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14-106302 110 Mechanical City of Federal Way Permit #: 14-106302-00-M E Community&Econ.Dev.Services 33325 8th Ave S Federal Way,WA 98003FILE Inspection Request Line: (253)835-3050 Ph:(253)835-2607 Fax:(253)835-2609 p q Project Name: SANFORD Project Address: 30019 30TH AVE SW Parcel Number: 416660 0230 Project Description: Extend existing gas piping approximately 17 feet for new gas range Owner Applicant Contractor MICHAEL SANFORD MICHAEL SANFORD OWNER IS CONTRACTOR SHEILA SANFORD 30019 30TH AVE SW 30019 30TH AVE SW FEDERAL WAY WA 98023 FEDERAL WAY WA 98023 Additional Permit Information Is this an Online or O.T.C.application Yes Mechanical Fixtures Gas Piping 1 PERMIT EXPIRES Monday, June 8, 2015 Permit Issued on Wednesday, December 10, 2014 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. I Owner or agent: i '( �a Date: t D../ 10/19 THIS CARD IS TO MAIN ON-SITE CITY OF 1.1.1111 40 Construction In ection Record Federal Way INSPECTION REQ TS: (253)835-3050 PERMIT#: 14-106302-00-ME Address: 30019 30TH AVE SW Project: MICHAEL SANFORD FEDERAL WAY, WA 98023-2372 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 By P j4 Date la 1- 4 l L( By r A-1-- Date 1 Z. ( 7, I t El Rough Electrical1:1 Final Electrical ID Right of Way Approved Approved Approved By Date By Date By Date ! 40 CITY OF A PERMIT APPLICATION Federal Way RECEIVEDfli." O DEC 10 2014 PERMIT NUMBER (L _ ‘ 11 1 (C, 2 Mt---- TARGET DATE CITY OF FEDERAL WAY SITE ADDRESS ' ?,3 SUITE/UNICOS © i SOT C AvE 5 W OER i CRY (16E\ PROJECT VALUATION ZONING ASSESSTARPARCl# co /t/,5 . 4 ( QOO TYPE OF PERMIT ❑ BUILDING 0 PLUMBING Igr MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION NAME OF PROJECT (3 C:\J PI PI Pic SA R PROJECT DESCRIPTION EXTEND �U S'� � N E � 6 P l Pi NC' A PP�,ax' (3 -r EET Detailed description of work to _IN ORDER-re. l N)5T %LL CCI`i RkAt4GE _ be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER M l r c'. 5-1-1E1 LA S A NFoCkc g,c 383--;22 E 5 MAILING ADDRESS E-MAIL 00.4. sw 300T" P( cnci-mIkey4es( CONCCiStt, he CITY STATE ZIP - F�aRC�L w wFl 95°OD NAME PHONE _ Lt)�NES < -- MAILING Avai........ 'L•..1.11.1.1,( CONTRACTOR — - CITY ZIP WA STATE ,;011d TRACTOR'S LICENSE# �__.,9TION DAZE FEDERAL WAY BUSINED,."-_-_..'# / / NAME PRIMARY PHONE P1 l C.14 Pix-_. SANVORO Z‘ j S"> )-..2"/S MAILING ADDRESS E-MAIL APPLICANT 3OoS/ C A.r I�61/` ] i'tMI i< y c} l lCol.0 7gh Pl'e� CITY STATE ZIP A _ in 'i1L (,,.) 1 c,.yesl 9 EC7) j _.__,r NAME PRIMARY� y,fPHONE ^� '`� PROJECT CONTACT l l CH H l_ SSR N FC�RC� 3 J �C 5 (The individual to receive and MAILING��-.�ADDRESS/ 9 E-MAIL j ^�- respond to all correspondence 3cX S W 3 .I CZ/4 11 ' 4'0 C.123nz ,t concerning this application) CITY STATE ZIP FAX F'EoERt\L w-A 98'0D 3 —____ .. PROJECT FINANCING 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 city as a part of this application. /A,0( ,SIGNATURE: IP __l-t_.I �_ �i0. `DATE 1 DI 1 0 `t PRINT NAME: 'NI (C.t I REL. SANSFORS) Bulletin#100—January 1,2013 Page 1 of 3 k:Wandouts\Permit Application S VALUE OF MEC LAICAL WORK MECHANICAL PERMIT 0`' (..)c•iQE $OCA: 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) G5 --IOYt BOILERS FURNACES HOT WATER TANKS(Gas) Nt.CT COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING 1 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 \VAA \y FIRST FLOOR(or Mobile Home) SECOND FLOOR COVERED ENTRY DECK \\ \ \\ \\\\\\\\\\\\\\\\\, \ \ ( GARAGE ❑ CARPORT 0 VpVvV\ \� ................................................................................................ OTHER(descr't leo EXISTING PROPOSED TorAl. Area Totals **NEWRO s 41 ESTIMATED SELLING PRICE$ #OF BEDROOMS COMMERCIAL—NEW/ADDITION AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information in Square Feet Tye Stories NI�EW iJI >CttNci \\ ` ` \VV\ w,j\VVAAV\Aw vU.vAv ADDITION COMMERCIAL—REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information in Square Feet Type Stones �,. ,\ ,\,\,, \ o\ \ \\, \\•. !;,'\\\ \\\\\\...:'. TENANT AREA ONLY \ cisEC�rA liNLY \\\\ \ z \\ \;\\ Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application