16-1042230 Mechanical
City of Fede
community & Econ. Devv.. Services Permit #: 16-104223-00-ME
33325 8th Ave S
Federal way, WA 98003 Inspection Request Line: 253 835 -3050
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Project Name: CHRISTOPHERSEN
Project Address: 5320 SW 316TH PL Parcel Number: 321020 0351
Project Description: Installation of gas piping & hot water tank.
Owner
NICHOLAS CHRISTOPHERSEN
ARRIican t
NICHOLAS CHRISTOPHERSEN
Contractor
OWNER IS CONTRACTOR
5320 SW 316TH PL
5320 SW 316TH PL
FEDERAL WAY WA 98023
FEDERAL WAY WA 98023
Additional Permit Information
Mechanical Work Valuation ? ..... ...........................2000 Is this an Online or O.T.C. application ?................ Yes
Mechanical Fixtures
Gas Piping ....... ............................... 1 Gas Pipe Outlets ............................. 3 Hot Water Tanks ........................... 1
CONDITIONS:
Furnace by separate permit.
PERMIT EXPIRES Tuesday, February 21, 2017
Permit Issued on Thursday, August 25, 2016
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:
1014N\00)
THIS CARD IS TO ON -SITE f
MY "'V&.1
Way Construction In ection Record
INSPECTION REQ TS: (253) 835.3050
PERMIT #: 16- 104223 -00-ME Address: 5320 SW 316TH PL
Project: NICHOLAS CHRISTOPHERSEN FEDERAL WAY, WA 98023 -2039
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 1
as Piping 5
0
Final - Mechanical (
Approved
Approved to release test
Approved
By Date
By htJ Date 4 12
Dat�y
Rough Electrical
Approved
Final Electrical
Approved
Right of Way—�
Approved
By
Date
By
Date
By
Date
CITY OF REC E®
Federal Way AUG 2 5 2016
PERMIT APPLICATION
PERMIT CENTER + 33325 8th Avenue South + Federal Way, WA 98003 -6325
253 - 835 -2607 + FAX 253 - 835 -2609 + pernutcenter a cityoffederalway.com
CITY OF FQEDEERAL WAY /� ,�
PERMIT NUMBER o _ /-a _l � _ �N/
_L L�_(Z`- 111 TARGET DATE
SITE ADDRESS
SUITE /UNIT #
PROJECT VALUATION
$ z Ott>
ZONING
ASSESSOR'S TAX /PAR - " "
L
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING /MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
'S kc'e- c
PROJECT DESCRIPTION
Detailed description of work to
4
be included on this permit only
Cct' kLt �C.
/Alm
PRRII�MARRY PHONE
PROPERTY OWNER
_G'./°
53N
Z)C> ZL-0 �/6 /
EMAIL
r
CITY
a►;- C..-
STATE
G-�
ZIP
oZ3
NAME
PHONE
MAILING ADDRESS
E -MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAM
PRIMARY PHONE
116 1
MAILING ADDRESS
-53 n o
E -MAIL
G6
APPLICANT
CITY
S ^TA,TE
ZIP
FAX
PROJECT CONTACT
N
����
PRIMARY PHONE
Z'e-G -% "-&5
MAILING ADDRESS J
//
E -MAIL
(The individual to receive and
respond to all correspondence
C Y
41/
STATE
VEV
/
FAX
concerning this application)
PROJECT FINANCING
NAME
OWNER - FINANCED
When value is $5,000 or more
(RCW 19.27.095)
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
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 to the city as a part of this application.
SIGNATURE: Li DATE �� /�
PRINT NAME:
Bulletin #100 -January 29, 2016 Page 1 of 2 k:\Handouts \Permit Application
?'-Z/I
9 0
VALUE OF MECHANIC L WORK
MECHANICAL PERMIT $ ;
Indicate how many of each type offimture to be installed or relocated as part of this project. Do not include em"stingfixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (Commercial)
BOILERS FURNACES —L HOT WATER TANKS (Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING _� GAS PIPING WOODSTOVES
GENERAL INF _ RMATION
CRITICAL AREAS ON PROPE TY?
WATER PURVEYOR
VALUE OF PLUMBING WORK
PLUMBING PERMIT
# of
Stories
Additional Information
/
$
EXISTING /PREVIOUS USE
LOT SIZE (In Square Feetl
$
Indicate how many o each qjpe offixture
to be installed or relocated as
part o this project. Do not include existing v2s to remain.
BATHTUBS (or Tub /Shower Combo)
LAVS (Hand Sinks)
TOILETS
WAT PIPING
DISHWACHER$
RATNWATF.R SYSTFMC
URINAT_C
_T�F_.R IDPsrrihcl
DRAINS
SHOWERS
VACUUM BREAKERS
TOTAL BUILDING
DRINKIN FOUNTAINS
SINKS (Kitchen /Utility)
WATER HEATERS (Electric)
HOSE BI S
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INF _ RMATION
CRITICAL AREAS ON PROPE TY?
WATER PURVEYOR
SEWER PURVEYOR
/VALUE OF EXISTING IMPROVEMENTS
# of
Stories
Additional Information
/
$
EXISTING /PREVIOUS USE
LOT SIZE (In Square Feetl
EXISTING FIRE SPRINKLER. S TEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
ADDITION
❑ Yes ❑ N
❑ Yes ❑ No
R-1wSIDENTIAL - NEW R ADDITION
AREA DESCRIPTION (in squa feet) EXISTING
BASEMENT
FIRST FLOOR (or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER (describe)
Area Totals NG
** W HOMES ONLY**
ESTIMATED SELLING
PROPOSED
TOTAL
TOTAL
FOR OFFICE USE
COMMERCIAL - N /ADDITION
AREA DESCRIPTION
Area in
Square Feet
Occupanc Group(s)
Construction
Type
# of
Stories
Additional Information
NEW BUILDIN
ADDITION
COMMERCIAL - MODEL /TENANT IMPROVEM TS
AREA DESCRIPTION
Area in
Square Feet
Occupancy Group 1
Construction
a
# of
Stories
Additional Information
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin #100 - January 29, 2016 Page 2 of 2 N k: \Handouts\Permit Application