09-102178City of Federal Way
Mechanical
-` CommOnity Development Services Permit #: 09-102178-00-ME
P.O. Box 9718
Federal Way, F : 98063-9718
835- Inspection Request Line: 253 835 -3050
Ph: (253) 835 -2607 Fax: (253) 835 -2609 p Q
Project Name: LANDREE
Project Address: 2318 SW 341ST PL
Project Description: Gas pipe repair meter to house
Parcel Number: 330630 0060
Owner
Applicant
Contractor
JOHN LANDREE
FEDERAL WAY FURNACE REPAIR AND
FEDERAL WAY FURNACE REPAIR AND
2318 SW 341ST PL
CLEANING
CLEANING
FEDERAL WAY WA 98023 -7736
2563 S 365TH PL
FEDERWF981QM (12/20/11)
FEDERAL WAY WA 98003
2563 S 365TH PL
FEDERAL WAY WA 98003
Mechanical Valuation ................ ............................500
Is this an Online or O.T.C. application ? .................Yes
FINALED VIZ/V?
0 V9
THIS CARD IS T EMAIN ON -SITE
CITY OFD 40& Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 09- 102178 -00 -ME
Owner: JOHN LANDREE
Address: 2318 SW 341 ST PL
FEDERAL WAY, WA 98023 -7736
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 L!LL_ Date �c —(
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
orrorARECEWEio c;—)
FEdemIMY DL`DTRTT � - - - - --
comwxrrr UI'l f- z; SF NF CO EL PL DE EN FP
33325 Sm AVW= SOM • PO BOX 9718
FSDBRAL WAY, WA bF FEDE LICATION
253. 835.607• F�
t C ®S
The f0U=m*W is rrmeq dm d bVbrn con - an imompNets appacattoR ow not be accepted Pbuw prtRt bg#b$I && ird4 or tw&
PROPERTY •• •
SITE ADDRESS _ 2 3 / S 7 y/ s T 9/ SUrts /UNIT #
ASSESSOR'S TAX/PARCEL #
— — — — — — — — — — LOT Slzs (sfl
PROJECT INFOR-IIATIO:V
TYPE OF PERM C3 BUILDM ❑ PLUMBING KMECRANICAL
0 DESOLrn0N ❑ ELECTRICAL t] ENdnmzmm p FIRE PREVENTION SYSTEM
PROJECT DESCRUMO1N ftmndgs d *i&d desaWtm of war* iltaluded on this vw7R f MW
PROJECT NAME (Name ofd or Ounw Last Nalnel
PROPERTY
NAME
OFFICE. PHONE
OWNER
j A.,�v 44
PRWARY PHONE
CxtY OF FEDERAL WAY BUSINESS LICENSE NUMBER E
o j' c C
( _
C01fTSA�e-==4') Ti; TION NO I�iR e
M KM—ADDRESS
C3TY, STATE, ZIP
E-MAB.ADDRESS
2 If oq4 j
c .sF ?'96u
CONTRACTOR
1
0
APPLICANT
PROJECT
CONTACT
LENDER
COMPANY NAME A
APPLICANT NAME O
OFFICE. PHONE
O ADDR638
rf.ov (
6
CxtY OF FEDERAL WAY BUSINESS LICENSE NUMBER E
.� C
2�3
C01fTSA�e-==4') Ti; TION NO I�iR e
eNATLOef nATS t
trMAQ. ADDRESS
NAME APPNCANT NAME OPFXX PHONE
ey MAiLQYO ADDRESS CRY. STATE. ZIP C:HU PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
o Architect o Tenant O Agent o Other ( ) _
NAME PRWARY PHONE E MAIL ADDRESS
NAME Po RCW 19.11095:
ZA"dw I A matim is #iP %%set vahw acese& ,54000
MMLlNO ADDRESS CITY, STATE, ZIP PHONE
PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUZ OF PROPOSED WORK $
0rKwE3'ERZD BUMDINQ? o YES 0 NO FntE SUPPRESSION SYSTEM PROPOSED /REQUMM? O YES O NO
WATER SERVICE PROVIDER o LAKEHAVEN o HIQHLIINE o TACOMA a PRIVATE (WELL)
SEWER SERVICE PROVIDER O LAIEHAVEN o BIGHL M 0 PRIVATE ISEPTICI
NAME PRWARY PHONE E MAIL ADDRESS
NAME Po RCW 19.11095:
ZA"dw I A matim is #iP %%set vahw acese& ,54000
MMLlNO ADDRESS CITY, STATE, ZIP PHONE
PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUZ OF PROPOSED WORK $
0rKwE3'ERZD BUMDINQ? o YES 0 NO FntE SUPPRESSION SYSTEM PROPOSED /REQUMM? O YES O NO
WATER SERVICE PROVIDER o LAKEHAVEN o HIQHLIINE o TACOMA a PRIVATE (WELL)
SEWER SERVICE PROVIDER O LAIEHAVEN o BIGHL M 0 PRIVATE ISEPTICI
PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUZ OF PROPOSED WORK $
0rKwE3'ERZD BUMDINQ? o YES 0 NO FntE SUPPRESSION SYSTEM PROPOSED /REQUMM? O YES O NO
WATER SERVICE PROVIDER o LAKEHAVEN o HIQHLIINE o TACOMA a PRIVATE (WELL)
SEWER SERVICE PROVIDER O LAIEHAVEN o BIGHL M 0 PRIVATE ISEPTICI
AREA DESCRIPTION
EXISTING
.
