07-100947Neleral Way Mechanical Permit #• 07- 100947 -00-ME
Comrr�nity Development Services •
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609 Inspection Request Line: (253) 835 -304',
Project Name: STEEL LAKE VILLAGE
Project Address: 30412 PACIFIC HWY S Parcel Number: 092104 9107
Project Description: STFI - Installation of gas wall furnace, flue pipe and vent (1) bath fan. Due to car damage.
Owner
Applicant
Contractor
EUGENE LOHER
WESTERN MECHANICAL INC.
WESTERN MECHANICAL INC.
29848 6TH AVE S
PO BOX 8021
WESTEMI983K2 (6/18/08)
FEDERAL WAY WA 98003 -3624
COVINGTON WA 98042
PO BOX 8021
COVINGTON WA 98042
Additional Permit Information
Mechanical Valuation ................. ...........................1200 Over the Counter Permit? ...................................... Yes
Mechanical Fixtures
Ducts., 2 Furnaces .......... ............................... 1
PERMIT EXPIRES Sunday, February 22, 2009
Permit Issued on Thursday, February 22, 2007
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 cordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Date: �2 '�
THIS CARD IS TO REMAIN ON -S, ,
CITY OF Community Development Inspection Record -
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 100947 -00 -ME
Owner: EUGENE LOHER
Address: 30412 PACIFIC HWY S
FEDERAL WAY, WA 98003 -4816
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 Date 7� �+ O By Date By —2–,Date lf�
U�7 C3 b14 �7
Federal Way R — .-
EcEtvED PERMYT _
COVMU(VITICDEVELOPMENTSERVICES SF MF CO !E EL' PL E EN FP
33325'87H FEDERAL WA , WA 98063-9718
.253-835-2607- 9718 p p LI C AT I O N
FEDERAL WAY, WA 98063.97]8 Q 7D
.253- 835.2607• FAX 253.835 -2609 FES 2 2 20� _
unum,dtr u edem2waLcom
The following is
t�
incomplete application will not be accepted. Please print legibly (in ink) or type.
SITE ADDRESS —�.�'� Z- SUITE /UNIT #
ASSESSOR'S TAX /PARCEL # -a C, � \ C7 � - �'( I _(� -7 LOT-SIZE (sg
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
■ PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING 0 PLUMBING O MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING O FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this hermit onlu)
PROJECT NAME (Name of Business or Owner Last Name) � � lr7s k' e-k
PEOPLE •- •
PROPERTY
NAME PRITYIARY PHONE
OWNER
CONTRACTOR
COPY of evd required
with each application
APPLICANT
COMPANY NAME
APPLICANT NAME�J
APPLICANT NAME
,—
OFFICE PHONE
CITY, STATE, ZIP p
MAILING ADDRESS
CITY, STATE, ZIP
E -MAIL ADDRESS
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION
COMPANY NAME
APPLICANT NAME�J
APPLICANT NAME
,—
OFFICE PHONE
CITY, STATE, ZIP p
M�ING ADDWS
CITY, STATE, ZIP
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION
DATE
FAX NUMBER
❑ [I Agent
g �`Other - = -Gttt h
Y631
0
CONTRACTOR'S REGISTRATION NUMBER
EXPI
ION DAT
E -MAIL ADDRESS
COMPANY NAME
APPLICANT NAME�J
OFFICE PHONE
CITY, STATE, ZIP
MAILING ADDS ESS
CITY, STATE, ZIP p
CELL PHONE
RELATIONSHIP TO PROJ ECT
❑ Architect Tenant
FAX NUMBER
❑ [I Agent
g �`Other - = -Gttt h
PROJECT NA E PRIMARY PHONE�y E -MAIL ADDRESS
CONTACT ��ti/ %�� 1`f +Z "t � Imo' ) if -'1`3�
LENDER
EXISTING USE
NAME
P�rRCW 1927.095:
Lender information is required if project value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE '
EXISTING ASSESSED/APPRAISED VALUE $
SPRINKLERED BUILDING? ❑ YES ❑ NO IRE SUPP
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE
PROPOSED USE
VALUE OF PROPOSED WORK
N SYSTEM PROPOSED /REQUIRED? ❑ YES
t7 TACOMA ❑ PRIVATE (WELL)
❑ NO
Indicate number of each type of facture to be installed or relocated as part of this project. Do• not include existing fixtures to remain.
MEC UAl LIM,
Value of Mechanical Work (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS PIPE OUTLETS
WOODSTOVES
BBQS
_ FANS
GAS WATER HEATERS
! MISC (Describe)
BOILERS
FIREPLACE INSERTS
HOODS
H-&�;rSz
COMPRESSORS
FURNACES
RANGES '
ZONING DESIGNATION
DUC 3;.
GAS LO(3 SETS
REFRIG. SYSTEMS
o YES
PLUMBING
BATHTUBS (nrTub /sho ,CimEo) LAVS (Bathr .Sinks) URINALS MISC (Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS rr.o q
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
I certify under.penatty of perjury that the information 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 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, includ its officers and employees, upon the accuracy of the information supplied to the city as a part of
this application.
':•,I
NAME /TITLE
DATE
RELATIONSHIP TO PROJECT
❑ Owner ❑ Agent
'Contractor ❑ Architect ❑ Other
a NEW o ADDITION
o ALTERATION
o REPAIR o TENANT IMPROVEMENT.
BUILDING SHELL ONLY?
DYES ONO
BASIC PLAN?
o YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
o NO
NEW ADDRESS REQUIRED?
o YES o NO
UP /SEPA /SU?
o YES
o NO
PLATTED LOT?
o YES o NO
DEMO PERMIT REQUIRED?
o YES
o NO
Bulletin ##100 —January 112007 Page 2 of 4 MandoutsTermit Application .