16-100017 Mechanical
City o[Federal Way 1110 F • /�/y
Ecornrneervices Piernllt #: 16-100017-V V—ME
Ph:(253F)e8d3e5a3620W57 8yFwAxA:e(2S58
30035-2609 Inspection Request Line: (253)835-3050
Project Name: BURT
Project Address: 2037 S 301ST PL Parcel Number: 798290 0220
Project Description: Run gas line for new range
Owner Applicant Contractor
SAPHRONIA R YOUNG JENNY SI-IAW PATS PLUMBING INC
THOMAS BURT PAT'S PLUMBING INC PATSPI*083N5 (4/8/16)
2037 S 301ST PL 30459 MILITARY RD S 30459 MILITARY RD S
FEDERAL WAY WA 98003 FEDERAL WAY WA FEDERAL WAY WA 98003
Additional Permit Information
Mechanical Work Valuation 1400 Is this an Online or O.T.C.application? Yes
Mechanical Fixtures
Gas Piping 1
PERMIT EXPIRES Sunday, July 3, 2016
Permit Issued on Tuesday, January 5, 2016
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: 4/I Date: 5-��. /�
THIS CARD IS TO MAIN ON-SITE
CITY OF • Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 16-100017-00-ME Address: 2037 S 301ST PL
Project: SAPHRONIA R YOUNG FEDERAL WAY, WA 98003-4262
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.
Mechanical Rough-in (4165) - 0 Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date
By Date
e
Q:04.,- 1 6-, By C..l�Lc_, Date I, 10-1,‘
❑ Rough Electrical Final Electrical Right of Way
Approved CJApproved ElApproved
By Date By Date
By Date
REIVED •
A
JAN 05 2015 PERMIT APPLICATION
Federal Way
CITY OF FEDERAL WAY
1/C�DS 1 /�j1 j{ 1
PERMIT NUMBER 1 ( 1 0 �/ 0 t — I '" TARGET DATE f 1
SITE ADDRESS IA)
SUITE/UNIT#
07c� 5 RES:.
5-' ç1_, a cl . 43 8C1).'
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ / 11°0 ter' 7 ` �S .a �' 0 - D Z. a. C�
TYPE OF PERMIT ❑BUILDING ❑ PLUMBING LjvIECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT I/4.
PROJECT DESCRIPTION
Detailed description of work to ► t v I :. •..1
be included on this permit only F g
NAME PRIMARY PHONE
v...-44- 0
PROPERTY OWNER MAILING ADDRESS �� , w E-MAIL _ _
Cr�.Q' • ( r _ X117 ZIPtif .sco�
NAM t PHONE
MAILING ADDRESS E-MAIL
CONTRACTOR h ca ► w / . ' 1000
y 1 0. i Z� il 003 FAX
- ®t
W STATE CONTRACT'S LICEN' I•IRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAMF*?` 1 \ PRIMARY PHONE
APPLICANT MAILING ADDRESS ,,#.04_r .. n • 1._•11 t'Cori\
CITY Z • FAX pp��
"C(
AME PRIMARY PHONE
PROJECT CONTACT _' ill , 0..
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence I •_ do•J R.-- 0,- Q ,DV concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING 0 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 a�part
, / -- 1
of this application.
SIGNATURE: L )tk/' DATE , L�
I Le
PRINT NAME: A • I a.V•)
IF —
Bulletin#100—October 26,2015 Page 1 of 3 k:\Handouts\Permit Application
411, 4111
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $ i I7c L�
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(commerc)al)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS
I REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING 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.
BATHTUBS(or Tub/Shower combo( LAVS(Hand sinks( TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utht) WATER HEATERS(Eleade(
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
�, e4„„,,,,,,,,„,..„,,,,,,,,,,,,,,v7,,,,,
f:,,: / Y j?.' 'r `r y/' may;, ........ ...........
r
FIRST FLOOR(or Mobile Home)
COVERED ENTRY
h =s -x, ez" 5 `Y`� � `", �\�\������ ....... ....... ........ ...... ..._. ......._
Y%
ate.,
GARAGE 0 CARPORT ❑
EXISTING PROPOSED TOTAL
Area Totals
‘;i,,.,,i,„,i,,•;n,.i,,,,.:,r'r„.,,‘:,,
,,,',,:,
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area in Occupancy Groups) Construction #of Additional Inform:7.:„,,,,„.ation
S•uare Feet r •e Stories
:4
,,6:47:,,,,0,:1
,,:,,:Ao,,,,:,i•:•t,,vi1,,,,,,fp',,
•
' ,
l v
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area in Occupancy Groups) Construction #of Additional Information
S•uare Feet �•e Stories
s'''':::,1 ,,,„, „,..,,,,,,,,,,,,
TENANT AREA ONLY
Bulletin#100—October 26,2015 Page 2 of 3 k:\Handouts\Permit Application