15-101466 11 411 Mechanical
City of Comm unity&Econ.Dev.S Services Permit #: 15-101466-00-ME
33325 8th Ave S
Federal Way,WA 98003 Inspection Request(253)835-2607 Fax:(253)835-2609 pect Q uest Line: (253)835-3050
Project Name: GOODMANSON
Project Address: 30240 STH AVE S Parcel Number: 515260 0050
Project Description: Replace gas hot water tank.
Owner Applicant Contractor
CHARLES GOODMANSON BRUCE MARTINEZ OWNER IS CONTRACTOR
30240 8TH AVE S
FEDERAL WAY WA 98003-3725
Additional Permit Information
Is this an Online or O.T.C.application Yes
Mechanical Fixtures
Hot Water Tanks 1
PERMIT EXPIRES Tuesday, September 22, 2015
Permit Issued on Thursday, March 26, 2015
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: w Date: Cn//C'
THIS CARD IS T MAIN ON-SITE
CITY OF • Construction Iection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 15-101466-00-ME Address: 30240 8TH AVE S
Project: CHARLES GOODMANSON FEDERAL WAY, WA 98003-3725
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) 0 Final-Mechanical(4065)
Approved Approved to release to Approved
By fA—C� Date 9,�2-LI- Is- By e A By 2 Date l��—Z(../ -t r.
`
0 Rough ElectricalEl Final Electrical CI Right of Way
Approved Approved Approved
By Date By Date By Date
FIVED PERM' APPLICATION
CITY OF
Federal Way MAR 2 6 2015 ,�q(14
4i
CITY OF FEDERAL WAY ,/
PERMIT NUMBER /5- /)_ FD / _ `�/ TARGET DATE 3 1 Z / )
SITE ADDRESS 111 v Y, 1 SUITE/UNIT#
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PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 7,32.3 - - - - — — — —
TYPE OF PERMIT ❑ BUILDING XPLumBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT 1 , tr t; g. at yt F
PROJECT DESCRIPTION (�
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Detailed description of work to '✓i l!J 6 +1) Codi'
be included on this permit only ✓
NAME // PRIMARY PHONE
_
PROPERTY OWNER (4.11.‘cLr \QS (- 7 ood aA/SO,J 253 39 -3S1
I
MAILING ADDRESS E-MAIL
Ci
STATE
A ZIPg 03
NAME PHONE
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
.. E PRIMARY PHONE
PROJECT CONTACT 121.1C,c., AA 21'nA11 L 9. ` & 7037
(The individual to receive and MAILING ADDRESS MAIL f
respond to all correspondence `G ut. .`M I& 1166.A4ts(
concerning this application) CITY STATE ZIP FAX
NAME.. .
PROJECT FINANCING OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
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, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
SIGNATURE: /I k?t: DATE 3/:/-q p
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PRINT NAME: CCt (142-T/N et.
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VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $ 7 92. ,23
Indicate how many of each type offvcture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or'hib/shower Combo) LAVS(Hand sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utility) —� WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes ❑ No ❑Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
FIRST FLOOR(or Mobile Home)
COVERED ENTRY
....................................................................................................................................................................................
GARAGE 0 CARPORT ❑
Area Totals 4t
EXISTING PROPOSED TOTAL
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
Area Construction #of
AREA DESCRIPTION in S uare Feet Occupancy Group(s) • ,e Stories Additional Informatiol
/ .;,o,I.I.)I,Xe`
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
in S•Areuare a Feet Occupancy Group(s) Construction
Stor#ofies Additional Informatiol
•e
�Larn ) lvTo
TENANT AREA ONLY
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