08-103132 •
City of Federal Way Mechanical Perm #: 08-103132-00-ME
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: KOKUBUN
Project Address: 836 SW 345TH ST Parcel Number: 132170 0450
Project Description: Furnace change out
Owner Applicant Contractor ,
SHARI KOKUBUN COMPLETE HEATING&A/C COMPLETE HEATING&A/C
836 SW 345TH ST 15627 SE 178TH ST COMPLHA036J3(2/5/10)
FEDERAL WAY WA RENTON WA 98058 15627 SE 178TH ST
98023-8405 RENTON WA 98058
Additional Permit Information
Mechanical Valuation 3000 Is this an Online or O.T.C.application? Yes
Mechanical Fixtures
Furnaces 1;
PERMIT EXPIRES Saturday, December 27, 2008
Permit Issued on Monday,June 30 2008
I hereby certify that the,above information is correct and that the construction on the above described rverty and
the occupancy and th- use will be in accordance with the laws, rules and regulatkrnsregulations of the State of Washington
an. the Cly if Federal Way. F '+
Owner or agent: ,A-0/I 4 .. 1 A At Date: O6— 5 !�
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THIS CARD IS TO WAIN ON-SITE
CITY OF11011
Oommunity Developm t Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-103132-00-ME
Owner: SHARI KOKUBUN
Address: 836 SW 345TH ST
FEDERAL WAY, WA 98023-8405
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) El Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date Date — z–
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For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
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/ /253.8352607•PAX 253-835-2609
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o_y,,�•n-an incomplete application will not be accepted. Please print legibly(in ink)or type.
�1 • PROPERTY INFORMATION
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SITE ADDRESS_ 3(p J, liti, 3'ISS F SUITE/UNIT 9
ASSESSOR'S TAX/PARCEL 9 - — — LOT SIZE(sf
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach ecaratsIsMeA.mnuwkW!d Ttidon)
U PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING CI PLUMBING r ECHANICAL
CI DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work imd►ided on this vermit only)
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PROJECT NAME(Name of Business or Owner Last Name) .6 tz.. (o LIY-\
II PEOPLE INFORMATION �1
PROPERTY NAME��' ko-lailould PRIMARYrNONs
OWNER MAILINA as-3)5 c 9 Q'S-
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B-MAIL ADDRESS
CONTRACTOR PANY NAME - APPLICANT NAME OFFICE PHONE I K ( q c -o�, 1
MAILINGcriTs_ D ATE, .i
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OF AY HUSINB38 LlCSN3B NU►BER .4•i• TN1tN DATE FAX N PM=
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APPLICANT COMPANY NAME APPUCANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE -
RELATIONSHIP TO PROJECT FAX NUMBER -
O Architect 0 Tenant 0 Agent 0 Other ( ) -
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT ( ) -
LENDER NAME Per RCW 19.27.095:
Lender Information is required if project value weds$5,000
MAILING ADDRESS CITY,STATE,VP PHONE
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• DETAILED BUILDING INFORMATION
EX/STING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ 3000.- VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? O YES 0 NO
WATER SERVICE PROVIDER a LAKEHAVEN 0 HIGHLINE o TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN a HIGHLINE 0 PRIVATE(SEPTIC)
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