08-100488 w
•
City of Federal Way Mechanical Perm#• 08-100488-00-M E
Community Development Services •
P 0 Box 9718
Federal Way,WA 98063-9718
Ph (253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
Project Name: NORTHSHORE VILLAGE
Project Address: 35415 21ST AVE SW Parcel Number: 252103 9002
:t14 -.q ---mm Description: Installation of 160' of black iron gas piping from meters to (2)RTU.Includes shut off
valves and pressure test.
•
Owner Applicant Contractor
ROYAL PLAZA ENTERPRISES INC B&G HEATING AND COOLING LLC B&G HEATING AND COOLING LLC
509 S 63RD ST PO BOX 24957 BGHEAHC959OG(9/7/09)
TACOMA WA FEDERAL WAY WA 98093-1957 PO BOX 24957
98408-6325 FEDERAL WAY WA 98093-1957
Additional Permit Information
Mechanical Valuation 2350 Over the Counter Permit? No
Mechanical Fixtures
Gas Piping. 1• Gas Pipe Outlets 2
PERMIT EXPIRES Monday, February 8, 2010
Permit Issued on Friday, February 8, 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
,� G�� and the City of Federal Way. • d /
Owner or agent: i���✓'j'� i - Date: D Fc� D 8'
THIS CARD IS TO WAIN ON-SITE
CITY OF �ommunitY p Inspection me t ins ection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-100488-00-ME
Owner: ROYAL PLAZA ENTERPRISES INC
Address: 35415 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) ❑ Gas Piping(4125) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By G, Loki DateZ,...ls'. 2 By C.C0 Date&—y-Alt
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
Alb, - 4000 - i/Oo 4 ff. --.0. c3
Fc7d6m1wRECEIiltDPERMIT
COMMUNITY DIWILOPMEHTs¢ WES SF MF CO ME EL L DE EN FP
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53.13-2 WAY, X 9:063.9716 A / 241.P / OY
PEDZRALWAY,WA 9163.9711 JAN 31 20
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The follow n�ree€edi A clAilacYmplete application will not be accepted. Please print legibly(in ink)or type.
/n� • PROPERTY INFORMATION
SITE ADDRESS 35 '/15 2 frr/0�,e. .c w SUITE/UNIT 9
ASSESSOR'S TAX/PARCEL 9 a S 2 / 0 3 - 9 v et z LOT SIZE MD
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) NI-•V S1.,.e•a 11•114.,..4.
(Attach argue*Page Priem"iegat d«riPtIo+v
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING OLUMBING MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
N..tTse T 2A.. fie. wr o " —.ekes f Piss.... TaT,
PROJECT NAME(Name of Business or Owner Last Name) /V(J ty s /e/ez- 1411A-6-ri-
ll
41j l%ll PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER ( ) -
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
CONTRACTOR1/t
CO NNAMES,// .� APPLICANT NAME J� OFFICE PHONE
V Ye, es . e Ce s/;. Z L C ( 1-. /0/ /i9 4.Y ((s3) 79 7 -1097
LING ADDRESS rejf.e 4
4 , ST TE,ZIP CELL PHONE
o g0 K .2 ?.r/ wt e -�9p o9 3 ./ 41, 44 PS0.1 ( <. vw-e-
CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER EXPIRA ON DATE FAX NUMBER
�-o,.....r-- .�» -ee. .7/ Decd'
( S3')� iq - pia z
�C Are�7 Hc !s9 8 �1 1I 4 f EXPIRATION�� E-MAIL ADDRESS
APPLICANT coymy NAME .. APPWANT NAME OFFICE PHONE
v tG f- c.l�thf C. d I �f LAG (r`r! 4/ Pe t cy ( 1 -
MAILING ADDRESS CITY, ATE, CELL PHONE
Po gaa aims-7 p;',4,..4. ...4 / P 4r w(. ?Pot? ( 1 -
RELATIONSHIP TO PROJECT FAX NUMBER
a Architect ❑Tenant a Agent pt-Dther G+s.Ill t 1v v ( ) _
PROJECT NAME /7 PRIMARY PHONE E-MAIL ADDRESS
CONTACT (clr..,/cf Pe I t/ (e�-33) 7n - Id 9 9
LENDER NAME Per RCW 19.27.095:
Lender information is required If project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) _
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? o YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES a NO
WATER SERVICE PROVIDER o LAKEHAVEN a HIGHLINE a TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
i PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
1/413, SEME13' Oo,
SQ.FT. SQ.FT. SQ.FT.
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS =awn= PROM= TOTAL TOTAL WHIM PROM=sr TOTALPROMer TOTALu
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECUAMCAL •
Value of Mechanical Work$ 3SGi'C (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS oL GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS .ndq
COMPRESSORS FURNACES RANGES •
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or TUb/Shover Combo) LAVS Ie.nu..m sow URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS • WATER CLOSETS gaoq
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
•
SIGNATURE
knowledge,the informationer penalty
tof perjury
that t am the property owner or authorised agent el the property owner.I certify that to the best of my
City of Federal Wag regulations pertaining to support
yworrk application permtt issuance and correct.I cert{ that I that hcOe issuancey ce all applicableispermit
does not remove the owner's responsibility co Hance with local, oa preI unstud construction or environmentalof this psrndt
forcompliance state.or federal laws regulating law&
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 this ap lication.
SIGNATURE: 211 - DATE 3/ 7 GSD ff
Property /or Authorized Agent
a NEW a ADDITION a ALTERATION o REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? o YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES a 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—January 1,2008 Page 2 of 4 k\Handouts\Permit Application