08-101054f
=City of Federal Way' Mechanical Permi�tf- 08-101054-06-ME
Community Development Services •
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609 _ Inspection Reques L' 5 -3050
Addi
Mechanical Valuation ..................................... ..2855
Hotonk .....................
and the
it Info
Over the Cou it ? ...................................... Yes
ires�
<6
ru
irypccordance with the laws, rules a
and the City of Federal Way.
agent: Date:
Project Name: BYQUIST
Project Address: 123 S 363RD PL
Parcel um 1137
Project Description: Remove existing gas hot water tank and replace with new Ri
s hot w
Owner
Applicant
for
TOD A BYQUIST
NW REFRIGERATION INC
N GERATION INC
KIMBERLY J BYQUIST
5201 CAPITAL BLVD SUITE 201
000J 03/01/2008
123 S 363RD PL
TUMWATER 98501
SUITE 201
FEDERAL WAY WA
WA 98501
i ITAIJBI"
98003 -8619
Addi
Mechanical Valuation ..................................... ..2855
Hotonk .....................
and the
it Info
Over the Cou it ? ...................................... Yes
ires�
<6
ru
irypccordance with the laws, rules a
and the City of Federal Way.
agent: Date:
. THIS CARD IS T �tEMAIN ON -SITE
CITY OF Community Develop ent Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 08- 101054 -00 -ME
Owner: TOD A BYQUIST
Address: 123 S 363RD PL
FEDERAL WAY, WA 98003 -8619
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
'4 By Date By Date By Date,5//�/4
/ - IV
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
. FEB /28/2008/THU 02.11 PM FAX No, P,002
RECEIVED`_
CIYY oP
Federal way PERMIT — — — — — — — —
COMMUNNTrD1tVElAPMSM'98IiV v CQ. L PL DE EN FP
388259MWAI, �Y A 8t7A S4 NW8=,97J 8 'PI,ICATION�
FICRSN+AL Wjiy, WA 98tKy.97N8
259835z607•F MIWT OF FEDERAL
twin v. au� tnlYsdarnhuau.
CDS
Thefollowing is required irlj'ormation - an incomplete application will not be accepted. please print legibly (in in)d or type.
INFORMATION
SITE ADDRESS 3 S SUITE /UNIT #
ASSESSOR'S TAX /PARCEL # —�— 3— a_ O LOT SIZE (sj)
LEGAL DESCRIPTION (e.g. Acme Estates, ,Lot 11
(AtWh scXruW lMe jbr Iengft kqd descrWWV
PROJECT
TYPE Or PERMIT ❑ BUILDING ❑ PLUMBING ff-gMCHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FTRE PREVENTION SYSTEM
PR0JI= DESCRIPTION (Provide detailed description of work included on
PROJECT NAME (Name qr ustness or Owner Last Ntxmel
PROPERTY
OWNER
CONTRACTOR
PROJECT
CONTACT
LENDER
EMSTING USE
NABS
PRIMARY PHONE
OFFICE PHONE
-U3 Q l
MAILING ADDIiE[i(9 v
Try, 6TA7E, ZIP
E -MAIL ADDRE55
C11Y, STA , Z
PHONE
`
\ \
COMPANY
APPLICANT NAME
OFFICE PHONE
N
63)53-) 9
MAUING AD RESS \
C11Y, STA , Z
PHONE
`
\ \
,�``
Ek7 \
/C/ELL
l )
CNTY qR F WAY 131NSYNYtSS LMCY NSE N[NnA9ER EXPYRATION GATE
FAX NUMMR
CONTRACTOR'S REGISTRATION NIJAMER EXPIRATION DATE
E- MAILADDRESS
3 — \ 0
COMPAW N
a
APPLICANT NAME
OPPICL PHONE
53)
MAMINGADDRESS S
CT1Y, S ATE, Z
CELL PHONE
-
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Archltect ❑ Tenant ❑ Agent I$ Other CL%r-�t 9: gQ3 Lrr
( ) -
NAME PRIMARY PHONE E- MAILADDRESS
(21.0 ) IAR L) - 5
NAME
2 er ]RcW 19.27.095:
Lender information is required if project vatus exceeds $B'000
MARLING ADOPY:S.,
CITY, STATE, ZIP
PHONE
PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUE or PROPOSED WORK $
SPRINSLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REgUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ I -AZ3m VEN ❑ EIGBISNE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAIM4AVEN 11 MGELINE ❑ PRIVATE (SEPTIC)
. FEB /28/2008/THU 02:11 PM 0 FAX No. 0 P.003
AIO£A DESCRIPTION
EXISTING
S . FT.
