04-103486 .I""- - •
Citv' eveWay Mechanical Permit #:04 - 103486 - 00 - ME
Cot/Tidallym ually auy Development Services
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax.253 661.4129 Inspection request line: 253.835.3050
Project Name: WALDHERR
Project Address: 1213 S 315TH Parcel Number: 787520 0120
Project Description: Install air conditioner
Owner Applicant Contractor
G Waldherr WASHINGTON ENERGY SERVICES CO WASHINGTON ENERGY SERVICES CO
1213 S 315TH ST 2800 THORNDYKE AVE W 2800 THORNDYKE AVE W
FEDERAL WAY WA SEATTLE WA 98199 SEATTLE WA 98199
98003-5321 (206)2824700
Mechanical Valuation 5318 Over the Counter Permit Yes
Mechanical Fixtures
Description __Quantity Description IQuantity Description ant
Air Handling Units 1
PERMIT EXPIRES March 1,2005.
Permit issued on September 2,2004
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 Wa
411 Date: gyz_z,z_.„
Owner or -
THIS CARD IS TO REMAIN ON-SITE ,
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-103486-00-ME
Owner: G WALDHERR
Address: 1213 S 315TH ST
FEDERAL WAY, WA 98003-5321
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) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By G Ci Date 5 -2,-) „it/
AUG-30-14;04 10:55 FROM: TO:12538352609 P.6
COMMUNITY DEYEWPMENT SERVICES
_ WAY SOUTH•PO BOX 9718.
FederFe Way . PERMIT APPLICATION 2 112 PAWXA•ys 14122
al ,artentreffe m«.v,ro,.
/
For MeeU.s OarTo: I
FW File Number. D - I Q a _q -(G 1 _6 - C).
The ollowin• is re.wired in ormation-an incom•fete a• •lication will not be acce.ted. Please • nt le•ibi (in ink.)or . .
■ PROPERTY INFORMATION
SITE ADDRESS: 1 ..tl 3 "3 / /� SUITE/APT I
—7
ASSESSOR'S TAX/PARCEL#: l 7�2 V-drz_C_ SQUARE FOOTAGE OF LOT:
LEGAL DESCRIPTION(e.g.:Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT(This application): ❑ BUILDING O PLUMBING MECHANICAL 0 DEMOLITION
O ELECTRICAL a ENGINEERING O FIRE PREVENTION SYSTEM •
PROJECT DESCRIPTION(Provide detailed description of work included on this venni only):
.__f ft 5- -( I /3-1-cicc IV --r r colA,d 174 - 2• s- 7 ,
PROJECT NAME(Name of Business/Owner Last Name): LA)a Id 14-a tr-
■ PEOPLE INFORMATION
PROPERTY NAME: I Lai PRIMARY PHONE:
OWNER ,' rlha_el Id tit (2y)) 7 - 3gtf
• MAILING ADDRESS(STREET ADDRESS;): CITY.STATE,VP
/2- Sc 3/5-k .► - tej- 1,/e4._ci �� qp-063 -
CONTRACTOR N, ;� � (� �`J� COMPANY OFFICE PHONE:
MAILING ADDREch ST EET D �f;I:J /�V/ C ,STA / CELL PHONE: � ��
CITY OF.SDE WAY BUSINESS LICEIeS ER `,�V-? ` EXPIRATION� � �DAL FAX NUMBER
-0_-/6_ z3 V.O - L L, t / 8- /or ( ) - -
CONTRACTORS REGISTRATION NUMBER: WASH
` EXPIRATION DATE:
(copy.f card regal:et with each appUc.tloa) W 1{J H L C 57 Loo _ ? / / 4=4-
LENDER
= rLENDER NAME: DAYTIME PHONE:
¢[P.p...l Value.$3,000( ( ) -
MAILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP
APPLICANT: NAME:aJ r `'I 'r{-l'4 COMPANY OFFICE PHONE:
( ) -
MAILING ADDRESS(STREET ADDRESS): CITY.STATE.ZIP EVENING PHONE:
( ) -
RELATIONSHIP TO PROJECT: ' FAX NUMBER:
0 Architect ❑Tenant O Other(Describe): ( ) -
CONTACT PERSON FOR THIS PROJECT: ❑ Property Owner J�7 Contractor 0 Applicant _ E-MAIL ADDRESS:
• DETAILED BUILDING INFORMATION ' •
EXISTING USE: PROPOSED USE:
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK: $
SPRINKLERED BUILDING? O YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: O YES 0 NO •
WATER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: O LAKEHAVEN a HIGHLINE O PRIVATE(SEPTIC)
0
AUG-38-7'904 10:55 FROM: TO:12538352609 P.7
•
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. .- PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL sXasrUre TOTAL morocco TOTAL rA9TD.o AND NEOPVSCD
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fudure to be installed or relocated as part of this project. Do not include existing fixtures to remain..
MECELSNICAL 53!8 .
Value of Mechanical Work $
IAIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commercial, WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS OAS PIPE OUTLETS
PLUMBING
BATHTUBS Dot Tulr/9hwsre.o4.1 SHOWERS WATER CLOSETS(r.Drq MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE RIBBS
LAYS(amt...=swn► VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
"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,t eluding its officers and employees,upon thea racy of the information supplied to the city as a part of
this application. (�2S d 2�� ��
NAME/TITLE �` a DATE 3 6` -
(Signature) flltle)
RELATIONSHIP TO PROJECT 0 Owner )(A o Contractor 0 Architect CI Other
FOR OFFICE U�E,ONLY
a NEW .o ADDITION a ALTERATION o REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES o NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF'USE? o YES o NO
NEW ADDRESS REQUIRED? o YES a NO UP/SEPA/SU? a YES o NO
PLATTED LOT? ❑YES a NO DEMO PERMIT REQUIRED? o YES ❑NO
e� 2J 7 ?/ J)'
Bulletin 11100—March 30,2004 Page 2 of 4 k\Handouts—Revised\Permit Application