04-104780 •
City of Federal Way Mechanical Permit #: 04 - 104780 - 00 - ME
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
Project Name: LEE
FL-
Project Address: 32602 10TISW Parcel Number: 926495 0510
Project Description: Install gas fireplace in existing masonry fireplace. Includes associated gas piping.
Owner Applicant Contractor
Anna Kyung Won Lee &Richard H Lee Richard H Lee AQUA REC INC
32602 10TH PL SW 32602 10TH PL SW 1221 REGENTS BLVD
FEDERAL WAY WA FEDERAL WAY WA FIRCREST WA 98466
98023-4900 98023-4900 (253)565-4763
Mechanical Valuation 2494 Over the Counter Permit Yes
Mechanical Fixtures
Description Quantity Description Quantity Description Quantity
Furnaces 1 Gas Piping 1
PERMIT EXPIRES May 22,2005.
Permit issued on November 23,2004
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: Date: / 0
ll Z3
1311 ��
THIS CARD IS TO REMAIN ON-SITE r
CITY OF4014
Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-104780-00-ME
Owner: RICHARD &ANNA KYUNG WON LEE
Address: 32602 10TH PL SW
FEDERAL WAY, WA 98023-4900
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 /e/ Date //31/Qr. By F"'" Date i/3//06—
.
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Feder I
a�wayR PERMIT
COMMUNITY DEVELOPMEN'SERVICES
SF MF CO EL PL DE EIV FP
33325;rxAVENUE sou,N.Po� � AP P LI CATI O N
FEDERAL WAY,WA 9;063-97i�U Y 2 3 200 TU
253-835-2607•FAX 253-835-2609 /
unaw.dtwfederalwau cora
011Y OF FEDERALWAY
The following is re �bi t'tt an—an i `i •mplete ap•iication will not be acce•ted. Please .rint legibly(in ink)or type.
• Ill PROPERTY IATFORMATION
SITE ADDRESS 3261)2 /G tli QL T S• (.41 �, 4,p°Z
G.� /! -" rl 3 SUITE/UNIT#
ASSESS 'S TAX/P r - L# l e ( Li ' s-- ()./ C.) LOT SIZE(sl
L ALD `C' ION(e.g. .a, Estates,Lot _ .411111111111 ....01111111111
• —(Attach separate page for_legal description) _
■ PROJECT INFORMATION .
TYPE OF PERMIT 0 BUILDING 0 PLUMBING " MECHANICAL
0 DEMOLITION ❑ ELECTRICAL r ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
-2_ Aslazipar L;, ye-,2 -11:s.ep/4.(.e ;21Z`o 'tom tv,,,A{;refS (se.
PROJECT NAME(Name of Business or Owner Last Name) / ee_
- -' ' - . - - I PEOPLE INFORMATION -
PROPERTY NAME
OWNER g\ C PRIMARY PHONE L�
M,A. �� � (.2 ) ��.-- ',o
MM G ADDRESS CITY,STATE,ZIP
Q 3a401 NCI. pl-5•tu dale'## Q "et-2 Wti-- 7 z 3
"v c CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
I �Q l/A /Ir E .S "David F v i t to (24-3 )7770 7
MA�AIILINGa�AADDRR/{ESS U�/} CITY,STATE,ZIP �/JJ�/{) {� CELL PHONE
4p9.
//V v /'�cfi(c �S UC:E / (/d o V ( ) .. .„,t,,...,,.. rc.3G :
CITY OF FEDERAL WAY BUSIN NSE NUMBER EXPIRATION DATE FAX NUMBER ' • :•
11- ia 0-Q' 0.-.1 c. I g 4 g-B L / - / ?/ /(SL/ ( )
. CONTRACTORS REGISTRATION NUMBER law et owAsegidtwi with Nei spriieatiea) EXPIRATION DATE
to ,_ I /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT • FAX NUMBER
a Architect 0 Tenant O Agent ❑ Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
( )
LENDER ., ,• ' foimatio s " NAME
, ,)rt. iect�ur u 4 $5.0 ZO
MAILING ADDRESS CITY,STATE,ZIP
- - . • ■ DETAILED BUILDING INFORMATION • - .
EXISTING I PROPOSED USE
•
EXISTING ASSESSED/APP' • ' •- • VALUE OF PROPOSED WORK $
• SPRINK LERED BUILDING? t D.. a NO FIRE SUPPRESSION S'" �.• : •POSED/REQUIRED? a YES a NO
1 tWATER SE: i - ' •OVIDER O LAKEHAVEN 0 HIGIILINE O TACOMA 0 PRIVA • ^'a L)
" R SERVICE PROVIDER a LAKEHAVEN a HIGHLINE 0 PRIVATE(SEPTIC)
•
.. 47,•• -
• • •
PROSECT FLOOR AREAS •
AREA DESCRIPTION EXISTING SQ.FT. •
PROPOSED SQ.FT. TOTAL ,..__-
• BASEMENT
FIRST
• SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
TOTAL EXISTING TOTAL,aorooseo TOTAL EXISTING AND PROPOSED
HOW MANY FLOORS? EXISTING
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of•. i re to be installed or relocated as part of this project. Do not include existing fixtures to remain.
• MECHANICAL /
• Value of Mechanical ork $ �� I 1'
•
•
EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
AIR HAND[LNG UNITS HOODS(coma cio) WOODSTOVES
BBQS FANS
' BOILERS I FIREPLACE INSERTS RANGES MISE(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
•
PLUMBING WATER CLOSETS rot MISE(Describe)
BATHTUBS(.r Tub/Stamm Combo' SHOWERS
DISHWASHERS SINKS DRINKING FOUNTAINS
. GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS Bathrooms iVACUUM BREAKERS ELECTRIC WATER HEATERS
-
..-,•Y =_ - _' - - - - _ DISCLAMIER/SIGNATUREBLOCK- - -• 7::: :_; -.-_ --_= -
•
•
&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,in uding the undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the relianc of the city,including its ficers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
_C:. (( 72:- A
NAME/TITLE DATE
(Title)
_ - - -- -, i - (Signatures)
I RELATIONSHIP TO PROJECT �O Owner ci Agent O Contractor O Architect a Other
- - I ...e)
FURAFFICE SE 7411
a NEW a ADDITION a ALTERATION a REPAIRa'TENANT IMPROVEMENT
I BUILDING SHELL ONLY? a YES a NO BASIC PLAN? o YES o NO
I ZONING DESIGNATION CHANGE OF.USE? o YES a NO
! NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? a YES o NO
-
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO
/
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t Bulletin 11100-March 30,2004 - Page 2 of 4 k\Handouts-Reviscdll'ermit Application