10-100409 ec a_ aca .
ally of Federal Way 411 ,`
Community Development Services Permit #: 10-100409-00-iVIE
P.O.Box 9718
Federal Way,WA 98063-9718 Ins peRequest Line: (253) 835-3050
Ph:(253)835-2607 Fax (253)835-2609 p a
Project Name: SOHN
Project Address: 32417 8TH AVE SW Parcel Number: 926492 0670
Project Description: Gas furnace replacement
Owner Applicant Contractor
LINA SOHN LINA SOHN LINA SOHN
32417 8TH AVE SW 32417 8TH AVE SW 32417 8TH AVE SW
FEDERAL WAY WA 98023 FEDERAL WAY WA 98023 FEDERAL WAY WA 98023
Information
Mechanical Valuation 500 Is this an Online or O.T.C.application Yes
Merl ani I Nxturl ;:
Furnaces 1
PERMIT EXPIRES Tuesday, July 27, 2010
Permit Issued on Thursday, January 28, 2010
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
and the City of Federal Way.
Owner or agent: Date:
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DATE INSPECTOR• AREA AND TYPE O . iNSPECTION
• THIS CARD IS TO AIN ON-SITE - .4
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cOF. Construction Ins ction Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 10-100409-00-ME Address: 32417 8TH AVE SW
Owner: LINA SOHN FEDERAL WAY, WA 98023-4902
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) ❑ Gas Piping (4125) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By /-}1- Date 2/e27 b
El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
crrr or iNO
Federal PERMIT �4` 3 F CO EL PL DE EN FP
COMMUNITY DEVELOFMENT SERVICES APPLICATION
253-835-2607•FAX 253-835-2609
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SITE ADDRESS r
A7
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SUITE/UNIT# ZONING ASSESSOR'S TAX/PARCEL#
........................................................................................................................::..:
NAME OF PROJECT f r -
(Tenant or Homeowner Name) L/n c'` 7 ►1 ( �� r/✓'\ )
❑ BUILDING 0 PLUMBING 0 MECHANICAL.
TYPE OF PERMIT
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION
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PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
...................................................................................................
....:..........................................................................:..........;....:.:.:::..:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::.
NAME k47--,--\. ` fPRIMARY PRONE
PROPERTY OWNER
.1 Zing SaA,�► (2 S' )ICC8- - 13-)
MAILING ADDRESS,CITY,STATE,ZIP E-MAIL
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OWNER IS ALSO: er<ONTRACTOR (9--APPLICANT -PROJECT CONTACT
NAME ( PRIMARY PHONE
CONTRACTOR MAILING ADDRESS,CITY,STATE,ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME PRIMARY PHONE
APPLICANT ( ) -
MAILING ADDRESS,CITY,STATE,ZIP ( FAX
PROJECT CONTACT NAME PRIMARY PHONE
(The individual to receive and
respond to all correspondence MAILING ADDRESS,CITY,STATE,ZIP FAX
concerning this application) ( ) _
ALTERNATE CONTACT NAME: PRIMARY PHONE E-MAIL
PROJECT FINANCING NAME
El OWNER-FINANCED
Required for projects with
value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PRIMARY PHONE
(RCW 19.27.095) ( )
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred
in the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the
city, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
SIGNATURE: // `/ DATE - s
PRINT NAME: �j - /,.//>
Bulletin#1100—January 1,2010 Page 1 of 4 k:\Handouts\Pennit Application
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE PROVIDED)
Indicate number 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(conisiercies
BOILERS 4"•-• FURNACES HOT WATER TANKS(Gee)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
•
Indicate number 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(kitchenjutauy) WATER HEATERS(Electmc)
HOSE BIBBS SUMPS WASHING MACHINES TOTALtIX!1IIR 6
PROJECT VALUATION 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
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL
FOR OFFICE USE
BA�tiMI'i`
FIRST FLOOR(or Mobile Home)
SE f31tII)FI OOR •
COVERED ENTRY --
GARAGE 0 CARPORT ❑:
;;;QTR�desti't7t�
Area Totals Area
TOTAL -- —.
ESTIMATED SELLING PRICE$ #OF BEDROOMS
AREA DESCRIPTION Area Construction #of
Occupancy Group(s) Additional Information
in Square Feet Type Stories
ADDITION •
AREA DESCRIPTION Area Construction #of
in Square Feet Occupancy Groups) Type Stories Additional Information
TENANT AREA ONLY
.....-....
Bulletin#100—January 1,2010 Page 2 of 4 k:\Handouts\Permit Application