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11-102981r City of Federal Way Community Development Services P.O. Box 9718 Federal Way, WA 98063 -9718 Ph: (253) 835 -2607 Fax: (253) 835 -2609 Project Name: HOME DEPOT Project Address: 1715 S 352ND ST Project Description: Replace gas regulators. 0 Mec4anical Permit #: 11- 102981 -00 -ME Inspection Request Line: (253) 835 -3050 Parcel Number: 282104 9008 Owner Applicant Contractor HD DEV OF MARYLAND INC (HOME AUBURN MECHANICAL INC AUBURN MECHANICAL INC DEPOT) 2623 W VALLEY HWY N AUBURMII63BA (9/12/12) 1420 5TH AVE UNIT 4100 AUBURN WA 98001 2623 W VALLEY HWY N SEATTLE WA 98101 -2375 AUBURN WA 98001 4irm'aatlp� t 5 Mechanical Valuation .................. ..........................13000 Is this an Online or O.T.C. application? ................. Yes Gas Piping ....... ............................... 26 PERMIT EXPIRES Saturday, January 21, Permit Issued on Monday. July 25, 2011 I he the Owner or agent: Date Fri NA"&I> IgA /11 CITY OF VA�1_ - Federal Way PERMIT #: Project: THIS CARD IS TO REMAIN ON -SITE Construction I0 ection Record INSPECTION REQU TS: (253) 835 -30.50 11- 102981 -00 -ME Address: 1715 S 352ND ST HD DEV OF MARYLAND INC (HOM FEDERAL WAY, WA 98003 -8316 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 Date Rough Electrical Approved Final Electrical Approved Right of Way Approved By Date By Date By Date F's Fe Fj\j PERMIT de ay ,,,� ;1 COMMUNITY DEVEIAPMENT SEi�i4tS `� 4 PLI CAT I O N 253 - 8362607• FAX 253835 -2609 www.dtuoffederalwau.com CIS ®F -! o 2L SF MF CO L DE EN FP SITE ADDRESS SUITE /UNIT # 17).5 5, 3 5 FFDF-,qAL 9-5003 PROJECT VALUATION ZONING ASS R'S TAX/PARCEL # $�3 X00 - - 9Q o TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT Q'enant Name /Homeowner Last Name) /�Dc--f /{ j l Q A //�n �/ N o ! _ � F_ 6 F 5i u lC " + " / PROJECT DESCRIPTION r- Detailed description of work to be included on this permit only NAME PRDIARY PHONE PROPERTY OWNER VL44P A — r LAND W MAEUNG ADDRESS E-MAIL C E,8 U STATE ZD' o, S N U J N f. h L ?5,;73)f-;39 - A (MAnMG ADDRESS { C a+ E-MAIL CONTRACTOR CDT STATE y O FAX WA STATE CONTRACTOR'S C 8E # EXPIRATION DATE FEDERAL WAY BUSDIESS LICENSE # c IQ a©^ 1 -10001 -- L NAME PHONE L,, � � - vAnmQmDRzw E-MAIL APPLICANT Box 4 CA CITY STA ZD' 98 FAX PROJECT CONTACT NAME M F PHONE Q00 5 Mte individual to receive and MAD Dra DRESS 0 E MAII respond to all correspondence concerning this application) CITY A STATE^ ' F ALTERNATE CONTACT NAME: PHONE E-MAH. PROJECT FINANCING NAME El OWNER- FINANCED Required value of $5,000 or more MAHdNG ADDRESS, CITY, STATE, ZIP PHONE (RCW 19.27.095) I cert{fg under penalty gf perjury that I am the property owner or authorized agent gf the property owner. I certVy that to the best gf 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 authorised by the issuance of a permit. I understand that the issuance gf 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 gfFederal Way as to any claim (including costs, expenses, and attorneys' fees incurred in the investigation and defense gf such claim), which may be made by any person, including the undersigned, and,}iled against the city, but only where such claim arises out of the reliance gf the city, including its g0icers and employees, upon the accuracy gf the information supplied jp the city as a part of this application. SIGNATURE: DATE (1 PRINT NAME: L w :S N A UL-5 Pj+✓ Bulletin #100 -January 1, 2011 Page 1 of 3 k:\Handouts\Pemtit Application n:Q1l,44m i �i VALUE OF MECHANICAL WORK $ =� OrD (a copy of bid or estimate must be rouided) Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existingftytuTes to remain. AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe) AIR CONDITIONER FIREPLACE INSERTS HOODS (comet rwj BOILERS FURNACES HOT WATER TANKS (G-) COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING - WOODSTOVES 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 (Kitchen /Utility) WATER HEATERS WE tte) HOSE BIBBS SUMPS WASHING MACHINES TOTAL FISTURES CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF WaSTINO IMPROVEMENTS EXISTING /PREVIOUS USE LOT SIZE (In Square Feet) EMSTRgG FIRE SPRIIiBLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? ❑ Yes ❑ No ❑ Yes ❑ No Bulletin #100 —January 1, 2011 Page 2 of 3 k:\Handouts\Permit Application