07-104487r w w
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city of Federal way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253} 835 -2607 Fax: (253) 835 -2609
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Mechanical Permit #: 07- 10448700 -ME
Project Name: HERITAGE CONDOS - UNITS H, I, J & K
Project Address: 103 S 340TH ST
Project Description: Replace restroom ducting due to fire damage.
Mechanical Valuation ............... ...........
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Inspection Request Line: (253) 835 -3050
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t ? ...................................... Yes
PERMIT EXPIRES Thursday, August 13, 2009
Permit Issued on Monday, August 13, 2007
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
and the City of Federal Way.
Owner or agent: Date:
' THIS CARD IS TO REMAIN ON -SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 104487 -00 -ME
Owner: KATHY LANQUIST
Address: 103 S 340TH ST
FEDERAL WAY, WA 98003
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
1
i
For inspector reference o _ - - -_ - - - - -_
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
CITY
� RECEI vE®
Federal Way P E R M I T M EL P
L D
E EN FP
COMMUNITY DEVELOPMENT SERVICES O
33325 FEDERAL WA SOUTH • POPDX 971 "G 1 3 "APPLICATION TD
FEDERAL WAY, WA 98063.97]8l�t 4
253 -835 -2607• FAX 253.835 -2609
u:tDuixi,°°Rede"'h'mu -.y. TY�R{l017 FEOE�fppR��ALTTWAY
The following is regttYrd6Q9j9lft JTn -an incomplete application will not be accepted. Please print legibly (in ink) or type..
ASSESSOR'S TAX /PARCEL # 5 ! L{ S - 0 S 1 J�
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) _
(Attach s,,- -te Pagef r 1— g(hy,eyul description)
PROJECT • •
SUITE /UNIT #
LOT SIZE (sj)
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING j"ECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this Permit only)
PROJECT NAME (Name of Business or Owner Last Name)
PROPERTY
OWNER
CONTRACTOR
COPY o[ cud requInd
with e c b rppli —ti..
APPLICANT
i
NAME . ,
PRIMARY PHONE
APPLICANT NAME
OFFICE PHONE
2- -16
MAILING ADDRESS
S � -1
y
G r` �t 1
CITY STATE, ZIP /� y �)
�- (d� t'/Yc� it , ` W-
E -MAIL ADDRESS
COMPANY N E
APPLICANT NAME
OFFICE PHONE
2- -16
MAILING ADDRESS e t ��
CITY STATE,
11
ZIP A q
WA
CELL PHONE -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER DATE
677- 1 V cf '� b U 4 Z� 3 1 d
FAX NUMBER
CONTRACTORS REGISTRATION NUMBER EXPIRATION ATE
E -MAIL ADDRESS
COMPANY
VAME
APPLICANT NAME
OFFICE PHONE -
(
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent ❑ Other
FAX.NUMBER
( -
PROJECT NA j PRIMARY PHONE E -MAIL ADDRESS
CONTACT dl CiT Z7 {i -
LENDER NAME Per RCW 19.27.095.
Lender information is required (f project value exceeds $5,000
MAILING ADDRESS CITY, STATE, ZIP PHONE
EZSTING USE
EXISTING ASSESSED /APPRAISED VALUE $^
SPRINKLERED BUILDING? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN
SEWER SERVICE PROVIDER ❑ LAKEHAVEN
PROPOSED USE _
VALUE OF PROPOSED WORK $
FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED? ❑ YES ❑ NO
• HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
• HIGHLINE ❑ PRIVATE (SEPTIC)
(U ( C/
AREA DESCRIPTION F
EXISTING
S . FT.
PROPOSED•
S • . FT.
TOTAL
So. FT.
BASEMENT
FANS
GAS WATER HEATERB
MISC (Describe)
FIRST
FIREPLACE INSERTS
HOODS 1commud84
,SECOND
FURNACES T-
RANGES
o NO
THIRD
GAS LOG SETS
REFRIG. SYSTEMS
UP /SEPA /SU?
ADDITIONAL FLOORS (DESCRIBE)
o NO
PLATTED LOT?
o YES o NO
DECK•(0 COVERED OR 0 UNCOVERED)
U1VS paehroom sham
URINALS
MISC (Describe)
GARAGE 0 CARPORT 0
RAINWATER SYST
VACUUM BREAKERS
NUMBER OF FLOORS
ma"06
raoroase
Tana.
TOTAL aaIsTM ar
TOTAL raoreaIM ar '
TOTALS?
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of f xture to be installed or relocated ds part'of this project. Do not include existing fixtures to remain.
MECErAAYCAL
Value of Mechanical Work $C /1 (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WIY`H APPLICATION)
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS PIPE OUTLETS
WOODSTOVES
BBQS .
FANS
GAS WATER HEATERB
MISC (Describe)
BOILERS
FIREPLACE INSERTS
HOODS 1commud84
COMPRESSORS
FURNACES T-
RANGES
o NO
DUCTS
GAS LOG SETS
REFRIG. SYSTEMS
UP /SEPA /SU?
o YES
o NO
PLATTED LOT?
o YES o NO
13ATHTUBS (. ub /shma combo)
U1VS paehroom sham
URINALS
MISC (Describe)
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
DRINKING FOUNTAINS
SHOWERS
WATER CLOSETS goal q
ELECTRIC WATER HEATERS
SINKS
WASHING MACHINES
HOSE BIBBS
SUMPS
I certify under penalty of perjury that the information furnished by me is true and correct to the best of -my knowledge, and further, that I
am authorized by the owner of the above premises to perform the work for which the permit application is made. I further agree to hold
harmless the City of Federal Wag as to any claim fincluding costs, expenses, and attorneys' fees incurred in the investigation and. defense of
such claim), which may be mad` by any person, including the undersigned, and filed against the City of rederal Way, but only where such claim
arises out of the reliance of the city, including its officers and employees, upon the accuracy of the igformation supplied to the city as a part of
this application.
NAME /TITLE �-Lw
(Signature)
RELATIONSHIP TO PROJECT O Owner 0 Agent Contractor
u Architect 0 Other
W13 /0
o NEW o ADDITION
o ALTERATION
o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o YES o NO .
BASIC PLAN?
o YES
n NO
ZONING DESIGNATION
CHANGE OF .USE?
q YES
o NO
NEW ADDRESS REQUIRED?
o YES a NO
UP /SEPA /SU?
o YES
o NO
PLATTED LOT?
o YES o NO
DEMO PERMIT REQUIRED?
o YES
o NO
Bulletin #100 —April 2, 2007. Page 2 of
Mflandouts\Permit Application