08-103010 City of Federal Way • Mechanical Permit. 08-103010-00-M E�
Community Development Services •
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: KOREAN EXCHANGE BANK -
Project Address: 31721 PACIFIC HWY S Suite 102 _- Parcel Number: 082104 9078
Project Description: Duct work only for approx. 10 ducts
•Owner Applicant Contractor
DANIEL NIEDER HEAT MASTER HEAT MASTER
ELLAYENN'S LLC PO BOX 118 HEATMMI921DS(3/10/10)
5363 S KENYON SW LYNNWOOD WA 98046 PO BOX 118
SEATTLE WA 98118 LYNNWOOD WA 98046
•
Additional Permit information
Mechanical Valuation 2670 Is this an Online or O.T.C.application Yes
Mechanical Fixtures
Ducts .. 10
CONDITIONS:
Subject to field inspection without plans.
PERMIT EXPIRES Wednesday, December 17, 2008
Permit Issued on Friday, June 20, 2008
I hereby certify that the above information is correct and that the construction on the above described propertyand
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington
d th- City of Federal Way.
Owner or agent: _ i _ Date: b � /0
DATE INSPECTOR AREA AND TYPE O`t INSPECTION
- 2-Og Gc^ 3 c,G S s or-T�
r
41kii. THIS CARD IS TO MAIN ON-SITE • F
CITY OF ``- ommunity Developm t Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-103010-00-ME
Owner: DANIEL NIEDER
Address: 31721 PACIFIC HWY S Suite 102
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.
0 Mechanical Rough-in(4165) 0 Gas Piping(4125) ❑ Final-Mechanical(4065)
1Approved Approved to release test Approved
By C. 4! Date 7.,2)0—v By Date By 64....) Date7.3a p�
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
cmaFA - / 4c5 0 /6
6
Federal Way —
,3 Epait
RM IT SF MF CO EL PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES
33325 8TM AVENUE WA SWATH•PO 9718 JUN 2 0I P LI C AT I O N T�
FEDERAL WAY,WA 98063-971971 8 /
253-8352607•FAX lwa Y �-r� /
www.atuoliederalwa.
oF F /-,
The following is required inf- -� I 44b4I Jete application will not be accepted Please print legibly(in ink)or type.
III PROPERTY INFORMATION
SITE ADDRESS /: 1`/ /? ,711'C ,17 - SUITE/UNIT# /Oa
ASSESSOR'S TAX/PARCEL# ,,_- _ —_ LOT SIZE(sf) /Z'" SF-
LEGAL
-LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
egt.th ea for lengthy legal deroiatlanJ
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING L1"-MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTIONi` (Provide detailed description of work included on this permit onlu)
DAC+ W-- `i
PROJECT NAME(Name of Business or Owner Last Name) 4 �/�1 4\ / ,
• PEOPLE INFORMATION
PROPERTY NAME • PRIMARY PHONE /.
OWNER c D. (1f 3) 1- /W-3
MAILING ADORE CITY,STATE,ZIP E-MAIL ADDRESS
6 F8t,tertek <-t. AV 3 Les Ai* ?o/2
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
ne m er 71 'i (/J(�
MAILING ADDRES D 01301c]0 1_%,STA ,Z[PC/G' ����`fCE�NE - /4
CITY OF FEDERAL WAY BUS ESS UCEN EXPIRATION DATE 4y� �%� /lFAX NUMBER -
(
CONTRACTOR'S REGISTRATION NUMBER Iii, 46, EXPIRATION DATE E-MAIL ADDRESS
lig:T e, 4 3//a/�/o 4-A140_S f/e&ft-,6,1,4c
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
(
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect ❑Tenant ❑Agent ❑ Other ( ) -
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT ( ) -
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
(
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? a YES ❑NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKEHAVEN a HIGHLINE 0 PRIVATE(SEPTIC)
t PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
• SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
E7aSTda PROPOSED TOTAL TOTAL L7PSTING Sr TOTAL PROPOSED Sr ?OPAL sr
NUMBER OF FLOORS
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• FIXTURES
Indicate number of each ty•- • -to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(Commead.q
COMPRESSORS FURNACES RANGES •
Mr DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or rub/Shower Combo) LAYS(s.tbroom sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(roues
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
•
SIGNATURE
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 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, lading its officers and employees, upon the accuracy of the information supplied to
the city as a part of this application. py
SIGNATURE: LIi' _ DATE i/- /°o
Prope •• r and/or Authorized Agent
a NEW a ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a.YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application