05-106278 Irk •
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City of Federal Way Mechanical Permit #: 05-106278-00-ME
Community Development Services
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: KOVALIK
Project Address: 33506 10TH PL S Parcel Number: 926501 0030
Project Description: Install range hood to exhaust out rooftop
Owner Applicant Contractor
SUSAN KOVALIK SUSAN KOVALIK SUSAN KOVALIK&ASSOCIATES INC
SUSAN KOVALIK&ASSOCIATES INC SUSAN KOVALIK&ASSOCIATES INC 33506 10TH PL S
33506 10TH PLS 33506 10TH PL S FEDERAL WAY WA 98003
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
Additional Permit Information
Mechanical Valuation 285 Over the Counter Permit? Yes
Mechanical Fixtures
Hoods 1
CONDITIONS:
PERMIT EXPIRES Tuesday, June 6, 2006 _ .,
Permit Issued on Thursday, December 8, 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
a d t e -ity of Federal Way.
1 ('
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Owner or agent: �, `�' ' Date:
•
-�` THIS CARD IS AIN ON-SITE Ar
CITY OF Pommunity Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-106278-00-ME
Owner: SUSAN KOVALIK
Address: 33506 10TH PL S
FEDERAL WAY, WA 98003-6306
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 fief Date //Ai*
` 'aTY of A _ /^
Federal Way RECEIVED --49 1
PERMIT
1 COMMINITYDEVSWPMENTSERVII S SF MF CO EL PL DE EN FP
3332SfmAVENUESOUIN � EC 0(� 8Q 2�SPPLICATION
FEDERAL WAY,WA 98.073-971897t ` V O /w /
253435.2607•FAX 253-535-2609
www.cituoffederalwau.com
The oliowl , isC)TY OF FEDERAL WAY
-j••an{nco •fete • ••licatton will not be acce•ted. Please •rint ie• .1 n in or
/ NIPROPEPTY INFORMATION A,
.- SITE ADDRESS 33 570 6 / e AP/ J o /1! / SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _ _ _ / LOT SIZE(sj)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
/eaaeh aeparatePOW larIff NI twat dpwi.oWO
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING MECHANICAL
0 DEMOLITION 0 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) K V i L I K
is PEOPLE INFORMATION
PROPERTY NAME
Ke1,odie
PRIMARY PHONE ,,J�OWNER -SOSQGj (4z ) S(j=gega
MAILING ADDRESS CI ST E,ZIP
33 sd ss (e e6ce z ee4(tic4`I i 11)4L7�v,
CONTRACTOR COMPANY NAMEAPPLICANT NAME OFFICE PHONE
Se-R sp o0 ( )
MAILING ADD aTY,STATE,ZIP CELL PHONE
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• CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE - FAX NUMBER
B L / / ( )
CONTRACTORS REGISTRATION NUMBER(copy of card requited with each applicatioal EXPIRATION DATE
/ /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
c.5'e edbouto . ( ) _
MAILING ADD CITY,STATE,ZIP - CELL PHONE
( ) -
REIATIONSHIP TO PROJECT FAX NUMBER
o Architect ❑Tenant o Agent 0 Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
- r g YWgA. - (Z.tT3)yS6 - �/y0
LENDER a. .;d.1,'• ,,.,,,•,; NAME
--•,.;,. • ,:,1,,1( .% •:,,<. ,,,',..t -.),•r,:•
MAILING ADDRESS J CITY,STATE,ZIP '
Ad
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE •
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? O YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? O YES O NO
WATER SERVICE PROVIDER o LAKEHAVEN a HIGHLINE 0 TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKEHAVEN a 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
NUMBER OF FLOORS =STING 'PROPOS TOTAL t
W.
•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
Value of Mechanical Work $ 1095
AIR HANDLING UNITS EVAPORATIVE COOLERS OAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(c.m...14 WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES ' MISC(Describe)
- COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(.r Tub/sh werCombol SHOWERS WATER CLOSETS(r.u.4 MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom SWIM VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
•I certify under penalty of perjury 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
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. 1111
/ I,�2NAME/TITLE /✓����/// k 4'r C e- DATE / Z O 7--.0.5
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RELATIONSHIP • P• •JECT ❑ Owner a Agent a Contractor ❑Architect 0 Other
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Bulletin#100—January 7,2005 Page 2 of 4 INiandouts\Permit Application