07-106707 y ,
-Mechanical
City of Federal Way
Community Development Services Permit #: 07-106707-00-ME
P.O.Box 9718
Federal533-2ay,60 Fax:A 9806(253 9718
835- Inspection Request Line: (253)835-3050
Ph:(253)835-2607 (253)835-2609 p q
Project Name: NORTHSHORE VILLAGE
Project Address: 35419 21ST AVE SW Parcel Number: 252103 9002
Project Description: Installation of(2) roof top units and ducts/diffusers.
Owner Applicant Contractor
DAVID HOEK DAVID HOEK DAVID'S FEDERAL WAY LLC
DAVID'S FEDERAL WAY LLC DAVID'S FEDERAL WAY LLC PO BOX 8164
PO BOX 8164 PO BOX 8164 TACOMA WA 98418
TACOMA WA 98418 TACOMA WA 98418
Additional Permit Information
Mechanical Valuation 12000 Is this an Online or O.T.C.application" No
Mechanical Fixtures
Air Handling Units 2 Ducts 1
PERMIT EXPIRES Wednesday, March 18, 2009
Permit Issued on Friday, September 19, 2008
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 tee City of Federal Way.
Owner or agent: Date: �7
t •
)q 'ti (2
7' u
/(1 (47,k
THIS CARD IS TO REMAIN ON-SITE , - •
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07-106707-00-ME
Owner: DAVID HOEK
Address: 35419 21ST AVE SW
FEDERAL WAY, WA 98023-3058
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) 0 Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By/14 Date
•
•
For inspector reference only
❑ Rough Electrical 0 FINAL-Electrical
Approved Approved •
By Date By Date
�r.o<
COMMUNITYYDf PMENTDEPARTME IT "CONSTRUCI.N PERMIT APPLICATION
v\> � — APPLICATION NUMBER: 12 2-- e70 O
JAN 0 7 2002 APPLICATION NUMBER: - — - -
APPLICATIONNUMBER: - -
**The following is required information-Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
■''PROPERTY INFORMATION
SITE ADDRESS: 2140 SW 356th St ASSESSOR'S TAX/PARCEL #: 5,3 I n 3- .� Cl
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
Attached separate description drawing
R.PROTECT INFORMATION
TYPE OF PROJECT(This application): ;BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description):
Remove . • . . - • , . - . ,.
li awning skin.
bf}it1. •r- et
PROJECT NAME:
-•mss_-�1l�I:C�ii��•��.Tiaar,i.f�3i,a7►i..,•._.�-`a ���....rr��c� •
N PEOPLE INFORMATION S=
PROPERTY OWNER: NAME: DAYTIME PHONE:
Young Chul Joe (253 ) 272 7221
MAILING ADDRESS(STREET ADDRESS;QTY,STATE,ZIP):
509-63rd Ct NE. Tacoma, Wa 98422
CONTRACTOR: NAME: DAYTIME PHONE:
�,
Ciprif)) MAILING ADDRESS(STREET ADDRESS;CITY,STA ,ZIP)• /7 tc //1,��A EVENING PHONE:
- IY/C� ` iii-`��� ( )
CITY OF FEDERAL WAY NESS LICENSE NUMBER: FAX NUMBER:
- - ( )
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of mrd required)
APPLICANT: NAME: AYTIME PHONE:
Young Cho ( 206) 755 - 4720
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
32211-11th PL S #73 Federal Way 98003 ( 253)528 - 0058
..l RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): BULD Manager ( )
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: M PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
1 ;DETAILED BUILDING INFORMATION
EXISTING USE: � ISTING BUILDING ASSESSED/APPRAISED VALUATION $ -1(1vuz)
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ 1 5,500 00
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
679.290 dog
**NEW RESIDENTIAL CONSTRUCTION•Y**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ -
■ PROTECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ. FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
/;:FIXTURES. ..
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REF-RIG.SYSTEM(S)
BBQ(S) FAN(S) _ HOOD(S) WOODSTOVE(S)
_ BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.(
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.(
INTERCEPTOR(S) SUMP(S)
DISCLAIMER/SIGNATURE BLOCK
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 daim),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,induding its officers and employees,upon the accuracy
of the information supplied to the city as a part of this application.
, 4i �hoi7 s -�-2pr%s(5 (V
NAME/TITLE: 27 i� - d 6(42 '-r _ - ( DATE: Jan 7 , 2002
C
ri PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
FOR OFFICE USE ONLY:
NEW ❑ ADDITION LTERATION ❑ REPAIR [1 TENANT IMPROVEMENT
CENSUS CODE: 43 7 LOT SIZE: t1/4--//,--
,
ZONING DESIGNATION: {j BUILDING SHELL ONLY? ❑ YES E O
COMP PLAN DESIGNATION i3,/t/ BASIC PLAN? ❑ YES LO
,SECTION' z Li'"TOWNSHIP,0.4 RANGE 03 NEW ADDRESS REQUIRED? ❑ YES L>I40
:PLATTED LOT? ❑ YES ' el-NO CHANGE OF USE? ❑ YES _,K14....9
COMMUNITY DEVELOPMENT SERVICES-33530 FIRST WAY SOUTH-PO BOX 9718•FEDERAL WAY,WA 98063-9718-253-661-4000-FAX 253-661-4129
46 0 L .2 A 2_
!4-
F mi yREcovED PERMIT — - _i_ c i
• QOMMJRflYBsi3LOrleXrsSUMS
SF MF CO EL PL DE EN FP
33325 Stit AV$NUE SOUTH•PO BOX 9715
MARA7 PAX 53435.265 E C 1 3 z oA p p LI CAT I O N �°
253435.2607.rAXT51•f35•T6d al
1 pF�FEDERAL WAY
l The following isclirie c4� IilWn-an incomplete application will not be accepted. Please print legibly(in ink)or
type.
