07-104499f
City of Federal Way j
Community Development Services Mechanical Permit #. • 07- 104499 -00 -ME
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609 Inspection Request Line: (253) 8355 -3050
Project Name: AVELYN'S WEDDING SERVICE
Project Address: 34310 9TH AVE S Suite 108 Parcel Number: 926480 0083
Project Description: Installation of gas piping for Suites 108 & 109. Same buisiness, same building adjoining
suites.* *This permit only covers the gas piping"
Owner
Applicant
Contractor
HARSCH INVESTMENT PROPERT
AVELYN'S WEDDING SERVICE INC
TK COMFORT INC
5113 PACIFIC HWY S SUITE 1E
5839 S MULLEN ST
TKCOMKC95100 09/20/2007
FIFE WA 98424
TACOMA WA 98409
2807 R PL SE
AUBURN WA 98002
Additional Permit Information
Mechanical Valuation ................ ............................600 Over the Counter Permit ? ...................................... Yes
Mechanical Fixtures
Gas I? .' , . ...............................
� .... 1 fias Pipe Outlets ............................. 6
I hereby certl that the abov
the occupancy and the use
City of Federal Way.
Owner or agent:
Date:
THIS CARD IS TO REMAIN ON -SITE
Cl" OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 104499 -00 -ME
Owner: HARSCH INVESTMENT PROPERT
Address: 34310 9TH AVE S Suite 108
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 (Y / (j By Date �/ p
For inspector reference only
~ ❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
CITY OF
RECEIVES _ f
Federal way PERMIT
CbMMUNITY DEVELOPMENT SERVICEG 1 3 2007 SF MF CO ME EL PL DE EN FP
33325 87H AVENUE SOUTH • 63 971 9 AP p L I C A T I O N TD
FEDERAL WAY, WA 98063 -9778
253 - 835- 2607•FAx253- 835i?( Ott FWERA if
eau,. ri:TO%deralux,t,.cv BUILDING DEPT.
The following is required information -an incomplete application will not be accepted. Please print legibly (in ink) or type.
PROPERTY •. •
—� SITE ADDRESS _ lO ✓ I "NAVE S , Fede1 -01 Way, Wd "99 0 3 SUITE /UNIT #
ASSESSOR'S TAX /PARCEL # LOT SIZE (sp
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attooh separate page for lengthy legal description)
PROJECT • •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING EC HANICAL
❑ DEMOLITION ❑ ELECTRICAL ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only)
�•��- �S A i` D-t? .ti I P_l� �r��rr �i t � �t�c -r /�o �h c U�-i ��5
WROJECT NAME (Name of Business or Owner Last Name) A a �S P,!U%N�_i e r j/1 ' Q
PEOPLE •- •
PROPERTY
OWNER
CONTRACTOR
COPY of eerd r ukod
with eseh eppIleWen
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
CO NAME
P LICANT NAME h
OFFICE PHONE q �+
2e-C_-
1' /0"
( 21� )
LIN(3�ADDRESS
/�UfYI�
1 ST TE,_Z_IPP _ /'
CELL PHONE S
2Sr3 -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
NXI'MATIUN DATE
FAX NUMBER
<- -
OREGISTRATION
2 -fit -o°7
(2 -n19.3
CONTRALTO S NUMBER
EXPIRATION DATE
E -MAIL ADDRESS
a VLA r.Gc r�
COMPANY NAME
APPLICANT NAME
V
OFFICE PHONE
MAILING ADDRESS
3 ` SMA
CITY, STATE, ZIP
CELL PHONE
(25 :50 - 3.-3 96
RELATIONSHIP TO PROJECT
❑ Architect Tenant ❑Agent ❑Other
FAX NUMBER
NAME _
R
PRIMARY PHONE
T Z
E -MAIL ADDRESS
NAME
Per RCW 19.27.095.
Lender information is required ifproject value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
EXISTING ASSESSED /APPRAISED VALUE $
SPRINKLERED BUILDING? ❑ ❑ NO
PROPOSED USE
ALUE OF PROPOSED WORK $
FIRE SUPPRESSION STEM PROPOSED /REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER' ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
!z),
r
4
AREA DESCRIPTION
EXISTING
S . FT.
PROPOSED
S • . FT.
TOTAL
S . FT.
BASEMENT
o YES o NO .
BASIC PLAN?
FIRST
n NO
ZONING DESIQNATION
.SECOND
CHANGE OF .USE?
o. YES
o NO
THIRD
DYES a NO
UP /SEPA /SU?
ADDITIONAL FLOORS (DESCRIBE)
o NO
PLATTED LOT?
o YES o NO
DECK (❑ COVERED OR ❑ UNCOVERED?)- 7z
DEMO PERMIT REQUIRED?
o YES
o NO
GARAGE ❑ CARPORT ❑
4
NUMBER OF FLOORS
s�nmso
rxorosao
TOTAL.
TOTAL ssranxo ar
zor& rtaroasn sr '
MAL er
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each tom; tix+Wp 10 be installed or relocated as part*of this project. Do not include existing fixtures to remain.
lY1dSF:d1A/Y1{:fi4
Value of Mechanical
AIR HANDLING UNITS
BBQS.
BOILERS
COMPRESSORS
DUCTS '
L1
BATHTUBS (or Tub /ahowercombo)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
OF BID OR ESTIMATE MUST BE INCLUDED W19`H
EVAPORATIVE COOL
FANS
FIREPLACE INSERTS
FURNACES
T: OAS 1.00 SETS
LAV.S (bathroom s&*4
RAINWATER SYST
SHOWERS
SINKS
9S PIPE OUTLETS
GAS WATER HEATERB
HOODS (com "q
RANGES
REFRIG. SYSTEMS
URINALS
VACUUM BREAKERS
WATER CWSET3 lroueti
WASHING MACHINES
WOODSTOVES
MISC (Describe)
ryas Pi
p;
MISC (Describe)
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 authorised by the owner of the abo premises to perform the work for which the permit application is made. I further agree to hold
harmless the City of Federal Way' as to y claim (including costs, expenses, and attorneys' fees incurred in the investigation and defense of
such claim), which may be made by an erson, including the undersigned, and filed against the City of Federal Way, but only where such claim
arises out of the reliance of the city lu is officers and employees, upon the accuracy of the information supplied to the city as a part of
this application.
NAME /TITLE DATE _0
i ure) (Title) `
RELATIONS H TO PRO ❑ Owner ❑ Agent ❑ Contractor ❑ Architect 0( Other ��.ey(
o NEW o ADDITION
o ALTERATION
o REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o YES o NO .
BASIC PLAN?
o YES
n NO
ZONING DESIQNATION
CHANGE OF .USE?
o. YES
o NO
NEW ADDRESS REQUIRED?
DYES 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 4 k\Handouts\Permit Application