HomeMy WebLinkAbout15-105194r Mechanical
City of Federal Way ,
Community & Econ. Dev,. Services Permit #: 15 -105194 -00 -ME
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609 FILE Inspection Request Line: (2
53) 835-3050
Project Name: STANFORD
Project Address: 3005 SW 300TH PL Parcel Number: 416660 0218
Project Description: Adding (1) gas pipe outlet for emergency standby generator
Owner
Ap lin cant
Contractor
DANIEL S STANFORD
D B PLUMBING
D B PLUMBING
3005 SW 300TH PL
26908 164TH AVE SE
DBPLUP*92477 (4/11/16)
FEDERAL WAY, WA 98023
COVINGTON WA 98042
26908 164TH AVE SE
COVINGTON WA 98042
Additional Permit Information
Mechanical Fixtures'
Gas Pipe Outlets ............................. 1
PERMIT EXPIRES Saturday, April 9, 2016
Permit Issued on Monday, October 12, 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 t City of Federal Way.
Owner or agent: Date:
r- THIS CARD IS TO MAIN ON-SITE
C,roF Construction In ection Record
Federal Way INSPECTION REQU TS: (253) 835-3050
PERMIT #: 15 -105194 -00 -ME Address: 3005 SW 300TH PL
Project: DANIEL S STANFORD FEDERAL WAY, WA 98023-2373
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.
15 Ps l
Mechanical Rough -in (4165)
Gas Piping (4125)
Final - Mechanical (4065)
FJ
Approved
Final Electrical
Approved
Approved to release test
By
Approved
By
Date
By
Date (o (lg- `S
By
�N\,�j Date
15 Ps l
FJ
Rough Electrical
Approved
Final Electrical
Approved
Right of Way .---�
Approved
By
Date
By
Date
By
Date
r
CITY of
Federal Way
PERMIT NUMBER (5 _ 10 5 _
RECEIVED
OCT 12 2015
TARGET DATE
CFFY OF FEDERAL WAY
r`nc
SITE ADDRESS
SUITE/ #
/
LA`.� .
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL # (n Q
% I
1 \ (P- (
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING . MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
NAME
PHONE
CONTRACTOR
MAILING ADDRESS
` q
E-MAIL
U Me 6MA k.
CITY
CDywymk
STATE
I UA9
ZIP
�!Z
FAX
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
24 i
NAME
PRIMARY PHONE
APPLICANT
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
NAME
PRIMARY PHONE
PROJECT CONTACT
MAILING ADDRESS
I- L
(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
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 Iaws 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 apart of this application.
SIGNATURE: cl� DATE
PRINT NAME [)u& /
Bulletin # 100 —January 1, 2013 Page 1 of 3 k:\Fiandouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existiAg flxtures to remain..
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (commercial)
BOILERS FURNACES HOT WATER TANKS (Gaa)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VALUE OF PLUMBING WORK
PLUMBING PERMIT
OFFICE USE
_._._........ -..-....... —.
BAS]Pfi
In Square Feet
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
Indicate how many o each type offixture
to be installed or relocated as
part o 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
DECk
DRINKING FOUNTAINS
SINKS (Kitchen/utiiity)
WATER HEATERS (Electric)
# of
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
OFFICE USE
_._._........ -..-....... —.
BAS]Pfi
In Square Feet
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
,NE�v Bvi�nINS�
❑ Yes ❑ No
❑ Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet)
EXISTING
PROPOSED
TOTALFOR
OFFICE USE
_._._........ -..-....... —.
BAS]Pfi
In Square Feet
-<,r: , .
Type
FIRST FLOOR (or Mobile Home)
,NE�v Bvi�nINS�
, ,
SEGF3ND
y
, , ,y
COVERED ENTRY
-----__.--
DECk
Area
Occupancy Group(s)
Construction
# of
GARAGE ❑ CARPORT ❑
in Square Feet
jUe
.,OTHER (&scribe)
TOTAL BiiLtDTl�ti ` "
/f
Area Totals
EMSTMO
PROPOSM
TOTAL
ESTIMATED SELLING PRICE $
# OF BEDROOMS
COMMERCIAL - NEW/ADDITION
AREA DESCRIPTION
Area
Occupancy Group(s)
Construction
# of
Additional Information
In Square Feet
Type
Stories
,NE�v Bvi�nINS�
, ,
ADDITION
COMMERCIAL - REMODEUTENANT IMPROVEMENTS
AREA DESCRIPTION
Area
Occupancy Group(s)
Construction
# of
Additional Information
in Square Feet
jUe
Stories
TOTAL BiiLtDTl�ti ` "
/f
�,.
TENANT AREA ONLY
PROaECT AREA 0�%Y
Bulletin #100 — January 1, 2013 Page 2 of 3 k:\Handouts\Permit Application