05-102346 City of Federal Way, Mechanical Permit #: 05 - 102346 - 00 - ME
Community Development§ervides
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax (253)835-2609 Inspection request line: (253)1335-305C
Project Name: LEE LX
Project Address: 28835 141S Parcel Number: 516210 0560
Project Description: Remove and replace furnace; add A/C and electronic air cleaner
Owner Applicant Contractor
Gabriel Y Lee KLIEMANN BROS HEATING&AIR KLIEMANN BROS HEATING&AIR
28835 14TH CTS 4703 116TH ST E 4703 116TH ST E
FEDERAL WAY WA TACOMA WA 98446-5002 TACOMA WA 98446-5002
98003-3774 (253)537-0655
Mechanical Valuation 11813.40 Over the Counter Permit Yes
Mechanical Fixtures
Description Quantity Description Quantity] - Description Quantity
Air Handling Units 1 Compressors 1 ' Furnaces 1
PERMIT EXPIRES November 15,2005.
Permit issued on May 19,2005
I hereby certify that the above information is correct and that the construction on the above • ribed prope and
the occupancy and the use will be in accordance with the laws,rules and regulation �• : '+;``i=ce,,y �'.�• :' ; '• NI
the City of Federal Way.
Owner or agent: See A • • • sate: --'- 19 2005
THIS CARD IS TO REMAIN ON-SITE
CITY OF A Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-102346-00-ME
Owner: GABRIEL Y LEE
Address: 28835 14 CT S
FEDERAL WAY, WA
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) 0 Gas Piping(4125) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By G W Dates. `- 03
E \15) DEPPR�ME�S COMMUNITYpEVELopM NBDEPARTMENT
.,! - RC 00
GoMM�N��of 1 $ 10 MAY 0 4 2005 d - —I_0-2- ' 1
. cm,ifFederal Way \4\/\( PERMIT
COMMUNITY DEVELOPMENT SERVICES SF MF CO VIE EL PL DE EN FP
33325 FEDERAL
AVENUE 980• 3 9716 APPLICATION
FEDERAL WAY,WA 98063 9718 Im / /
253-835 2607•FAX 253-835-2609
The ollowin p is -, it ed ' ,rmation-an in•, ,fete , u,lication will not be , •• ,ted. Please ,pint le!", . (in in or '_),'.
Q C • PROPERTY INI'OR:ItATION
SITE ADDRESS C.�3 J `� l nC,OU `- ( SUITE/UNIT#
ASSESSOR'S TAX/PARCEL it S .O -6 \ - C CoV1 0 LOT SIZE(sf)
LEGAL DESCRIPTION(e.g_Acme Ectntvs,Lot 1)
Nisch separate page for knotty legal description)
• PROJEC T ItiFORALATIO\
TYPE OF PERMIT 0 BUILIMNG 0 PLUMBING MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed - , ,r• of uaork included on this permit cnitl!
4SLCA .v� ' \1\ __-' N (Sluff .�v VICA-U.c?
Q�aA Q ( ca .\
(\c5 \ .A Q1-4( \\CIWN\Q. (1kv C ..0 uU N.Sit.
PROJECT NAME(Name of Busbiess or Owner Last Name)
MI t.1 , : r .i ,,Y L,,.
OWNER PERTY NAME (iX\O\C\Q\ mss- $�► ?--
(a $ , \�"- CNN)1" 5. r-ebto,\ 13... ) \ CO0\BOD
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
Y-A\QnMX-N 'R)YO T a IrnU \QTc\ \ (9S3) s31 - (tos
MAILING ADDRESS CITY.SUITE.ZIP CEL PHONE
64,---10-- \\WCA-. , ,Q . Au�N(\a \vie ( ) -
CnY OF FEDERAL WAY BUSINESS LICENSE NUMBER IDCPIRATTON DATE FAX NUMBER
i q-g. q_! o tg 55 1 S-tee - C. 0- /3\ / CS (w27)5)c -
CONTRACTORS REGISTRATION NUMBER(espy et Ori mint iiltk Mak appliaNM) EXPIRATION DATE
L t Etk oa \ 111 /a1 / 0(1/42
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
_�\\Qx' ' c-\ -ba7il�Mh C> .--DAD T� O� \(.,\\�'M(J ( ) S'j�l - . CU
MAILING, ADDRESS 'n Q .
}\CITY..STATE.ZIP CELL PHONE
Tlo�RELATIONSHIP_\\WDM ��• C. .._..._. `- 0.0! - (c+"riZ (AX NUM)
❑ Architect 0 Tenant o Agent ,pirrther(Describe)CS k(' Lt0 (VS. )S - Ci?\I
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
-V ()cO Y\(A -\ RX\OC (-)S3)S31- OloS -
LENDER Per RCp 19.27.0•,6: /All—Wennetiono is NAME
myosins!Vilmiset mine ea..ols$5,000
MAILING ADDRESS CITY.SATE.IJP
I LI=T.\:I r:i bt:LD:\r, :`,1--1,:.2%!_:,-1:0\
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINELERED BUILDING? ❑YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? o TES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGULINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAEEHAVEN ❑ HIGHLINE o PRIVATE(SEPTIC)
PROJEC T FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT❑
asA1c nioeOMD TOTAL TOTAL TT OWI TOTAL 11110ea•i OW TOTAL•/
NUMBER OF FLOORS
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
indicate number of each type of ixtu a to be Installed or relocated as part of this project. Do not Include existingfxiunes to remain.
MECHANICAL
Value 4 Mechanical work $ ‘%\'"
.(NO
AIR HANDLING UNITS , EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BRAS FANS HOODS WOODSFOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS t FURNACES (IAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS SHOWERS WATER CLOSETS fel MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OWLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE EBBS
[AVS glailateftlaNka VACUUM BREAKERS UXCTB=C WATER HEATERS
t certify ander pity',perjury ry that the ielbrutatisafarniated by sae is true and correct in the beet of q bwriodpn and further.that I
ten art erased by the water of the obese premises at perform the wale far'Aids the pante&application is made. I further agree to hold
hormloas the LYty of Inderal W4 as to any Sohn facludiny oasts.expanses.end attorweys•fees incurred in the boresJyation and defense of
such axabµWhich stag be made by wU psraeo.twctNHhl/the reedersigned.atd jf ed agat tat the cap of"Wend Way.but only where each claim
arises amt f the reliance of the city.itdandiny its effacers mid employees.upon the accuracy of the i*first.tiot supplied to the city as a part of
this application.
NAME/TITLE ' � 1M \- O \ca
DATE
Tel
RELATIO : :a I • PROJECT ❑ Owner 0 Agent Contractor ❑Architect o Other
FOR OFFICE USE ONLY
a NEW a ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
EAI[DU(G SLIER.ONLY? a YES a NO BASIC PLAN? a YES a NO
ZONING DESIGNATION CHANCE OF USE? a YES a NO
NEW ADDRESS REQ? a YES a NO OF/SEIA/SII? o YES a NO
PLATTED LOT? a YES a NO DEI[O lBRYIT REQUIRED? a YES a NO
•
Bulletin#100-January 7,2005 Page 2 of 4 k\Handouts\Permit Application