05-101739 City of Federal Way ,07dethanical Permit #: 05 - 101739 - 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) 835-305C
Project Name: SHIM Q�v
Project Address: 32224 26TH1SW Parcel Number: 873180 0470
Project Description: Replace existing gas furnace
Owner Applicant Contractor
Yoshiko Shim AFFORDABLE GAS SERVICE AFFORDABLE GAS SERVICE
32224 26TH AVE SW 4864 NE SHELLERED BAY LN 4864 NE SHELLERED BAY LN
FEDERAL WAY WA HANSVILLE WA 98340 HANSVILLE WA 98340
98023-2511
Mechanical Valuation 1700 Over the Counter Permit Yes
Mechanical Fixtures
L Description Quantity Description Quantity Description _guantityj
1 Furnaces 1
•ERMIT EXPIRES October 12,2005.
Permit issued on April 15,2005
I hereby certi► that the abovif',
. i ation is co ect and that the construction on the above described property and
the Occup. y and the use , i ,e in accord. e with the laws,rules and regulations of the State of Washington and
the City of ederal Way.
Owner or agent: r Date: ~ ':2s
i
/
r
THIS CARD IS TO REMAIN ON-SITE
r
CITY OF IA Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-101739-00-ME
Owner: YOSHIKO SHIM
Address: 32224 26TH AVE SW
FEDERAL WAY, WA 98023-2511
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 LJ�
By Date By Date
)21Y-4fDate 1/2Z/Qlr
•
6
6 A RECEIVED 03-- i i_7 Cl
Federal Way APS PERMIT
COMMUN17YDE1>FLor M'SERV10ES 1 5 200 SF MF CO i:�PL DE EN FP
33325 87v AVENUE wASULTAN•POBOXIN7I8 PLICATION
FEDERAL WAY.WA to / /
azeo�rix�YOF FE[� L AY
,, n,,,,„ ,„ BUILDING DEPT.
The is -an tion will not be . Please t (in ink)or
SITE ADDRESS 32-z24 - 2.1.49-4' e,• SW V t c c k V V QU1 SQ11'ENiRT#
ASSESSOR'S TAE/PARCEL I - — — — — LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Aane Estates,Lot 1)
(Attath.eparcde twKtor Invest II description)
• PRO 1E( 1" [NE OR\L1110\
TYPE OF PERMIT 0 BUILDING 0 PLUMBING I MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onli)
1CT(//4cd� ejC157iif.1 9AS --CM4Ct.
PROJECT NAME(Name of Business or Owner Last Name) Sh try-1
MI PEOPL.1" I\I ORS1.11 ION
PHONE
OWNER
PROPERTY NAME PS— JI
( Ji 11 5V:\ rn 1( (253) W (411
MAILING ADDRESS CITY.ST TE.ZIP . 80
32224 20 Ave SV�I � aI V' (L VSA 23
CONTRACTOR APPLICANT NAME OFFICE PHONE AGrdabl _ OY(Ce & a^ VW /
0
- 5333
ADCELL PHONE
4Qfid 14 _Y� N LA'l /tSv( (le W j
OF FEDERAL WAY BUSINESS LICENSE EXPIRATION DATE FAX NUMBER
2 0 -t -1 Q 2. a
Oa.- L IZ / 3( / 05 ( ) la38 -
p02.
CONTRACTOFCS REGISTRATION NUMBER(copy of east regMtrl with each u 1eatIM) EXPIRATION DATE
a3/ (-1 / ( Co
APPLICANT CO ANY NAME APPLICANT NAME OFFICE PHONE
as Ck ( ) -
MAILING ADDRESS CITY.STATE.ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
o Architect o Tenant o Agent o Other(Describe) ( ) -
CONTACT AME PRIMARY PHONE E-MAIL ADDRESS
t) & al i Ill ( .ES) I ; - •1: Z t► oat A2/I .el
LENDER Per filar 1A27.0S6c Tenter bg rsMeden is NAME
required;(pnycet mime exceed.$1,800
MAILING ADDRESS CD.Y.STATE.ZIP
• Ill I \1I t U EHL [LINING INEOR:\L\11ON
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
.
SP INKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
1
WATER SERVICE PROVIDER 0 LAIUSHAVEN a HIGHLINE o TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER o LAKEHAVEN o HIGHLINE 0 PRIVATE(SEPTIC)
•
a
AREA DESCRIPTION EXISTING PROPOSED TOTAL
S9.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT 0
NUMBER OF FLOORS ��D raore� TOTAL sa7'1r.>�trnrmO b TOTALTOOl�O w TOTAL TT
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESIlMA I1 D SELLING PRICE $
FL\1L Rt:S
Indicate number of each type
jofff
fixture In be installed or relocated as part of this project Do not include existing fixtwes to remain.
MECHANICAL 'l V
Value of Mechanical Work $ I l
AIR HANDLING UNITS EVAPORAIIVE COOLERS GAS LAGS REFRIG.SYSTEMS
BBQS FANS HOODS(coon or ws WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS \-' FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS Lor nh/sho1,u Combo) SHOWERS WATER CLOSETS nmop MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS srthmom stet,) VACUUM BREAKERS ELECTRIC WATER HEATERS
UIQ( 1..1111E Il -1G\.11l RI PALO(K
I certify under penalty of pedlar,that the isiformationfurrdehed by use Is true and correct to the best of OVL knowledge,and further,that I
am authorised by the owner of the above promises 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,vepeaxs,and attorney.'fees incurred in the investigation and defense of
such claim),which may be made by any perm"including the undersigned,andd f led against the City of Federal Way,but may where such claim
arises out of the reliance of the city.including its gfioers and employees,upon the accuracy of the information supplied to the city as a part of
this application. Q, p^' '
NAME '� I. Y • Ar /aA•, T1 YWL� iDATE 'h -
0171"") - � True
RELATIONSHIP TO • •,• o Owner 0 Agent Contractor 0 Architect 0 Other
FOR CIITWI4 ESE ONLY
D NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o TES D NO BASIC PLAN? D IES D NO
ZONING DESIGNATION CHANGE OF USN? D TBE o NO
NEW ADDRESS REQUIRID? D TES D NO IIP/SEPA/WT D TES D NO
PLATTED LOT? o TES D NO DEMO PERMIT RE$�D?i a IES a NO
Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application