17-106079 illIP e ., ,,,
Mechanical
City of Federal way Permit #:17-106079-00-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: XAYAVONGGA
Project Address: 35828 20TH AVE SW Parcel Number:306560 0130
Project Description: Installation of gas piping for future installation of gas cook stove.
Owner Applicant Contractor
SAMONE XAYAVONGSA HUNTER MECHANICAL HUNTER MECHANICAL
35828 20TH AVE SW 16945 SE 149TH ST HUNTEM*984JD(1/24/19)
FEDERAL WAY,WA 98023 RENTON WA 98059 16945 SE 149TH ST
RENTON WA 98059
Additional Permit Information
Mechanical Work Valuation? 400 Is this an Online or O.T.C.application Yes
Gas Piping 1 Gas Pipe Outlets 1
PERMIT EXPIRES Sunday,24 June,2018
Permit Issued on Tuesday,December 26,2017
I hereby certify that the above information is correct and that the construction on the above described property
and the ocet, 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: i s OY� /7
f ,
• T1IIS•CARD IS TO REMAIN ON-SITE
Fel Way Construction Inspection Record
INSPECTION REQUESTS :(253)835-3050
PERMIT#: 17 106079 00 Address: 35828 20TH AVE SW
Project: SAMONE XAYAVONGSA FEDERAL WAY WA 98023-7249
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) ; El Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date BY A IN) Date / 1/2,7 f j--fr
El Rough Electrical 0 Final Electrical Right of Way
Approved Approved Approved
By Date 4 By Date , By Date
7
► RECEIVED PERMIT APPLICATION
CITY OF
Federal Way DEC Z 6 2017 PERMIT CENTER+33325 8th Avenue South +Federal Way,WA 98003-6325
r 253-835-2607 + FAX 253-835-2609 +permitcenter@cityoffederalway.com
CITY OF FEDERAL WAY
PERMIT NUMBER COMMU DEV LOPMENT �f �o
/ ( --------___ _,...)
- O 7 -Ls�c TARGET DATE
SITE ADDRESS SUITE/UNIT#
3Sg 2.'< S ,i ,,,64-y 61(793 ���
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$
TYPE OF PERMIT ❑ BUILDING 0 PLUMBING jg MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT YA V a, Vo ri J--/ &
PROJECT DESCRIPTION e, GAS y_ /
Detailed description of work to : 0'�s7 P[' 16A �Pt� 't'C�
be included on this permit only L1 ,
NAME PRIMARY PHONE
XAY a- Von3
PROPERTY OWNER MAILING ADDRESS E-MAIL
3sg a8 9o0` tuc- S
CIT STATE ZIP g D
93
NAME v (� PHONE
N U n-l-r✓r MerLieI:(A( 1 946 S 71 9'c
MAILING ADDRESS Q E-MAIL.
CONTRACTOR 16 g`FS SE /T,/,a/vk St- /'J "'
CI STATE ZIP. FAX
b -/0022 �. w(fl- 61 0,79
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
4 o, 4-eyri iir 9 '1(j3D -7 I/ /
NAME PRIMARY PHONE
L f•V' auG I. er.17 ao 6 671 9'/9.S
APPLICANT- MAILI G ADDRESS E-MAIL
/6 995- s'. / l e'''5—'
CI�T�' ).-on
STATE ZIP FAX
980 5
NAME PRIMARY PHONE
PROJECT CONTACT S -e As fleaue_
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING j, 0 OWNER-FINANCED
When value is$5,000 or more MAILING ADD S,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 supp =• to he city • part of this application.
SIGNATURE: A.
I.,
r;L,�. AL � ' DATE
I - , -
PRINT NAME:
Bulletin#100-January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
t
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(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 I 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) I EXISTING PROPOSED I TOTAL I FOR OFFICE USE
,ex,' e„'r', r,/ ',.'"'"''X,
r dZ ,� mo `r ! i 'a . 1r� !ra44,7 .: , J. eff,1refee :4/00/../ % l * f..i. -_....................................:_........... ..._. .._._..._........._......._.._.__._...........__....._..._................
- ,. r;'fr"-*' ^� ii,P9.,efY,;f`rii=',J, ....................................._..._..__.._._....__........._........-'—'---.............._.................... ..
FIRST FLOOR(or Mobile Home)
, s Je' e .1.` e ” . 5...; ' rJ P / N
r / `i, ' ' :14,,,`/2.47';'
idt/ Jr r ma/ r ''''',./.."'/7"'"/"'
' .
-/1 � SS ,Vi;. y./ .. ( % ' vf" :.4
!�J
COVERED ENTRY
� ' ,rrJ , t J,/ r/ ,(Y-00-,,,,/r
// .'JJf,r 1 /! " r y ' J* " f/r , //4,,,4,A04$044.,:-.4,0,-;,...,,,,,./054/
//Sv / r/ f ....._.........._...............-..:.................__._...................._.................._........_...........--........._................_..........._.
GARAGE 0 CARPORT 0
/fr'r f�i��c,<'/+3f/ %/.��iri/4A'a'I'r, /s F x/fl/rr" Jts�%f r'.rr�/ t�i/�%s'�` r �'f'i9�r/r/rf/.r" /irjJ`r,f/yJ.r!�JfJ/ifr/r ......___......._.................... .. ...... ......._..... ......._.._.._............................._...........___ _
orf�''ff/f;�% ,/J ���:rJ',/ s/ ,n fi / .. � J �` r. .r��� %'r f//rf ' / ............_..._........_.......__
r,.^/,.uf�i,,'e°. .?fr.H'r,rrJ�'6/7/,...;.,-��iG.�,�r��r��-f.','.�if`.9 �, s . /�`rrU. ^f,. ,a�`,F,�
Area Totals EXISTING PROPOSED TOTAL
J r;!f`r'y', J P � v e�g {✓` O 'i -ate'
u7,r ii r% ,F,rr9 r/*. , :. ./%47'', /".7 „x„ ^,;° ,/5. r' -"...<--,t1.4754,-6 -4%-/ :
ESTIMATED SELLING PRICE$ I #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
Construction #of
AREA DESCRIPTION fArea in
s-oars Feet Occupancy Group(s) Ty.e Stories Additional Information
.rr �l ,^/ i',/z d , ,fiAi,/,',41V1,.;//7 /7/,-///f/ "i' / ,,,fr,%,,, �s" J ,I.,,;.1
" / / / �/ ; J,. r ,,, ,, rtel// /. //// .' '
ADDITION I 1
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
Area in Construction #of
AREA DESCRIPTION Occupancy Group(s) Additional Information
S.oars Feet .e Stories
' $ a t✓/f® 6 f`! ,'.4,1,5,,,,,./,-4.,,0,,,:-:;`,/4.,,,:4:,
/ ^r'- r - ,%W,),4. :,
/r'/„/ ,, c ^ ,, ;*/,•4”.. / F 14//,0,,,,:,''
TENANT AREA ONLY
,,,,9":70.:�h/rr/�.r-. � J .::r,7 rr�,...>r" iii /,>r�/ �-4,...::::;,44.,24:‘,,- � � .. ,:' �_. q',, �;, : �;'i
�b"e: ,,,,%r;:y...1,',C'.r r/ // a ��,: /w;:1 'ry f'/' .0.; /iE"i/ %i r, f.4.,,,:4004
, �; s' r�® a ,�y � �'^�i �, , �/ °�y�� /i�'�i,/}�'sr��/ri r�+r'r/�',J'„r''' // y ^r �rJr//r'.r �fF
rr,',,r?r�^ //,;:f r. r.;.5,�crr%r ",, v'r,>� 1.� /,7
Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application