05-104399 ' 1
City of Federal Way Mechanical Permit #: 05 - 104399 - 00 - ME
Community Development Services
P.O.$ox 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
-Project Name: CHAN
Project Address: 29323 11TH 3 el 5 Parcel Number: 515230 0040
Project Description: Install gas piping to(1)Furnace,(1)Fireplace and(1)Hot Water Tank.
Owner Applicant Contractor
Kenneth Fung AUBURN SHEET METAL INC AUBURN SHEET METAL INC
29323 11TH PL S AUBURN SHEET METAL INC AUBURN SHEET METAL INC
FEDERAL WAY WA P O BOX 8003 P 0 BOX 8003
98003-3739 BONNEY LAKE WA 98390 (253)939-0131
Mechanical Valuation.. . 2500.00 Over the Counter Permit Yes
Mechanical Fixtures
Description Quantity Description Quantity ; Description 'Quantity
Furnaces 1 Gas Piping Ir 3 1
PERMIT EXPIRES February 27,2006.
Permit issued on August 31,2005
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: �. grb3 F Date: a- 3 i-0S
of—l_oT' Com•- CL/.�j
Q
,
THIS CARD IS TO REMAIN ON-SITE r -
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-104399-00-ME
Owner: KENNETH FUNG
Address: 29323 11TH PL S
FEDERAL WAY, WA 98003-3739
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
arc logged on the back of this card.
❑ Mechanical Rough-in(4165) ❑ Gas Piping(4125) ❑ Final-Mechanical(4065)
Approved proved to release test Approved
By Date B Date%.�_c < BYO_ ). Date t a
I
Rt # 05-10422-' RECEIVED BY
COMMUNITY DEVELOPMENT DEPARTMENT
r_ 7" AUG 2 3 20054.)5_ I _DN3 j 11
t , federal Wa - — —
PERMIT SF MF C.0 EL PL DE EN FP
COMMUNITY DEVELOPMENT SERV!
3332FEDERALWAY,WA 9806FH AVENUE SOUTH•PO 3-9X 718 APPLICATION To
253-835-2607•FAX 253-835-2609 /
www.cltuoffederalwau.com
The ollowin, is -•uired i ormation-an incom•lete a••lication will not be acce•ted. Please •rint le•ibl (in ink)or p-.
• PROPERTY INFORMATIONy1 ^
SITE ADDRESS A 9 3 a 3 -1/1 to /3)., so. ! J) /1. �/ns yQ�//)13SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# . !
. .5 p3 3 O - O O 4/ O LOT SIZE(4)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT ❑BUILDING ❑ PLUMBING MECHANICAL
0 DEMOLITION V ELECTRICAL 0 ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work inch irind on this permit nly)
?i q s ID --/-'n Fu/W/44C& / 1 Uo( Fo-Yv# , ( .eco,)
U p114LPt qc C. (7)
Hal' L *&. -f k (1)
..5\ 437._fe0----
PROJECT NAME(Name of Business or Owner Last Name) 0-NAV
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER I< // (LN/i IV (a6 )357 -3933
MAILING ADDRESS CITY,STATE,ZIP
i 79'D. -I l0 P1- SE., AVF-ha A/ CJS $bs S'
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
A tketlotiAl SII- / OAL 1 . D4\12 -PEA ,t 453) 46 3 35aO
MAILING ADDRESS CITY.STATE.ZIP CELL PHONE
PO . I2 8500 3 /3o►-iii .. .. l/ E 41k 9839o( ) -
CITY OF FEDERAL WA BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
.Z9- 91-.1 o 9 1T 4- B L 41 /3/ / O5 (453) Yi3 -5f161
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATIONDATE
16u3uiil * aaQ? Bci ay/ a / / 06
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS - CITY.STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECTCoh�C�n fesfAX NUMBER
0 Architect 0 Tenant 0 Agent 0 Other(Describe) - ( )
CONTACT NAME
UeN r n LaR NE
(A5 ))HO�3_ 3,_6 a E-MAIL ADDRESS
LENDER '`' E /
is
MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL) ti
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
•
•
t
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❑
NUMBER OF FLOORS EXISTING PROPOSED TOTALt4YCl~Mi}tR17ttCki•• tOOSiPito•aaatu•P TOTS&
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installer )iect. Do not include existing fixtures to remain.
MECHANICAL l"T�
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS _SGS REFRIG.SYSTEMS
BBQS _ _ FANS HOODS(commerciao WOODSTOVES
BOILERS FIREPLACE /AIS - - _ RANGES MISC(Describe)
COMPRESSORS / FURNACES GAS WATER HEATERS
DUCTS 3GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or rub/Shower Combo) _ SHOWERS WATER CLOSETS(roik4 MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
• •/ • 1 4 • • •
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 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,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 DATEat,-. /6 64
(Signature) (71t1e)
RELATIONSHIP TO PROJECT 0 Owner 0 Agent X.Contractor 0 Architect 0 Other
a taw a ADDniON a ALTERATION a REPADI a TENANT IMPROVEMENT
BUILDING SHELL ONLY? O YES to NO BASIC PLAN? a'YES a NO
ZONING leenO AAnON CHANGE OP USE? a YES a NO
NEW At vow Its '?` r�Y n NO UPI *A SU? a YES a NO
a YES a NO 'DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application