06-10184310
City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
IZILS'echanical Permit #: 06 -101843 -00 -ME
Project Name: CHRISTINE ALEXANDER
Project Address: 34210 9TH AVE S Suite 101
Inspection Request Line: (253) 835-3050
Parcel Number: 926480 0090
Project Description: ALT - Separate existing gas supply from 1 meter to 2 meters to provide proper supply
pressure to existing boiler.
Owner
Applicant
Contractor
GRANMOUR DEVELOPMENT
ROBERT HART DBA HART ENTERPRISES
ROBERT HART DBA HART ENTERPRISES
1505 WESTLAKE AVE N
PO BOX 1683
HARTE**012RO 12/10/2007
SEATTLE WA 98109
SUMNER WA 98390
PO BOX 1683
SUMNER WA 98390
Additional Permit Information
Mechanical Valuation............................................1000 Over the Counter Permit?...................................... No
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -101843 -00 -ME
Owner: GRANMOUR DEVELOPMENT
Address: 34210 9TH AVE S Suite 101
FEDERAL WAY, WA 98003
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) Gas Piping (4125) Final - Mechanical (4065)
Approved Approved to release test Approved
By Date By 4C W Date X- ZZ - 04 By C, W Date 4T- Z2 - v
,..A RECEIVED
FkWmiway PERMIT
COM1MMYEDERAL AY, WA
63-971 CES ,4P R 12A��LI CATI O N
33325 81AVENUE SOUTH • PO BOX 9718
FEDERAL WAY, WA 98063-9718
253-895-2so7•FAX 253-8.45-260
wau. cul OF FEDERAL
www. clluolLederal
BUILDING DF�Y
L')- k-1v/5�1 ly _:�
SF MF COQ' EL PL DE EN FP
/0Qj
SITE ADDRESS .3 `� -;2, 1 V ! "CNV S S . SUIrE/mrT # / o /
ASSESSOR'S TAX/PARCEL tt v 1L - Q J-1 LOT SIZE (go
LEGAL DESCRIPTION (e.g. ACme Estates, Lot 1) F C - L
(Armee Pmef- may W&saouwv
TYPE OF PERK" ❑ BUILDING ❑ PLUMBING MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work (nch►ded on this nemilt onto)
-Pf ax& 4 C- o,- p.4iy1;S
PROJECT NAME (Name of Business or Owner Last Nome) C if 2 i S 7-7 i d E & L E x A m b E (Z
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
NAME PRIMARY PHONE
U/LlSFA0LA. 2 1��Ve- th<=-&JT yo�o
MAILING ADDRESS CITY, STATE,P
1 S05- weswm4y-e Ave N • 1 .5-.417
-, ^ A - F/G
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
OFFICE PHONE
Rob,. f #A(Lr- D 94 NSTCA
Rab <"'l-
1 f kZT
( Z-1-3) 2Z3 +417 8
MAILING ADDRESS
CRY, STATE, ZIP
A. 98390
CELL PHONE
Q.o. 3ox 1109-3
N{A- wIa-
?3390
(2Sy) ZZ -5- 927$
CRY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
(253) Y'45-- 4417
B
L
CONTRACTOR'S REGISTRATION NUMBER (copy of card required with each application)
EXPIRATION DATE
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
CITY. STATE, ZIP
PHONE
t/Z7g
MAILING ADDRESS
CRY, STATE, ZIP
CELL PHONE
.o, 30*
A. 98390
(ZSi) Lai - yz-$
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent X Other (Describe) Coo�TW-.>tro.L
(ZS3) yy y- Cl/ci/ 7
NAME PRIMARY PHONE &MAIL ADDRESS
06 1-�wti (�� 223 - LIZ JK Ic zi AIS".-Co'1
>qe7 i�iSIV I?7.EIiNf LdylldN'iROR
}f pry *due eaptreeds $'5:0
NAME
MAILING ADDRESS
CITY. STATE, ZIP
PHONE
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SFRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ MGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAEEMVEN ❑ iIIGHLINE 0 PRIVATE (SEPTIC)
AREA DESCRIPTION RMSTING PROPOSED TOTAL
FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK(COVERED-)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS nonan s�rn>aom, " nnrwcrsoraa®6r Tom
•'NEW HOMES ONLY"' NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each djpe of f xture to be installed or relocatedd as part of this ,project Do not include existingfidures to remain.
AIECFLAMCAL
Value Rf Mechanical Work $ /000. e 8
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS LOGS
REFRIG. SYSTEMS
BBQS
FANS
HOODS to—m-w)
WOODSPOVES
BOILERS
FIREPLACE INSERTS
RANGES
MISC (Describe)
COMPRESSORS
FURNACES
CLAS WATER HEATERS
DUCTS
GAS PIPE OUTLETS
PLLJdIRM
BATHTUBS (mlUb/show Combo)
SHOWERS
WATER CLOSETS (rot"
MISC (Describe)
DISHWASHERS
SINKS
DRINKING FOUNTAINS
GAS FIFE OUTLETS
SUMPS
RAINWATER SYST
WASHING MACHINES
URINALS
HOSE BIBBS
IAVS (Batinoom Straka)
VACUUM BREAKERS
ELECTRIC WATER HEATERS
I cert(y under penalty of perjro y that the lgformation furnished by me is true and correct to the beat of my knowledge, and,further, that 1
am authorized by the owner of the above premises to perfwm the work for which the permit application is made. 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 claina which may be made by any person, including the undersigned, and filed against the City of Federal Way, but only where such claim
anises out of the reliance of the city, including its qffioera and employees, upon the accuracy of the irijormation supplied to the city as a part of
this appilaadon. %
NAME/TITLE - O wevt ATE t{ / J2-) f 0li
(Signature)
RELATIONSMP TO PROJECT ❑ Owner ❑ Agent AContractor ❑ Architect ❑ Other
Bulletin #100 - January 1, 2006 Page 2 of 4 k\Handouts\Pertnit Application