17-100314 NI
Gal
414/ :a;ed ua6e JO JauMp
.A M!eJapa.lo/go ay;PUe ;6 em
jo a;e;S 014110 suoi;e!n6aJ pue sap.' 'SMB!ay;y;!nn aouepi000e u!aq !!!nn asn ay;pue Aouedn000 ay;pue
Apadojd paquosap anoge ay;uo uogona;suoo ay;ley;pue paiaoo s! uo!;ewioju!anoge ay;ley;Appao Agaiay !
LIOZ`£Z Aaenuep•AepuoyAT uo panssl;i�uaad
LIOZ`Slur ZZ`AepanleS S31:111dX3 JLIIA1219d
I sued I tui;onU
saA !,uol3 3I1dd>;•Da°.lo au!Iuo uO sigl SI OOb (,uo!Innj>;A)JoM reatuegoaJ
uol;euuoluliuuad Ieuogippy
/ 55I86 YM 3M'I32IOHS
LSTOZ 3N 509
55I86�'M 3M'I32IOHS
SLI/bI/I I) I�866sIN3�IHQ .LSIOZ 3N509 £0086 VM AVM'IvuaUad
DM S HAV HIOZ IOLSZ
DM SaSHIdUaJ Na ZI H Q sash DI3.LN3 2I H Q33H01H 3NAVM3Q 3DNd2Id SaI'IHf
Jo;oei;uo3 ;ueolIddy .3aa.+tp
•ae;;aaA AAaa.><o,;211l;3nP JO ao;;alln;saI :uoL;duasaU 4oafo.3d
06£0 OOZZZt :aagmnN pared S 3AV H.LOZ IOLSZ :ssaippy;oafoJd
ONVId :0=1\110010ad
609Z-SE8(ESZ):Xe J LO9Z-SE8(ESZ):4d
sonl!
OSOE-9E2(£SZ) :auI bal uogoadsu! I £0086 dM`ABM PuaPa3
s any m8 sZ£££iad 1dafIAcM 1 oaanaQ o Ana M 1 Pa3! 3!a
le 3.11 gaaI
THIS CARD IS TO REMAIN ON-SITE IIIF
Federal Way Construction Inspection Record
INSPECTION REQUESTS: (253)835-3050 •
PERMIT#: 17 100314 00 Address: 28701 20TH AVE S
Project: JAMES PRANGE FEDERAL WAY WA 98003-3234
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) El Gas Piping(4125) ® Final-Mechanical(4065)
Approved Approved to release test Approved
,By L A Tate 1 -, :24 .y ,,By Date * By 4I Date S(4.( irr
0 Rough Electrical 0 Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
facerve
o ( OUZC� Z
4A. .A pc),(i .__ I 7 ._FERMI APPLICATION
CITY OF
Federal Way �I�� PERMIT CENTER+ 33325 8th Avenue South +Federal Way,WA 98003-6325
e+Ie4G- _` 253-835-2607 + FAX 253-835-2609 +permitcenter@cityoffederalway.com
PERMIT NUMBER L7 _ 1 0 0 3 1 q _ /- I £ 1 2,3 / 1 -,
— TARGET DATE
SITE ADDRESS SUITE/UNIT#
c7 70 ( c) (z? , S .
PROJECT�)VALUATION ZONING ASSESSOR'S TAX/PARCELI #
$ -
`tV U1-1►, L2 � 0 0— — — -
TYPE`OF`PERMIT 0
BUILDING 0 PLUMBING MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT {et
PROJECT DESCRIPTION Da--C/( /n /J 1 Vie....1.....71- &-
Detailed description of work to `
be included on this permit only
v
N.5. .. . PRIMARY PHONE
Int PROPERTY OWNER A 5 Piignit)G it '
( .2_0'37A/ "2,(3 ' � � E-MAIL
CI����'�l ki VtipelAzZI�=��t / pr. frilf16)`rf-7 /II
TN ES3y E-MAIL
CONTRACTOR �G1 e6( if 2176,
W TACQAT 8 LI NS #?9 LE /
•
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 OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial)
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(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?
oYes ❑ No El Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
" anl <1. /e
r.
rrfi•r;,S"s"»,•w,r9j'r,.'/�1 'rrl'jy'g'✓/'tira3 r'rar9"' yG/q/
,, ... _.... __.__..._.....__..___..____......._....._......._.....
