15-105165 . I S Mechanical
City&f FederalWay Permit #: 15-105165-00-M E
Community Econ.& Dev.Services
33325 8th Ave S _
Federal Way,WA 98003 Inspection Request Line: 25
Ph:(253)835-2607 Fax:(253)835-2609 p q ( 3) 835-3050
Project Name: ATKINS
Project Address: 3738 SW 332ND PL Parcel Number: 109961 0110
Project Description: Install gas heater in garage to include separated combustion venting and natural gas
hookup.
Owner Applicant Contractor
BENJA ATKINS BENJA ATKINS OWNER IS CONTRACTOR
CYNTHIA C ATKINS 3738 SW 332ND PL
3738 SW 332ND PL FEDERAL WAY WA 98023-2922
FEDERAL WAY WA 98023-2922
Additional Permit Information
Is this an Online or O.T.C.application? Yes
Mechanical Fixtures
Ducting 1 Furnaces 1 Gas Piping 1
Gas Pipe Outlets 1
PERMIT EXPIRES Wednesday, April 6, 2016
Permit Issued on Friday, October 9, 2015
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:
• THIS CARD IS TO AIN ON-SITE
CITY OFA Construction Ins ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 15-105165-00-ME Address: 3738 SW 332ND PL
Project: BENJA ATKINS FEDERAL WAY, WA 98023-2922
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) CI Gas Piping(4125) El Final-Mechanical(4065)
Approved Approved to release test Approved
By • Date By Date 1 43 f 5 `By cam Date_i_,.. __..
El
Rough Electrical CI Final Electrical Right of Way
Approved Approved Approved
By Date By Date
r
Date
4_,.
•CEIVED PERMITTAPPLICATION
CITY OF
Federal Way
OCT 0 9 2015
mfr, Fl"
PERMIT NUMBER l -5 l I - ;F: TARGET DATE p 1 I
SITE ADDRESS SUITE/UNIT#
'3'1.33 cw\ 33�1.a rL , F--cc ri (h, 64'043 -350 c
PROJECT VALUATION ZONING ASSESS R'S TAX/PAR L#
$ 1b00 I 0 9 c, I _ 1 I a
TYPE OF PERMIT D BUILDING D PLUMBING )(J MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT (!
1Sttal a& k.A"er- 16 LiGILV'kCt i incl. SL�atetk ect (: l'wtlw
nl9el
PROJECT DESCRIPTION ( f y
Detailed description of work to VZ Ul..J'M'� L` Yl In 1 u.t a 4,S _*..rot f
be included on this permit only
NAMEj� t PRIMARY PHONE
PROPERTY OWNER vu A A �-it% x& 1"�;�Y,g1to
Z�® MAILING DRESS 3344 n L E-MAIL i 1)3
1 O 5Q CITY rt Wt.()_ STAT' ZIP tig 0,2_3
NAME r 1�'V• � 15 ,
RA
/A ' L v PHONE
O�./�.J� 11 (��.j/j�1 V�-
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS E-MAIL
2-55D(J�v'D CITY STATE ZIP FAX
NAME PRIMARY PHONE
PROJECT CONTACT
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING 0 OWNER-FINANCED
Required value of$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 'ty as a part of this application.
SIGNATURE: ....,4 4 12/Av."'
DATE 1'01115
I.
PRINT NAME: 41-kinS
Bulletin#100—January 1,2013 Page 1 of 3 161-landouts\Permit Application
• •
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
Indicate how many of each type offacture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS 1 GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER T FIREPLACE INSERTS HOODS(Commercial)
BOILERS i 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/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)
EXISTING PROPOSED TOTAL
•
Area Totals
*'NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
in Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application