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09-103173City of Federal Way Mechanical �j Community Development Services Permit #: 09- 103173 -00 -ME P.O. Box 9718 Federal Way, WA 98063 -9718 Inspection Request Line: 253 835 -3050 Ph: (253) 835 -2607 Fax: (253) 835 -2609 p Q Project Name: WILSON Project Address: 905 SW 368TH ST Parcel Number: 218820 0050 Project Description: Gas piping to propane tank .. Addittxb tt �Iarmat�a r r. ri r r Mechanical Valuation ................ ............................250 Is this an Online or O.T.C. application? ................. Yes 1U1thar�t��ures .: 4iT3 $id•4 u:3 Gas Piping ....... ............................... 1 FINAIl.ED 1013/09 caner Anmlicant Contractor HAP WILSON HAP WILSON OWNER IS CONTRACTOR 901 SW 368TH ST 901 SW 368TH ST N/A FEDERAL WAY WA 98023 FEDERAL WAY WA 98023 .. Addittxb tt �Iarmat�a r r. ri r r Mechanical Valuation ................ ............................250 Is this an Online or O.T.C. application? ................. Yes 1U1thar�t��ures .: 4iT3 $id•4 u:3 Gas Piping ....... ............................... 1 FINAIl.ED 1013/09 crry aF Federal Way PERMIT 9: THIS CARD IS TO REMAIN ON -SITE i Construction Insction Record INSPECTION REQUE TS: (253) 835 -3050 09- 103173 -00 -ME Address: 905 SW 368TH ST Owner: HAP WILSON FEDERAL WAY, WA 98023 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. D Mechanical Rough -in (4165) Gas Piping (4125) Final Electrical Approved Final - Mechanical (4065) Approved By Approved to release test Approved By Date By Date •20 „ o By �'' Date �al '9/p T D Rough Electrical Approved Final Electrical Approved Right of Way Approved By Date By Date By Date My or A Federal Way COMMUMN DEVELOPMENT SERVICES 253- 835 -2607• FAX 253 -835 -2609 www. dtuotrederalwau. com 0 P "IfeT APPLICATION &ZZ *SF, CO ME EL PL DE EN FP SITSAUMNML SUITE /UNIT • zomm ASSESSOR'S TAR /PARCEL M NAME OF PROJECT (Tenant or Homeowner Name) TYPE OF PERMIT ❑ BUILDING ❑PLUMBING MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ NGINEERING ❑ FIRE PREVEN PROJECT DESCRIPTION Detailed description of work to be included on this permit only eo 9 r1w' PROPERTY OWNER NAIL PRMAAT "`le-, -,;'�Il MAILING ADDRESS, CITY, STATE, ZIP ��c�g Est � ►- �tu-F � F,'c � �it��54 E-MAIL OWNER IS ALSO: CONTRACTOR APPLICANT ❑ PROJECT CONTACT NAME - _ _ PRIMARY PHONE CONTRACTOR MAILING ADDRESS, CITY, STATE, ZIP FAX WA STATE CONTRACTOR'S LICENSE N EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE Y APPLICANTS NAME L PRIMARY PHONE MAILING ADDRESS, CITY, STATE, ZIP FAX PROJECT CONTACT NAME PRIMARY PHONE (The individual to receive and t u0:" Y�" �V MAILING ADDRESS, CITY, STATE, ZIP FAX respond to all correspondence concerning this application) _ ALTERNATE CONTACT NAME: PRIMARY PHONE E-MAIL PROJECT FINANCING NAME El OWNER - FINANCED Required for projects with MAILING ADDRESS, CITY, STATE, ZIP PRIMARY PHONE value of $5, 000 or more (RCW 19.27.095) t _ 1 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 tto— the city as apart of this appiicafion. �� SIGNATURE: DATE 6 PRINT NAME: Bulletin # 100 — 4/17/2009 Page 1 of 4 k:\.Handouts\Permit Application a AOL GENERAL INFORMATION ,MECHANIC FIXTURF< Value of Mechanical Work A 6Y OF BID OR ESTIMATE MUST BE PROVIDED Indicate number of each type of fixture to a 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 (Gaa) COMPRESSORS .GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES GENERAL INFORMATION PLUMBING FIXTURES Indicate number 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 /Shooercombo) LAVS (HaadSin" TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe) DRAINS SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS SINKS (K tchen /Utility) WATER HEATERS (Electric) HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES GENERAL INFORMATION PROJECT VALUATION 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 AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE BASEMENT- NEW BUILDING - - -- FIRST FLOOR (or Mobile Home) ADDITION ------------- SECOND FLOOR COMMERCIAL - REMODEUTENANT IMPROVEMENTS AREA DESCRIPTION COVERED ENTRY Occupancy Grou 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 HOMES ONLY"* ESTIMATED SELLING PRICE $ 1 # OF BEDROOMS COMMERCIAL - NEW/ADDITION AREA DESCRIP'T'ION Area in Square Feet Occupancy Grou Group(s) Construction Type # of Stories Additional Information NEW BUILDING ADDITION COMMERCIAL - REMODEUTENANT IMPROVEMENTS AREA DESCRIPTION Area in Square Feet Occupancy Grou Group(s) Construction Type # of Stories Additional Information TOTAL BUILDING TENANT AREA ONLY PROJECT AREA ONLY Bulletin 4100 — 4/17/2009 Page 2 of 4 k:\Handouts\Permit Application