16-104318 0 0 Mechanical
City of FederalWay Permit #: 16-104318-00-M E
Community&Econ.
Dev.Services •
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: BELMOR MOBILE HOME PARK SPACES 222
Project Address: 2101 S 324TH ST Space 222 Parcel Number: 162104 9037
Project Description: Installation of gas piping for 22kw generator.
•
Owner Applicant Contractor
TIM FAGAN TIM FAGAN OWNER IS CONTRACTOR
PO BOX 452 PO BOX 452
AUBURN WA 98071 AUBURN WA 98071
Additional Permit Information
Mechanical Work Valuation9 7100 Is this an Online or O.T.C.application? Yes
Mechanical Fixtures
Gas Piping 1
CONDITIONS:
A permanently installed generator is not allowed to be placed within required yards(setbacks). See Bulletin
#150 for placement details.
PERMIT EXPIRES Monday, February 27, 2017
Permit ed on Wednesday, August 31, 2016
I hereby certify that the above infor, ion is c r_pet and that the construction on the above described property and
the occupancy and the use will be in accor ante with the laws, rules and regulations of the State of Washington
/ 1, and the City of Federal Way.
Owner or agent: /lam 2--,,,,,se-- • Date: F--$ /z"
THIS CARD IS TO AIN ON-SITE
41-.14,...
'"" • Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 16-104318-00-ME Address: 2101 S 324TH ST Space 222
Project: TIM FAGAN FEDERAL WAY, WA 98003
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.
El Mechanical Rough-in (4165) El Gas Piping (4125) Final-Mechanical(4065)
Approved Approved to release test Approved
By Date -,. L.-- Dated _V� " ,By C,4� .,Date 9 , . _ (6.
ElRough Electrical Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
"v�CEIVED
CITY OF AUG 312016
PERMIISAPPLICATION
p +� ,n( PERMIT CENTER+ 33325 8th Avenue South + Federal Way,WA 98003-6325
Federal Way 253-835-2607 + FAX 253-835-2609 +permitcenterncityoffederalway.com
CITY OF FEDERAL W'
CDS
PERMIT NUMBER ) 1"" _ I CI3 _ / I /I
TARGET DATE S J
SITE ADDRESS 4— SUITE/UNIT#
,2/6/ 1S 5� SPI er 2 AZ 2N 2 2-
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING pi'MECHANICAL ❑ DEMOLITION 0 ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
PROJECT DESCRIPTION
22 Xw � 'L ���� /„, d ,r/
Detailed description of work to ,44o r/i{w C
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER MAILING ADDRESS ff E-MAIL
2//7 $,Z2 V
CI,3Y STATE ZIP
i;op =,zn ✓.fi yy (Mt j G c.5
NAME PHONE
- 0
MAILING ADDRES; E-MAIL
CONTRACTOR — —
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME PRIMARY PHONE
MAILING ADDRESS E-MAIL -
APPLICANT t � z/s--2 %fyc •/t.
CIT STATE $ FAX
NAME � PRIMARY PHONE
PROJECT CONTACT %CH � /fI'a/
(The individual to receive and MAILI D %%VV ���AD RES E-MAIL
respond to all correspondence fl
concerning this application) CITY//�f STATE ZIP7 FAX
/TG v/w ri d
PROJECT FINANCING NAME /{ 6/4'1/ JO OWNER-FINANCED
When u PHONE
(RCW 19.27 095 or more MAILIlY�AD13R CI';',,/,STATE,ZIPnc cit/t) 49, Yb 25.j 33
I certify under penalty of perjurythatI 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 cityas a part of this application.
SIGNATURE: DATE J
PRINT NAME: '..1-1"/ /4-./11//:e''91.1-'j
Bulletin#100—January 29,2016 Page 1 of 2 k:AHandouts\Permit Application
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VALUE OF MECHANICAL WORK
MECHANICAL 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.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS �J OTHER(Descr be) f
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial) /47/9 /"` C° `
BOILERS FURNACES HOT WATER TANKS(cas)
COMPRESSORS _ GAS LOG SETS REFRIGERATION SYST � `
DUCTING y GAS PIPING WOODSTOVES /r
/ /-
Indicate
VALUE OF PLUMBING WORK
PLUMBING PERMITsV( `/how many of each type of fixture to be installe 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 0 CARPORT ❑
OTHER(describe) Pl.416- (276 /0-1EXIPROPOSED TOTAL
Area Totals
**NEW HOMES ONLY**
ESTIMATED 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(s) Construction # of Additional Information
Square FeetType Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application