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16-105075 eaanical City of Federal Way Permit #:16-105075-00-ME Community Development Dept. 33325 8th Ave S Federal Way,WA 98003 Inspection Request Line: (253)835-3050 Ph:(253)835-2607 Fax:(253)835-2609 Project Name: LIFELIKE DENTURES Project Address: 33516 9TH AVE S Parcel Number: 926925 0080 Project Description: Gas piping for tank installation • Owner Applicant Contractor LIFELIKE DENTURES DERRICK GRICEPACWEST PROPANE LLC PACWEST PROPANE LLC 33516 9TH AVE S BLDG 8 PO BOX 563 PACWEPL862MU(7/31/18) FEDERAL WAY WA 98003 HOBART WA 98025 PO BOX 563 USA HOBART WA 98025 USA • Additional Permit Information Mechanical Work Valuation? 900 Is this an Online or O.T.C.application Yes E � Gas Piping 1 PERMIT EXPIRES Sunday, 16 April,2017 Permit Issued on Tuesday,October 18,2016 1 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: iisie% Date: ///,� As.- y ^ • THIS CARD IS TO FAIN ON-SITE CITY OP al Construction Inspection Record Way INSPECTION REQUESTS:(253)835-3050 PERMIT#: 16 105075 00 Address: 33516 9TH AVE S Bldg 8 Project: LIFELIKE DENTURES FEDERAL WAY WA 98003-6322 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. 0 Mechanical Rough-in(4165) ! © Gas Piping(4125) © Final-Mechanical(4065) Approved Approved to release test Approved By Date i By Date By )QrJ Date laiZl f ((e._ r • • 0 Rough Electrical 0 Final Electrical 0 Right of Way Approved Approved Approved By Date By Date By Date RECEIVED 1 �► PERMI'10APPLICATION CITY OF "-- x OCT 1 �T CENTER+33325 8th Avenue South + Federal Way,WA 98003-6325 Federal Way 253-835-2607 + FAX 253-835-2609 +permitcenter@cityoffederalway.com CITY OF FEDERAL WAY ' CDS PERMIT NUMBER _ 1 -.5‘*- 6 7 •�_ / � � TARGET DATE I SITE ADDRESS SUITE/UNIT# 33'$/' f- �' ir PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# $ D 91,07 5 - 0gV TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT 2� Yr 7/11 PROJECT DESCRIPTION / ` / Detailed description of work to _7;75- '`� / 1/ �/irj�" -C 40� or Z�® be included on this permit only zhcw/.r i'`�" / /vim— , � �ce 7.10,7 /lf'. PV- .'r'-1�� G�l/1,m1� ---_ - - --_- PRIMARY PHONE/ PROPERTY OWNER si/te r��75 CITY STATE ZIP ADDRESS E-MAIL,, `:t. i?sir. !o,►'7 - -_-- - NAME � PHONE /- 5/ j4re/7 90 ..0 /e r‘w MAILING ADDRESS /D E-MAIL CONTRACTOR .7/or ,1° "` ,/- / Of'? y ., 1.w..C¢p/!�`,le, CITY_... • E#I i S�A ZI ^�/ FAX oki%/hie,e-, WA A� I�CTOR'c6.2 ' 1 EXPIRATION�T/ION DATE FEDERAL WAY BUSINESS LICENSE#PRIMARY PHONE APPLICANT PROJECT MAILING ADDRESS E-MAIL CITY STATE ZIP FAX NAME ":411,1, PRIMARY PHONE • concerning MAILING ADDRESS E-MA1L (The individual to receive and respond to all correspondence this application) NAME PROJECT FINANCING ❑ OWNER-FINANCED When value is$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 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. �J SIGNATURE: / ,'%� dzC DATE //�// PRINT NAME: 4 c/ � ' 2' Bulletin#100—January 29,2016 Page I of 2 k:\l-Iandouts\Permit Application VALUE OF MECHANICAL WORK MECHANICAL PERMIT $ f2V Indicate how many of each type of fixture to be installed or relocated as part gf 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 VALUE OF PLUMBING WORK PLUMBING PERMIT 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 TIISHWASHFRS RAINWATRR SYSTEMS URINALS OTHER(flnorrihn) DRAINS SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS SINKS(Kitchen/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) I SECOND FLOOR COVERED ENTRY ............................................................................................................................................................................................... DECK GARAGE ❑ CARPORT ❑ OTHER(describe) EXISTING PROPOSED TOTAL Area Totals **NEW HOMES ONLY** IESTIMATED SELLING PRICE$ #OF BEDROOMS COMMERCIAL—NEW/ADDITION AREA DESCRIPTION Area in Occupancy Group(s) Construction # of Additional Information Square Feet Type Stories NEW BUILDING ADDITION COMMERCIAL—REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION Area in Occupancy Group/5) Construction # of anc Square Feet p y Plal Type Stories Additional Information TOTAL BUILDING / TENANT AREA ONLY 730 4 PROJECT AREA ONLY Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application