08-101223i
City 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 0'8- 101223 -00 -ME
Inspection Reque,,,►253) 835 -3050
Project Name: LANG
Project Address: 33018 48TH AVE SW
Project Description: Add (1) gas pipe for range
Owner
THOMAS LANG
33018 48TH AVE SW
FEDERAL WAY WA
98023 -3310
Addi
Mechanical Valuation ................. ...........................1325
M
Gas Pipe Outlets ...........................
EXP
a
AApplicant
CLIMATE PRO 1
19726 100TH AVy
BOTHELL WA 9
s �J\ &
, March 12,
FM MAT PRO LLC
LIMAPL96S /17/08)
197 6 OT NE
BO *A 98011
�t? ....... ............................... Yes
/Il1l`7`e us) be in Gorda whit the 1w .ruin aftd a0 1
and the City of Federal Way.
or agent: 1�> Date: -31 1'Ll V 6
0360
0 THIS CARD IS TWMAIN ON -SITE -
CITY OF b. Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 08- 101223 -00 -ME
Owner: THOMAS LANG
Address: 33018 48TH AVE SW
FEDERAL WAY, WA 98023 -3310
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 - Me hanical (4065)
Approved Approved to release test proved
By Date Date By Date
Z1 /j9
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
arver ECEI ®� - 1 6�
Fe� PERMIT [��,� —
aoMMj"fYDS"WP="ssRvxW CI�J+ SF MF CO E EL PL DE EN FP
39395dW SQf•PO BOX 9
,U WAY, MR 12 200
28 67• FX 2S3J 5 ?60 APPLICATION
wuw. OF
/
FEDERAL WAY
The following is required RTation -an incomplete application will not be accepted. Please print legibly (in ink) or type.
SITE ADDRESS `t 'z� A vt' S SUITE/UNIT #
ASSESSOR'S TAX /PARCEL ik 13^ a -a I _ Q 3 LOT SIZE (sn
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
JKeaeh ..paraa a+a+� M•+l d++�tvl
PROJECT •• •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING A=cHANICAL -
C3 DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DES RIPTION (Provide detailed description of work included on this permit onlul
✓1 vL t
PROJECT NAME (Name of Business or Owner LostLast Namel T (A) 9-
C
PEOPLr, INFORMATION
PROPERTY
HAM
I
PRIMARY PHONE
OWNER
,.�
+^a k'
` ) -
OF FEDERAL WAY BUSINESS LICENSE NUMBER
MAILING ADDRE33 CE'ZIP
f IAA :Sw L/ J� A
E-MAIL ADDRESS
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
CO ANY NAME f � �
APPLICANT � rn o
i Z s ONE
) Ii2 - Z 6�
LI G ADDRESS
147zjo A/�
Zwn %0I 1
CELL
-
OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
CONTRACTOR'S REOISTRATION NOMBZR
C I ►�v�a
PICP TION LATE
l 2
EMAIL ADDRESS
Wi
1' r
(� $
Q rn yM
COMPANY N
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant n Agent 0 Other
) _
NAME PRIMARY PHONE EMAIL ADDRESS
H2115) ZS) If(do - 65s,
NAME
Per RCW 19.27.095.
Lender Wormation is required ijproject value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
E ) -
EXISTING USE
PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE
VALUE OF PROPOSED WORK s3�
SPRINKLERED BUILDING?
a YES
o NO
FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? a YES a NO
WATER SERVICE: PROVIDER ❑ LAKEHAVEN a HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER'SERVICE PROVIDER a LAKEHAVEN ❑ HIGHLINE 13 PRIVATE (SEPTIC(
AREA DESCRIPTION
BASEMENT
EXISTING
8 . FT.
PROPOSED
S . FT.
TOTAL
8 . FT.
FIRST
o TES ONO
BASIC PLAN?
SECOND
ti NO
ZONING DESIGNATION
THIRD
CHANGE OF USE?
a YES
a NO
ADDITIONAL FLOORS (DESCRIBE)
OYES ONO
UP /SEPA /SU?
DECK (❑ COVERED OR ❑ UNCOVERED?)
a NO
PLATTED LOT?
o TES o NO
GARAGE ❑ CARPORT ❑
DEMO PERMIT REQUIRED?
o TES
ONO
NUMBER OF FLOORS
O
rROtOSeD
TOTAL
rorncssrsmwer
ramraorormsr
TOTAL NP
* *NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate. number of each type of fudure to be installed or relocated as part of this projecK Do not include existing furtures to remain.
OtV�.�6dAT.L+flAi a s � --
Value of Mechanical Work , (A COPY OF BID OR ESTIA(AgLWST BE INCLUDED WITH APPLICATION)
AIR HANDLIN UNITS EVAPORATIVE COOLERS OAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC (Describe)
BOILERS FIREPLACE INSERTS HOODS rA.=&.u4
COMPRESSORS FURNACES RANGES
DUCTS. GAS LOG SETS REFRIO. SYSTEMS
PLUXBIA6
BATHTUBS I.Tub /sn..acombq LAVE M.Ib m.Nwo URINALS MISC (Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS Irw q
ELECTRIC WATER HEATERS SINKS WASHING MACHINES .
HOSE BIBBS SUMPS
I eonft under penalty of perjury that I am the property owner or authorised agent of the property owner. I cortW knowledge, the Wormation submitted in support of this permit application is true and correct. I e that to the best q f my
srt{lk that 1 Will comply with all applicable
City/ of Pederal Way regulations pertaining to the work authorised by the issuance qf a pormit. I understand that the issuance of this permit
don not remove the owner's responsibility for compliance with local, state, or fedoras laws raga acing construction or environmental laws.
I further agree to hold harmless the City of Pectoral Way as to any claim (including coati, expenses, and attorneys' fees incurred in the
investigation and dofense of such claim), which mug be made by any person, including the undersigned, and flied against the city, but only
where such claim arises out of the reliance of thrl city, including its officers and employees, upon the accuracy of the Information supplied to
the city as a part of tjris lipplicatioa.
SIGNATURE:
Owner
3 !a v
a NEW o ADDITION
a ALTERATION
a REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o TES ONO
BASIC PLAN?
o, YES
ti NO
ZONING DESIGNATION
CHANGE OF USE?
a YES
a NO
NEW ADDRESS REQUIRED?
OYES ONO
UP /SEPA /SU?
a YES
a NO
PLATTED LOT?
o TES o NO
DEMO PERMIT REQUIRED?
o TES
ONO
Bulletin #100 — January 1, 2008 Page 2 of 4 MandoutslPemut Application