10-104175City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609 FILE
Project Name: AWUNG
Project Address: 1265 SW 301ST ST
Project Description: Connecting gas piping to clothes dryer
Mechanical
Permit #: 10 -104175 -00 -ME
Inspection Request Line: (253) 835-3050
Parcel Number: 515320 0326
Ownr
Applicant
Contractor
SANG MYUNG
SANG MYUNG
SANG MYUNG
1265 S 301ST ST
1265 S 301 ST ST
1265 S 301 ST ST
FEDERAL WAY WA 98023-3413
FEDERAL WAY WA 98023-3413
FEDERAL WAY WA 98023-3413
Mechanical Valuation............................................100
GasPiping ...................................... 1
o
Is this an Online or O.T.C. application?.................Yes
PERMIT EXPIRES Saturday, April 2, 2011
Permit Issued on Monday, October 4, 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: J Date:
THIS CARD IS TO REMAIN ON-SITE
CITY OFVAS� - Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 10 -104175 -00 -ME Address: 1265 SW 301 ST ST
Owner: SANG MYUNG FEDERAL WAY, WA 98023-3413
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.
Mechanical Rough -in (4165)Gas
Piping (4125)
Final - Mechanical (4065)
Approved
Approved to release test
Approved
By Date
B �� Date U — — (V
By Date
El
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
Federal
COMMUVITY DEVELOPMENT SERVICES
253.835-2607- FAX 253-835-2609
—Z �ERMIT co PL DE EN FP
APPLICATION �Q
SITE ADDRESS] W9 FE/,t!NIT #
4'0/0
6 .3 (r 1 tv4k' 9h4r,-
PROJECT VALUATION
$ C 0
ZONING
ASSESSOR'S TAX/PARCEL 0
C40S
TYPE OF PERMIT
0 BUILDING 0 PLUMBING MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
PROJECT DESCRIPTION
ct 91-16� �Z-Pl— L) rd 'Pk --
Detailed description of work to
be included on this permit it only
NAME
PRULART PHONE
PROPERTY OWNER
&&A) mvij V\!��
BLAMING ADDRESS 1j
E-MAIL
Crryf.- ad
STAGE
ZIP
C/
f
NAME
PHONE
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
PHONE
MAILING ADDRESS'
K -MAIL
APPLICANT
CITY
SATE
ZIP9jC
FAX
PROJECT CONTACT
(The individual to receive and
NAME
Sil� V\ 1 � Ll
PHONE
KATI-ING ADDRESd f
E-MAIL
PA1.4jJA%1VjYj!4 &1jt,&A
respond to all correspondence
concerning this application)
ct )r,\l 1
ST7
I
4
ZIP
'? e
44
FAX
ALTERNATE CONTACT NAME.
PHONE
E -MAH,
PROJECT FINANCING
NAME
0 OWNER -FINANCED
Required value of $5; 000 or more
MAUMO ADDRESS, CITY, STATE, zip
PHONE
(RCW 19.27.095)
I
I certify under penalty of perjury that r 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. r certify that r will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. r 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.
rfurther 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 as apart of this application.
SIGNATURE: DATE
PRINT NAME:
Bulletin #100 — April 14, 2010 Q Page 1 of 3 k:\14andouts\Pemlit Application
,J, civ
7jlxtures to remain.
OTHER (Describe) -
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 for Tub/Show r Combo)
LAVS (Hand sinks)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
PROPOSED
DRINKING FOUNTAINS
SINKS 1&tch—/uwity)
WATER HEATERS (n..ti.)
..... . ..................... .........
::::::::! . . . . .
HOSE BIBBS
SUMPS
WASHING MACHINES
ADDITION
....................... v .., .......... I ......
0— .............. ........ W" ............
....... - --- ---------
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0
V1011-1111,11,111, .........
ipgg
IN,
MEMO•
AREA DESCRIPTION Area
1M.
Additional Information
In Ssuare Feet
Stories
AREA DESCRIPTION .(in square feet) EXISTING
PROPOSED
TOTAL
FOR OFFICE USE
..... . ..................... .........
::::::::! . . . . .
..
....•
......... .
... .. . ..
...............................
. .......
ADDITION
....................... .
Q M.xi
FIRST FLOOR (or Mobile Home)
Area
Construction
AREA DESCRIPTION
Occupancy Group(s)
Additional Information
In Square Feet
Type Stories
-----------
COVERED ENTRY
TzNANT AREA ONLY
... ..
............
GARAGE 0 CARPORT 0
$,RiKkl ak-H:
ONION' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
X718T=G
PROPOSEDTOTAL
Area Totals
...........
ESTIMATED SELLING PRICE $
#OF BEDROOMS_
....................... v .., .......... I ......
0— .............. ........ W" ............
....... - --- ---------
gg/
0
V1011-1111,11,111, .........
MEMO•
AREA DESCRIPTION Area
Occupancy Group(s) Construction # of
Additional Information
In Ssuare Feet
Stories
gg-
.........
..... . ..................... .........
::::::::! . . . . .
..
....•
......... .
... .. . ..
...............................
. .......
ADDITION
....................... .
Q M.xi
Area
Construction
AREA DESCRIPTION
Occupancy Group(s)
Additional Information
In Square Feet
Type Stories
TzNANT AREA ONLY
... ..
Xf
Bulletin #100 — April 14, 2010 Page 2 of 3 k-\Handouts\PemIit Application