HomeMy WebLinkAbout15-101888Project Name: WILLIAMS
Project Address: 30303 31ST AVE SW
Project Description: Replace 16' feet, V inch of gas piping
0 Mechanical
Permit #: 15 -101888 -00 -ME
Inspection Request Line: (253) 835-3050
Parcel Number: 416710 0115
Owner
Applicant
City of Federal Way
DAVID C WILLIAMS
DAVID C WILLIAMS
Community & Econ. Dev. Service
30303 31ST AVE SW
30303 31ST AVE SW
33325 8th Ave S
FEDERAL WAY WA 98023-2321
FEDERAL WAY WA 98023-2321
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: WILLIAMS
Project Address: 30303 31ST AVE SW
Project Description: Replace 16' feet, V inch of gas piping
0 Mechanical
Permit #: 15 -101888 -00 -ME
Inspection Request Line: (253) 835-3050
Parcel Number: 416710 0115
Owner
Applicant
Contractor
DAVID C WILLIAMS
DAVID C WILLIAMS
OWNER IS CONTRACTOR
30303 31ST AVE SW
30303 31ST AVE SW
FEDERAL WAY WA 98023-2321
FEDERAL WAY WA 98023-2321
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes
Mechanical Fixtures
Gas Piping ...................................... 1
PERMIT EXPIRES Wednesday, October 14, 2015
Permit Issued on Friday, April 17, 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: /�Gry-�.�� d Date: `>)711,S
CITY OF
Federal Way
PERMIT #:
Project:
• THIS CARD IS TOMAIN ON-SITE
Construction In ection Record
INSPECTION REQUE TS: (253) 835-3050
15 -101888 -00 -ME Address: 30303 31ST AVE SW
DAVID C WILLIAMS FEDERAL WAY, WA 98023-2321
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.
E]
Mechanical Rough -in (4165)
Gas Piping (4125)
Final Electrical
Approved
E]
Final - Mechanical (4065)
Right of Way
Approved
Approved
Date
Approved to release test
By
Date
Approved
By
Date
By ' '
Date ` ?
By
Date -
F1
Rough Electrical
Approved
EJ
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
40�
C,r„oF p1NN1 PERMIT4KPPLICATION
Federal Way
I V - i g-� APR 17 2015
PERMIT NUMBER
C1 I Y OF
- TARGET DATE
EDFR81 WAV
SITE ADDRESS
s v30 3' 3( 57 -
SUIT]CPM #
PROJECT VALUATION
$ liv —
ZONING
ASSESSOR'S TAX/PARCEL # I _
0 -
-TYPE
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
J�/� rt Tl /�+ L ✓Z E NL /} c z llc f= T 1 �� �} s L j �/
PROJECT DESCRIPTION
Detailed description of work to
6"4'!E / 1�-/ C
be included on this permit only
PROPERTY OWNER
NAME
.�
IPA V1W
) 0 G l 5
PRIMARY PHONE
-2-5 -
5 3 *36 7/-2—Z
MAILING ADDRESS
5r AVC
E-MAIL
a v,cdo
CITY
STATE
ZIP G
NAME
ow A4r_`j2
PHONE
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
oLurgi/=!�
PRIMARY PHONE
APPLICANT
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAME
vt-'. ` I e ✓�
PRIMARY PHONE
MAILING 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 19.27.095)
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 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 of this application.
apart
SIGNATURE: ��'�' *� ce'� DATE
PRINT NAME: 0,4 V J 1 i C lnJ f L L jam- --t f
Bulletin #100 - January 1, 2013 Page 1 of 3 k:\Handouts\Permit Application
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
FOR OFFICE USE
BASEMENT
$ �O' G p !:f -
Indicate how many of each type offtxture
to be installed or relocated as
part of this project. Do not include existingfixtures to remain.
AIR HANDLING UNITS
FANS
GAS PIPE OUTLETS
OTHER (Describe)
AIR CONDITIONER
FIREPLACE INSERTS
HOODS (commercial)
OTHER (Describe)
BOILERS
FURNACES
HOT WATER TANKS (Gas)
Occupancy Group(s)
COMPRESSORS
GAS LOG SETS
REFRIGERATION SYST
DECK
DUCTING
_ GAS PIPING
WOODSTOVES
TOTAL FIXTURES
GARAGE ❑ CARPORT ❑
TENANT AREA ONLY
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VALUE OF PLUMBING WORK
PLUMBING PERMIT
FOR OFFICE USE
BASEMENT
$
Indicate how many o each type offixture
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
Occupancy Group(s)
DRINKING FOUNTAINS
SINKS (Kitchen/utility)
WATER HEATERS (electric)
DECK
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
FOR OFFICE USE
BASEMENT
NEW BUILDING
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
ADDITION
❑ Yes ❑ No
❑ Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet)
EXISTING
PROPOSED
TOTAL
FOR OFFICE USE
BASEMENT
NEW BUILDING
FIRST FLOOR (or Mobile Home)
ADDITION
SECOND FLOOR
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
COVERED ENTRY
Occupancy Group(s)
Construction
Type
# of
Stories
Additional Information
DECK
GARAGE ❑ CARPORT ❑
TENANT AREA ONLY
OTHER (describe)
PROJECT AREA ONLY
Area Totals
EXISTING
PROPOSED
TOTAL
**NEW Homs ONLY**
ESTIMATED SELLING PRICE $
# OF BEDROOMS
COMMERCIAL— NEW/ADDITION
AREA DESCRIPTION
Area
in Square Feet
Occupancy Group(s)
Construction
Type
# of
Stories
Additional Information
NEW BUILDING
ADDITION
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area
in Square Feet
Occupancy Group(s)
Construction
Type
# of
Stories
Additional Information
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin 4 100 — January 1, 2013 Page 2 of 3 k:\Handouts\Permit Application