IN PROPERTY INFORMATION
SITE ADDRESS A it, - 1,-40_._ = W `) SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# , . •2 L . 3._— _f• 0 LOT SIZE(sJ) Je fluo
LEGAL DESCRIPTION(e.g.Aane Estates,Lot 1)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING ❑ PLUMBING Ar MECHANICAL
❑ DEMOLITION ❑ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
P JECT DESCRIPTION(Provide detailed description of work included on this permit only)
P rr-crP •v,�;S4 LA. �.�,A\4
PROJECT.NAME(Name of Business or Owner Last Name) A1,1,14, 5 t 1.►�-- -vIGC`
II PEOPLE INFORMATION
PROPERTY NAME
PRIMARY PHONE
p
OWNER A oGk Vo6) ra'7 1 -$ /
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
p.o.e&A IN 04 i w% ? 9eNt19
CONTRACTOR COMPANY NAME ,..:: APPLICANT NAME OFFICE PHONE
7111111. L c--- _t i b' '-,i-
f MM •ADDRESS «: PHONE
+� ,T .):i 17"81:711"6.7 + 4 :223 .. �+ i12 1 Z6Z� .
« OF rit,"*.iiirAssr
•�L� jjjj
TION DATE FAX NUMBER
-o--7 (1...<3)03‹.-.5472.
CO Trr .,t IATRATIOA . . M !RP TION DATE • E-MAIL ADDRESS
II pc,
APPLIC «' APP NAME OFFICE PHONE
//// � t. '• .f >� )i . e _.3g1• -
(LINO ADDRESS ,_i CITY,STATE,ZIP�Q ' •CELL PHONE
! 0 Si.. , .. TU. .5 '� PA. . 1..!'' ' ' Al • CO S47213
RELATIONSHIP TO PROJECT FAX NUMBER
o Architect o Tenant o Agent .B'Other :•-1 (tS3 )ns- 3.l 3
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT ( ) -
LENDER &AME Per RCW 19.27.095s
Lender information is required 4/project value exceeds$5,000
MAILING ADDRESS ' CITY,STATE,ZIP • PHONE
• ( ) -
■ DETAILED BUILDIN C. INFORMATION
•
• EXISTING USE PRO••- • I USE
EXISTING ASSESSED/APPRAISED VALUE VALUE OF PROPO- : • WORK
SPRINKLERED BUILDING? o a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQ. .• 'D? a YES a NO
WATER SERVICE PROVID o LAKEHAVEN o HIGHLINE ❑TACOMA a PRIVATE(WELL)
SEWER SERVICE PRO ER a LAKEHAVEN O HIGHLINE a PRIVATE(SEPTIC)
•• . I •
AREA D ION •EXIST PROPOSED TOTAL
SQ:FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
r
r:1ND •
ADDITIONAL FLOORS(DESCRIBE) •
DECK(0 COVERED OR 0 UNCOVERED?)
•
GARAGE CARPORT 0 •
•
NUMBER OF FLOORS a PROM= TOTAL �r TAL=srrsrosr TOTALmaroes.er , TOTALS,
•
"NEW HOMES ONLY" MBER OF BEDROOMS ESTIMATED SELLING PRICE $
111 FIXTURES
•
Indicate number of each type of f xture to ••- ' , d or relocated . •• of this project. Do .• de existing factures to remain.
MECHANICAL • II CR' 03D
0,6 Value of echanical Wor I / 1e' • :u •- ; : - , ., vs Mr WITH APPLICATION)
�/�'_'�
R HANDLING UNITS wl APO COOLERS OAS PIPE OUTLETS WOODSTOVES
BBQS �/ FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(com.rd.q
COMPRESSORS FURNACES RANGES
DUCTS OAS LOG SETS• REFRIG.SYSTEMS. •
•
PLUMBING' •
BATHTUBS(orTnb/elmrvC.mbo) LAVS p.em..asue, URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOS' ' • .
ELECTRIC WATER HEATERS SINKS WASHI • • CHINES
HOSE BIBBS SUMPS J TT
� t_4
SIGNATURE
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certVg that to the best of my
knowledge, the information submitted in support of this permit application is true and correct.I certiy that I will comply with all applicable
City of I edsral Way regulations pertaining to the work authorised by the issuance of a permit.I understand that the,issuance of this permit
does not remove the owner's respo lity for compliance with local,state,or federal laws regulating construction or environmental law&
I further agree to hold harm ss the City • • Way as to any claim(including costs, expenses, and attorneys'fees incurred in the
investigation and defense of au- el• , w •made by any person, including the undersigned, and filed against the city,but Indy
where such claim • of e r iance�y city,including its officers and employees,upon the accuracy of the information supplied to
the city asap., I o
•
SIQNAT[TIYE: DATE /0 !7 6—7
' /or Authorize Agent .
a NEW a ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? • a YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES o NO
NEW ADDRESS REQUIRED? a YES a NO • UP/SEPA/SU? a YES a NO •
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO. •
•
•
Bulletin#100_August 16,2007 Page 2 of 4 . k\Handouts\Permit Application