05-104144 mina. ir • r ' /'
City of Federal Way Mechanical Permit #: 05 - 104144 - 00 - MLS
Community Development Services
P 0 Box 9718
Federal Way,WA 98063-9718
• Ph (253)835-7000 Fax•(253)835-2609 Inspection request line: (253) 835-305(1
Project Name: TANG P 1
Project Address: 33628 7THrSW Parcel Number: 729804 0390
Project Description: Install new gas hot water heater.
Owner Applicant Contractor
Fei Tang COMPLETE HEATING&A/C COMPLETE HEATING&A/C
33628 7TH PL SW 15627 SE 178TH ST 15627 SE 178TH ST
FEDERAL WAY WA RENTON WA 98058 RENTON WA 98058
98023-5004 (425)254-0031
Mechanical Valuation 755.00 Over the Counter Permit Yes
CONDITIONS:
This parcel is located within a Wellhead Protection Area(Capture Zone 10)and must comply with FWCC,Chapter 22,
Article XIV"Critical Areas" and fill out a Hazardous Materials Inventory Statement,if applicable.
PERMIT EXPIRES February 13,2006.
Permit issued on August 17,2005
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 Fede l W
Owner ora agent: ` (__ / 7 /'�
g ��,� Date: CJ
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• THIS CARD IS TO REMAIN ON-SITE . _ ,
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-104144-00-ME
Owner: FEI TANG
Address: 33628 7TH PL SW
FEDERAL WAY, WA 98023-5004
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) 1:1 Final-Mechanical(4065)
Approved Approved to release test Approved
ri;
By Date By Date By�� 1` Date 11 048.
..A RCEIVED _
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Federal Way P E R M I a - �-
COMMUA7 YDEVELOPMENrsERVI ES T A U G X 7 2 005 SF MF C�at LPL DE EN FP
33325*I AVENUE SOUTH•PO BOX l7ll
• ED 60, A" ,
APPLI CAs ►VI I DERAL WFz53
BUILDING DEPT.
The allow' • is -• iced in ormation-an inco •tete a••licatlon will not be acce•ted. Please •rint le.ibl in or
MI PROPERTY INFORMATION j•
SITE ADDRESS 3 / 2 7 •
U SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _ LOT SIZE(sj)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
µ•oohs wat p°9r/a wwuw iepJd aa1pknJ
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING AECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
l.Q. fay_ H-&Ji .
PROJECT NAME(Name of Business or Owner Last Name)
a PEOPLE INFORBIATION
PROPERTY J N ' PRIMARY
�S3) 9iE
OWNER -- , / r(1-767
•/(_7s_
WNQ .4... ::-..: 4/1/.. t/V I 7M:8'P:aI ' ''V "�(lam' ct8Cq3
CONTRACTOR COMPANY NAMEAP CANT NAME OFFICE PHONE
CO- !'1 J17f/( -fir bate ( qs -60 3 /
MAILING ADD•. •
STATE,ZIP CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
CONTRACTORS REGISTRATION NUMBER(co!y of card requital with each application( /
EXPIRATION DATE
APPLICANT cylifpANy SeAPPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
a Architect ❑Tenant a Agent ❑Other(Describe) ( ) _
CONTACT Ito
iv-71- !/!/�/ i,• qf ;HONE I v.0O3 1 I E-MAIL ADDRESS I
LENDER / J
,• td: •• •. •, ,..:.z .r one, I,4Th(!.•rr;a;); NAME
MAILING ADD•. - arv,STATE,ZIP
■ DETAILED BUILDING INFORMATION
EXISTING PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE • - • -. •••SED WORK $
SPRINKLERED BUILDING? a YES a NO F I- RESSION SYSTEM PROP ;
O � .:.: �••• • p YES p NO
WATER SERVICE PROVIDER a - .:s o f VEN a HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVID • a LAKEHAVEN p HIGHLINE ❑PRIVATE(SEPTIC)
- PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BAS
FIRST '
SECOND
THIRD -----...„.....\
FOURTH •
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ : ••'T O
•I:ER OF FLOORS sxlsnso PROPOSE) TOTAL s , •._ ,iV-,iA 'I, ,i•if.�k t'•F='T, V+:
"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.
MECFIANICAL751..-
Value of Mechanical Work $ •
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS reseeen:l.q WOODSTOVES
BOILERS FIREPLACE INSERTS ,/ ..._ RANGES ` MISC(Describe)
• COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(orTub/shownamebo) SHOWERS WATER CLOSETS gazes 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
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 b made by any person,including the undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the reli• •f the city,including its ofjic s and e !ogees,upon the accuracy of the information supplied to the city as a part of
this applicatio /
NAME/TITLE .1�/ .. _o•- DATE �/ /7 o
( .. azure) (Title)
RELATIONSHIP TO PROJECT ❑ Owner o Agentontractor o Architect 0 Other
(;2'r'i, . e'. c.,';
t@:11'r .11 ea e)-i•,'(Wi ,II'P,!:,1LY,1,r:(0,1 _ ..- ,. '''SJS ,t m l- ,'. r.e �.C. •
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Bulletin#100-January 7,2005 Page 2 of 4 k\Handouts\Permit Application