PROPOSED
SQ. FT.
TOTAL
SQ. FT.
BASEMENT
SHOWERS WATER CLOSETS Me"
ffi.ECTZ00 WATER HEATERS
SINKS WASHING MACHINES
FIRST
SUMPS
k0=G DESIGNATION
SECOND
CHANGE OF U.W?
a YES
a NO
THIRD
a YES a NO
UP /SEPA/SU?
ADDITIONAL FLOORS (DESCRIBE)
a NO
PLATTED LOT?
a YES a NO
DECK (0 COVERED OR ❑ UNCOVERED
DEMO PERMIT REQUff=?
a YES;
a NO
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
neurones
rnA&
TWALz PTINO W
:emcaeoromsu
2MMa
--NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
indicate number of eaeR type of fu*vv to be installed or relocated as part of this project. Do not include ezi9WV fucdv= to certain.
DOICBMIICAL
Value of Meduutical Work O D D COPY OF BID OR ESTIMATE MOIST BE SCLUDED WIPMAPPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS QAB WATER HEATERS MISC (Describe)
BOILERS FIREPLACE INSERTS HOODS Icaeady
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG. SYSTEMS
BATHTUBS (.Tw �e..rcomeq
LAVS pre.msrvty URINALS MISC (Describe)
DISHWASHERS
RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS
SHOWERS WATER CLOSETS Me"
ffi.ECTZ00 WATER HEATERS
SINKS WASHING MACHINES
HOSE BIBBS
SUMPS
Z cwt(& under pmuuy of loplaJ that t am the property omens or authorized agent of the property owner. t ewt(& that to the best of my
laomiedye; the information submitted in support of this perwti, application is true and cornet. I cwt{& that t will comply with all oppiicobb
City of Yeddrnd Wag regulations pertaining to the work authorized by the issuance of a per-& I understand that the issuance of this pernett
does not remove the ownees reepo+ aMlity, for compliance with loom, slabs, or fedwW taws regulating construction or ewb+on mental Laws
I fkather agree to hold harmless the City of Pederal Way as to a g claim (btchuffiV cost; arpmuwv6 and atbon @jW fins incurred in the
insestIS -i ion and doomse of such ctaineA which acv be made by any pwson, bwhuiing the undersigned, and filed against the city, but only
whom such claim arises out of the rouaece of the city, inebrding its qfflews and anptoyses, upon the accuracy of the iglbrma:ion suppRod to
the cum as a part of this appNoalton.
SIGNATURE:
a NEW a ADDITION
o ALTERATION
a REPAIR a TENANT
BUILDING SSELL ONLY?
a YES o NO
BASIC PLAT?
a YES
a NG
k0=G DESIGNATION
CHANGE OF U.W?
a YES
a NO
N= ADDRESS REQUIRED?
a YES a NO
UP /SEPA/SU?
o YES
a NO
PLATTED LOT?
a YES a NO
DEMO PERMIT REQUff=?
a YES;
a NO
Bulletin #100 —January 1, 2009 Page 2 of 4 Mandouts\Pexmit Application