07-106279T s
r as ay
Comm nttyD
oi Federal veopmentServices Mechanical Permit #: 07- 106279 -00 -ME
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609 Inspection Request Line: (253) 835-3050,
Project Name: WHITESIDE F.
Project Address: 2445 SW 306TH PL Parcel Number: 416730 0190
Project Description: Connecting 3 bathroom fans
Owner
Applicant
Contractor
DAVID & ANN WHITESIDE
LARRY'S REPAIR
LARRY'S REPAIR
2445 SW 306TH PL
4320 196TH ST SW
LARRYR*081BS 1/08/09
FEDERAL WAY WA 98023 -2339
LYNNWOOD WA 98036
4320 196TH ST SW
LYNNWOOD WA 98036
I hereby
the occ
Owner or agent:
�r) CNN,_
THIS CARD IS TO REMAIN ON -SITE
Cl" OF Community Development Inspection Re *cord
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 106279 -00 -ME
Owner: DAVID & ANN WHITESIDE
Address: 2445 SW 306TH PL
FEDERAL WAY, WA 98023 -2339
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 Dat
For infector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
car OF
F�zd+draI Why
COAMMTY DEVELOPAIM SERVICES
33325 OR AVXWE SOUM • PO BOX 9718
FEDERAL WAY, WA 98063.9718
253- 835-2607• FAX 753.835- 2609
ahrolCedemhrmul mm
PERMIT
APPLICATION
01 LL l 2-2 41 .
SF MF CO CE EL PL DE EN PP
The following is required information - an incomplete application will not be accepted. Please print. legibly (in ink) or type.
SITE ADDRESSi SUITE /UNIT
ASSESSOR'S TAX /PARCEL 9 _ _ _ _ _ _ — _ _ _ _ LOT SIZE (s�
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Aff-h eeperatepWjbr VkWOdesaWmq
PROJECT • •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING. .MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlyl
PROJECT. NAME (Name of Business or Owner Last Name)
PEOPLE •• •
PROPERTY NA PRIMARY PHONE
OWNER ^VL I� 9 ('9157 'k . -CID
MAILING ADDRESS CITY, STATE, ZIP E-MAIL ADDRESS
L�
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
COj�PANY NAME
i
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
�`�-/'t { i
CELL PHONE
( Y-;.jl `Y
C l /'
MAILING ADD 33!
CI-, P✓✓
CELL P& NE
' rk�j""/
'l -n
- l
CITY-OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
FAX NUMBER
CONTRACTOR'S REGISTRATION NUMBER ZXPIRLTION DATE
E-MAIL ADDRESS
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
( )
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
❑ Architect O Tenant ❑ Agent ❑ Other
FAX NUMBER
( ) -
NAME PRIMARY PHONE E -MAIL ADDRESS
NAME
Per RCW 19.2.7.0951
Lender information is required (jproject value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE i$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA O PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
PROJECT ••• AREAS
AREA DESCRIPTION -EXISTING
S : FT.
BASEMENT
PROPOSED
S2. FT.
TOTAL
SO. FT..
—FIRST----
BUILDING SHELL ONLY?
o YES. o NO
SECOND
o YES
o NO
ZONING DESIGNATION
THIRD .
CHANGE OF USE?
o YES
ADDITIONAL FLOORS (DESCRIBE)
NEW ADDRESS REQUIRED?
o YES o NO
DECK ((7 COVERED OR O UNCOVERED ?)
a YES
o NO
PLATTED LOT?
GARAGE O CARPORT O
DEMO PERMT REQUIRED?
o YES
NUMBER OF FLOORS
="00
rxoro•m
Tartu,
rorncxaa rmor
"rwrxamw,r
rareter
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
maicate numoer of eacn
Value of Mechanical Work
_ AIR HANDLING UNITS
_ BBQS
BOILERS
COMPRESSORS
DUCTS
of future to oe mstaliea or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS (or Tub /showercombo)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
U (A COPY OF BID OR ESTIMATE MUST •BE INCLUDED WITHAppLIC,ATTONJ
EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
FANS t GAS WATER HEATERS MISC (Describe)
FIREPLACE INSERTS HOODS (con '184
FURNACES RANGES
GAS LOG SETS REFRIG. SYSTEMS
LAVS (B.ftoom sk*4
RAINWATER SYST
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
WATER CLOSETS rroBeq
WASHING MACHINES
MISC (Describe)
I certify under penalty of perjury that I am the property owner or authorised agent of the property owner. I cen jy that to the best of my
knowledge, the information submitted in support of this permit application is true and correaL I etrt{l� 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 a part of this application.
SIGNATURE: DATE / /
Property Owner an orized Agent
E) NEW o ADDITION
a ALTERATION
o REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o YES. o NO
BASIC PLAN?
o YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
ONO
NEW ADDRESS REQUIRED?
o YES o NO
UP /SEPA /SU?
a YES
o NO
PLATTED LOT?
o YES o NO
DEMO PERMT REQUIRED?
o YES
o NO.
Bulletin #100 "August 16, 2007
Page 2 of 4 .
MHandouts\Permit Application .