07-106392• GitVLof Federal Way
Community D9veftment Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Project Name: NABAWANGA
Project Address: 35645 13TH AVE SW
Project Description: Install gas fireplace
Mechanical Permit #: 07- 106392 -00 -ME
Inspection Request Line: (253) 835 -3050
Parcel Number: 713780 0215
Owner
Applicant
Contractor
LYDIA NABAWANGA
AQUA REC'S INC
AQUA REC'S INC
35645 13TH AVE SW
1407 PUYALLUP AVE
AQUARI *110RA (02/19/09)
FEDERAL WAY WA 98023
TACOMA WA 98421
1407 PUYALLUP AVE
TACOMA WA 98421
Adt�i# Anal Permit Into rtl #!on
Mechanical Valuation ................. ...........................3000 Over the Counter Permit? ...................................... Yes
THIS CARD IS TO REMAIN ON -SITE
F
CITY of AA Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 106392 -00 -ME
Owner: LYDIA NABAWANGA
Address: 35645 13TH AVE SW
FEDERAL WAY, WA 98023 -7238
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 <,—L,%) Date / / •Z, . By e,,Lj Date 1-1 4-7 y
For in_ pector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
C"M o �O 3
�I wa o��v PERMIT
w,velunnlYDSV vrcas SF MF C �MEEL PL DE EN PP
33925 8ft AV4 • Po BOX 9718
FSDBRALWAY, WA 9871A Zoo .v�P APPLICATION
259.895.260
The foilowily i 4 r�mation -an incomplete application will not be accepted. Please print. legibly (in ink) or type.
SITE ADDRESS CO y l3� W SUITE /UNIT #
ASSESSOR'S TAX /PARCEL # LOT SIZE (s])
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(+tkwh •pro•1br wa►wIWdd l
PROJECT •• •
TYPE OF PERMIT O BUILDING O PLUMBING AT ECHANICAL
O DEMOLITION ❑ ELECTRICAL O ENGINEERING 13 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlvl
PROJECT. NAME (Name of Business or Owner Last Name )A.) 4�V /X A
PEOPLE •• •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
NA s
�� 3 LAJ �L�
PRIMARY PHO E
(zss) M/ - CS_
MAILING ADDRESS
3Co
CITY, STATB, ZIP
r~ v✓�y ltih 510
E -MAIL ADDRESS
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESy
a s� �A.(L �
CITT, STATE, ZIP
A
PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
Qlz )6&
CONTRACTO^R'S REGISTRATIONyNU
W TION DATE
�ZwMAAI -LL /ADDRESS
4A
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other
G cmµ 1
PRIMARY PHONE E- MAILADDRESS
t3 G-7 SS - G l G fl't'f-i , C
NAME
Per RCW 19.9.7.093:
Lander information is required (jproject value exceeds $3,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑TACOMA ❑PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
PROJECT ••
`. AREA DESCRIPTION EXISTING
S:FT.
BASEMENT
PROPOSED
so. FT,
,,. TOTAL
Is
FIRST
RAINWATER SYST
VACUUM BREAKERS
DRINKING FOUNTAINS
SECOND
WATER CLOSETS rroueq
ELECTRIC WATER HEATERS
SINKS
THIRD .
HOSE BIBBS
SUMPS
o YES
ADDITIONAL FLOORS (DESCRIBE)
NEW ADDRESS REQUMED?
o YES a NO
DECK (❑ COVERED OR ❑ UNCOVERED?)
o YES
o NO
PLATTED LOT?
GARAGE-13 CARPORT ❑
DEMO PERMIT REQUIRED?
a YES
NUMBER OF FLOORS
stareas
•soroess
roru.
rormsarraasi
Mr" PRoroesasr
renasr
"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.
IMECU4WC4L
Value of Mechanical Work (A COPY OF BID OR ESTIMATE MUST • BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS %C GAS PIPE OUTLETS WOODSTOVES
BBQS PANS GAS WATER HEATERS MISC (Describe)
BOILERS_ FIREPLACE INSERTS HOODS (commerdeq
COMPRESSORS FURNACES RANGES
DUCTS 'GAS LOG SETS • REFRIG. SYSTEMS'
BATHTUBS (or rub /sho combo)
LAVS pkthmomstnk4
URINALS . MISC (Describe)
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
DRINKING FOUNTAINS
SHOWERS
WATER CLOSETS rroueq
ELECTRIC WATER HEATERS
SINKS
WASHING MACHINES
HOSE BIBBS
SUMPS
o YES
I certify under penalty of perjury that I an the property owner or authorized agent of the property owner. I cert(jy that to the best of my
knowledge, the information submitted in support of this permit application is true and correct. I Cert(& that! will mply with all applicable
City of Federal . Way regulations pertaining to the work authorised by the issuance of a permit. I understand that thcoe issuance of this permit
does not remove the owner's responsibility for compliance with loea/, state, or federal laws regulating construction or enoironiaental laws.
I further agree to hold harmless the City of Federal Way as to any claim (including costs, expo wss, and attorneys' Jess incurred in the
investigation and defense of such claim), which may be made by any person, including the undersigned, and jlled against the incurred
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 this application.
NZ
SIGNATURE:
o NEW o ADDITION
a ALTERATION
a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY?
a YES. o NO
BASIC PLAN? '
o YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
o NO
NEW ADDRESS REQUMED?
o YES a NO
UP /SEPA /$U?
o YES
o NO
PLATTED LOT?
a YES a NO
DEMO PERMIT REQUIRED?
a YES
a NO.
Bulletin # 100 _ August 16, 2007 Page 2 of 4 . k\HandoutsTermit Application