16-105530 Mechanical
City of Federal Way Permit #:16-105530-00-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: HIGH POINT MIXED USE
Project Address: 1066 S 320TH ST Parcel Number:082104 9188
Project Description: Install propane piping from the propane tanks to the backup generators.
Owner Applicant Contractor
HIGH POINT 320 LLC DALE CULBERTSONAMERIGAS AMERIGAS PROPANE
10900 8TH AVE S PROPANE AMERIPL055LL(8/2/17)
BELLEVUE WA 98004 879E VALLEY HWY
PACIFIC WA 98047 19244 E VALLEY HWY
KENT WA 98032
Additional Permit Information
Mechanical Work Valuation9 4000 Is this an Online or O.T.C.application? Yes
r ,
Gas Piping 1
PERMIT EXPIRES Wednesday, 17 May,2017
Permit Issued on Friday,November 18,2016
I hereby certify that the above information is correct and that the construction on the above described property
and the occupancy an e use will be'• accordance with the laws, rules and regulations of the State of
Was,' g • ;;iyrh city of Federal Way.
Ar ,�
Owner or agent // Date: ////Jr-4
I;>\TFIINsPI:CTOR kW. X ‘,\I) "TYPE Cil= I\ST>F("T'ION
"134 I tt: J H- Geis (Net, leitit l Oar a 4tV.‘ 4110 P CPrIng. , •
,
THIS CARD IS TO REMAIN ON-SITE
oR Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 16 105530 00 Address: 1066 S 320TH ST
Project: HIGH POINT 320 LLC FEDERAL WAY WA 98003-5338
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) 0 Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
BY Date By .. 1�- Date 11124 % r „By W Date 3 v l'17
•
•
0 Rough Electrical 0 Final Electrical El Right of Way
Approved Approved Approved
By Date ` By Date By Date
RECEIVED
,,,,...._ _Allks‘ Illt
CITY OF 0 V 1 8
Federal Way CITY OF FEDERa +
PERMIISAPPLICATION
201'��jj
PERMIT CENTER 33325 8th Avenue South +Federal Way,WA 98003-6325
L WAY253-835-2607 + FAX 253-835-2609 +permitcenter@cityoffederalway.com
CDS 2 C ,
PERMIT NUMBER 1 LO _ 1 �+ 5- 5 3 0 _ l j f( j c
- - — — TARGET DATE vUU T�
SITE ADDRESS SUITE/UNIT#
/6l
S Sze .a S
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 0 & 2 I o ff{- 9 / 3- S-
TYPE OF PERMIT
❑ BUILDING 0 PLUMBING MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
/1717 ,..„1..
„ 4 p7 / _ '
PROJECT DESCRIPTION _i_L,ts ,744.// ,001":" 4-7e &&:::7Ii ii")4-fr:„.. 1-e,
Detailed description of work to A ' z-e/0 -yr Mame-_ - (
be included on this permit only /
NAME i
/Gilt RP
/ lR ` 2 V PRIMARY PHONE
PROPERTY OWNER MAILING ADDRESS •({- J/ E-MAIL
CITY STATE ZIP
.. .. NAME •
... PHONE
-vril��! .S ,/ roc e- 253 39,5 Sod/
MAILI�7ADDRESS? -' /4/47 a/ , C'u/
MAJL
CONTRACTOR
CI STAT$. ZI � /�/ FAX ,;_ y/ea,.->rps. ca,.....1
WA STA E CONTRACTOR'S L CENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
-CONTRACTOR'S
2/ //
NAM 9� PRIMARY PHONE
• 1c C (7/ i 7 t ZS'? S. 5-- 3°a/
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAME PRIMARY PHONE
PROJECT CONTACT '(,.( S /i vt ��7irir Y'a 9 "L `zer,6 76 7 / Y 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 willcomply 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 141
ity as a is,o .iffirall11111111
�'p�tion. /
SIGNATURE: - J/ /l_- DATE / /ee7
PRINT NAME: ./ ,h, ,pi1��e.��f_ el -C/
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 &THER(De^cribe(
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial) p / > I i ''t-. i
BOILERS, FURNACES HOT WATERR`I'ANKS(Gas) `" 14 I1 " ! r✓
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?
❑Yes ❑ No u Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
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.41.1 sy �s�C//rtip/H f/ w . +' 22,�4. i : r e� '%' bf / 4� >
FIRST FLOOR(or Mobile Home)
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COVERED ENTRY
5 _y,s1/1 / a_., // //j x• �y�/ V,y „?.. ytf 11”,/° 3s %r 14"6 ` . ,44,•',-,,-`1--.-¢_-.
GARAGE ❑ CARPORT ❑
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aI l 0 �X1**,,,�fj/ .// 'y/�'•. /r '" t .f % // *''. uhf 4.471A.,.. 04 :2 . ti6w w/y.'
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EXISTING PROPOSED TOTAL
Area Totals q
y.!'.% is is/�/£,�Oz .i,:y,iy,:'.;f/' X u"` k , irY.S 'f u` ,Y xr X. sr.: y." 5'... /. an,'�ia' ` iv �4
ESTIMATED SELLING PRICE$ i #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area in Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
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Pn '.3+ J�/U hf0 r' 4���1�467•%$3r e`, Vin} IN ".•IH:c'.�'.j,G./i[�%� ,y51,t; 'r2 :�i /�„''9";.'vi,,,Y . Rif t,.*A". ."''';''0,,#y -?o-fr.`4 :,,,:r^ S,L/Y.�6,,,,,``.,,,,;,,,,,v:, ,,{.//},r -'%,////A; //f1..
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i�.,., 9 f 'fit �zr..'; r;',. 'c'i.
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area in Occupancy Group(s) Construction #of Additional Information
S.uare Feet .e Stories
. e7 ^n"'� v /r +rr^ .! re'",T- ,`7V,7;77 ,-'77“,V�7; f174t 17 7,-
,m:7C "W• l," s/h %JY/fn ,, r^ / //1 /imn� lr ,/ ✓ , ./� � �'/ % x < u /%er1 * ',i/r ;4— r,,�q,a /,, r/ /;..,„z' 0,. , / / k �� 1V ' /%,,,3 . ,
TENANT AREA ONLY
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Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application