18-104273 Mechanical
City of Federal Way Permit #:18-104273-40-ME
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax(253)835-2609
Project Name: MELODY BOBA HOUSE
Project Address: 31406 PACIFIC HWY S Parcel Number:092104 9223
Project Description: Installation of new bathroom fan
Owner Applicant Contractor
SAM YUNDANA PLAZA LLC SAM YUNDANA PLAZA LLC OWNER IS CONTRACTOR
1124 S 287TH PL 1124 S 287TH PL
FEDERAL WAY WA 98003-3185 FEDERAL WAY WA 98003-3185
Additional Permit Informati n
Mechanical Work Valuation? 500 Is this s ..T.C.application Yes
Fans 1
PERMIT EXPI: , . u i ay, 12 ch,2019
Permit Issued r • .ay,Se r 13,2018
I hereby certify that the above informaco ct and that nstruction on the above described property
and the occupancy and the use will bit in - .rdance with th laws,rules and regulations of the State of
•W n. and theitof Federal Way.
Date:Owner or agent:
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16%
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THIS CARD IS TO REMAIN ON-SITE
itiv& Construction Inspection Record
Federal VVay INSPECTION REQUESTS:(253)835-3050
PERMIT#: 18 104273 00 Address: 31406 PACIFIC HWY S
Project: SAM YUN FEDERAL WAY WA 98003-5404
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.
1❑ Mechanical Rough-in(4165) 0 Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test I Approved
By ,. Date ci ir By Date By Date
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
` RECEIVED
CITY OF ��� SEP 13 2018 PERMIT APPLICATION
Federal Way PERMIT CENTER+33325 8th Avenue South +Federal Way,WA 98003-6325
CITY Of FEDERAL WAY 253-835-2607 + FAX 253-835-2609 +pennitcenter@cityoffederalway.com
COMMUNITY DEVELOPMENT
PERMIT NUMBER _ / d 1 1 3 _ O 0 TARGET DATE 'V I pr-
SITE ADDRESS � r1“/
SUITE/UNIT#
3o ®
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c� ( C w Y
PROJECT VALUATION ,-,/C, ZONING ASSESSOR'S TAX/PARCEL#
$ --
fre e D `1 Z / v 14 - z z---.
TYPE OF PERMIT ❑ BUILDING 0 PLUMBING Y1VIECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT A4 C- t dam' / ��q t{,s €.
m1e€� 4/Kc�/C�1 �fiM.`� lap �f'Jj a Yei ,� }-
PROJECT DESCRIPTION v
Detailed description of work to b 21 9F-490‘131
be included on this permit only
-
NAME PRIMARY PHONE
PROPERTY OWNER MAILING ADDRESS E-MAIL
CITY Q ( l)� tSTATE� ZIP 2,42
oO1 2 R 'o•"• TA-14"&c
NAME 'iet-(An- y\k v\ PHONE
,t3- 3 lc.7----
MAILING ADDRESS r, E-MAIL
CONTRACTOR _ l (0 ac- (C-'l L / S
CITY
STATE ZIP FAX
ej
or_
WA STATE CONTRACTOR'S LICENSE EXPIRATION D TE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME PRIMARY PHONE
APPLICANT- MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAME �e/} ,n�_ PRIMARY PHONE
PROJECT CONTACT �T" plA,(The individual to receive and MAILING ADDRESS 7/ Ipel J E-MAIL
respond to all correspondence 7 (�iO�
concerning this application) CITY STATE ZIP I FAX
NAME
PROJECT FINANCING 0 OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27095)
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
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,
but only where such claim arises out of the reliance of the city, incl •'ng its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
11-
SIGNATURE: DATE '- / e/
PRINT NAME:
Bulletin#100-January 29,2016 Page 1 of 2 k:\I-landouts\Permit Application