17-100545 A Me
City of Federal Way Permit #:17-100545-00-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: MIN
Project Address: 30626 43RD AVE SW Parcel Number: 112103 9045
Project Description: New gas piping for in-ground propane tank install
Owner Applicant Contractor
ESTHER E MIN B F C CONSTRUCTION B F C CONSTRUCTION
30626 43RD AVE SW 1112 S 344TH ST UNIT 312 BFCENE1857B3(EXPIRED)
FEDERAL WAY WA 98023 FEDERAL WAY WA 98003 1112 S 344TH ST UNIT 312
USA FEDERAL WAY WA 98003
USA
Additional Permit Information
Mechanical Work Valuation? 2000.00 Is this an Online or O.T.C.application? Yes
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Gas Piping
PERMIT EXPIRES Monday,28 August,2017
Permit Issued on Wednesday,March 1,2017
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: 3/ //' 7
F►r•.tk4
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record - '
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 17 100545 00 Address: 30626 43RD AVE SW
Project: ESTHER E MIN FEDERAL WAY WA 98023-2123
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) ID Final-Mechanical(4065)
Approved , Approved to release test Approved
`By Date ,•By ,4..,1/4) Date "I]I-Liti'1 , By 14.0 Date l iZ(sl)-7
0 Rough Electrical CI Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
A i.,,.._ ..A. • PERMIPAPPLICATION
CITY OF O
PERMIT CENTER+33325 8th Avenue South+ Federal Way,WA 98003-6325
Federal Way 253-835-2607 + FAX 253-835-2609 +permitcentel way.com
PERMIT NUMBER 7-_ 0 0 s---4s- N-LL---- ;EB 0_4 i,)1,
— — — — TARGET DATE tY
SITE ADDRESS O 3 EP L 'Yk(
SUITE/UNI
.9 F.(10 i'rd Ave- )/1
PROJECT VALUATION ZONING ASSESSOR'S TAfX/PARCEL# �j
$ d Doc I [ to ( 0 3 - L 0
TYPE OF PERMIT ❑ BUILDING 0 PLUMBING �
El/MECHANICAL ❑ DEMOLITION CC ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
H. A ees t ev. c. P
PROJECT DESCRIPTION i
Detailed description of work to �- 8 r(SJ.ti 1 p(p Fct.I&€. 4-q l„,\-c. ;,A,s 4-� 1.1. ` P C;
be included on this permit only
NAME ++ PRIMARY PHONE
PROPERTY OWNEREST V\ r V v
MAILINGZ ADDRESS S E-MAIL
2 6 62-6 It3 r 1 A Ite s iv
CITY STATE ZIP
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NAME PHONE
(-4 ;,n L43 e i� Y c cv,. s'FJticf-',o, 2c3 --- ‘32,-6/93MAILING ADDRESS ? E-MAIL
2 s #f /
CONTRACTOR I f ( 4 ,,(j1�`I ' J
' 5-7 U 4 4 / 2-
CITY ,
STATE ZIP FAX
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WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
3 r- (-- C-f c-c t - ( DJ-7g 3
NAME (� PRIMARY PHONE
--(rim"e &.S CohAl-rzt.eio
APPLICANT- MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAME PRIMARY PHONE
PROJECT CONTACT (-,�� , (}_S C 04'vi"Ct..0 +.U`/
(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
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.
SIGNATU DATE a/3//7
PRINT NAME: f---i ;?n LC...
Bulletin#100-January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
•
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
Indicate how many of each type offixture 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(commerc al)
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(sand 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
W '✓g , .4e:4:%.r f%3"r ^':r �� ^ 1r/7 #ter, ,�/1 r r :1 f '/.° -'----'-----'--.__._...._...._._........_.......---..._.__.____.__...___.__.._........_..._...__.—.
Ari Ff .;,r�Nr ,� s/t �,y„'':14-‘4474/V:;/;-: ,N _._..._.._....._._......._.._......._......— '' ........_.. _.......
FIRST FLOOR(or Mobile Home)
% i S, iS”
COVERED ENTRY
GARAGE ❑ CARPORT 0
e�' i% 1 �':'�.' "''�.r,f '.: ,- f;4 _.........._..........._..........._..._..._. .... ................_..._..... _._.._..._.._........_—..........__....---
EXISTING PROPOSED' TOTAL
Area Totals
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
Area in Construction #of
AREA DESCRIPTION S uare Feet Occupancy Group(s) e Stories Additional Information
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
Area in Construction #of
AREA DESCRIPTION Occupancy Group(s) Additional Information
S.uare Feet • .e Stories
i :0 ;a yrs 7i 7 r �.�r•m 7E7er, '5
Idiedelea.P/.21
TENANT AREA ONLY --
s ®
Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application