08-105198Mechanical
City of Federal Way Q
Community Development Services Permit #: 08- 105198 -00 -M E
P.O. Box 9718
Federal Way, WA 98063 -9718 Inspection Request Line: 253 835 -3050
Ph: (253) 835 -2607 Fax: (253) 835 -2609 p q ( 1
Project Name: HAM
Project Address: 33535 4TH AVE SW Parcel Number: 729805 0590
Project Description: Gas piping only to run gas pipe from T in crawl space to tankless water beater. To comply
with violation #08- 103955 -00 VO
Owne
Avolicant
Contractor
KI YOUNG HAM
FUTURE II NATURAL GAS
FUTURE II NATURAL GAS
33535 4TH AVE SW
9505 120TH ST E
FUTURIN099QM (11/14/09)
FEDERAL WAY WA 98023 -6195
PUYALLUP WA 98373
9505 120TH ST E
PUYALLUP WA 98373
Mechanical Valuation ................ ............................800
Is this an Online or O.T.C. application ? .................Yes
PERMIT EXPIRES Wednesday, April 29 2009
Permit issued on Friday, October 31, 2008
1 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 accordance with the laws, rules and regulations of the State of Washington
I A A and th ` -,City of Federal Way.
Owner or agent: Date: Si r�CT o g
r
THIS CARD IS TO MAIN ON -SITE -
�� OF Scommuni Develo nt Inspection Record
Way p p
Federal YYay IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 08- 105198 -00 -ME
Owner: KI YOUNG HAM
Address: 33535 4TH AVE SW
FEDERAL WAY, WA 98023 -6195
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 insp ctor reference only _
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
CUT OF 4A * g- - f o / ` k-
MRMIT SF MF CU:gEDM PL DE EN FP
0OYYUNI7Y DBYBLOP1iBN1' 38RVICES
33315 JP AVBNUB SOUTH • PO BOX 9718
2 WAY, AXz53� 2609 ET 31 APPLI CATI O N r I
y�tyu .dtwfledemhwauu..�oom CC� L���L
The following`!lf4iQiim�tl�gdl� A6 ��iete application will not be accepted. Please print legibly (in ink) or type.
PROPERTY •. •
SITE ADDRESS y � Ay.e S W SUITE /UNIT #
ASSESSOR'S TAX /PARCEL # 2 a , y U �� LOT SIZE (Sf
to* V
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Aam6 mWwaft Po9./mrhMfthgWd od-)
PROJECT INFORMATION
TYPE-OF PERMIT ❑ BUILDING ❑ PLUMBING X=CHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING O FIRE PREVENTION SYSTEM
of work included on d is permit onlul
PROPERTY
OWNER
CONTRACTOR
O-G
APPLICANT
PROJECT
CONTACT
L • im ..
PEOPLE INFORMATION
0-/4,(
NAME
PRIMARY PHONE
OFFICE PHONE
(253)770 -2'7S5,
(zS3) 2Z - (6 L4 z5
MAILING ADDRESS
CITY, STATE, ZIP
E-MAR. ADDRESS
?, A,Ay \Mk 93 ?3
`C�Y16r�\ Vi
CITY OF FED WAY EKr4WESS LICB�13F NUMBER
COMPANY NAME. `
�cv[VvtE --m. GAS
APPLICANT NAME
S" Z%—\ k. v\\ %,Vf S
OFFICE PHONE
(253)770 -2'7S5,
MARLING ADDRESS
CITY, STATE, ZIP
CELL MONS
505 lz.c --,,z
?, A,Ay \Mk 93 ?3
253 Zoq
CITY OF FED WAY EKr4WESS LICB�13F NUMBER
EXPIRATION DATE
FAX NUMBER
-
CO It'8 ` TIO>t NUZI R
Rr37=TION DATL'
E-MAIL ADDRESS
U rat Q1 4 rv\
i 1 -ty -
COMPANY NAME
SAKE A-3 4:,, rL+A-- r,v
APPLICANT NAME
OFFICE PHONE
( )
MAILING ADD
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other
( ) -
NAME 9—MAIL ADDRESS
NAME
Per RCW 19.27.095.
Lender 6 formation in required i f projeet value a eemb 05,000
MAILING ADDRESS
COY, STATE, ZIP
/PHONE
EXISTING USE PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUZ OF PROPOSED WORK
SPRINII.ERED BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO
WATER S=Mgjg PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE ISEPTICI
AREA DESCRIPTION
ESISTING
8 . FT.
PROPOSED
SO. FT.
TOTAL
S . FT.
BASEMENT
o YES o NO
BASIC PLAN?
FIRST
o NO
ZONING DESIGNATION
SECOND
CHANGE OF USE?
a TES
o NO
THIRD
a YES a NO
UP /SEPA /SII?
ADDITIONAL FLOORS (DESCRIBE)
a NO
PLATTED LOT?
a YES o NO
DECK (0 COVERED OR 0 UNCOVERED
DEMO PERMIT REQUIRED?
a YES
a NO
GARAGE 0 CARPORT 0
NUMBER OF FLOORS
fIIl1'pro
lsorosso
taut
"n a ssmmn sr
rm' A[o►wso"
- tor'" iJ
"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 fixtures to remain.
mara�u�ua:ese.
Value of Mechanical Work $ ` �' (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPL11CA7I0h7
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS M (De
BOILERS FIREPLACE INSERTS HOODS Icommadq
COMPRESSORS FURNACES RANGES
DUCTS. GAS LOG SETS REFRIG. SYSTEMS
BATHTUBS (wTUb /sm sr C-04 LAVS p aw.= s do
DISHWASHERS RAINWATER SYST
DRINKING FOUNTAINS SHOWERS
ELECTRIC WATER HEATERS SINKS
HOSE BIBBS SUMPS
URINALS
VACUUM BREAKERS
WATER CLOSETS fro&q
WASHING MACHINES .
MISC (Describe)
I cwWh under penalty of perjury that I am the property owner or authorised agent of the property owner. I Cf Wf# that to the best of my
knowledge, the b} formation submitted in support of this permit application is true and correct. I cerft that r 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 to—& state, or federal laws regulating construction or environmental laws.
I jkuther 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 cla in0, which may be -axle 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 if# application A 1\
SIGNATURE:
i r) 3 ,) -a8
a NEW o ADDITION
a ALTERATION
a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o YES o NO
BASIC PLAN?
a. YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
a TES
o NO
NEW ADDRESS REQUIRED?
a YES a NO
UP /SEPA /SII?
o YES
a NO
PLATTED LOT?
a YES o NO
DEMO PERMIT REQUIRED?
a YES
a NO
Bulletin #100 —January 1, 2008
Page 2 of 4
Mandout0ermit Application