05-102391 ry
City of Federal Way Mechanical Permit #: 05 - 102391 - 00 - ME
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-305C
Project Name: JAHNS 5�(
Project Address: 4601 SW 320TH'Unit8 Parcel Number: 512600 1600
Project Description: Install for new dryer.
Owner Applicant Contractor
Advocacy Plus Lifetime JAHNS PROPERTIES LLC*KARL JAHNS* JAHNS PROPERTIES LLC*KARL JAHNS*
1019 PACIFIC AVE#1102 4714 FAIRWOOD BLVD NE SUITE 505 4714 FAIRWOOD BLVD NE SUITE 505
TACOMA WA TACOMA WA 98422 TACOMA WA 98422
98402-4468 (253)838-2184
Mechanical Valuation. 50 Over the Counter Permit Yes
Mechanical Fixtures
Description Quantity Description Quantity Description Quantity
Ducts 1 Fans 1
PERMIT EXPIRES November 16,2005.
Permit issued on May 20,2005
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: Date: S"/.rap7s
foas°
THIS CARD IS TO REMAIN ON-SITE
CITY OF 10114 Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-102391-00-ME
Owner: ADVOCACY PLUS LIFETIME
Address: 4601 SW 320TH ST Unit 8
FEDERAL WAY, WA 98023
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) ❑ Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date B 5 Date 2>
A • 1
RECEIVED •
Federal Way PERMIT i `- L
COMMUNITYDEVELOPMENrSERVICES SF MF CO eEL PL DE EN FP
33375tmAVENUESOUTH•POBOX9711 MAY 2A ,LICATION
FEDERAL WAY,FAAX
93435.2 18
0 / /
253435-2607.FAX 753135-2609
=mw.dhr9/kdnahmau. CITY OF FEDERAL WAY
BUILDING DEPT
The ollowi • is • fired in ormation-an Inco •tete • ••lication will not be acce•ted. Please •rint le•ibl n in or j• .
■ PROPERTY INFORMATION
SITE ADDRESS 1•{S S Ui 3 2(s>` rera / `-4a SUITE/UNIT# IQ 8'
ASSESSOR'S TAX/PARCEL# - _ LOT SIZE(s,7
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
Attach aepareapayefork, legal desaiPdonq
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBINGMECHANICAL
0 DEMOLITION 0 ELECTRICAL ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTIO (Provide detailJe//d description of work included on this permit only)
•
10"E?071
/
I
PROJECT NAME(Name of Business or Owner Last Name) A Pt& )
• PEOPLE INFORMATION
PROPERTY NAME /
// PRIMARY PHONE
41/^OWNER � h S (ZS2) Ej8" -?/g /
MAILING ADDRESS Q , r CITY,STATE,ZIP .r-
CONTRACTOR COMPANY NAME r /�� APPUCANT NAME OFFICE PHONE
a.v•e�rAC1 vK,/W •
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
(
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
/ / ( ) -
-B L
CONTRACTORS REGISTRATION NUMBER(copy of card required with each appUcatien( EXPIRATION DATE
/ /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
AS 0L004/`-
MAILING ADDRESS CITY,STATE,ZIP - CELL PHONE
(
RELATIONSHIP TO PROJECT FAX NUMB ER
0 Architect ❑Tenant ❑Agent ❑ Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
( ) -
LENDER ;,;. • . -z 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? ❑YES a NO
WATER SERVICE PROVIDER a LAKEHAVEN O HIGHLINE a TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
1 1
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
NUMBER OF FLOORS =sum PROPOSE) Toru it .u.sr
"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 $ /O®
•
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS • HOODS(commelet q WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
' - COMPRESSORS FURNACES GAB WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(orTub/shower Combo) SHOWERS WATER CLOSETS(roaeq MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(senlrooms)dq 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
ant 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 ci ,including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE DATE �Xp/-S
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ 0 er 0 Agent 0 Contractor ❑ Architect ❑ Other
- _ ;it tCo#�i >>D1f.ti; r' 4;i..v E t' ),i ;Yc1 }, ( >Gt
ilt;fe• C��i�,c, e)€ .ev ;•nit (e) .f.v )(€ it,;�;r, ,- -*F7z) (
.`- 1
c
•
7i)\Pitfc0'/` ::)b:`i(t F.�'Nf . t i� ;:i aif;z1:0*.' fo; -_..
;R "f ,`tiYr tz.3 : c
Bulletin#100—January 7,2005 Page 2 of 4 kkHandouts\Permit Application