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16-102159 a n M icia1 City of Federal Way Permit #•• 16-102159-00-M E Community&Econ.Dev.Services 33325 8th Ave S Federal Way,WA 98003 F ILE Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050 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 Dp Contractor HIGH POINT 320 LLC DALE CULBERTSON AMERIGAS PROPANE 10900 8TH AVE S AMERIGAS PROPANE AMERIPL055LL(8/2/17) BELLEVUE WA 98004 879 E VALLEY HWY 19244 E VALLEY HWY PACIFIC WA 98047 KENT WA 98032 • • Additional Permit information Mechanical Work Valuation 4000 Is this an Online or O.T.C.application? Yes No Fixtures Associated With This Permit!t PERMIT EXPIRES Tuesday, November 1, 2016 Permit Issued on Thursday, May 5, 2016 I hereby certify that the above information is correct and that the'construction on the above described property and the occupancy and the u will be in - ir•ance with the laws, rules and regulations of the State of Washington /i-ndeor City of Federal Way. Owner or agent: �y,.ir., Date: .57l3—",/6 • 16. THIS CARD IS TO REMAIN ON-SITE . ., . . '- CITY OF= � ' Construction Inspection Record Federal Way INSPECTION REQUESTS: (253)835-3050 PERMIT#: 16-102159-00-ME 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 6,$) Date 6/11 By Date By Date gr Hydrostatic Test(4310) J� Approved BAA. Date 5.-11—�vo. ❑ Rough Electrical CI Final ElectricalEl Right of Way Approved Approved Approved By Date By Date By Date THIS CA v IS-f0 REMAIN ON-SITE CITY OF Construction Inspection Record Federal Way INSPECTION REQUESTS: (253)835-3050 PERMIT#: 16-102159-00-ME 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. Mechanical Rough-in(4165) Gas Piping(4125) Final-Mechanical(4065) Approved Approved to release test Approved By Api Date b1 i)/)0 By Date By VV40, Date 313 1 11. tXf Hydrostatic Test(4310) Approved By„„AM Date S•1!~1,(o. SITE Rough Electrical —� Final Electrical Right of Way Approved Approved . Approved By Date By Date By Date RECEIVED PERM APPLICATION CITY OF ,.,.. MAY 0 5 2016 Federal Way CITY OF FEDERAL WAY PERMIT NUMBER ( \o5 I 5 j /,C, _ I b FS 91 _ TARGET DATE SITE ADDRESS 5 Z O 5 l r� A SUITE/UNIT# (0 c PROJECT VALUATION ZONING ASSESSOR'S TAX/PARC L# $ ,6.6-D Q 8 1 © c1 / S y ,, - TYPE OF PERMIT ❑ BUILDING 0 PLUMBING YCJ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT y '\\ ilt,- Pi7 /',C._ PROJECT DESCRIPTION S // /� © c'�''l^��/u � -_ �L ^� , �/C� / cam/ Detailed description of work to P i P VC' /S-0 /` t•"-J Cr e-vt. Gi)e/7 �- ,3/7 /// be included on this permit only NAME/lie-a#-114E-44' (704'f- - PRIMARY PHONE PROPERTY OWNER MAILING ADDRESS E-MAIL CITY STATE ZIP NAME ., PHONE /1(4.-1zo-1,t��///jjjcr ( S ii cO 't-1 7: 3'S rc% '/ MAILIN ADDRESS ( /? `� �� E-MAIL CONTRACTOR (t,��'7/gI(-) Z //6y y CI S TE ZIP FAX • 12 ra C. ( , % Cr zA.) Fair(, '"7 ATATE C�OONTT�CTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# d'( /F'L-e) - -/--- a/ / / 7 NAME- PRIMARY PHONE APPLICANT MAILING ADDRESS 5impu. 8- 7 9 G ), 26/4 /24-'k/ ems'/I�..�e CITY /7 f/ s A E ZI ,r� FAX �-,yLy„re-e-!Crrys, Gd"e/ NAME PRIMARY PHONE - PROJECT CONTACT 54IW Ji57 / (The individual to receive and MAILING ADDRESS EMAIL respond to all correspondence e)7c9e..7 4J ,.- She ze92 concerning this application) tt. STA1 ZIP �� FAX �%/!r'� 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 r lance of the city, including its officers and employees, upon the accuracy of the information supplied to the as p'. ot •pp 0,tion. SIGNATURE: /L0.`\ ..m,._ DATE <-5-4-----/62 PRINT NAME: ei'c 4-t ' d,,e_1 Bulletin#100-February 22,2016 Page 1 of 2 k:\Handouts\Permit Application • 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(Hasa 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 ❑ CARPORT ❑ OTHER(describe) EXISTING PROPOSED 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 Feet Type Stories TOTAL BUILDING TENANT AREA ONLY PROJECT AREA ONLY Bulletin#100—February 22,2016 Page 2 of 2 k:\Handouts\Permit Application