07-104004V
h
i City of Federal Way Mechanical Permit #• 07- 104004 -00 -M E
Comrhunity Development Services •
P.O. Box 9718
Federal Way, WA 98063 -9718
Fh: (253) 835 -2607 Fax: (253) 835 -2609 Inspection Request Line: (253) 835 -3050
Project Name: KIM
Project Address: 32807 41ST WAYS a Parcel Number: 6181410540
Project Description: Installation of A/C unit
Owner
Applicant
Contractor
SE JONG KIM
KLIEMANN BROTHERS HTG & A/C IN
KLIEMANN BROTHERS HTG & A/C IN
32807 41 ST WAY S
4703 116TH ST E
kliembh02lbt (1/27/08)
FEDERAL WAY WA 98001
TACOMA WA 98446
4703 116TH ST E
TACOMA WA 98446
Additional Permit Information
Mechanical Valuation .................... ........................6211.02 Over the Counter Permit? ...................................... Yes
Mechanical Fixtures
............................. 1
PERMIT EXPIRES Sunday, July 19,
I hereby c*rtlfy that ft above informe
the occupanev and the use will rbe in
1 and the City of Federal Way.
Owner or agent: �` `' Date: i `�'
y THIS CARD IS TO REMAIN ON- Sq -TE"'`
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 104004 -00 -ME
Owner: SE JONG KIM
Address: 32807 41 ST WAY S
FEDERAL WAY, WA 98001
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 By Date Byn Date Z-
_ For rector reference only,
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
city
Y U L 4
.era ay PERMIT _—
COMMUNITY DEVELOPMENT. SERVICES SF MF CO EL PL DE EN FP
393 ?5
' AVENUE SOUTH • 90.3( 9
FED ERAL WAY, WA 48063 -971 8 10L 19 L® A P P L I C AT I O N
TD
.253-835-2607- 53- 835 -2609 --
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CITY OF FEDERAL WAY
The following is req &0H,*& gn -an incomplete application will not be accepted. Please print legibly (in ink) or type.
PROPERTY INFORMATION
SITE ADDRESS re� �\� VA��\ SUITE /UNIT #
ASSESSOR'S TAX /PARCEL # ( ( - �j� 14 LOT SIZE (s�
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach separate page for lengthy legal description)
PROJECT • •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING )<MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu)
PROJECT NAME (Name of Business or Owner Last Name) \� \�
PEOPLE •- •
PROPERTY
OWNER .
CONTRACTOR
ra
COPY of card gnlred
with each application
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
NAME
'4\
PRIMARY PHONE
OFFICE PHONE
5
MAILING ADDRESS
CITY, STATE, ZIP
E -MAIL ADDRESS
2 0
CELL PHONE -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
C)OMPANY NAME
APPLICANT NAME
OFFICE PHONE
"
-
"LING ADESS
fV\ `
CITY, STATE, ZIP
CELL PHONE -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX N..UUMMBEERR''��
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent Other
CONTRACTOR'S REGISTRATION NUMBEER`A
EXPIRATION DATE
E -MAIL ADDRESS
NAM
PRIMARY PHONE
E- MAILADDRESS
OMPAN$ NAME
APPLICANT NAME
OFFICE PHONE
YZ R)fLl:�Z> ,
( -
MAILING ADDRESS '
CITY, STATE, ZIP
CELL PHONE
ol
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent Other
NAM
PRIMARY PHONE
E- MAILADDRESS
NAME
Per RCW 19.27.095.
Lender information is required if project value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
t � -
EXISTING ASSESSED /APPRAISED VALUE
PROPOSED USE
VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
M
AREA DESCRIPTION
EXISTING
S . FT,
PROPOSED
S . FT.
TOTAL
S . Fi.
BASEMENT
FIRST
U ALTERATION
a REPAIR D TENANT IMPROVEMENT
.SECOND
❑YES D NO .
BASIC PLAN? o YES
THIRD
ING DESIGNATION
ADDITIONAL FLOORS (DESCRIBE)
D NO
NEW ADDRESS REQUIRED?
D YES U NO
DECK (0 COVERED OR ❑ UNCOVERED ?)
UP /SEPi4 /SU? D YES
o NO
PLATTED LOT?
GARAGE ❑ CARPORT ❑
4
D NO
NUMBER OF FLOORS
E7 MKO
PROPOSED
TOTAL
TOTAL xxwr 6 sr
IWALPAVJ'OSED BY
TOTAL Sr
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing f xtures to remain.
MECHANICAL
Value of Mechanical Work $ C- fA COPY OF BID OR ESTIMATE MUST BE INCLUDED W17`H APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS
BBQS . FANS
BOILERS FIREPLACE INSERTS
COMPRESSORS FURNACES-
DUCTS GAS LOO SETS
BATHTUBS for Tub /shower Combo) LAV.S (Bathroom Sink.)
DISHWASHERS RAINWATER SYST
DRINKING FOUNTAINS SHOWERS
ELECTRIC WATER HEATERS SINKS
HOSE BIBBS SUMPS
GAS PIPE OUTLETS
GAS WATER HEATERS
HOODS (co,omerc(dt
RANGES
REFRIG. SYSTEMS
URINALS
VACUUM BREAKERS
WATER CLOSETS (T.&#
WASHING MACHINES
WOODSTOVES
MISC (Describe)
MISC (Describe)
1 certify under penalty of perjury that the Wormation 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 bf 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 Wormation supplied to the city as a part of
this applicdtton.N A (\ ,
NAME /TITLE
DATE
to,Lua,v, ci
RELATIONSHIP T PROJECT o Owner ❑ Agent
iwuq
Contractor ❑ Architect ❑ Other
7oNE W U AD DITION
U ALTERATION
a REPAIR D TENANT IMPROVEMENT
LDING SIiELL ONLX?
❑YES D NO .
BASIC PLAN? o YES
n NO
ING DESIGNATION
CHANGE OF USE? q YES
D NO
NEW ADDRESS REQUIRED?
D YES U NO
UP /SEPi4 /SU? D YES
o NO
PLATTED LOT?
U YES U NO
DEMO PERMIT REQUIRED? o YES
D NO
Bulletin #100 —April 2, 2007. Page 2 of k\Handouts \Permit Application