10-103803 A
City of Federal Way •
• Mechanical
Community Development Services Permit #: 10-103803-00-ME
PO Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax (253)835-2609
Project Name: HA
Project Address: 530 SW 321ST ST Parcel Number: 926490 0500
Project Description: Replacing gas furnace; installing gas line to new kitchen stove
Owner Applicant Contractor
YONG SIN HA YONG SIN HA YONG SIN HA
530 SW 321ST ST 530 SW 321ST ST 530 SW 321ST ST
FEDERAL WAY WA 98023-5656 FEDERAL WAY WA 98023-5656 FEDERAL WAY WA 98023-5656
.. ' Additional Permit Information .,`,''.5,.'' `° °
Mechanical Valuation 4930 Is this an Online or O.T.C.application9 Yes
ray Mechanical Fixtures
Furnaces 1 Gas Piping 1 Gas Pipe Outlets 1
Ranges 1
PERMIT EXPIRES Sunday, March 6, 2011
Permit Issued on Tuesday, September 7, 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.
i r
Owner or agent: / ,_.L�r ( i Date:
Fis u.E of .fio
46. THIS CARD IS TO REMAIN ON-SITE
Cir,raF `"` • Construction Insction Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 10-103803-00-ME Address: 530 SW 321ST ST
Owner: YONG SIN HA FEDERAL WAY, WA 98023-5656
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.
D Mechanical Rough-in (4165) ❑ Gas Piping(4125) ❑ Final-Mechanical(4065)
Approved R-1,'"-Date
Approved to release test AppprovedBy Date 'By Ofl
�i
By Late 1//0,
❑ Rough ElectricalCI Final Electrical Right of Way
Approved Ap�iroved Approved
By Date By Date By Date
1110fr A.
C.ff a t)J '''''''''',.:....-.--- I 0 5 ED3
PERMIT 0'99
R e iv Cum- PL DE EN FP
Federal Way
COMMUNITY DEVELOPMENT SERVICES APPLICATION
253-835-2607.FAX 253-835.2609 E
SP O 7
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CITY OF FEDERAIIT#
SITE ADDRESS
92D S.u . -)- f ' ty--It ;( LC i- 616r , CDS
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ ,...,,1 ,„LS1(..!, ,. 1.,\FI
TYPE OF PERMIT ❑ BUILDING CIPLUMBING XMECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT �
(Tenant Name/Homeowner Last Name) I t A
no
PROJECT DESCRIPTION ?O‘
' c ` I 1 CA O S - rC4 ) ��I ^°Detailed description of work to (AAbe included on this permit only
NAMEjr t PRIMARY PHONE
PROPERTY OWNER (j ( VLA- ,,,f--, } , I 4
MAILING ADDRESS I E-MAIL
i,,,i,
.30 5') '32-1 T1
ST____ z „
4 1 k)& 1 ca 0,.....):,..,
NAMEn' ..\ `1G it C PHONE
. MAILING ADDRESS _ (((/�. E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME PHONE
C-2,-t 1 me
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
PROJECT CONTACT NAME c7 p PHONE
(The individual to receive and
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application)
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME
— 0 OWNER-FINANCED
Required value of$5,000 or more
(RCW 19.27.095) MAILING ADDRESS,CITY,STA'P' -- 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.
SIGNATURE: J\ _ �, G L DATE - 7 ' �-/) ( P
PRINT NAME: / t �L . A
Bulletin#100-April 14,2010 Page 1 of 3 k:\Handouts\Permit Application
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VALUE OF MECHANICAL WORK $ (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 CONDITIONERFIREPLACE 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(Hama sinus) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(Electric)
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)
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 Construction # of
AREA DESCRIPTION Occupancy Group(s) Additional Information
in Square Feet Type Stories
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ADDITION
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Area Construction # of
AREA DESCRIPTION Occupancy Group(s) Additional Information
in Square Feet Type Stories
TENANT AREA ONLY
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Bulletin#100—April 14,2010 Page 2 of 3 k:\Handouts\Permit Application