10-102072 ,
Mechanical
City of Federal Way III111
Community Development Services Permit #: A 1 0-1 1 02072-00-M E
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609 p Q
Project Name: CHANG
Project Address: 32002 11TH AVE SW Parcel Number: 926493 0010
Project Description: Replace gas furnace.
Owner Applicant Contractor
YONG SUK CHANG SARAH TURNER GLENDALE HEATING&A/C
32002 11TH AVE SW GLENDALE HEATING&A/C GLENDHA053Q2 (11/2/11)
FEDERAL WAY WA 98023 12462 DES MOINES WAY S 12462 DES MOINES WAY S
SEATTLE WA 98168-2266 SEATTLE WA 98168-2266
Mechanical Valuation 2735 Is this an Online or O.T.C.application Yes
Furnaces 1
PERMIT EXPIRES Sunday, November 14, 2010
Permit Issued on Tuesday, May;18, 2010
Ihereby 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
7 and the City of Federal Way.
/
Owner or age t: , - . ../ / A Dater✓ / 0
Fi 5 4it o
< 444: . , ,
THIS CARD IS TO AIN ON-SITE
CITY OF + Construction Ins ction Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 10-102072-00-ME Address: 32002 11TH AVE SW
Owner: YONG SUK CHANG FEDERAL WAY, WA 98023-5548
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.
0 Mechanical Rough-in(4165) El Gas Piping(4125) El Final-Mechanical(4065)
Approved Approved to release test Approved
'By Date 'By Date .By .._ Dated_ I I_t•D,
0 Rough Electrical Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
• PERMIT p ... E� 1� DE EN FP
Federal Way
COMMI,NITY DEVELOPMENT SERVICES APPLICATION ‘,5 8 ((�� O
25:,'-8u.5-2607•FAX 253-835-2609 MAY 2 U 10
rru:r•,.;kcc crf^�:mo:J.cern
CITY OF FEDERN,,
,T�Y
SITE ADDRESS
320b2 -- IIS'` eve, Al 9gb3 CDS
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 2-1 (® 9 Z Lo `-� 9 3 - D O t O
TYPE OF PERMIT
0 BUILDING 0 PLUMBING ` rrCHANICAL
0 DEMOLITION 0 ENGINEERING /❑ FIRE PREVENTION
OF PROJECT
(Tenant Name/Homeowner Last Name)
NAME
PROJECT DESCRIPTION ( ' ( '��y►A(,�A
Detailed description of work to ,li vv l Q�
ke,t_ 9cAA 7'(10-411C(PJL--
be included on this permit only t�
PROPERTY OWNER NAgD3, 1 d P �o �� 7(,
\vX`_„CJ •
MAILINg i t ' ��/., L s, . I E-MAIL
STATE ZIP( f,0 23 �" l
NA t 4e' �-�l IM C- t "-i tc [Q PHO lY �t 3 /I 7 a lJ
CONTRACTOR 1�' Frs ''' o(r lX-J ���wv" `( ' �e .��r�l�C- 1 1 i ( .CiSeeit Cfi
STATE ZIP/O ( C FAX
_
4/3 (4'
WA STATE CTOR'S LICENSE M EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
1N 1��b���(�2i9�gg-cas69� -60'B
NA � LJ�W IXM ', 1\63 4 k PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
PROJECT CONTACT N r/'diN
PHONE 3
(The individual to receive andWr ta D 24 71 Q0
respond tothis
correspondence ( L2 q L1( 1 A „,,, - E-MAIL
concerningthisI v� "IX.UV i` ( �Q
ACT -vT��p St�STF� zir3t .Vl. U FAX
......
�s ��Y \ '�n S J�
PHONE
2 ( (deo 2-(oU) E-MAIL
PROJECT FINANCING NAME
OWNER-FINANCED
Required value of$5,000 or more
(RCW 19.27.095) MAILING ADDRESS,CITY,STATE,ZIP PHONE
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),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.
sem'SIGNATURE: CilkeZ DATE (5 /(D
PRINT NAME: )�VAAL
Bulletin#100—April 14,2010 Page 1 of 3 k:\Handouts\Permit Application
.fie4. final
VALUE OF MECHANICAL WORK $ c"?'-735,1-16,_(a copy of bid or estimate must be provided)
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 I FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
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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 sink.) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/utility) WATER HEATERS(Ekchic)
HOSE BIBBS SUMPS WASHING MACHINES
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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
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AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
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FIRST FLOOR(or Mobile Home)
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COVERED ENTRY
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GARAGE 0 CARPORT 0
EXISTING PROPOSED TOTAL —_
Area Totals
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ESTIMATED SELLING PRICE$ # OF BEDROOMS
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AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
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ADDITION
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AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
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TENANT AREA ONLY
Bulletin#100—April 14,2010 Page 2 of 3 k:\Handouts\Permit Application