PROPOSED
S . FT.
TOTAL
S . FT.
8AS$1VIEN'T
VACUUM BREAKERS
DRINKING FOUNTAINS
SHOWERS
FIRST
ELECTRIC WATER HEATERS
SINKS
WASHING MACHINES
SECOND
SUMPS
OYES ......
o NO
......... __.._......._...._
TMRD
o YES ❑ NO . ..... ...............................
..............._...........DEMO
CIP /SEPA/SY?? ...........
ADDITIONAL. FLOORS (DI;SCRIBM
o NO
........._........ .......
PLATTED LOT? ... _ . _..- _..._....
_ o YES o NO
DECK (O COVERED OR Cd UNCOVERFD7)
PERZUT REQUIRED ?...
S
NO
GARAGE ❑ CARPORT ❑
NUtMMOFFLOORS
o'a
ODPgXD
mrw
roracsuermasr
I+oasuPAOPOSMW
roznr.er
""1VEWId0MES ONLY" NUIVIBER OF BZDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of jf?xture to be installed or relocated as part of this project. Do not trw1ude existing fixtures to nematn.
MSGTMMCAL q -
value of .11olechan(cal Work $ dt 8 55. (A rr OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICA270N
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS �_ GAs WATER HEATERS MISC (Oeaerlbe)
BOILERS FIREPLACE INSERTS FLOODS (cammudag
COMPRESSORS FURNACES RANGES
DUCTS GAS LOO SETS REFRIO, SYSTEMS
BATHTUBS *T-b /-sho rCo bQ
LAVS (eath —emk.)
URINALS MISC (Describe)
DISHWASHERS
RAINWATER e'YST
VACUUM BREAKERS
DRINKING FOUNTAINS
SHOWERS
WATER CLOSETS wrote
ELECTRIC WATER HEATERS
SINKS
WASHING MACHINES
HOSE BM5S
SUMPS
OYES ......
I certify hinder penalty of perjury that I am the property ozoner or authorised agent ttf the property owner. I cert(jy that to the best of my
knowledge, the ittbrmation submitted in support of this permit appltcation is true and correct. I certm that I will comply with all applicable
City of Federal Wag regulations pertaining to the work authorised by the issuance of a permit. I understand that the issuance of this permit
does not remove the owner's rsesponsibilityfor compliance with local, state, orfederal laws regulating construction or environmental laws.
Tftiut7her agree to hold harmleas tha City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in the
investigation and defense gfsuch claiuO. which may be made by any person, including the undersigned, and filed against the city, but only
where such claim arises out of the retionce of the city, inciuding its o111cers and employees, upon the accuracy elf the information supplied to
the city as a part of this application.
Authorized
,'..FOR;OFFICE � iISE.'ONIrY
h ,
a NEW o ADDITION
o ALTERATION
o REPAIR o TENANT M0ROVEMF.NT
BUILDING SHELL ONLY?
O YES ❑ N .. ............._.._._ .......
......... .... .._... ._..._.
... ... ........._........ - - ._.._.......__.. -... - .............. - -- ....._.- ._....._.....
._._.. .._................._.._..._...
ZONING DESIGNATION
- _. -....__......._................._ ............................:............:.........:.......:............:..........:.............,.._.....................:.,..-....:....-...._.................._..:.-....,....._.-......._......._....--.._...__--
CHANGE OF USE?
OYES ......
o NO
......... __.._......._...._
NEW ADDXZSS XxQV RED?
o YES ❑ NO . ..... ...............................
..............._...........DEMO
CIP /SEPA/SY?? ...........
a YES .........D
_ .....................
o NO
........._........ .......
PLATTED LOT? ... _ . _..- _..._....
_ o YES o NO
PERZUT REQUIRED ?...
S
NO
Bulletin #100 —January 1, 2008 page 2 of 4 kViandoutsWerni t Application