04-105302 City of Federal Way Mechanical Permit #: 04 - 105302 - 00 - ME
Community Develorment Services
P.O.Box 9718
Federal W.F WA 98063-9718
Ph:(253)835-7040 Fax:(253)835-2609 Inspection request line: (253) 835-305C
Project Name: CO4e A tirtmertS
Project Address: 102 SW 332ND,31dg13 Parcel Number: 182104 9035
Project Description: Install washer/dryer
Owner Applicant Contractor
PROMETHEUS REAL ESTATE GROUP THORNBERG CONSTRUCTION THORNBERG CONSTRUCTION
350 BRIDGE PKWY 4809 242ND AVE SE 4809 242ND AVE SE
REDWOOD CITY CA ISSAQUAH WA 98027 ISSAQUAH WA 98027
94065-1061 (425)462-1139
Mechanical Valuation 250 Over the Counter Permit Yes
Mechanical Fixtures
Description Quantity Description Quantity Description Quantity
Fans 1
CONDITIONS:
This parcel is located within a Wellhead Protection Area(Capture Zone 10)and must comply with FWCC,Chapter 22,
Article XIV"Critical Areas" and fill out a Hazardous Materials Inventory Statement,if applicable.
PERMIT EXPIRES June 28,2005.
s
Permit issued on December 30,2004
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 Way.
Owner or agent: (iJ. Date: ///FA 5,,._
FINALED
k 7,0 •
/714
THIS CARD IS TO REMAIN ON-SITE
CITY OF 10A Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-105302-00-ME
Owner: PROMETHEUS REAL ESTATE GROUP
Address: 102 SW 332ND ST Bldg 13
FEDERAL WAY, WA 98032
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
Date -z.,'z•!Jc---_By Date By � Date :✓--�
e
THORNBERG CONST 42SSS7S0S9 12129104 04:4Spm P. 004
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CQN$TRI.JCTION PER.MIT APPLICATION
CIiY OF 4111.fa."4•..-../ RECEIVED BY APPLICATION NUMBER:Qt--r.. <4._L_%'1-.Z0.1.-__- _ __.
Federal Wart-MTN'DEVELOPMENT DEPARTMENT APPLICATION NUMBER: _ w - �, ••_ — — — _ •- _ _
DEC 3 0 RECD [APPLIC.ATION NUMBER: _ - -
"The following is required information- PIE:asc print(in ink)or type
Please note: Electr•iCal, Fire Prevention Systems and Engineering permits may require a separate application.
',:f::',7.;,;.•;:`...,:• .:,%;:_•,:-.;
.L .Ti •('7 '±- ,-• ' ti5 ;';),( ■,pRoPtiiitif INFORMA„O{f♦.4• it• - - • -•y�,
SITE ADDRESS: 3313-1._ 1 _ - 3 • ASSESSOR'S TAX/PARCEL u: t 3 1 0 - 0 ;J
LEGAL DESCRIPI ION OF SUBJECT PROPERTY (ATTACH SLi'ARATF DESCRIPTION IF LENGTHY): `.s,.� A-�I� It.r.5.1 /1y I'�
Cove.PtC -ate_ i<51.,01._ 13 . . / &) _ i :Z cl
.4,,,2r,l'L- `ryi - ....:Y•:•- - 1. --;;:5.r d I TION- -y. •a =�- .y ••1:: -.
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TYPE OF PROJECT(This application): O BUILDING 17 PLUMBING 04.44F.CHANICAL 0 DEMOLITION
0 ELECTRICAL CI ENGINLLRING n FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): •
61,4_. _91N.Tictv; LA:faitt.f ____4.1c... etitt .t.__'_Uag, _
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PROJECT NAME: 0J-51- 1 (03.16:411e3
.!..';',.'-:.z: . •..t4. . :',..'T.::::•'.',;',- 41 PEOObi INPORMATION,..• . :.li/,}:, . /j.•I• r-•L.•. „Il',y1:: I ,:;?:..•�
PROPERTY OWNER: i N __._. .... - - -----�- - Dn 7ME DHO
Pi ,.t�, :_4.� Lata - `144' c 5� a -a���
►a o RL �35 CT STATE. 1titk,0.v wl R qZr
CONTRACTOR: I NAME;: DA MC PHONE;
_ o xRa � c uc�ktrf e•� . , cQ,. i (► ay) 3661 - ttq
MARL G ADDRESS(STREET ADO QTY,STATE.71P1: I EV ENING PHONE• t
QOF FEDERAL WAY BUSiNf•;S I-ICI:NSI_NUMisrR: +
TY FAX UMHfR: ,1
o a - a _3 1. o f ,g-oo_-ei_• ( b) b5() - 05 1
CONTRACTORS REGISTRATION NUMBER;
\ y1�• R �/�+ lA, rA• S I El(PIRAIJ^ION DATE: `/�� _
'r;r..i f:arrl r{•quired) l 1" 6 1 g .Cr o g e.1 M i b , / La / O
APPLICANT: NAME: - - , DAYTIMC PuONF•
�p I '
MAILING ADDRESS(STREET ADDRESS;Cl l Y,$TAT r:,7IP): t EVENING PHONE' I
I ( I '
-�__._....-..--_ .__.. .. .
