17-105391 t -
Mechanical
City of Federal Way Permit #:17-105391-00-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: JOHAL
Project Address: 2648 S STAR LAKE RD Parcel Number: 516000 0230
Project Description: Installation of gas piping for future cook stove and HWT replacements. Gas outlets only at this
time.
Owner Applicant Contractor
BALBIR JOHAL BALBIR JOHAL OWNER IS CONTRACTOR
2648 S STAR LAKE RD 2648 S STAR LAKE RD
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
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Additional Permit Information
Mechanical Work Valuation? 800 Is this an Online or O.T.C.applications Yes
3�oo o ,,,,a iii
Via; '3,fl,;'3 r' �� L Mechanical Fi t> res
/„i..ra 3II3T 13 3�333d��„'..i... .....:...� /,.� .::.:'. ,. � -:, .��',� 3i 3; 33 »>a„a,�:,b iA:�i..c;.y
Gas Piping 1 Gas Pipe Outlets 2
PERMIT EXPIRES Sunday,6 May,2018
Permit Issued on Tuesday,November 7,2017
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
/4/ Washington a the City of Federal Way.
Owner or agent: Date: //' 7 / 7
Ono,\-R-c) .
•THIS CARD IS TO REMAIN ON-SITE
GITV OF ` `
�
Federal WayConstruction Inspection Record
INSPECTION REQUESTS: (253)835-3050
PERMIT#: 17 105391 00 Address: 2648 S STAR LAKE RD
Project: BALBIR JOHAL FEDERAL WAY WA 98003-6918
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) 3❑ Final-Mechanical(4065)
Approved Approved to release test '''0 + Approved
By Date By Date °1 ?Sib7 By yytyiJDate ,1' / `' /i%
El Rough Electrical ❑ Final Electrical ❑ Right of Way
Approved Approved Approved
By Date By Date By Date
DECEIVE® PERMIT APPLICATION
CITY OF ="
Federal Way NOV 07 2 'ERMIT CENTER+ 33325 8th Avenue South + Federal Way,WA 98003-6325
253-835-2607 + FAX 253-835-2609 +permitcenterncityoffederalway.com
CITY OF FEDERALWi-
COMMUNITY DEVELOPMENT
PERMIT NUMBER / _ / 0 S 3 3! / _[ F
TARGET DATE
SITE ADDRESS SUITE/UNIT#
;014s . Si— Ia k€ - Fede(W Lav r c% 1$'� 3
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
PROJECT DESCRIPTION +r S' t l 0) 1 %1 7� jiet
Detailed description of work to
be included on this permit only
NAME W !1 PRIMARY PHONE
oe' Caufykorz 3 -S 6 I/
PROPERTY-OWNER MAILING ADDRESS A E-MAIL
kl� r qg a,9 KOOLV, •k KP N PAIL€L 1 ROI Yfl/10C,CON
CITY STATE ZIP
G ,G • g0R. wf\ `1f 51 I
N•, E PHONE
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PY27Qe ��_����� Ow MAILING ADDRESS E-MAIL
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CITY STATE ZIP FAX
,,✓e,y LJA 9 SSD 3 —
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NA PRIMARY PHONE
Ir 36 a41- $3z7
APPLICANT MAILING ADDRESS E-MAIL r I /'
9-6We' S . s �. WF fl1 'l1b it eAa/6-)gCSt�n.cow
CITY STATE ZIP FAX
IP
fit_ >vQ k1, \g6v 3
NAME T App
PRIMARY PHONE
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PROJECT CONTACT � .e . �7II CG-�i�
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING i;YOWNER-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 pplic�n.
SIGNATURE: dipr DATE
PRINT NAME: I% LfS 1 R /,,_o /7 4- '-
Bulletin#100—January 29,2016 Page 1 of 2 k:AHandouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
Indicate how many of each 19pe vffixture to be installed or relocated cated 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 t/— GAS PIPING WOODSTOVES
"
V
PLUMBING PERMIT n JEvF.L"J.v,'&IlvvWORK
Indicate how many of each type offvcture 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(Eleotric)
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)
Area Totals EXISTING PROPOSED TOTAL
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
Area in Construction # of
AREA DESCRIPTION Occupancy Groups) Additional Information
SmInYP FeOt jpe Wit..:es
NEW BUILDING ':
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area in Occupancy Group(s) Construction #of Additional Information
Square Feet pe Stories
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application