Z. "
a RECEIVED BY 5 - I C '( 3 1 0
Federal*Nyu
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r FEDERAL WAY,WA 98063-9718
253-835.2607•FAX 253-835-2609
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IN PROPERTY INFORMATION/ z
SITE ADDRESS p2'`y 3 ✓/� �J, .,/ (.V TZ3 SUITE/UNIT f
ASSESSOR'S TAX/PARCEL$ 2- q _(_q a- () . o LOT SIZE(4)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach+epmale Fc fa imethil 4.gut desntpdo.
MI PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING IEECHANICAL
0 DEMOLITION ❑ ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
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PROJECT NAME(Name of Business or Owner Last Name) �/24-4-&--11/C-
II PEOPLE INFORMATION
PROPERTY
6 )
I. PRIMARY PHONE
OWNER �'MAILING ADDRESS
t �t G C .STATE,ZIP �V � (3/ k '
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CONTRACTOR COMPANY NAME APPUCANT NAME OFFICE PHONE
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Wa51n, V) - -'6(jC" ( c-, l-S'"-`r.,,. (,�00.4- (SZ )q- -SSS
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
"52 v t5 �(�4- \AC-4-- `-, ‘AL� -i.`t l,L-it `kC C (`-(Z5) 1 -` c6 i`6
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
Th-L Q-5. .5- Z `L` 0-- L /Z / 5 /Zaa:5 ("1 (4.4 3 )5 -m--(5.(/(4.4 ?> )5 -m--(S/
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) TION DATE
cit-% t C kA -1 G t (:2_ c) P l/7 /O .
APPLICANT C MP��+,NAME APPLICANT NAME / OFFICE PHONE
01.,4 „„7R ” G��'Y(�x/ - "u S 6eti4 rtn G`Gtu'..- ( (60 I'M - siias,
MAILING AD CELL
5 54-*" - 5 Ht hc. ) ,' 18-4)6/ ( 915)NE 3 57 -W4
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect o Tenant til‘it a Other(Describe) (t )3-)5 - 7Y5V
CONTACTNAME PRIMARY PHONE E-MAIL ADD ESS
u v., 0-0 a..- ( ) `'1") -` `�ts`o ho-i-wcu .-y LiutLE`fa..`t
LENDER per ItCW 19.27.095: Lender information is NAME C._ (
required ifpro(ect value exceeds 55,000
MAILING ADDRESS CITY.STATE,ZIP
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ ^ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES ❑ NO
WATER SERVICE PROVIDER a LAKEHAVEN ❑ HIGHLINE ❑ TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) ,,
•
•
•
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
MOST= PenPanv TOTAL TOTAL 1315aT010 w TOTAL PROPOS W TOTAL!
NUMBER OF FLOORS
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL c°
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(C..,m«oal) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES / GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combe) SHOWERS WATER CLOSETS(Two MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYS Erma.) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I certjfg under penalty of perjury that the information furnished by me is truf 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 wh>]ch the permit application is made. I further agree to hold
harmless the City of federal Way as to any claim(including costs, expenses, an attorneys'fees incurred in 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,upon the accuracy of the information supplied to the city as a part of
this application. Q �'(
NAME/TITLE J�� �G��-��x�`BA3 E U-�/ 05
(Signature) (Tale)
RELATIONSHIP TO PROJECT 0 Owner ent 0 Contractor 0 Architect 0 Other
FOR OFFICE USE ONLY
o NEW o ADDITION ❑ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES a NO BASIC PLAN? a YES ❑NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? ❑YES a NO UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES a NO DEMO PERMIT REQUIRED? o YES ❑NO
Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application