16-100378 Mechanical
City ity o&EFcon.
al Dev. y
S Permit #: 16-100378-00-M E
Community&Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: GIVEN
Project Address: 28054 23RD AVE S Parcel Number: 326080 0240
Project Description: Remove and replace gas furnace
Owner Applicant Contractor
TAGUPA GIVEN TECHSTREAM AIR LLC TECHSTREAM AIR LLC
28054 23RD AVE S 6030 FAUNTLEROY WAY S TECHSAL855J2(4/22/17)
FEDERAL WAY WA 98003 SEATTLE WA 98136 - • 6030 FAUNTLEROY WAY S
SEATTLE WA 98136
•
Additional Permit Information
Mechanical Work Valuation? 1300.00 - Is this an Online or O.T.C.application? Yes
Mechanical Fixtures
Furnaces 1
PERMIT EXPIRES Sunday, July 24, 2016
Permit Issued on Tuesday, January 26, 2016
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
nd the City of Federal Way.
Owner or agent: Date: /,aI'/1
Fral-c,c.A
` THIS CARD IS TO FMAIN ON-SITE
`•Fe 0 Construction In ection Record
Federal .."TMWay INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 16-100378-00-ME Address: 28054 23RD AVE S
Project: TAGUPA GIVEN FEDERAL WAY, WA 98003-2964
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.
El Mechanical Rough-in (4165) 0 Gas Piping(4125) 0 Final-Mechanical(4065)
Approved
Approved to release test Approved
By Date By Date
By 0fj Date Z I 3/(4
•CI Rough Electrical E _Final Electrical Right of Ways
Approved ApprovedID
Approved
By Date 1 By Date
By Date
CITY OF • PERMITOAPPLICATION
Federal Way RECEIVED
o 0--------j �(�((��/� JAN 2 6 2016
PERMIT NUMBER _ l 'I / _ I l�
— — TARGET DATE CITy OF FEDERAL WAY
SITE ADDRES�e 05 NI
V
SUITE/UT N
4- tor_ __-_-
PROJECT VALUATION ZONING ASSESSOR'S TAXRCEI!#$ -
0 4 D
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING V MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT dive",
e,,
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
/i�gU��l t✓eti �....,75-. 71/e.‘29,',2
PROPERTY OWNER MAILING ADDRESS E-MAIL
F'Osi/ C713 '4414' -S
CITY ¢/P/,� 41 STATE ZIP
NAME �''n/ 6 PHONE
77; %5l44i/4- / //C ?a6 - 9Yr -102 qy
MAILING ADDRESS / l E-MAI /
CONTRACTOR l7 3 U j��G1!'I�I�J� /•,/ S1✓ `PG 5Vert#41#7 AL "'pm/aim
CITY STATE ZIP FAX
144 /Y/3C
WAS TE I�iT
gCORACTO) LICENSE EXP S N DTE FEDERAL WAY BUSINESS LICENSE#
NAME PRIMARY PHONE
9,01 AOC 31411W7
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAME PRIMARY PHONE„ ,
PROJECT CONTACT 717)11 S /Jz vc 0,4' �. 772 99
(The individual to receive and MAILING ADDRESS ff E-MAIL
respond to all correspondence Sank AS �✓�IGTt,—
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING ❑ OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred in
the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of is application.
SIGNATURE: .." +--, DATE ��Z./
PRINT NAME: !�1t,i-i l-5 /4l'e$
Bulletin#100—January 4,2016 Page 1 of 3 k:AHandouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $ � 'o
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 CONDITIONER FIREPLACE INSERTS HOODS(commercial)
BOILERS / FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT
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(Hamasmks) 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 TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
$_
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes D No Yes No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ # OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area in Occupancy Group(s) Construction # of Additional Information
Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area in Occupancy Group(s) Construction # of Additional Information
Square Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—January 4,2016 Page 2 of 3 k:\Handouts\Permit Application