05-102334 City of Federal Way Mechanical Permit#: 05 - 102334 - 00 - ME
Community Development Services
P.O.Box 9718 •
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 f Insp i n requ• line: (253) 835-305C
Project Name: THREE TREE YOGA
Project Address: 204 S 348THrSUITE1 Par • m•• 02104 9134
Project Description: Altering existing ducting
Owner Applicant Contractor
BRIGHTON PROPERTIES LLC AFFORDABLE S INC AFFORDABLE EXTRAS INC
204 S 348TH ST#2 1515 CENTRAL AV £ ,NTRAL AVE S
FEDERAL WAY WA KENT WA 98032 KE` A 98032
98003-7041 53)852-1111
Mechanical Valuation 500 r the Permit Yes
Mechan ixt
MEW C3escrt•tion Quanti � -41• "';41, Er= Description, Cti4f ntit9
Ducts
PERMIT EXPIRES November 15,2005.
Permit issued on May 19,2005
ce ify that th ve information is correct and that the construction on the above described property and
cup and the us l be in accordance with the laws,rules and regulations of the State of Washington and
Cit ederal W y.
0 r agent: d j/L Date: 5//q/05
THIS CARD IS TO REMAIN ON-SITE
CITY OF 111.1 Community Development Inspection Record .
Federal Way IVR INSPECTIQN REQUEST PHONE # (253) 835-3050
PERMIT#: 05-102334-00-ME
Owner:
Address: 204 S 348TH ST SUITE 1
FEDERAL WAY, WA 98003-7002
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) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By Date
A. a
RECEIVED
Federa _05— ._1 l 3 _CI_
Federal way PERMIT - _ J5
COMMUNITY DEVELOPMENT SERVICES ,••, •, t' S F MF C� LPL DE EN FP
33325 D AVENUE WAY, ITN•P3 BO971 9718 AP P LI CAT °
FEDERAL WAY,WA 98063-9718 /
253-835-2607•FAX 253-835-2609 E^r�iAL AY /
www.citgolederalwaycorn ' BUILO! • UEPT
The ollowi • is re,uired in ormation-an inco •lete • ••lication will not be acce•ted. Please •rint le•ibl in in or .
c • PROPERTY INFORMATION',
SITE ADDRESS 2 J � em�� J�� t�Jo j V/"- " SUITE/UNIT it
ASSESSOR'S TAX/PARCEL# 2 � a i V 1. 7 - 9 / 1 3 y LOT SIZE(s,7
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) Sr 0.Y UUP
(Attach(4 to page for lengthy legal d ctiption)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 P IN #171 MECHANICAL
0 DEMOLITION TRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
111 10/1,, da(1-IIAi
PROJECT NAME(Name of Business or Owner Last Name) Tilbr Tiir ee5 Yoer
• PEOPLE INFORMATION
PROPERTY NAME \^ /� '/ LLL
i r PRIMARY PHONE
OWNER YE 1/v',`1� 11 V■ ' VC)p�f 41 f--.5, l�-� ( ) -
MAILING A DRES JY CITY STATE,ZIP
7 5 51-0-h ' f dcvo l V • , 1n/ 9'OC)3 _
CONTRACTOR COMPANY NAME
/�) L,r �,{ A PLICANT NAME (//�' OFFICE PHONE
Ae(b 2ADDRESS� L x7ve Li.,,,i C- rt AT ZIP v s)0,2 t C 11 (ACCELL ON O -/)( I
/ / E
SITY {j/��/) 9 ( ) /
CITY OF FEDERALAYY BU S N�LICENSE NUMBER EXPIRATION DA FAX BER / �
B L
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
-
APPLICANT COMPANY NAME APPLICANT NLiA OFFICE PHONE
GppfleeS\yOCGl. NAln� CryV ( Z(35 10
ADDRESSMAILI C .Z _ CELL
- Lteitk C4. .WCk 'r_ YVe 1 V lk (-538cL - ^
R TIOHIP TO
FAX NUMBER
0 Architect `E'Tenant 0 Agent 0 Other(Describe) ( ) -
CONTACTNAME PRIMARY PHONE E-MAIL ADDRESS
z� Ctioavidu
(1)53)81k1 -54+ �YCCOSt(
LENDER w u -, ,, NAME
�€-P- '�"��`9�9'09S�eriderir}forniattort�i's• fir' C. )YV 1
MAILING ADDRESS CITY,STATE,ZIP
ii DETAILED BUILDING INFORMATION
EXISTING USE (-J2, KC-_a_. PROPOSED USE \hoL. seinc:I
EXISTING ASSESSED/APPRAISED VALUE $ 575 C VALUE OF PROPOSED WORK $ 15O
SPRINKLERED BUILDING? ❑ YES ANO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES 0 NO -
WATER SERVICE PROVIDER 7LAKEHAVEN ❑ HIGHLINE 0 TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN a HIGHLINE 0 PRIVATE(SEPTIC)
•
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST 12C37) t2s53 12-&
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
•
DECK(COVERED?)
GARAGE ❑ CARPORT 0
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL EXISTING Sr , TOTAL PROPOSED Sr TOTAL 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 �,. dV
Value of Mechanical Work $ �L)3.
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commerc al( WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shoaercombo) SHOWERS _ WATER CLOSETS Rollet( 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 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,in ing the undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the reliance of the city,including i fficers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE 4t 31 DTA17— DATE .6l
(Sig ure gine)
L
1 ( 1
RELATIONSHIP T7PROJECT 0 Owner 0 Agent 'Contractor ❑ Architect 0 Other
��.
65: .(1'a`, 0:0- >?.
as +� ,TyEi'S3.' ION";=' 6-ALTERATION o REPAIR ,;� ,''o TENANT IMPROVEMENT
i -44316 .
I 'Gr'"5 L ONLit?„ .•O i'ES stt NO • BASIC PLAN?_=-44 •= C o YES .io NO':"
s h'G )E.'SI(NATION';; ? g:', 'r,•• CHANGE OF•USE? ;_ s ❑YES
„ r YES.:4,. NO - UP/SEPA/SII7j4• ,- ;' = .. -U YES'.:;=p;NO
DEMO PERMIT REWIRED?,‘: s-a YES 'r �.
Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application