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17-104430City of Federal way Community Development Dept. 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835-2607 Fax (253) 835.2609 Project Name: WILKERSON Project Address: 30829 22ND AVE S ` Project Description: Remove existing oil furnace and replacei a t i U echanical Permit #:17- 4430 -00 -ME Inspection Re Line: (253) 835-3050 IL 'do Parcel Number: 053700 0561 Mechanical Work Valuation? ...................... I hereby certify that and thet wAbar Owner or agent: or O.T.C. application? .................. Yes 1 1 Gas Pipe Outlets day, 13 March, 2018 , September 14, 2017 and that the construction on the above described property infs.angthAhe� ^ �Ip`nd regulations of the State of Owner A Iic Contractor CHESTER WILKERSON CHESTI&WL IZEICSO OWNER IS CONTRACTOR 1911 CAMPUS DR UNIT 601 1911 U UN 1 FEDERAL WAY WA 98023 FEDE W 8023 Mechanical Work Valuation? ...................... I hereby certify that and thet wAbar Owner or agent: or O.T.C. application? .................. Yes 1 1 Gas Pipe Outlets day, 13 March, 2018 , September 14, 2017 and that the construction on the above described property infs.angthAhe� ^ �Ip`nd regulations of the State of cn,r er V& Federal Way PERNUT #: 17104430 00 THIS CARD IS TO REMAIN ON-SITE Construction Inspection Record INSPECTION REQUESTS: (253) 835-3050 Address: 30829 22ND AVE S Project: CHESTER A WILKERSON FEDERAL WAY WA 98003-4931 Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE 'PHIS 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 aro unsure about any of the inspections or the inspection sequence. On-going inspections are logged on the back of this card. El Mechanical Rough -in (4165) Y❑ Gas Piping (4125) 1 Final Electrical Final - Mechanical (4065) Approved Approved to release test fl Approved By Date By Date l d 10By By Date Rough Electrical Final Electrical Right of Way Approved Approved Approved By Date By Date By Date 4ik CITY OF Federal Way RECEIVED SEP 14 2017 CITY OF FEDERAL WAY COMMUNITY DEVELOPMENT PERMIT APPLICATION PERMIT CENTER + 33325 8th Avenue South + Federal Way, WA 98003-6325 253-835-2607 + FAX 253-835-2609 + permiteenter@cityoffederalway.com PERMIT NUMBER i l I _, 1 0 I ` 5 v _ A' 1 TARGET DATE SITE ADDRESS BG)6a9 ),�), Fewa, wash, g0003 SUITE/UNIT # A PROJECT VALUATION $ ZONING ASSESSOR'S TAR/PARCEL # p 5 -5-� p p_ O 5 l 1,00 TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING XMECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT 00 L7 a SG�-- PROJECT DESCRIPTION O S uk r Detailed description of work to `\ v L be included on this permit only NAME C,Vte-� W� l ✓1 PRIMARY PHONE dob - boa L� PROPERTY OWNER MAILING ADDRESS OlnCG�YY1 u5 1712. f-ed.erc,Lkkk Y (, a5 E-MAIL the+&C-6e+tOi11<e5oi1.00 CITY STATE ZIP q a 3 NAME PHONE MAILING ADDRESS E-MAIL CONTRACTOR CITY STATE ZIP FAX WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE # NAMtn�-� W�1KoerSor� PRIMARY 6Y9y�d-�as� APPLICANT- MAILING ADDRESSO e l C/ I lti rYk t l s j7 J2 • # E-MAIL ^ L K2(SD r1 • CITY r i-4ev - 1. wa STATE w a. ZIP V O o1 3 FAX NAME PRIMARY PHONE PROJECT CONTACT ( 1 S O !1 MAILING ADDRESS �9 l ( Ca WX u 5 D (� & C) f E-MAIL I ( eeS or7 (The individual to receive and respond to all correspondence CITY STATE I ZIP FAX concerning this application) PROJECT FINANCING NAME OWNER -FINANCED When value is $5,000 or more MAILING ADDRESS, CITY, STATE, ZIPPHO, (RCW 19.27.095) © O 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_cq§tts expenses, and attorneys' fees incurred in the investigation and defense ch claim), which may be made by any person,"znoiuding the u rsigned, and filed against the city, but only where such ciai ari a ut of the reliance the city,X,ts officers and emp yees, upon the accuracy of the information supplied to ci apart this appli n. L r SIGNATURE: DATE �- PRINT NAME: (AL2 jIQ` Bulletin #100 - January 29, 2016 Page 1 of 2 k:\Handouts\Permit Application W 60 W1 :D ,r7 MECHANICAL PERMIT VALUE OF MECHANICAL WORK Indicate how - y o each t • e o` judure to be installed or relocated as art o this roject. Do not include existing res to remain. AIR HANDLING UNITS FANS t GAS PIPE OUTLETS OTHER (Describe) AIR CONDITIONER FIREPLACE INSERTS HOODS (commercial) BOILERS _L FURNACES HOT WATER TANKS (cas) COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR v7ALVC.VC 1 VVlVI01[YV PLUMBING PERMIT ;r I VYVl<A 1 Construction EXISTING/PREVIOUS USE Is EXISTING FIRE SPRINKLER SYSTEM? Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing res 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/Utiiity) WATER HEATERS (Electric) HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS ;r Area in * .� s Construction 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 ,._ ,7' Iva -------- ... __..... --... ...—....... -.'— ----- _._-. _._--------.—__.--- ;r Area in * .� s Construction FIRST FLOOR (or Mobile Home) Additional Information _.......... ............. ...._.... _.... _._........... __-... -...... ._.._-..__....._.__._.-.-._�___.._. ,i fw t COVERED ENTRY amu. :.; i• . aka. .; � '.: ° �f�'r F � ......... t �-� y 1 y4 "'(.✓� 1ki�6 &ms's-. 3 � � - � 4r. I _ GARAGE ❑ CARPORT ❑ ADDITION Area Totals EXISTING - PROPOSED - TOTAL ESTIMATED SELLING PRICE $ # OF BEDROOMS COMMERCIAL —NEW/ADDITION AREA DESCRIPTION Area in Occupancy Groups) Construction # of Additional Information Reuarp FPPr - Stories �` ..'3,r. -Y: 1� �l _'�,''`�3av,' x e''� r< amu. :.; i• . aka. .; � '.: ° �f�'r F � D An �.`+�� V n }- 3 � � - � 4r. ADDITION COMMERCIAL — REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION Area in Occupancy Group(s) Construction # of Additional Information care Feet Stories AM ,. ,. _�i4i?x' TENANT AREA ONLY !#' 4..: �S. �' 4y at OGT % @11T49, 'Y. '3�i � 4 "�- 2 b huh 4(^ �` �g �'✓S Y $ aO.` ,nr Bulletin #100 — January 29, 2016 Page 2 of 2 k:\Handouts\Permit Application