16-103786 • • Mechanical
City of Federal Way Permit #: 16 103786•00•M E
Community&Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: FLIEGER
Project Address: 30212 21ST AVE S Parcel Number: 798290 0060
Project Description: Replace gas hot water tank.
•
Owner Applicant Contractor
SANDRA FLIEGER PATS PLUMBING INC PATS PLUMBING INC
30212 21ST AVE S 30459 MILITARY RD S PATSPI*083N5 (4/8/18)
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 30459 MILITARY RD S
FEDERAL WAY WA 98003
Additional Permit Information
Mechanical Work Valuation? 2408 Is this an Online or O.T.C.application? Yes
Mechanical Fixtures
Hot Water Tanks 1
PERMIT EXPIRES Monday, January 30, 2017
Permit Issued on Wednesday, August 3, 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: 5 -3 -16)
•
•
THIS CARD IS TO ON-SITE ` - ' '
°� Construction In ection Record
Federal Way INSPECTION REQ TS:(253)835-3050
PERMIT#: 16-103786-00-ME Address: 30212 21ST AVE S
Project: SANDRA FLIEGER FEDERAL WAY, WA 98003-4249
Scheduled inspections may be failed if this card is not on-site. PO 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) - 0 Final-Mechanical(4065) `
Approved Approved to release test Approved
By Date By Date By A 10 Date g
0 Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
.
.''. 4116,1.0.
• PERMIPAPPLICATION
CITY OF
Federal Way PERMIT (2.1lTI venue South+Federal Way,WA 98003-6325
253-835- .. 09+permitcenten(icitvoffederalway.com
1(0 1 O 3 7.g (, i' AUG 03 2016 //^�PERMIT NUMBER— _ - CITY OF FED IrE / I I V
CDS
SITE ADDRESS SUITE/UNIT#
Soa\q D,\ J` Ou.).-e, CtOk,eAroJ L5QA;c Li A cVMS
PROJECT VALUATION ZONING ASSESSOR'S TAX/ EL#
$ a `-\6 6.0 0 7 ■ g a °w Q - o Q ca o
TYPE OF PERMIT ❑ BUILDING PLUMBING J MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
) 111
NAME OF PROJECT \ 1 ei r
PROJECT DESCRIPTION
Vc\kr,L 5 e TicAon Uo*e- V�.e o`�-�v"
Detailed description of work to
be included on this permit only -
NAME , ----�-- PRIMARY PHONE _.
PROPERTY OWNER LING ADDRESS E-MAIL
oa\a a\,, .. CXu�,
7 uQ, r sc: alt . 0 O ✓
�✓77A
ACOLING ADDRESS E-MAIL TATE rip CONTRACTOR `J o 5 q M.\\ `C A T`(/ cA,S SO,n Q R
p �5' •Gpn 07.5s.ovi6_ on
P-uive,ve,,A L) UA \A Ob
-
(ATAATE SN 9.9 R'l L N 5 EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ ao -oo-loaoqr) -
PRIMARY PHONE
j\vSSC. -\
LING ADDRESS E-MAIL
APPLICANT
301-150 n\,card (ok 0\-6\t P_(e, -oi„11-h.r5.c:,o41
lJ k€ off \ o STATE Zrk I FAX
PROJECT CONTACT I N PRONE
� . )( co
4`- V 9 -3 7 0
(The individual to receive and [ �,Ij,G�ap ssm\` `��� „( ,`, E-MAIL
respond to all correspondence J�/`-t V� ` (� J
concerning this application) I tilt^ �� c 17E ZIP FAX
NAME
`^ �
NAME J
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.
SIGNATURE: lI V & I, AlleiA DATE ( I
I
PRINT NAME: -e.."\\S�XA --\--I 0,l On
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
• •
VALUE OF MECHANICAL 3,4TORK
MECHANICAL PERMIT $ ( c 0 O v
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.
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
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(kitchen/uriiity) 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
t r.
FIRST FLOOR(or Mobile Home)
SECOND OR
COVERED ENTRY
DECK
FORTairtrililkt
GARAGE ❑ CARPORT ❑
.O'1 HER(described F )r } ;
EXISTING PROPOSED TOTAL
Area Totals
*NEW HOMES ctY*
ESTIMATED SELLING PRICE$ # OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area in Occupancy Group(s) Construction #of Additional Information
S
S.uare Feet •e Stories
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area in Occupancy Group(s) Construction #of Additional Information
S•uare Feet •e Stories
TENANT AREA ONLY
}€ aNat ; x'1 `a a ? _ '`=a zd'• s"S r. '`?.bq"[.+?sE
OJECT AREA ONL nt 4 I €
Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application