05-102347 •
CommCity of
unity FederalDevelopment Services Way Mechanical Permit #: 05 - 102347 - 00 - ME
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: HOANG Q\
Project Address: 1916 S 374THkUnit56 - 721265 0560
Project Description: Gas piping for range
Owner Applicant Contr.,
Huy Hoang Huy Hoang Huy Ho•
1916 S 374TH PL 1916 S 374TH PL 374TH PL
FEDERAL WAY WA FEDERAL WAY WAEDERAL WAY WA
98003-7558 98003-7558
Mechanical Valuation 100 Overt it Skill)11) Yes
ha :I Fixt - -
Description car, `ti w ,• ,A tity Description Quantity
Gas Piping 1 \ 11
PERMIT E S November 14,2005.
Permit issued on May 18,2005
I hereb that the above information is correct and that the construction on the above described propertyand
the occ and the use will be in accordance with the laws,rules and regulations of the State of Washington and
the City of -ral Way.
Owner or agent: Date: 6-//8/05-
THIS CARD IS TO REMAIN ON-SITE
CCI a� Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-102347-00-ME
Owner: HUY HOANG
Address: 1916 S 374TH PL Unit 56
FEDERAL WAY, WA 98003-7558
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) ❑ Gas Piping(4125) ❑ Final-Mechanical(4065)
Approved Approved to release test
(11t••• •41. Approved
T C1M
By Date By Date By CW Date 6,,3-05
1
CITY Of ...
Federal Way MAY 1 8A. RECEIVED . .„0 6-- 4Oi
.3_
COMMUNITY DEVELOPMENT 2QD PERMIT SF MF CILPL DE EN FP
3332 E8m AVENUE SOUTH•rdoxX wilep FEDERAL WAY,FAX
53435-2608P PL Nps �p P LI CATION /
253-835-2607•FAX253.835-260¢'U�LD FSA Ry r /
www.dtuoffederalway.com DEFT
I
The ollowin, is re. fired in ormation-an i ,lete a, iication will not be acce•ted. Please •tint le,ibl in in or
pp! 117 PROPERTY INFORMATION
SITE ADDRESS ' E %�j�({��
9 (7c., FED - L,Ry � titlUITE/UNIT# t
# 1
ASSESSOR'S TAX/PARCEL -
- - - - LOT SIZE(sj)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Anach separate pagefur lengthy legal description)
1 _
Ili PROJECT INFORMATION .
TYPE OF PERMIT 0 BUILDING 0 PLUMBING MECHANICAL -
0 DEMOLITION 0 ELECTRICAL ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
we, PiPg
PROJECT NAME(Name of Business or Owner Last Name) 411/Y 4bWo
A
al PEOPLE INFORMATION
PROPERTY NAME '
I1OPRIMARY PHONE
A/Vl2
OWNER U Y V 1 (as,l 874( - of ?g
MAILING ADDRESS CITY,STATE,ZIP
!Rik S 374/t' pl. JfPe *L w 1.rm 3
CONTRACTOR COMP AME)0 _ _g APPLICANT NAME OFFICE PHONE _
MAILIN DRESS CITY,STATE,ZIP CELL PHONE
(: ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
/ / ( )
-B L
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
/ /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONEG� j6._,(1,
( ) _
MAILING ADDRESS CITY,STATE,ZIP - CELL PHONE
RELATIONSHIP TO PROJECT ( )
FAX NUMBER
a Architect ❑Tenant a Agent a Other(Describe) ( ) _
CONTACT I NAME I PRIMARY PHONE I E-MAIL ADDRESS
)
LENDER
? l',' ?';ic,ki ,4,,,,)- 00%),,k.,1•1{.17 ''
i0%),,ttY,.C7a`S&` NAME.
r 'l'4 r .9p=1n''1L ; i'•?4 -'{r--(4.2 ).�v.t t ha
MAILING ADDRESS CITY,STATE,ZIP
• • DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED
EXISTkG ASSESSED/ • •RAISED VALUE $ VALUE . PROPOSED WORK
SP• ERED BUIL' I G? a YES ❑ NO IRE SUPPRESSIO, YSTEM PROPOSED/REQUIRED? a • ❑ NO
WATER= RVIC r. •ROVIDER ❑LAKEHAVEN ❑ HLINE . w 0 TACOMA 0 PRIVATE(WELL)
SEWER SE• ' CE PROVIDER ❑ LAKEHAVEN 0 BIG 0 PRIVATE(SEPTIC)
. . •
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASE NT
FIRST �----
SECOND \__ '�'�
THIRD
FOURTH �\
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?) �____
GARAGE 0 CARPO
NUMB FLOORS EXISTING
PROPOSED
r a Roroe� nt sr+m'
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed . r=orated as part of this project. Do not include existing fixtures to remain.
r^
MECHANICAL
Value of Mechanical Work $7.(
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS •
REFRIG.SYSTEMS
BBQS FANS HOODS(c,mmerelaq WOODSTOVES
BOILERS FIREPLACE INSERTSRANGES MISC(Describe)
•
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
./
PLUMBING
SHOWERS
BATH 8: (or .bo r, froq MISC(Describe)
DISHWASHERS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
W - i •ACHINES URINALS -. - : BBS
LAVS(Bathroom sinks) VACUUM BREAKERS ELECTRIC WAT RS
DISCLAIMER/SIGNATURE BLOCK
r
I certify under penalty of perjury that the nfo .tion 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 ctaimJ,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,i I ing its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE1 . DATE1('��
at (title)
RELATIONSHIP TO PRO EC ❑ Owner ❑Agent 0 Contractor 0 Architect ❑ Other
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Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Pernlit Application