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12-105666e. City of Federal Way commuriity & Econ. Dev. Services 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835 -2607 Fax: (253) 835 -2609 Project Name: NGUYEN Project Address: 707 SW 328TH PL Project Description: Install gas piping and woodstove 9 M haaicai Permit #: 12- 105666 -06 -ME Inspection Request Line: (253) 835 -3050 Parcel Number: 683782 0080 Owner Ao 1in cant Contractor LIEN D NGUYEN LIEN D NGUYEN OWNER IS CONTRACTOR NGO,XUYEN T NGUYEN 707 SW 328TH PL 707 SW 328TH PL FEDERAL WAY WA 98023 -5225 FEDERAL WAY WA 98023 Mechanical Valuation .................... ........................1350.00 Woodstoves ..... ............................... 1 Is this an Online or O.T.C. application ? .................Yes PERMIT EXPIRES Tuesday, June 18, 2013 Permit Issued on Thursday, December 20, 2012 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: Date:_ 1-2 F lt/t4 /I200 r Ah;� CITY OF Federal Way PERMIT #: 12- 105666 -00 -ME THIS CARD IS TO MAIN ON -SITE Construction In ection Record INSPECTION REQUE TS: (253) 835 -3050 Address: 707 SW 328TH PL Project: LIEN D NGUYEN FEDERAL WAY, WA 98023 -5225 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 - Mechanical (4065) Approved Approved to release test Approved By Date By Date By �G Date /Z—,7 V -12 ❑ Rough Electrical Approved Final Electrical Approved Right of Way Approved By Date By Date By Date aFr or Federal Wa� ECEIVED PERMIT COMMUNITY DEVELOPMENT SERA 2. o 201A p p L I C A T I O N 253- 835 -2607• FAX 253- 835 -26 _r, uri_, dfojfe_rlerulun�_�'nrr CITY OF FEDERAL WAY to 5- (!� G(=) SF MF CO (2f:) PL DE EN FP ,FO o11 SITE ADDRESS 707 S• W, ?.2,q Way -- W,4 • y1�'o23 SUITE /UNIT M PROJECT VALUATION ZONING ASSESSOR'S TAR /PARCEL N J — �(L TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING HANICAL ❑ DEMOLITION ❑ ENGINEERING U7 FIRE PREVENTION NAME OF PROJECT (Tenant Name /Homeowner Last Name) , Ncry yp /wV PROJECT DESCRIPTION Detailed description of work to - 7 be included on this permit only PROPERTY OWNER NAME L / °C n/�Uy�� PRIMARY PHON �v6 -4 $4 -3i79 r -, MAILING ADDRESS E -MAIL G� M CITY ATE ZIP t2 f,0 NAM j ety C.� � (� �if1%�, Z�. / PHONE 3J 1 f�i�Q MAILIN ©�D 5 •- / � f� Web � �/I /�tw w•+ ° � .. CONTRACTOR • L CITY �- ZIP q6 i,, FAX WA STATE CONTRACTOR'S LICENSE M EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE M - 'I NAME PHONE MAILING ADDRESS E -MAIL APPLICANT o S. 8' CITY I F::gder4d STATE WA- ZIP q90 FAX PROJECT CONTACT NAME A. t' ) PHONE (The individual to receive and MAILING ADDRESS —1079. 1 E -MAIL respond to all correspondence concerning this application) CITY STATE ZIP ZIP FAX eF-ep 7> p c� qO ©G ALTERNATE CONTACT NAME: PHONE E-MAM PROJECT FINANCING NAME OWNER FINANCED Required value of $5,000 or more MAILING ADDRESS, CITY, STATE, ZIP PHONE (RCW 19.27.095) I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating construction or environmental laws. I further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the city, but only where such clim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information supplied to he city as a part of this application. y SIGNATURE: 101 V 1. C', 11-�' DATE t G. PRINT NAME: ,F.) 4 Bulletin #100 - January 1, 2011 Page 1 of 3 UHandouts\Permit Application VALUE OF MECHAMCAL WORK .$ (a copy of bid or estimate must be provided) Indicate how many of each type of fixture to be installed or relocated as part of this project_ Do not include existing 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 Indicate how many of each type of fixture to be installed or relocated as part of 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 CRITICAL AREAS ON PROPERTY? I WATER PURVEYOR I SEWER PURVEYOR I VALUE OF EXISTING IMPROVEMENTS EXISTING /PREVIOUS USE LOT SIZE (In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? I PROPOSED FIRE SUPPRESSION SYSTEM? ❑ Yes ❑ No ❑ Yes ❑ No Bulletin #100 -January 1, 2011 Page 2 of 3 k:\Handouts\Permit Application