06-101408c
111 0 %
City of Federal Way
Community Development Services • Mechanical Permit #' 06 -101408 -00 -ME
` 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: YADA
Project Address: 105 SW 299TH PL Parcel Number: 513710 0090
Project Description: Gas piping for relocation of meter in association with garage construction.
Owner
Applicant
Contractor
JEFF YADA
BEACON PLUMBING & MECHANICAL
BEACON PLUMBING & MECHANICAL
105 SW 299TH PL
BEACON PLUMBING
BEACOPM956KS (5/10/07)
FEDERAL WAY WA 98073
16719 SE 149TH ST
BEACON PLUMBING
RENTON WA 98059
16719 SE 149TH ST
RENTON WA 98059
Additional Permit Information
Mechanical Valuation............................................1246 Over the Counter Permit? ...................................... Yes
Mechanical Fixtures
GasPiping ..................................... 1'
CONDITIONS:
PERMIT EXPIRES Tuesday, September 19, 2006
Permit Issued on Thursday, March 23, 2006
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
X
an he City of Federal Way.
Owner or agent: Date:
THIS CARD IS TO REMAIN ON-SITE - , .
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -101408 -00 -ME
Owner: JEFF YADA
Address: 105 SW 299TH PL
FEDERAL WAY, WA 98023-3572
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.
❑ Mechanical Rough -in (4165) ❑ Gas Piping (4125) ❑ Final - Mechanical (4065)
Approved Approved to release test Approved
By Date By C C4-3 Date �j �i'3- 0,(-0 By G Date 3 • J _ O
Federal Way 7.DPERMIT -
COMMUNITY DEVELOPMENT SERVICES SF MF CO
33325 8r AVENUE PO BOX 971;, " ��. , P LI CATI O N
FEDERAL WAY,, W1VA 99 98063-9718
253-835-2607• FAX 253-835-2609 _ _
, The following is
1�
an
SITE ADDRESS /0-5— <3 � v� �9 Y
will not be accepted. Please
2 r ' I
A§SESSOWS TAX/PARCEL If 71 dD 4�00
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Aff-h separate pagefa I.,Vhy legs! d --prion)
0L--If-0-�
EYEL PL DE EN FP
SUITE/UNIT If
LOT SIZE (sj)
or
"�E OF PERMIT ❑ BUILDING ❑ PLUMBING ECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ENGINEERING ❑ FIRE PREVENTION SYSTEM
PFZOJECT DESCRIPTION (Provide detailed description of work included qn this permit onlul
/f /hpN���f
NAME (Name of Business or Oumer Last Name) c3 L t
PROPERTY
OWNER
[CO a lf�AXO 010
APPLICANT
CONTACT
LENDER
EXISTING USE
EXISTING A7DBUILDING?
ED/APPRAISED VALUE $_
SPRINKLE ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN
SEWER SERVICE PROVIDER 0 LAKEHAVEN
We
PRIMARY PHONE
C53 )324 - f,9I?�:
MAILIN ADDRESS CITY, STATE, ZIP
1.1 5- S h' .xa �✓Z e /
COMPANY NAME/
j(6"ed�rq
� =i(112:1
MAILING ADDRESS CITY, STATE, ZIP
APPUCANT NAME
4
OFFICE PHONE
(2-41t ) 7U - 20 �-c O
MAILING ADDRESS
71q
A4'% '
CITY, STATE, ZIP
CITY, STATE, YIP
,P�„ �,
CELL PHONE
(P-cx ) qz3 - l2>7
CITY OF FEDERAL WAY BUS: S £NSE NUMBEREXPIRATION
DATE
FAX NUMBER
CONTRACTOR'S
of c
required with each application)
EXPIRATION DATE
WTINU:MB_ER�py
COMPANY NAME A ANT NAME
OFFICE PHONE
MAILING ADDRESS CITY, STATE, ZIP
CELL PHONE
( )
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent ❑ Other (Describe)
FAX NUMBER
( ) -
PRIMARY PHONE - � E-MAIL ADDRESS
%efR19.-'.'.�5K'iOlti6li XS
NAME
' vtituie-eacceeds $5,07�i1 a-"
� .: ���
MAILING ADDRESS
CITY, STATE, ZIP
/PHONE
i )
PROPOSED USE \
VALUE OF PROPOSED WORK $
FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES
❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ HIGHLINE ❑ PRIVATE (SEPTIC)
❑ No
AREA DESCRIPTION
EXISTING
SQ. FT.
PROPOSED
SQ. FT.
TOTAL
SQ- FT.
BASEMENT
IrYES a I _ ;
... $ASS PLA�IY '.,_
0 YES
FIRST
20NiNG`
F n . .,," ...
CFIANGE OF'USE� ,,
SECOND
n NO
I�EW,AFID _
0 TES 0.
THIRD
❑ YES
o NO ,
PLATF.IIJ Lam,
FOURTH
IIEMtf" PERAI(IT RH(3T?
0 YES
❑ NO
ADDITIONAL FLOORS (DESCRIBE)
DECK (COVERED?)
GARAGE D CARPORT D
NUMBER OF FLOORS
cluSTaO
PROPOSED
TOTAL
ronwsxasruosr
TOTALMOPoi:ansr
rot�sr
*'NEW HOMES ONL ` NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
�icaeach type of fmiure to be iodalled or
MECHARICAL,
_
Value of Mechanical Work S
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
tjA471I UtSb for Tub b.
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
LAVS IEL th oee. Si. k,t
M
EVAP01VMVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
as pan of this project. Do not inclucle existing fuctures to remain.
GAS LOGS REFRIG_ SYSTEMS
HOODS (C—emaq WOODSTOVES
RANGES ISC (Describe)
GAS WATER HEATERS
WATER CLOSETS-Tr.-j�q" MISC (Describe)
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that I
am authorized by the owner of the above premises to perform 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 claim), which may be made by any person, including the undersigned, and filed against the City of Federal Way, 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.
NAME/TITLE -° 1�m4o Alzz�7DATE
(Signature) a(Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent ❑ Contractor ❑ Architect ❑ Other
?P .3DITIQN?T.T3EI
a REPAiRn 1 EN�lI�F1" IMPIfl3tEMEAiT
r.,.. NI,Y?
IrYES a I _ ;
... $ASS PLA�IY '.,_
0 YES
o NO
20NiNG`
F n . .,," ...
CFIANGE OF'USE� ,,
o YES
n NO
I�EW,AFID _
0 TES 0.
❑ YES
o NO ,
PLATF.IIJ Lam,
0,'fS 0 Nei
IIEMtf" PERAI(IT RH(3T?
0 YES
❑ NO
Bulletin #100 - January 1, 2006 Page 2 of 4 k\Handouts\Permit Application