Sor.
„
FIRST FLOOR(or Mobile Home)
,:•a.ri c";;<:Y-'4;,^i,./!' r.cvrr.N"r. +.x ..:"S:r.,.,.,��':,,. ,ry .._____..__...........................__..__........................................................_._...__......_................_...........__.._._........
DI•� 0^, :7
COVERED ENTRY
e� ? as. �,,1f gy/ � / ���„y
fh.j', 71 ara ,v ' *ft/ xr
„�. ,. .,H. ,`'-'`", /. .., .,< �/"..."Y r;>� m i,.:,.,.:;/:✓!r �,rf..;..,,dfi �,�: Aw✓,rP<Gu:.'�.rAwi�",`.'s.
GARAGE 0 CARPORT 0
� ,��r_,�s..,xv: .:C ..................--�--.—........................._......_..._..........__._.._—.._._.............-----'--'---
:rjsm`%';�,j a.�4. �.r//s:�'d''//s4F/y� a !��' ✓,;,, .,U/%/. '✓%�.��'i,�'�':'r':i..:`' H�r:'j:_
:y/',.'u,5',�".�i'.-'rP.�"'���,"`.i*�'/'i'��'rSs` ,/////� '�w.. �. �'�"rl/ �l < :x//.�ii��i��,.,���%i9ir��'s iii.a. ........__..........__.__........_...._...__.—.........................._.........._.............__-___._..................._..........._._.......
EXISTING PROPOSED TOTAL
Area Totals
/�lo/"<.r/sr,I'..;�,,:.,.r, ?^.ii �%4,'•' ,�.. ie / �l f '..i/" /.N ... .y.. �ya �y•'
...rryr... s..�3 ;£:s?�tiri;<>:.�%t/'��✓/f l., �r/���a 'i f ��i,��N...2 /.sfy / .', '#�'
ESTIMATED SELLING PRICE$ I #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
S•uare FeetType Stories
,s. .,/,„/''y',yr/ :moi. --r ws.. .�„., ,:s5�/.,>;,:k,: ^•.> rF' ,:'vu :i>,,,: .y ss:
;; •, Ns °,s;;13y
�fis'"'rr g y/y �' r
,/X:�1.,.� ar, iSi33 .r G/ .a' 9 :✓ .Gr 1%r�rgY .u.Y4/y�,'�,•!,, / .s' .r5�,�¢.y9 ro•L.Y'}r614;!:2*.:
,., YMc l3v;Fk '^s/ a, q {.
• „c' ,i.' .d�r/�,�, ; r ....'s'!' y
,.: ... R�'�,5� �F c,. .>r K' 'S�.�M N. /i.. � y e. .//,/
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
Area in Construction #of
AREA DESCRIPTION S.uare Feet Occupancy Group(s) ,e Stories Additional Information
'..Yr
a%/�f//yy.N„g L�,"3."�/l•/'4r. ➢�it��„�i5�c u y,,.�'' iw.
.tie aed 0, feso.'. vti.F r?rP*A" i
.r. / z�x002y rr riiJSr ;%401k,..
•it -4j, A,; //�Y1L,r Ai;
TENANT AREA ONLY
,,,Jj�,;wr,;�N�a�'ryx 's!r'<. h :is, *t �%j 4:. �' >'H :'� i,�/� }s �r.At ..r ,�u n. /' 'z..S,F.. ,f�/�,. r: nr„
/£.. .til . •mow'::s ' 6 / % .. fit :x:r; d :;yrr i. - n' ii 3'.''.,'.t... : ..h. ,r, .//4 y ,�
.r. ,.rt�r:.a`� ' x�, 1;',:„„',„•°,0?, ,,r./,..s,'F. :, ..5Y :»��r �i ti �.2«i .rte r ,i � / r/ �'+t. r. d� r •/:. �, �6�
Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application