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16-105179 I • 2�q- - CITY GF PERMIT APPLICATION Federal Way PERMIT CENTER+33325 8th Avenue South +Federal Way,WA 98003-6325 253-835-2607+FAX 253-835-2609+ tc .+1, ,.,i. •- evi PERMIT NUMBER ( (21 ° ( ''..-/ , l� L.-�� :- OCT 2 6 2016 TARGET DATE SITE ADDRESS g C�YIQ RALWAY 391x1 1i AuSt� c°PROJECT ZONING ASS 13 $ q (, LI 3 - O 1 ( b /111 y( TYPE OF PERMIT 0 BUILDING 0 PLUMBING KMECHANICAL 0 DEMOLITION ElENGINEERING 0 FIRE PREVENTION NAME OF PROJECT I/11 PROJECT DESCRIPTION p {� /; �} ` b Detailed description of work to ge,Y t C V el .ei) to ( , U1,`i"Lx IA a*er.. be included on this permit only 1 J NAME Si'rnv L ► PRl 7sasat4 ... PROPERTY O �9 11 AV g- Sw reassis-men, -----. 2A`7 CITYf -( i/u tA l ZIP . I o9-3 NAME fArS�1" 4 J T - I A-FaK PHG 1,30 c) MAILING ADDRESS SMAIL CONTRACTOR l" N — S G L D6 S@ -�vaa 4v,C l t o,(, VrtAA.Th ZIP 9 gD 11 "x1-125-- A=' Ir25 1031.11-c g WA STATE CONTRACTOR'S LICENSE♦ RA DATE FEDERAL WAY BUSINESS LICENSE I f1S1VVOHgygRG N/ [ NAIL � -r - .11--r „PHONE 5ti ate..... APPLICANT t S C 1 t IL-MAIL '6141171 .c p CITY 11 ZIP STATE - 1 WD I I TAX PROJECT CONTACT NAYSa+ Ue' W fi ranunY PHONE (The individual to receive and YAvaxa ADDRESS respond to all correspondence concerning this application) CITY STATE ZIP FAX NAC PROJECT FINANCING X OWNER-FINANCED When ualue is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP ...PHONE.. (RCW 29.27.095) I certify under penalty of perjury that I am the property owner or authorised 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 authorised 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: t�� It41k I DATE D � � ` Vl r • PRINT NAME: I EA i s t 4 Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts1Permit Application Z r n 3 • • XC. VALUE OF MECHANICAL WORK MECHANICAL PERMIT $ i q'"l Indicate how many of each type of fixture to be installed or relocated aspart gf this project.Do not include existing fixtures to remain. AIR HANDLING UNITS _ FANS GAS PIPE OUTLETS OTHER(Describe) AIR CONDITIONER FIREPLACE INSERTS _CT HOODS)commmamc�ry BOILERS FURNACES I 1 1 HOT WATER TANKS(Go COMPRESSORS GAS LOG SETS `J REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES VALUE OF PLUMBING WORK X < UMBING PERMIT duete how many of type of future,=be installed or relocated as part= -pro', Do not include existing • -= to -• alio BATHTUBS*tab, .,•.r Combo) t!1`,-timed sinks} TOILETS WA it•PIPING DISHWASHERS RAI .`R SYSTEMS URINALS % ER(Describe) DRAINS SHOW 'V:_ VACUUM BREAKERS DRINKING F". STAINS SINKS /utij A WATER HEATERS(si...; is SE"13"4 ' SUMPS WASHING MACHINES TOTAL FIXTURES GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS EXISTING/PREVIOUS USE LOT SIZEn R Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? ❑Yes❑ No ❑Yes a No RESIDENTIAL - NEW OR ADDITION AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE is t[ tk .ry FIRST FLOOR(or Mobile Home) COVERED ENTRY GARAGE 0 CARPORT 0 ;d [OUSTING PROPOSED TOTAL ».••••» .•»•—• Area Totals .i''.M Y k� .., ,,,�,•, ,_i 4}.+i ^fix r� gao-„aF4 ° - -.f ESTIMATED SELLING PRICE$ #OF BEDROOMS COMMERCIAL—NEW/ADDITION AREA DESCRIPTION Occupancy Groups( Construction M of Additional Information Area in uare Feet w e Stories may" ADDITION 1111.111111111111011 COMMERCIAL—REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information oars FeetJ.e Stories TENANT AREA ONLY I® , Bulletin#100-January 29,2016 Page 2 of 2 k:\HandoutsWermit Application + ,. p Mechanical City of Federal Way Permit #:16-105179-00-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: LABI Project Address: 32124 11TH AVE SW Parcel Number:926493 0110 Project Description: Remove/replace gas water heater Owner Applicant Contractor SAMUEL LABI SALINA THAPAFAST WATER HEATER FAST WATER HEATER CO(GENERAL) 32124 11Th AVE SW COMPANY FASTWWH948BC(1/4/18) FEDERAL WAY WA 98023 11715 NORTH CREEK PKWY S SUITE C-106 1715 NORTH CREEK PKWY S SUITE C-10 BOTHELL WA 98011 BOTHELL WA 98011 Additional Permit information Mechanical Work Valuation? 1747.00 Is this an Online or O.T.C.application? Yes Hot Water Tanks 1 PERMIT EXPIRES Monday,24 April,2017 Permit Issued on Wednesday,October 26,2016 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: c NJL I NJ E Date: F")/141/41}QA THIS CARD IS TO REMAIN ON-SITE OP Federal, y Construction Inspection Record INSPECTION REQUESTS:(253)835-3050 PERMIT#: 16 105179 00 Address: 32124 11TH AVE SW Project: MARY K LAB! FEDERAL WAY WA 98023-5550 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) i © Gas Piping(4125) II © Final-Mechanical(4065) Approved � Approved to release test i Approved I I By Date By Date I By A'4 Date % IA. `j Rough Electrical 0 Final Electrical • 0 Right of Way Approved Approved Approved By Date By Date By Date