RELATIONSHIP IO hl2(1)FCT: t FAX NUMN . '.. •
ER. •
l.0 ARCHITECT p TENANT p OCHER ( DESCRIBE.):
I
F,MAIL A[1fsRf SS:
CONTACT PERSON FOR THIS PROJECT: n PROPERTY OWNER a APPLICANT a CONTRACEOit 1 1
41-. - :',, :'•: • : bETAIikE1RUILDINOiNiORMA WY.-,Yf,"• ',.'-'''.'..': :.,4,--:!......''.:: •, ,. ,
F,XISTING USE: „ - EXISTING BUILDING ASSF,SSED/APPRAISED VALUATION $
Oit OW
PROPOSED USE: \ til- PROPOSED VALUATION FOR IMPROVEMENTS: $ --
SPRINKLERED BUILDING? o YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:O YES i7 NO -
WATER SERVICE PROVIDER: o LAKCt1AVEN D HIGt(LINE 0 TACOMA 17 PRIVATE (WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHI-INE 0 PRIVATE,(SEPTIC) -
THORNBERG CONST 4255579059 12/29/04 04:45pm P. 005
**NEW RESIDENTIAL CONSTRUCTLOt4 ONLY**
NUM•ER OF BEDROOMS: • ESTIMATED SCLUNG PRICE: $ . 1
• •
•• ' . .-...L . 1111PR07EGT FLOOR AREAS . - , -
---.µ„�_'�FLOOR I EXiStiNf sq. f f �-PROPOSED SQ. Fr. TOTAL
FIRST —
SECOND I _ — _ — .__
THIRD - . .. — __--
FOURTH — -- -- — - —• —. -
OrHERFLOORS (DESCRtuE)
DECK .__.—. --
--
......_.... -!
GARAGE . . _ __ _
—.. _ -
HOW MANY FLOORS?
—_
IOTAL: i— - !
— 1..
Indicate number of each type of fixture
MECHANICAL
— AIR HANDLING UNir(S) EVAPORATIVE_COOLER(S) _,_ GAS LOG(S) _. REFRIG.SYSTEM(S)
�_ 13 B BOILER(S) T FIREPLACE INSERT(S) 1000(
tRANGE(S) _ M SCDSTOVE S)S) C
COMPRESSOR(S) FURNACE(S)
DUCTS `
( ) — GAS PIPE OUTLET(S) HEAT SOURCE: 0 ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S)
DISHWASHERS) RAIN WATER SYS. VACUUM BREAKER(S) 0 ELECTRICATER o GAS R(S)
DRINKING FOUNTAIN(S) SHOWERS) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINKS) WATER CLOSET(S) _ MISC,(
INTERCEPTOR(S) SUMP(S)
•
'1011W;,.. • DISCLAIMER/SIGNATURE EiiiiaC '''';', .- ,
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 perforni the work for which the permit application Is made. I
further agree to hold harmless he City of Federal Way as t 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 supplifd to a aty as a part of this application.
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NAME/TITLE: (` 0{vf�JJeAIik N VICA PGE 1€1‘1
DATE: la, .Aq -61..\--)
n PROPt=p -n:,i"--' CI APPLICANT VCONTRACTOR
...FOR OFFICE USE ONL
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COMMUNM DEVELOPMENT SeRVICES•33530 FIRST WAY SOUTH-PO BOX 9718•FFDERML WAY,WA 98063.9713•7.53.661-1000•FAX:753.6614129