17-103708 Mechanical
City l Way -- J w;
Communityof DevelopFederament Dept. , Permit #:17-103708-00-ME
33325 8th Ave S
Federal Way,W 98003 _ s Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:A(253)835-2609
Project Name: EARSLEY
Project Address: 32101 9TH AVE S Parcel Number:609390 0220
Project Description: Install new gas line from garage over to range.
Owner Applicant Contractor
BRIAN EARSLEY BRIAN EARSLEY BURLEY MECHANICAL LLC
32101 9TH AVE S 32101 9TH AVE S BURLEP*880LA(6/6/18)
FEDERAL WAY WA 98003-5919 FEDERAL WAY WA 98003-5919
24230 SE 380TH ST
ENUMCLAW WA 98022
Additional Permit Information
Mechanical Work Valuation? 698.50 Is this an Online or O.T.C.application? Yes
Gas Piping 1
PERMIT EXPIRES Monday,29 January,2018
Permit Issued on Wednesday,August 2,2017
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:
THIS CARD IS TO REMAIN ON-SITE
Federal Construction Inspection Record
Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 103708 00 Address: 32101 9TH AVE S
Project: BRIAN EARSLEY FEDERAL WAY WA 98003-5919
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) E Gas Piping(4125) Final-Mechanical(4065)
Approved Approved to release test Approved
By Date > By a Date 7,..1 - L' 1.N
J� � By 1Date c3.-t
El Rough Electrical 0 Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED
PERMIT APPLICATION
AUG 01 ZOtl
PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
,..0 r 4253-835-2607+FAX 253-835-2609+
CITY OF FEDERAL yygy
COMMUNfTY DEVELOPMENT
PERMIT NUMBERIi _
1 0 7 0 k - 114
TARGET DATE V f G //
SITE ADDRESS SUITE/UNIT#
3-A/C / el rH hilt sU fr��ictti ink y IA; �. `1 'C,0 3
PROJECT VALUATION ZONING ASSESSOR TAX/PARCEL• 47 3 0 _ 0 Z'
TYPE OF PERMIT ❑BUILDING 0 PLUMBING JXMVIECIIANICAL 0 DEMOLITION 0 ENGINEERING ❑FIRE PREVENTION
NAME OF PROJECT IJ 5 FM- iV la'L 1 C-;A`) /L/gz.
PROJECT DESCRIPTION a t' ; IV,c O A' L/W P2 � 6)
Ade
Detailed description of work to tJii; ' 110iJ5C' /4 l) a I</f�t TG f /U
be included on this permit only
NAME r PRIMARY_. PHONE
PROPERTY OWNER
75/2/4-0 rt> �5 tt y ;2642- 6&0-4467
MAILING ADDRESS E-MAIL
32101 ie!'Til At' 5'0 '&4.1 le.u 3.ti0 tofz rhSivan('(l
CITY STATE ZIP
P- )6, A) w�.y v4 'Yeo3
NAME PHONE
ky► diAluieiAL J L( 053 33
MAILING ADDRESS ,/E-MAIL
CONTRACTOR 2N3C) 41 3S0T14 _ 'r Phi 7�C�QcT!Uel
Crrpv STATE ZIP /FAX
EN figoAR)Ark-
WA STATE CONTRACTOR'S LICENSE M EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE 8
g L to ZS() ,4 Oto /O trr /U2GI F is-/®i 7O F-co -re3
NAME y-%y� -! ! PRIMARY PHONE
,5 g AS 19°4 rG M1�y Ow IQ J � E-MAIL
APPLICANT MAILING AD ss
CITY STATE ZIP FAX
NAME PRIMARY PHONE j
PROJECT CONTACT' E IASL;�( ,2 1,-66o .--6/ ` '7
MAILING ADDRESS E-MAIL
(The individual to receive and respond
to all correspondence concerning this ,32S C` ') 774 A l✓a" O ISeC.Th l ey32 Jd 1(i1 Skr;Lex+t
application) CITY STATE ZIP FAX
P."Ei7atm-L.. IISA.y k)A 9206 3 NrJ ®
NAME
PROJECT FINANCING "( OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 79.22095)
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,upononthe accuracy of the information supplied to the city as a part of this application. )
•
SIGNATURE: )CeiIv`- (� DATE / 117
PRINT NAME: 35(2 1 i 0
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $ 21? JE0
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(com„orc,q
BOILERS FURNACES HOT WATER TANKS(G,$)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING I GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING 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.
BATHTUBS(a Tub/Shower Combo) LAVS aloud Shim) TOILETS WA I Eft PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS xrtcbm✓us WATER HEATERS(E o trm)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
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 0
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL— REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area in Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application