05-106583 City of Federal Way
Community Development Services Mechanical Permit #: 05-106583-00-M E
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: ISHIKAWA
Project Address: 119 S 297TH PL Parcel Number: 776420 0130
Project Description: Install gas insert and gas piping.
Owner Applicant Contractor
ALAN A ISHIKAWA AQUA REC INC AQUA REC INC
SUSAN V ISHIKAWA 1221 REGENTS BLVD AQUARI*1I0RA 2/19/07
119 S 297TH PL FIRCREST WA 98466 1221 REGENTS BLVD
FEDERAL WAY WA FIRCREST WA 98466
98003-3629
Additional Permit Information
Mechanical Valuation 4936 Over the Counter Permit? Yes
Mechanical Fixtures
Fireplace Inserts 1 Gas Piping 1
CONDITIONS:
PERMIT EXPIRES Wednesday, June 28, 2006
Permit Issued on Friday, December 30, 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 acc• •-nce with the laws, rules and regulations of the State of Washington . .
ity of Federal Way.
Owner or agent: - A Date: /z lc'3
THIS CARD IS TO REMAIN ON-SITE
CITY OF411A- Community Development Inspection Record -
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-106583-00-ME
Owner: ALAN A ISHIKAWA
Address: 119 S 297TH PL
FEDERAL WAY, WA 98003-3629
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) [ Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date ByNL_ Date C 1,eb s—at. By C (4J Date l 6 Oro,
. PRRMI'�
Federal Way SUBMITT
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APPLICATI�?Al� Zooglop —
2S3dJ5 FEDERAL WA TAX 2SJ435.2609
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ill
Gy•7 PROPERTY INFORMATION ��/�� ,
SITE ADDRESS // ( 5 z ? !(� tL F t�Z L "�'t/ 9 3 SUITE/UNIT 1
ASSESSOR'S TAX/PARCEL# 7 7' 7 0- j) ( 3 0 LOT SIZE(sj)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(A •- aepuratePpefa WOW bird dmalPtioal
MI PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
14.-FArt.l)IN 61 gl,6 EWE-Pi-Kr !14Sf r .IA- enc s Ni(NKr- CrAg Li Nt
PROJECT NAME(Name of Business or Owner Last Name) l S i--t / (c_Pt frei
1 In PEOPLE INFORMATION
1
PROPERTY NAME A PRIMARY PHONE
OWNER 4t,pn) 614-
-( l 143.3i/ (z - 1 45-5 - . yGSO
MAILING ADDRESS CITY,STATE,ZIP
ljc S z17 "� P. 1/1,
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING�D ae S ost-( S\-�'cvv 2S
( s31 S-6 " - 976,?
CITY,STATE,ZIP CELL PHONE
i ZZt f'es 1S rr� T (• 1 -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE - FAX NUMBER
B L / / ( ) -
CONTRACTORS REGISTRATION NUMBER(copy of earl:winked with each application) EXPIRATION DATE
k4. a & ri- 11. EE zZ / 1C7 /67
APPLICANT COMPANY NAME -. APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP - CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
O Architect a Tenant ❑Agent 0 Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE
E-MAIL ADDRESS
. .S tic Sx,pc-w•e (253) sz- 1171 •
LENDER .:- tl:
•
- PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING •ROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
I
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
OhltAG! Q PARP9RT O -
NUMBER OF FLOORS =wooPROPOSED TOTAL , ',I....,41_'_!'A1.0Ei.% ,•i:.wti, —bra, 1111/16 t,
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of of fuctu • to be installed or relocated as part of this project. Do not include existing fixtures to remain.
Valueofechanical Wo $ 1 0CAL �� 77
•
AIR HANDUNG UN EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Commercial) WOODSTOVES
BOILERS • FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES OAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo, SHOWERS WATER CLOSETS(togas MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
L.AVS(Bahama Sinks) _ VACUUM BREAKERS EL WATER HEATERS
DISCLAIMER/SKiNATURE BLOCK
•
I cert(fy under penalty of perjury that the info `on 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
,_..\f
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 —./ Allra,.r. DATE 17 t3e/6r-
Sr
(Signature) (Til)
RELATIONSHIP -• PROJECT p Owner 0 Age,fContractor 0 Architect o Other
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Bulletin 11100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application