17-105745 Mechanical
City of Federal Way Permit #:17-105745-00-ME
Community Development Dept
33325 8th Ave S
Federal Way,WA 98003Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609
Project Name: JOHNSTON
Project Address: 2156 S 278TH ST Parcel Number:757562 0030
Project Description: Gas water heater replacement
Owner Applicant Contractor
MARJORIE JOHNSTON GUDINO PLUMBING GUDINO PLUMBING
2156 S 278TH ST 220 TACOMA BLVD S GUDINP*839PP(10/23/19)
FEDERAL WAY WA 98003-6967 PACIFIC WA 98047 220 TACOMA BLVD S
USA PACIFIC WA 98047
USA
Additional Permit Information
Mechanical Work Valuation? 1100 Is this an Online or O.T.C.application? Yes
Mechanical Fixtures ;13,1 zz 3q
Hot Water Tanks 1
PERMIT EXPIRES Tuesday,29 May,2018
Permit Issued on Thursday,November 30,2017
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
W hington and the City of Federal Way.
---0,1
Owner or agent: Date: 11/30 /20 17
0
` THIS CARD IS TO REMAIN ON-SITE
Feder
Federal Construction Inspection Record
Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 17 105745 00 Address: 2156 S 278TH ST
Project: MARJORIE LYNN JOHNSTON FEDERAL WAY WA 98003-6967
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) El Gas Piping(4125) El Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By Q_ Y -.• Date k ,a -IN_tri
Ill Rough Electrical111Final ElectricalElRight of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED
A. PERMIT APPLICATION
CITY OF NOV 3 0 2017
Fed a ra I WayCITY PERMIT CENTER+ 33325 8th Avenue South + Federal Way,WA 98003-6325
FEDERAL WAY 253-835-2607 + FAX 253-835-2609 +permitcenter@cityoffederalway.com
•)MMUNITY DEVELOPMEN-1
1 0 � �
PERMIT NUMBER— 7 (� 0 l
— /�� 1 ✓ - �� TARGET DATE 1 V /
SITE ADDRESS � �- SUITE/UNIT#
PROJECT VALUATION ZONING ASSESSOR'S #
$ vTAX/PARCEL ° - Q
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING 74'MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT L'-‘..ra Jam.-1Ngr'o-i
PROJECT DESCRIPTION cE.PL PA( tk,_Et O F &ISS Int fITI le ti-EATER.
ER.
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
L\{ NN JO SNS O^l
PROPERTY OWNER MAILING ADDRESS E-MAIL
at 5O 's a--} --
CITY STATE ZIP
1F- _pERAL (~IAS{ WA claw'3
NAME PHONE p,��
(3 UP\r-)C, Pt_vW.. l iL- as3 - 02 C I - RS S
MAILING ADDRESS E-MAIL
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CONTRACTOR O MAC OV�A Z•L.Vv7 S Cow
CITY STATE ZIP FAX
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WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
CL LIODi NP* B? k FP ao / 1\
NAME PRIMARY PHONE
'A t(2l-k (,.xkt/vo Col-S.23 `9O(\9
APPLICANT MAILING ADDRESS E-MAIL
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CITY STATE ZIP FAX
'FR C-lF-1C WA ctaoll1
NAME PRIMARY PHONE
PROJECT CONTACT .(l! V1 (,,N (zu7\►4C S-03_ s23 -''0-1 9
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence a A CO ul-Mck I1_\5 17 `IZ.P.l.Et U.}D(11/D(h10 e G W C,(a
concerning this application) CITY STATEZIP FAX
�Act �C WA4 n
NAME
PROJECT FINANCING ❑ 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 pplication.
6
SIGNATURE: (� DATE I /30 V D V
PRINT NAME: "FA L e f(r('l ("1U I Ai C)
Bulletin#100-January 29,2016 Page 1 of 2 k:AHandouts\Permit Application
ALUE OF MECHANICAL WORK
!/ MECHANICAL PERMIT
o-
Indicate how manyiF each type offixture to be installed Or relocated as part ofthis project.Do not inti ting fixtures
t.
=femain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS e - describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial)
BOILERS FURNACES lC HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
I ",r,.c v t ulV nLmEnvv WORK v
PLUMBING PERMIT n
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 ❑ 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 `x Ltd sit,&.`1^,1
GARAGE ❑ CARPORT ❑ �-----�-�-'-- ----_-
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
Area in Construction #of
AREA DESCRIPTION Occupancy Group(s) I
Stories Additional Information
re
RnvaFret -rPPe Q�w_:
z-- S
NEW BUILDING r,,,,1,1�� ter, r'I7 .417,1 :4'41!'`44".'
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area in Occupancy Group(s) Construction #of Additional Information
Square FeetType Stories-
4.2
tories-
�
TOTAI, BUILDING ' -
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100-January 29,2016 Page 2 of 2 k:\Handouts\Permit Application