08-102456 _ City of Federal Way • Mechanical Permitttl: 08-102456-00-ME
Community Ceyelopment 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: LY
Project Address: 29500 11TH PL S r ,er: 515180 0015
L
Project Description: Replace gas furnace. -
Owner Applicant ontrac
KIENG TAING&CHHOUNG LY BURIEN NATURAL GAS ' BURT L GAS
15615 NE 6TH ST 153 SW 154TH ST BU' 70D 8/19/09
BELLEVUE WA 98008-4321 BURIEN WA 98166 .3 SW 1TH ST
BUR W 66
• •
Additi al Permit In atio'
Mechanical Valuation 2000 thi i o1. pplication? Yes
chanic 'x `
Furnaces .. 1 ti1/4 II.r
`4,� ' EX ES Saturday, November 15, 2008
'it Issued on Monday, May 19, 2008
I h rtify th_ - abo . formation is correct and that the construction on the above described property and
cc ancy4 117 II •e in accordance with the laws, rules and regulations of the State of Washington
an he City of Federal Way.
r or agen R ' // Date: /
lki, 0 THIS CARD IS TAZEMAIN ON-SITE '
c:rl'YOF -' Community Develop ent Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-102456-00-ME
Owner: KIENG TAING & CHHOUNG LY
Address: 29500 11TH PL S
FEDERAL WAY, WA 98003-3740
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) El Gas Piping(4125) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By 07 ,-‘..----' - Date,/ z ,
For inspector reference only
❑ Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
. .
D Ilk
EPt
CITY OF'', asiwP _ — i AL1 4
Federal Way toy 19 2.008 PERMIT y3 3
COMMUNITY DEVELOPMENT SERVICES SF MF CO Q EL PL DE EN FP
33325 8T"AVENUE SOUTH•PO BOX 9®F E®E CATIONI°
FEDERAL WAY WA 98063-9718
253 835-2607 FAX 9
CDS
The following is required in ormation-an incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION
SITE ADDRESS Q f J C-lJ j ) i f )-, 5 /7 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# � ) N5 1 U V CJ- (./ 1 5 LOT SIZE(so) _
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
El PROJECT INFORMATION--!!
TYPE OF PERMIT ❑ BUILDING 0 PLUMBING I�ML:CHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DES RIPTION(Provide detaile,tescription of work included on this e.rmit onlu)
L-.,em.„t..e.‘ \J\—t , yl,Ei
1
PROJECT NAME(Name of Business or Owner Inst Name) _Lam/
• PEOPLE INFORMATION
PROPERTY NAME PRIMARYRIMPHONE�
OWNER ,'Q�� L� jZIP am/ Q (`0-S) of - OM
MAIL9I5!'ORESSL \. A s C 6�.J� `f -[hoc E2IAIL ADDRESS
CONTRACTOR COMPANY NAME JL' APPLICANT NAME ( OFFICE PHONE
it L LA'eV\O 4f (? 0 N,C Reis 0 (344) L.Cf' -a*47
MAILING ADDRESS STATE,ZIP CELL PHONE
153 s.(,J 154( f (`)r l kr,ems W 1(,G ( )
CITY OF FEDERAL WAY BUSINESS LICENSE N MS'ER EXP TION DATE FAX
,,NUMBER
[/ / •�
CONTRACTOR'S- 04 GIST>6 3 E-MAIL ADDRESS
6 3 0 0 2 L EXPIRATION i OD� ; 44 1 - a. Lel./
�3(. LA -} dllb (")�--Th0(� ci-0 '1
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
( )
MAILING ADDRESS CITY,SPATE,ZIP CELL PHONE
. ( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect ❑ Tenant o Agent o Other ( ) -
PROJECT �N-A^ME /C PRIMARY PHONE
t / / E-MAIL ADDRESS
CONTACT 1�rJ'� C �.e,.l I/N. (, D() )`C 1/4 - -t'"6O
LENDER NAME ) Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILI D'A., CITY,STATE,ZIP PHONE
( ) -
III DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? r YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN o HIGHLINE ❑ TACOMA r_1 PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
1110 40
• PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ. FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(❑COVERED OR ❑UNCOVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• FIXTURES
Indicate number of each type of fixture to be ins.. led or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
V(IIIP of Mechanical Work$ 0'6':..4i' D I g(A!.t`• OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATIOM
i fail
AIR HANDLING UNITS EV•!RATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(Commercial)
COMPRESSORS I FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower Combo) LAVS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(Toilet)
I 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 reliance of the city, including its officers and employees, upon the accuracy of the information supplied to
the city as a part ajait.pplication.
SIGNATURE A. / DATE .5"/I ye g
Property Owner and/or Authorized Agent
FOR OFFICE USE ONLY
❑NEW ADDITION s ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? ❑YES ❑NO
ZONING DESIGNATION CHANGE OF USE? ❑YES ❑NO
NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? YES ❑NO
PLATTED LOT? ❑YES ❑NO DEMO PERMIT REQUIRED? i YES ❑NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application