16-103475T
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835 -2607 Fax: (253) 835 -2809
Project Name: MANAPAT- SOUTHWORTH
Project Address: 1816 S 290TH ST
Project Description: Adding gas line for new stove install
•
Mechanical
Permit #: 16- 103475 -00 -ME
Inspection Request Line: (253) 835 -3050
Parcel Number: 422300 0060
Owner
MERLITA MANAPAT- SOUTHWORTH
ApRlican
BEST CHOICE PLUMBING
Contractor
BEST CHOICE PLUMBING
1816 S 290TH ST
4306 E C ST
BESTCCP932KP (6/9/17)
FEDERAL WAY WA 98003
TACOMA WA 98404
4306 E C ST
TACOMA WA 98404
Additional Permit Information
Mechanical Work Valuation ? ........ .........................500.00 Is this an Online or O.T.C. application? ................. Yes
Mechanical Fixtures
GasPiping ....... ............................... 1
PERMIT EXPIRES Sunday, January 15, 2017
Permit Issued on Tuesday, July 19, 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
he City of Federal Way. 1q //
Owner or agent: ` Date: I ! — l b
lrwoD
• THIS CARD IS TKTS!: ON -SITE
F�Construction Ion Record
ay INSPECTION REQ 3) 835 - 3050
PERMIT #: 16- 103495 -00 -ME Address: 1816 S 290TH ST
Project: MERUTA MANAPAT- SOUTHWORT FEDERAL WAY, WA 98003 -3812
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)
as Piping (1
Final - Mechanical
Approved
Approved to release test
Approved
By Date
By Date
Date : (�
Rough Electrical
Approved
Final Electrical
Approved
Right of f Way
Approved
By
Date
By
Date
By
Date
40k ! PERM IT *PPLICATION
CITY OF
Federal Way RECEIVED
PERMIT NUMBER
o JUL 19 2016
T
CITY OF FL-DERAL WAY
TARGET DATE
me
SITE ADDRESS
SUITE/ #
$ PROJECT VALUATION
ZONING
ASSESSOR'S TAR /PARCEL # -1 �4;1 ^ O - C)
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING X MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
I Y 4v4 GPpz-t t5u w) f't�
PROJECT DESCRIPTION
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Detailed description of work to
be included on this permit only
NAME �A. I V 1(.�' ' 1 1�Ie�
O` S JPRIMARY PHONE
PROPERTY OWNER
MAILING DRESS
�l 90 5fi
E -MAIL
STATE
ZIP
NAME r 're j
PHONE 5V 1
J%
CONTRACTOR
MAILING ADDRESS � � �
1)
}NAIL �
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d/�, u � /� A4"v-
CITY -- �
STATE
ZIP
F
WA STATE CONTRACTOR'S LICENSE #
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
When value is $5,000 or more
(RCW ]9.27.095)
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 supplied to the city t IV; application.
SIGNATURE: DATE
c� �{
PRINT NAME:
Bulletin #100 — February 22, 2016 Page 1 of 2 k:\Handouts\Permit Application
PLUMBING PERMIT Is
Indicate how many of each type offixture 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 (Kimhen /utility) WATER HEATERS (Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VALUE OF MECHANICAl�I
MECHANICAL PERMIT
$ ,'c
Indicate how mwtv of each type offixture
to be installed or relocated as
part of this project. Do not include existing res 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
1 GAS PIPING
WOODSTOVES
PLUMBING PERMIT Is
Indicate how many of each type offixture 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 (Kimhen /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
EXISTING/ PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No
❑ Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR (or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER (describe)
- - -- - -
ER[STINO PROPOSED TOTAL
..... _ _ _....._....---..... ------
.....__... - — - - .._..._.. -- ...__........_...-
Area Totals
* *JWW HOM= Otv Y**
ESTIMATED SELLING PRICE $ 1 # OF BEDROOMS
COMMERCIAL - NEW /ADDITION
AREA DESCRIPTION Area In Occupancy Group(s) Construction # of Additional Information
Square Feet a Stories
NEW BUILDING
ADDITION
Bulletin #100 — February 22, 2016 Page 2 of 2 k:\Handouts\Permit Application