08-103761City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Mechanical Permit #: 08- 103761 -00 -ME
Inspection Request Line: (253) 835 -3050
Project Name: SPARTARI
Project Address: 1649 S 359TH ST Parcel Number: 282104 9132
Project Description: Installation of (1) fan for bathroom
Owner
Applicant
Contractor
ROBERT BARTOSE
LARRY'S REPAIR
LARRY'S REPAIR
MARY J BARTOSE
4320 T SW
LARRYR*081BS (1/08!09)
1649 S 359TH ST
LYN OD 1 A 98036
4320 196TH ST SW
FEDERAL WAY WA 98003 -7450
LYNNWOOD WA 98036
Mechanical Valuation... ......... .......
Fans......................
Ott mation
this a>ne or O.T.C. application ?. ..........Yes
I .
THIS CARD IS TO REMAIN ON -SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 08- 103761 -00 -ME
Owner: ROBERT BARTOSE
Address: 1649 S 359TH ST
FEDERAL WAY, WA 98003 -7450
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 By Date
For inspector reference o�
❑ Rough Electrical ❑ FINAL.- Electrical
Approved Approved
By Date By Date
CRT OF CEI V V PERMIT SF MF CO ME EL PL DE EN FP
COMMUMTYDBVBLOPMENTSSRV
933��• F98063-9718 s a s 2aAPPLICATION
F &D &RAL WAY, X 60
F FEDERAL WAY
The following is r equireeig"tion -an incomplete application will not be accepted. Please print legibly (in ink) or type.
SITE ADDRESS ° -, ' SUITE /UNIT #
Z Z
ASSESSOR'S TAX /PARCEL # _ ` 0 - 1 ?--- LOT SIZE (s])
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(A-eh sep— teaawf-Amw ft lmd d —dpdoN
PROJECT • •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING V41ECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit oniul
11.4 zEi4 ve�fi0
PROJECT NAME (Name of Business or Owner Last Name)
PEOPLE •R •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
NAME
PRIMARY PHONE
✓1
(a"�J •• J - ?
MAILING gADDRESS
CITY, STATE, ZIP
E -MAIL ADDRESS
(&j fs7 I
LINO ADDRESS V
COMPANY NAME
L.
APPLICANT NAME
APPLICANT NAME
OFFICE PHONE
ems..
CELL PHONE
G-r -- .: -. A.
(&j fs7 I
LINO ADDRESS V
CITY, STATE, ZIP
CELL PHONE
% r,I �i►'1
L'- � 00.co
-,
CITY OF FEDERAL WAY BUSINESS ucFA NU
A �� Me—
ER EXPIRATION DATE
FAX NUMBER
tsar) 7q 3 1�:7 I I
CONTRACTOR'S REGISTRATION NUANZR
EXPIRATION DATE
E MAIL ADDRESS
L c re
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent ❑ Other
FAX NUMBER
NAME PRIMARY PHONE E -MAIL ADDRESS
NAME
Per RCW 19.27.095.
Lender ir{formallon is required ff project value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING?
WATER SERVICE PROVIDER
SEWER SERVICE PROVIDER
❑ YES ❑ NO F132E SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES 0 NO
❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
AREA DESCRIPTION
EXISTING
S . FT.
PROPOSED
S . FT.
TOTAL
80. FT.
BASEMENT
SHOWERS
XLECTRIC WATER HEATERS
SINKS
FIRST
SUMPS
SECOND
a NO
NEW ADDRESS REQUIRED?
a YES a NO
THIRD
UP /SEPA /SU? a YES
a NO
PLATTED LOT?
ADDITIONAL FLOORS (DESCRIBE)
DEMO PERMIT REQUIRED? a YES
a NO
DECK (0 COVERED OR 0 UNCOVERED ?)
GARAGE O CARPORT D
NUMBER OF FLOORS
XXISTOQ
PROP°°®
TOTAL
TOM ZXv rM or
TOTAL FROPOBRR Sr
TWAL ST
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of furture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
Value of Mechanical Work $ ZI& (A COPY OF BID OR ESTAfATE 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 Ic�mwd.q
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIO. SYSTEMS
BATHTUBS (orTub /shover combo)
LAVS I9athroom std*
DISHWASHERS
RAINWATER SYST
DRINKING FOUNTAINS
SHOWERS
XLECTRIC WATER HEATERS
SINKS
HOSE BIBBS
SUMPS
URINALS
VACUUM BREAKERS
WATER CLOSETS (ro&q
WASHING MACHINES .
MISC (Describe)
I eertVg under penalty of perjury that I ant the property owner or authorised agent of the property owner. I certVy that to the best of my
knowledge, the ir{formation submitted in support of this permit application is true and correct. I cortft that I will comply with all applicable
City of Federal Way 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 responsibility for compliance with local, state, or federal laws regulating construction or environmental laws.
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, 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 apart of this application.
SIGNATURE:
a NEW a ADDITION
o ALTERATION
o REPAIR o. TENANT IMPROVEMENT
BUILDING SHELL ONLY?
a TES a NO
BASIC PLAN? GYMS
o NO
ZONING DESIGNATION
CHANGE OF USE? a YES
a NO
NEW ADDRESS REQUIRED?
a YES a NO
UP /SEPA /SU? a YES
a NO
PLATTED LOT?
a YES a NO
DEMO PERMIT REQUIRED? a YES
a NO
Bulletin #100 — January 1, 2008 Page 2 of 4 k\Landouts\Permit Application