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Home My WebLink About15-104838City of Federal Way Community & Econ. Dev. Services 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835-2607 Fax: (253) 835-2609 Project Name: ORMSBY Mechanical Permit #: 15 -104838 -00 -ME Inspection Request Line: (253) 8354050 Project Address: 1104 SW 296TH ST Parcel Number: 11%00 4775 Project Description: ALT - Upsizing gas supply line to 1-1/2" diameter, add (2) stub outs forf u s inserts and add seismic gas shut off valve. ` .Owner ARRlicantntractor LYNN ORMSBY ROBERT D ORMSBY IS CONTRACTOR ROBERT D ORMSBY 1104 SW 296TI4 AVE S N&INE-R 1104 SW 296TH AVE S FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 Additional Permit Is this an Online or O.T.C. application .................Yes Mechanical Fi> ures Gas Piping k PERMIT EXPIR Mo ay, Mar 16 Permit Issued on Wedne ay, Septem 3, 2015 1 hereby certify that the above informati ' orrect d that the con on on the above described property and the occupancy and use will be in or ce ith the laws, rules a d regulations of the State of Washington d City of F I Way. Owner or agent: Date: Z x1y;V of ./ Veci6`ral Way PERMIT #: THIS CARD IS TO REMAIN ON-SITE Construction Inspection Record INSPECTION REQUESTS: (253) 835-3050 15 -104838 -00 -ME Address: 1104 SW 296TH ST Project: LYNN ORMSBY FEDERAL WAY, WA 98023-8254 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. MechanicalRough-in (4165)Gas Piping (4125) Final Electrical Approved Final - Mechanical (4065) 1:1Approved Approved By Approved to release test Approved By Date By PAL_ Date 10 —1? — 1s. By Date Rough Electrical Approved Final Electrical Approved 1:1Approved Right of Wayry By Date By Date By Bate I4 PERMITIPPLICATION�,TMeF Federal Way ROCOVED PERMIT NUMBER _ I_ M S E P 2 3 2015 _ TARGET DATE CITY OF FEDERAL WAY SITE ADDRESS C fI 1 —to_ I kVzt SVV � (0J F�? U—)z¢ SUITE/UNILrf)S PROJECT VALUATION �\ ed ZONING ASSESSOR'S TAX PARCEL # I L —q k O - _ TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT , ` PROJECT DESCRIPTION UP 5' CL U is Detailed description of work to C1 el -JI be included on this permit only PROPERTY OWNER PIN�. ` Y ON P MARY P 97E '_ / MAILING ADDRESS -''t ) -" C/ Zai E-MAIL CITY p / 1 �V STATE ZIP �J L HONE r- MAILING ADDRFSS ` - `' L CONTRACTOR CI - A �TA1'E Z FAX WA STATE CONTRACTOR'S LI NSE # EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE # NAME PRIMARY PHONE APPLICANT MAILING ADDRESS E-MAIL CITY STATE ZIP FAX NAME PRIMARY PHONE PROJECT CONTACT 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 supplie to th city as apart of this application. SIGNATURE: DATE Z L(5orl' PRINT NAME: Bulletin #100 — January 1, 2013 Page 1 of 3 k:\Handouts\Permit Application (Skid 6 VI -t_ U -W, :?)af 0 • GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR VALUE OF MECHANICAL WORK MECHANICAL PE.RMI. DECK % � ^%,FY �rJ�J;r/!^ Additional Information /`/�c Indicate how many of efirc%4pe offtxture to be installed or relocated as part of tis project. Do not include existing res to remain. AIR HANDLING U TS FANS iVHOT S PIPE OgTLETS OTHER (Describe) AIR CONDITIO R FIREPLACE INSERTSODS (commercial) s ' BOILERS FURNACES WATER TANKS (Ges) COMPRESSORS GAS LOG SETS FRIGERATION SYST ADDITIO DUCTING ✓ GAS PIPING ODSTOVES EXISTING PROPOSED TOTAL Occupancy Group(s) Area Totals # of VALUE OF PLUMBING W PLUMBING PE MUT in Square Feet 'xcwsos oxer►,►77 77, Indicate how many o each type of fixture to be install or relocated as part of this project. Do not include existin.0.,Kxtures to remain. BATHTUBS (or Tub/s wer combo) LAVS a s nlrs) TOILETS ATER PIPING DISHWASHERS ATER SYSTEMS URINALS OTHER (Describe) DRAINS SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS SINKS (Kitch_/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 DECK % � ^%,FY �rJ�J;r/!^ Additional Information /`/�c in Square Feet EXISTING/PREVIOUS USE LOT SIZE (In Square Feet) EXISTING FIRE SPRINfiCER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? f' // ' ❑ Yes No ❑ Yes ❑ No RESIDENTIAL - NEW OR ADDITION AREA DESCRIPTION (in square feet) EXISTING PRO ED TOTAL FOR OFFICE USE `'l'--'---.._...._..._.._.. ..... .......... -........... _...___............ FIRST FLOOR (or Mobile Home) COVERED ENTRY „� �i AREA DESCRIPTIO Area Occupancy Group(s) Construction DECK % � ^%,FY �rJ�J;r/!^ Additional Information /`/�c in Square Feet GARAGE ❑ CARPORT ❑ Stories f' // ' E'� r> y f ,/k s ' Nov BUIL' OTHER (d % % /! r , „-'i ADDITIO EXISTING PROPOSED TOTAL Occupancy Group(s) Area Totals # of Additional Information in Square Feet 'xcwsos oxer►,►77 77, Stories TOTAL BVILDIirt3i 'F< ESTIMATED SELLING PRICE # OF BEDROOMS COMMERCIAL — W/ADDITION AREA DESCRIPTIO Area Occupancy Group(s) Construction # of Additional Information in Square Feet Type Stories f' // ' E'� r> y f ,/k s ' Nov BUIL' r % /! r , „-'i ADDITIO COMMERCIAL — REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information in Square Feet Type Stories TOTAL BVILDIirt3i 'F< ' f y TENANT AREA ONLY Bulletin #100 —January 1, 2013 Page 2 of 3 k:\Handouts\Permit Application