06-102746c
� t c 4 3
City of Federal Way
Community Development Services ormechanical Permit #• 06 -102746 -00 -ME
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
Project Name: SWAINE
Project Address: 510 SW 326TH ST Parcel Number: 926490 2070
Project Description: REP - replace due to fire damage.
Owner
Applicant
Contractor
ROY A SWAIN
FEDERAL WAY FURNACE RPR & CLNG
FEDERAL WAY FURNACE RPR & CLNG
ROBIN S MAHLMAN
2563 S 365TH PL
2563 S 365TH PL
510 SW 326TH ST
FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
FEDERAL WAY WA
98023-5640
Y �
y THIS ,CARI,) IS TO REMAIN ON-SITE -
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -102746 -00 -ME
Owner: ROY A SWAIN
Address: 510 SW 326TH ST
FEDERAL WAY, WA 98023-5640
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.
Mechanical Rough -in (4165) Gas Piping (4125) Final - Mechanical (4065)
Approved Approved to release test Approved
By OC C/v Date By G y Date 7—S = By Date 3.17.645
R
0
RECEIVED 6Federal way PERMIT
Coum"?YDMLOPMEM'sERw" N 0 2 2006 SF MF CO I EL PL DE EN FP
33325 8h'AVEWA , WA 9 • PO BOX 9718 p LI CATI O N
FEDERAL WAY, WA 98063-9718
253-835-2607• FAX 253-�s4e 0 F FEDERAL �—
�W�. rrea�m BUILDING DEPT,
77tetoUotvina is ormation - an inco lete Ucation will not be ggMtsd. Please print (in ink) or
PROPERTY INFORNLNTION
SITEADDRESS S 2 Tti S r AVA$6 JkOZ-3 SUITE/UNIT r
ASSESSOR'S TAX/PARCEL # - _0 LOT SIZE (si
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
Wtach WPWate Pcwf r lengmu legW desa wU
PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING /YMECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detaUed description of work
included on this Dennit onlul
CPA -7 c ( /t s ?ii oa/i/a . e�c;'1 Iw>n.' �D(�%/� %.V
PROJECT NAME (Name of Business or Owner Last Name] 4,24 i -4Z e
PEOPLE••
PROPERTY
OWNER
CONTRACTOR
CONTACT
LENDER
EXISTING USE
NAME PRIMARY ;P
(t�'3 ) 7Eft - gZJS"
MAUMfirADDRESS CITY, SPATE, ZIP
SAAc to W 26t c / e73
COMPANY NAME
APPLICANT NAME
OFFICE PHOdNE
G e✓ � f✓I/�lAC,
MAILING ADDRESS
(253)67y D
MAILING ADDRESS f
'76S -Ir"(
CITY, STATE, ZIP
, ava/ kW,4 Ov
CELL PHONE
(2,573) 26 i - � l
CITY OF FEDERAL. WAY BUSINESS LICENSE NUMBER EXP TION DATE
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other (Describe)
( ) -
CONTRACTOR'S REGISTRATION NUMBER (copy of cud regdred with each application) EXPIRATION DATE
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
c .Ks Ga,tr P c to v
MAILING ADDRESS
( ) -
MAILING ADDRESS
CITY, STATE, ZIP
CELL. PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other (Describe)
( ) -
NAME /PRIMARY PHONE E-MAIL ADDRESS
S N ( ) -
401W 191=' ,j
NAME
MAILING ADDRESS
CITY, STATE. ZIP
PHONE
EXISTING ASSESSED/APPRAISED VALUE
SPRINKLERED BUILDING? ❑ YES FIRE SUPIPF
WATER SERVICE PROVIDE KE#IAVEN ❑ HIOBIRM
SEWER SERVICE PR ER ❑ LAKEHAVEN ❑ HIGM1NE
PROPOSED
OF PROPOSED WORK $
SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
-TACOMA ❑ PRIVATE (WELL)
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing jUtures to remain.
MECIIANWAL
Value of Mechanical Work $ � ��' C) 0
SINKS
DRINKING FOUNTAINS
_ SUMPS
L AIR HANDLING UNITS
EVAPORATWE COOLERS
GAS LOGS
�MS
BBQS
FANS
HOODS (c -Trap
WOODSTOVES
BOILERS
FIREPLACE INSERTS
RANGES
MI (Describe)
COMPRESSORS
FURNACES
GAS WATER HEATERS
A�
7 -DUCTS
GAS PIPE OUTLETS
for ILb/Shower Combo)
GAS PIPE OUTLETS—
WASHING MACHINES
LAVS (Bathroom Smkal
SHOWERS
WATER CLOSETS aollep _
SINKS
DRINKING FOUNTAINS
_ SUMPS
RAINWATER SYST
HOSE BIBBS
VACUUM B
ELECTRIC WATER HEATERS
WSC (Describe)
I certify under penalty of perjury that the igformation 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 pergorm 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
such claim), which may be made by any person, including the undersigned, and,Jlled 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 (/A .(�/� / S,�---�r�,✓�- DATE
(signature) @tie)
RELATIONSMP TO PROJECT ❑ Owner ❑ Agent ❑ Contractor ❑ Architect ❑ Other
Bulletin #100 — January 1, 2006 Page 2 of 4 MandoutsWermit Application