15-102820A �4 ar 0
Mechanical
City & Federal way Permit #: 15 -102820 -00 -ME
Community Econ: Dev. Services
33325 8th Ave S
Federal Way, WA 98003
FILE Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (2
53) 835-3050
Project Name: WELLINGTON
Project Address: 31943 36TH AVE SW Parcel Number: 873198 3300
Project Description: Replace and relocate gas water heater
Owner
Applicant
Contractor
FEDERAL NATIONAL MORTGAGE
SHANOON BURRILL
EXPERT AIR CONTROL LLC
ASSOCIATION
EXPERT AIR CONTROL LLC
EXPERAC97966 (9/30/15)
400 COUNTRYWIDE WAY
10314 E SR 162 EAST AVE
5624 128TH ST E
SIMI VALLEY CA 93065
PUYALLUP WA 98374
PUYALLUP WA 98373
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes
Mechanical Fixtures
Hot Water Tanks ............................ 1
I hereby certify that
the occuaancv arrf
Owner or agent:
PERMIT EXPIRES Monday, December 7, 2015
Permit Issued on Wednesday, June 10, 2015
information is correct and that the construction on the above described property and
II be in accordance with t s, rules and regulations of the State of Washington
A and the Wof Fed ral Way.
r 0. %
rOAV-
Date:
T�
THIS CARD IS TO ON-SITE
"TMS Construction In ection Record
Federal Way INSPECTION REQ TS: (253) 835-3050
PERMIT #: 15 -102820 -00 -ME Address: 31943 36TH AVE SW
Project: FEDERAL NATIONAL MORTGAGE FEDERAL WAY, WA 98023-2138
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)Gas
Piping (4125)
Final Electrical
Final - Mechanical (4065)
1:1Approved
Approved
By
Approved to release test
Approved
By
Date
By
Date
By
M Date b 15- I
Rough Electrical
Approved
1:1Approved
Final Electrical
1:1Approved
Right of Way
By
Date
By
Date
By
Date
CITY OF 'A
Federal Way
R�" !I
JUN 10 2015
CITY OF FEDERAL
DSERAL WAY
PERMIT NUMBER _ 5 0
— —UUU— —
PERMIT APPLICATION
3�
TARGET DATE
SITE ADDRESS
3 l 1 q3 36 Ate- a
SUITE/UNIT #
PROJECT VALUATION
$tg ,=-
ZONING
ASSESSOR'S TAX/PARCEL #
S-7 /'_? 4�'_- _3 0
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING wEcHANicAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
FjAq M A
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
' L a
2 S->- 5 3 (r - 6 4,15 O
INGL DRESS
+744 (4 0
E-MAIL
CI
Lti Ccr,ti .4
STATE
W 4
ZIP
NAME
E7Z7- Ain- C',.—rot
PHONE
253-414
MAILING ADDRESS
E-MAIL
CONTRACTOR
10314 S R 1102- C
CITY
A
STATE
W A-
ZIP
c a 3
FAX
WA STATE CONTRACTOR'S LICENSE #
IRATION DATE
FEDERAL WAY BUSINESS LICENSE #
Ex ftk•kc
i o i '"
zo-rz- r o o ba -B
PRIMARY PHONE
UOtt iL[
MAILING ADDRESS
1031V- / &-z E
E-MAIL
/0/3
APPLICANT
CIa'Y
STATE
A
ZIP
�-5 -7
FAX
..
PRIMARY PHONE
PROJECT CONTACT
s
MAILIN6 ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
❑ OWNER -FINANCED
Required value of $5, 000 or more
(RCW 19.27.0951
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
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 l4am', which may be made by any person, including the undersigned, and filed against the city,
but only where such c ses out a relian o t city, including its officers and employees, upon the accuracy of the
information su to the as a part o this ap is tion.
SIGNATURE: DATE S�
PRINT NAME:
Bulletin # 100 - January 1, 2013 Page 1 of 3 k:\Handouts\Permit Application
I C&A -
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
$ /800 °
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existi 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
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VALUE OF PLUMBING WORK
PLUMBING PERMIT
FOR OFFICE USE
{� }S�/«p l .,3�f.'�, 3 /
..BASE I s"? /t5'tfv' G`
/,
in Square Feet
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
$
Indicate how many o each type o
ure to be installed or relocated as
part o 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/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
FOR OFFICE USE
{� }S�/«p l .,3�f.'�, 3 /
..BASE I s"? /t5'tfv' G`
/,
in Square Feet
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
{� }S�/«p l .,3�f.'�, 3 /
..BASE I s"? /t5'tfv' G`
/,
in Square Feet
Type
FIRST FLOOR (or Mobile Home)
�a�(� /; ✓,acs //,. �p /f�'����
N,
ADDITION
COVERED ENTRY
Area
Construction
IPA, ,,�----
AREA DESCRIPTION
in Square Feet
Occupancy Group(s)
GARAGE ❑ CARPORT ❑
Stories
Additional Information
Al
TOTAL
..... ---- -- ---
Area Tota is
ERISTDiG
PROPOSED
TOTAL
ESTIMATED SELLING PRICE $ # OF BEDROOMS
COMMERCIAL— NEW/ADDITION
AREA DESCRIPTION
Area
Occupancy Group(s)
Construction
# of
Additional Information
in Square Feet
Type
Stories
N,
ADDITION
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
Area
Construction
# of
AREA DESCRIPTION
in Square Feet
Occupancy Group(s)
Pe
Stories
Additional Information
Al
TOTAL
TENANT AREA ONLY
PROJECT AREA''C3Nl.Y
Bulletin #100 — January 1, 2013 Page 2 of 3 k:\Handouts\Permit Application