15-101360 1111116. ReCEIVIO PERMIT OF IIPPLICATION
Federal Way MAR 2 0 2015
/ 5C
CITY OF FEDERAL WAY
PERMIT NUMBER / _ / Tif 3 6 0 _ (/� �j/// /'( Com- TARGET DATE C....-------'s.'%%.N.s."..„ D
SITE ADDRESS SUITE/UNIT#
CQ0 \ LI 3 dZOOP ( F-r_ __.(2Arod2. -V
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ It5-00 — _
TYPE OF PERMIT 0 BUILDING 0 PLUMBING MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT 0 to b eii, ,,
I—, lct_ ' & I I Ke ..-i--sc.a-e_ F u rncc..0 Q
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER 11/� rJ
NAME 1r/�i 1 \ 5 f R 6` .. PRIMARY PHONE
MAILING ADDRESS ^ ' E-MAIL
CITY l < JI"`� y piE ZIP
NAMHONE
1 \0 V
► \/ a Vim- !fie'" f`eOC )Fork) IrC Pa,65_/ 50- 1. v
MAILING ADDRESS
�V )1Y0%f'k11--Vifa5 j
"N ,
CONTRACTORCor,
CIO I t, `rWkil STATE ZIa.3351 FAX
WA STATE CONTRACTOR'S LICENSE# WIRATION DATE FEDERAL WAY BUSINESS LICENSE#
1 N No VrT5815�-1( `D/ 30 /5
NAME I in n0 v {t I `\r�p� /I(,�U"(�/ kt b A s PRIMARY PHONE
APPLICANT MAILING ADD S �' V— E-MAIL
CITY
PROJECT CONTACT STATE /ZIIP PARY PHONE
FAX
16 r`�"`�^�' 4)/1- 1 1 {62-► \ Ci-e5-3- --535c5 -1-1.550
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING 0 OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized 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),whi may be •de by any perso including the undersigned,and filed against the city,
but only where such claim arises out of the eli•nce of , city, i• .ludi • , 0 ficers and employees, upon the accuracy of the
information supplied to the ci • a part oft s a•• I.ti•
7 S/I 24 3
SIGNATURE: 0 z 41
DATE /
PRINT NAME: -e-`- LOA- 4
Bulletin#100-January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
• •
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $ //G.-0°
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial)
BOILERS \ FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(xitchen/Utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
$
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes ❑ No ❑Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
fi
V'''.!.;',7•71,1/
�; 4 '//fr r.„/"/-4; r` ' �p r`fv fir ///k
FIRST FLOOR(or Mobile Home)
COVERED ENTRY
.0''`,4/6,,,,,/,;‘, 0,1,-/�r'!✓/ '/ f, ' '/r} o.e idr7fi' ' -,/ 1 ;45
1t
,,2,44' ei � r Ifi,f �/. f� `{ fJs" / / / F �', %
g ,A //% ilg)g/ xr 'Jfo /. % ;, , ,,,, f :
GARAGE ❑ CARPORT ❑
/ ,
lv , U /// / . " X' r6 - x � 0/,!Xi - v' /r. ir1Fr7,4,vf074.,k; :ffy.Ew,, ' .;. r „ /,
EXISTDPO
PROPOSED TOTAL
Area Totals
'r r,< ,' : /v/ri�:.z/rg.rrf �/ +'r/' ,,/.v } 9' ,' ''';/, ",Ix,lr�P`g` '"/',�y'/''/1,�''F'r{ r' '
ESTIMATED SELLING PRICE #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
Area Construction #of
AREA DESCRIPTION Occupancy Group(s) Additional Information
in Square Feet Type Stories
, te/ ' ;rJ/r , +r l�/ v/,`, J/ r / / / /, ./„'/.'rr<.,te,r ;/,r ,ff / ” 1 ,/,- ,...,."r r/ /,;� ft ',..A,/ ,
/ /�,.., . �/
/{
''4rJ/ ?„ • r7r ri� siY' f �,/! /�' r r /'-,Yr/�r� i '��.��� , G' • '/r,���r�r/ , r,j%”„ / � . , �F�1.:
, , f ' , , - , a //s. ,, �! ,� �„ �/, � .,//.f"".,..'fi'' ,, ,{ .r� ,/Ar„ f", ' r , ,.� .:r�f/ %r,•.'c�r•
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
Area Construction # of Additional Information
AREA DESCRIPTION Occupancy Group(s)
in Square Feet
4 , , i,r'/•�%, ,,r;.,r:; '. -,.�., i�.:, ..Type
,✓,..rw..,�Stories
✓
� H�/�/, '1Vr, / ✓„r , fi / aj� ! �,'' il frr4 � �� ,r � .:”
�IA
�, /ar.i��V-;'/, //> !�/- 1/ �f/7'-/ �i0/ %,' , , /� vtr,3, /w / �`/r , :0f' ';f' rrr
TENANT AREA ONLY
/,'//%y '�vfrrr.,r r,,;-' ,/ /•.1/{. rr r: / :'r f,/Y/.!, ; /j r,/W /r,..-F; %'r�,£rr r ,,,/g {r :;r/ ,'/ �, i' r rr,':
7,-.2,7A f % ; r „, ,/0f 's ii`/ F'�/ ; 4' �
;''/.!�t/`% A� isXr ✓ r �,/ „,.//.4..A.,,,,/ .�f ,'/'/i' / r .'`' '''''' ;//,/,/-40„,,//'>/ �,'a'f r/,, ,-,,,,,4.;/„,.,,,,:,./- ,-,.,,,x/./0,../„.,<,///.
Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application
City of Federal Way
Community & Econ. Dev. services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835 -2807 Fax (253) 835 -2809
Project Name: ROBBEN
Project Address: 2014 S 280TH PL
Project Description: Like for Like electric furnace replacement
Mechanical
mi -
Per #: 15 -101 6 t 3 0-00 ME
Inspection Request Line: (253) 835-3050
Parcel Number: 4222310450
Owner
DENNIS ROBBEN
ARRfican t
BRENT WALKER
Contractor
INNOVATIVE THERMAL SOLUTIONS INC
2014 S 280TH PL
INNOVATIVE THERMAL SOLUTIONS INC
INNOVTS875LK (5/30/15)
FEDERAL WAY WA 98003 -3202
PO BOX 544
PO BOX 544
MILTON WA 98354
MILTON WA 98354
Additional Permit Information
Is this an Online or O.T.C. application ? ................. es
Mechanical Fixtures
Furnaces .......... ............................... 1
PERMIT EXPIRES Wednesday, September 16, 2015
Permit Issued on Friday, March 20, 2015.
I 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
0 1 e f Jadmi Way.
Owner or agent: IN LM 1131 Date:
FINALED
THIS CARD IS TO REMAIN ON -SITE '
.
°� Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835 -3050
PERMIT #: 15- 101360 -00 -ME Address: 2014 S 280TH PL
Project: DENNIS ROBBEN FEDERAL WAY, WA 98003 -3202
Scheduled inspections maybe 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 Electrical
Approved
Final - Mechanical (4065)
Approved
By
Approved to release test
Approved
By
Date
By
Date
By
( t*V% Date 71?.4 tiv-
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date