18-103760Cityof Federal way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 8352607 Fax (253) 835-2609
Project Name: DO
Project Address: 37540 21ST AVE S
Project Description: Replace wood stove and hot water tank.
Mechanical
Permit #:18 -103760 -00 -ME
Inspection Request Line: (253) 835-3050
Parcel Number: 721265 1310
Owner
Applicant
Contractor
MAN K DO
MAN K DO
OWNER IS CONTRACTOR
37540 21ST AVE S
37540 21 ST AVE S
FEDERAL WAY WA
FEDERAL WAY WA
98003-7586
98003-7586
Additional Permit information
Mechanical Work Valuation? .................................. 4000 Is this an Online or O.T.C. application?.................. Yes
Hot Water Tanks 1 Woodstoves 1
PERMIT EXPIRES Wednesday, 13 February, 2019
Permit Issued on Fridav, August 17, 2018
1 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: n ' ¢
�Q� 1 Date: —7ZZ
THIS CARD IS TO REMAIN ON-SITE
C"YoP Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERAM #: 18103760 00 Address: 37540 21ST AVE S
Project: ANHDU N DO FEDERAL WAY WA 98003-7586
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)
®
Final - Mechanical (4065)
El
Approved
Approved to release test
Approved
By
Date
By
Date
By
/ Date S/Z/JV—
Rough Electrical
Final Electrical
El
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
RECEIVED
® AUG 17 2018 PERMIT' APPLICATION
CITY OF
CITY OF FEDERAL WAY PERMIT CENTER + 33325 8th Avenue South + Federal Way, WA 98003-6325
Federal Way ,MM,NITY DEVEL®PMEPd I 253-835-2607 + FAX 253-835-2609 + permitcenter@cityoffederalway.com
PERwT NUMBER _ /� _
T TARGET DATE
SITE ADDRESS ��® O�7
SUITE/UNIT 0
PROJEC/TCVfALUAVON
ZONING
ASSESSOR'S TAR/PARCEL
$ �4
-
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
11gl" d �' ��
®i of
PROJECT DESCRIPTION
a
Detailed description of work to
Q-� w S N ix
be included on this permit only
NAME
PRIMARY PHONE
F
PROPERTY OWNER
NAMING ADDRESS I�
° 7 / ✓ 's
EMAM
f
CITY
FA STATE e
D rill/
ZIP t 6)3
499:16
NAME
PHONE
V
MAILING ADDRESS
EMAII,
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE 9
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE H
NAME
PRIMARY PHONE
NAMING ADDRESS
EMAIL
APPLICANT.
CITY
STATE
ZIP
FAX
NAME
PRIMARY PHONE
PROJECT CONTACT
NAMING ADDRESS
EMAIL
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
❑ OWNER -FINANCED
When value is $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 claing, 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 tothecity part of this application.
�as�a
(�
SIGNATURE: !'t�5GL'��1 i3OJ LYy/iDATE
PRINT NAME: 'k?
Bulletin #100 — January 29, 2016 Page 1 of 2 k:\HandoutslPermit Application
MECHANICAL PERMIT
VALVE OF MECHANICAL WORK
Indicate how nzan of each type offtxture to be installed or relocated as part of this project, Do not include ezistin flxtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS OODS (commercial)
BOILERS FURNACES HOT WATER TANKS (cas)
COMPRESSORS GAS LOG SETS FRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VALUE OF PLUMBING WORK
PLUMBING PERMIT
Occupancy Group(s)
Construction
# of
Additional Information
EXISTDIG/PREVIOUS USE
LOT SIZE (In Sq—e Feet)
EXISTING FIRE SPRINELER SYSTEM?
Indicate how MaM of each type offixture
to be installed or relocated as
part of this project. Do not include e;dsting flxtures 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 gatcben/uwfty)
WATER HEATERS (m trk)
Area is
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FDLTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
Occupancy Group(s)
Construction
# of
Additional Information
EXISTDIG/PREVIOUS USE
LOT SIZE (In Sq—e Feet)
EXISTING FIRE SPRINELER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
Stories
❑ Yes ❑ No
❑ Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR (or Mobile Home)
SECOND FLOOR
COVERED ENTRY
GARAGE ❑ CARPORT ❑
EiTII �descrbbe} r ry f y{, r
E8I8TIN(S .,- PROPOSED. .. TOTAi.
Area Totals
-NDW somas ONL
ESTIMATED SELLING PRICE $ # OF BEDROOMS
COMMERCIAL — NEW/ADDITION
AREA DESCRIPTION
Area in
Occupancy Group(s)
Construction
# of
Additional Information
Square Feet
a
Stories
NAW 11mra i rd
ADDITION
COMMERCIAL — REMODELfrENANT IMPROVEMENTS
AREA DESCRIPTION
Area is
Occupancy Group(s)
Construction
# of
Additional Information
Square Feet
Stories
TOTAL-NUILDING
TENANT AREA ONLY
PRO�CT iii ONLY
r.. , .
Bulletin #100 — January 29, 2016 Page 2 of 2 k: flandout0ermit Application