05-106265 City of Federal Way Mechanical Permit #: 05-106265-00-ME
Community Development Services
k P.O Box 9718
Federal Way,WA 98063-9718 .,�,
Ph:(253)835-2607 Fax (253)835-2609 r" Inspection Request Line: (253)835-3050
Project Name: HYUN
Project Address: 2209 S 300TH ST Parcel Number: 042104 9133
Project Description: Gas furnace changeout and associated gas piping
Owner Applicant Contractor ,
GEORGE Y DONG NORDIC HEATING,INC. NORDIC HEATING,INC.
2209 S 300TH ST P.O.BOX 2581 NORDIHI099BJ (1/9/06)
FEDERAL WAY WA AUBURN WA 98021 P.O.BOX 2581
98003-4223 AUBURN WA 98021
Additional Permit Information
Mechanical Valuation 2500 Over the Counter Permit? Yes
Mechanical Fixtures
Furnaces 1 Gas Piping 1
CONDITIONS:
PERMIT EXPIRES Tuesday, June 6, 2006
. Permit Issued on Thursday, December 8, 2005 . .• .
• I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use ' e in accordance with-the laws, rules and regulations of the State of Washington
and the City of Federal Way.
C
Owner or agent: J Date: / -oe— c ,
•
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-106265-00-ME
Owner: GEORGE Y DONG
Address: 2209 S 300TH ST
FEDERAL WAY, WA 98003-4223
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
By Date By % '6 i ate JZ7"7/5 By %/// Date /4/0
1
FederalWa RECEIVE 1 .0. _ - - -
y -rERMIT
' COMMUNIYDEVELOPMENTSERVICES 2 ( ..
SF MF COM ^' L DE EN FP
• 33325 RALWAUNT=.Ib ,718 D QAPPLI CATI O N !`� .
f8D1iRAL WA 94063-9711 DEL 0 O m / /
253-835-2607•FAX 253.835-2609
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CITY OF FEDERAL��pWAY
The ollowi • is -• ire-: •" M+&n{Iwo •Pete . ••lication will not be acce•ted Please •rint le• •I n I or j• .
■ PROPERTY INFORMATION
SITE ADDRESS 2�L2 f 5. 3D0 I 4'- wQ SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _ _ _ _ LOT SIZE(s,/)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach Warato lx,04for kmathll legal daoipo(ay
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING A MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
'
PROJECT DESCRIPTION(Provide detailed description of work ed on this permit 0 ,,,
e,ix5 f p:12L r-u.R/lACC le.
0 f( 6 C6ks CAOAvc -61AL hisnic, 0,ii'llir
PROJECT NAME(Name of Business or Owner Last Name) tit /'
• NI PEOPLE INFORMATION
PROPERTY NAME
C9"�D�� ' / u y J PRIMARY PHONE
OWNER
/-i (
_
MAILING ADDRESS �! C17Y, A ,ZIP
unt U/A
{ CONTRACTOR COMPANY NAM APPLICANT NAME
T Ct"i OFFICE)ONE
/7j,MAILING ADDRESS r,
E,ZI ` • CELL,PHONE
CITYWA USIN LICENSE NUMBER Af~ EXPIRATION DATE / }/
— — -�' L / / (
CONTRACTORS REGISTRATION NUMBER(copy of cud tusked with each applicati a( EXPIRATION DATE
APPLICANT COMPANY NAME APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP — CELL PHONE
(
RELATIONSHIP TO PROJECTFAX NUMBER
❑ Architect 0 Tenant ❑Agent lit Other(Describe) r) 604p ( ) _
CONTACT NAM PRIMARY NE
E-MAIL ADDRESS
�e�� , .z / ) t3/ - 1253 •
LENDER :., ;N.,-. ) s.,... , „,,r,- r, NAME
MAILING ADDRESS CITY,STATE,ZIP
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES ❑ NO w
WATER SERVICE PROVIDER a LAKEHAVEN a HIGHLINE 0 TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKEHAVEN a HIGBLINE a PRIVATE(SEPTIC)
•
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH .
ADDITIONAL FLOORS(DESCRIBE)
•
DECK(COVERED?)
GARAGE 0 CARPORT 0
Wain= PROPOSED TOTAL R--- ,f i if:41
�.=
NUMBER OF FLOORS ; - .'F•
**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.
MECHANICAL
Value of Mechanical Work $ •
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(cmmerdaq WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS I FURNACES GAS WATER HEATERS
DUCTS I GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/ShowerCombos SHOWERS WATER CLOSETS(roue) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(sarhr..,,,snag VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
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 authorised 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,including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE I.PJ DATE /2
(Signe ) (Title)
RELATIONSHIP TO PROJEC 0 0 Agent 0 Contractor ❑Architect 0 Other
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Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application