08-103782 R • Mechanical Permit.) 08-103782-00—ME City of Federal Way
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: C I S (COMMUNITY INTEGRATED SERVICES)
Project Address: 34400 PACIFIC HWY S Parcel Number: 889700 0020
Project Description: Installation of 4 ft duct work for microwave venting to exterior
`
Owner Applicant Contractor
CHARLES MORTON 360 REMODEL 360 REMODEL
MORESTONE ENTS LLC PO BOX 3304 360RER*941LL(8/12/10)
601 W MERCER PL UNIT 305 FEDERAL WAY WA 98063 PO BOX 3304
SEATTLE WA 98119-3886 FEDERAL WAY WA 98063
Additional Permit Information
Mechanical Valuation 130.00 Is this an Online or O.T.C.application? Yes
Mechanical Fixtures
Air Handling Units 1
CONDITIONS:
Subject to field inspection without plans.
PERMIT EXPIRES Sunday, February 8, 2009
Permit Issued on Tuesday, August 12, 2008
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 •- -ccordance with the laws, rules and regulations of the State of Washington
%� _-cit City of Federal Way.
Owner or agent:
//I
Owner Date: La /2- Cs
A .r/
Fir SALE
D
THIS CARD IS TO likMAIN ON-SITE
•
ommunity Developme t Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-103782-00-ME
Owner: CHARLES MORTON
Address: 34400 PACIFIC HWY S
FEDERAL WAY, WA 98003-6818
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) EI Gas Piping(4125) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date BYr 7 Date e)4-c
For inspector reference only
❑ Rough Electrical ❑ FINAL-Electrical
Approved Approved
By Date By Date
C,roA Q ECEI\ S • 8' - D .9 7- E7
F'edev I Way -- —.
PERMIT SF MF CO IE L PL DE EN FP
3 5a" °UEE i"'�o BOX 97,0 G 11 20r
FEDERAL WAY,WA 98063-9718 APPLICATION t° i
253-835-2607.FAX 253-835-2609
www.dtuoffederujwau.com 1F FEDERAL WAY
The following is required€cation-an incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION
SITE ADDRESS /1L(Oa prAGIf IC {-4W/ S re0OAL WAy vIR <I?or,7 SUITE/UNIT ik
ASSESSOR'S TAX/PARCEL# g 9 1 U °- 0 v 2 U LOT SIZE(sf
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) M) '(TONS
(Attach separate page for tengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING t MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
iNSTAit, p✓:.T FRuM ('.'l1c--i vL.,4cv- Tv :E)c eglop_
PROJECT NAME(Name of Business or Owner Last Name) Z`
•
• PEOPLE INFORMATION
PROPERTY NAME
PRIMARY PHONE
OWNER ( 1A s mok-r v ( . ) 7a 5- - 49 47
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
b 6 w t c &- R., 44-30S- . .. a--- INA ii Z
CONTRACTOR COMPANY NAME APPLICANT NAME • OFFICE PHONE
36 0 def vt) L fk'J 1 ,v" pgf11,41 ( a) F?t - 2277
�,/ MAILING ADDRESS 2 31 S 2--�Ftp CITY,STATE,ZIP CELL PHONE
C _ e' fie' :41,/ ,/L.' 4--...4 '' '''t,-1 ( ) 33S- - 05-S-3
`(/�Vv 1` CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
'.-fa.
; -
qf '
t v - CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
/ daeiiR;�FTi ,Y. '; ' ` 3w ( 9LI1LL t: e �0
APPLICANT COMPANY NAME APVUCANT NAME OFFICE PHONE
360 4-0;ytZ. Any • Sv4iN411M ( ) _
MAILING ADDRESS .STATE,
23 , S Z-1-ft, F) 5.-&" �J�v� VA fsgo2 CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
Cl Architect 0 Tenant Cl Agent 0 Other ( ) _
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT ( ) -
LENDER NAME Per RCP)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? ❑YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
• ••-
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
=cm PROPOSED TOTAL TOTAL EXISTING Sr TOTAL PROPOSED Sr TOTAL Sr
NUMBER OF FLOORS
" EW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
■ FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work$ (A COISY O 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(commerci4
COMPRESSORS FURNACES RANGES
—'r-
1'" DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(orTub/shower combo) LAVS(Ba w.=si l URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(rode)
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 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 relignce of the city, including its officers and employees, upon the accuracy of the information supplied to
the city as a part of this applicatio
SIGNATURE: s— DATE "' [(.. b U
., •••. t 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? o 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\Pennit Application