12-101014 Mec1ianicai
City of Federal ay
Community&Econ.Dev.Services Permit #: 12-101014-00-ME
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: NINVARA LLC
Project Address: 413 SW 322ND ST Parcel Number: 926490 1060
Project Description: Replace furance and hot water tank.
Owner Applicant Contractor
NIWARA LLC SCOTT PAINTING INC SCOTT PAINTING INC
413 SW 322ND ST 6213 97TH AVE CT W SCOTTPI9932P(5/4/12)
FEDERAL WAY WA 98023 UNIVERSITY PLACE WA 98467 6213 97TH AVE CT W
UNIVERSITY PLACE WA 98467
Additional Permit Information
Mechanical Valuation 3700 Is this an Online or O.T.C.application Yes
Mechanical Fixtures
Air Handling Units. 1 Hot Water Tanks 1
PERMIT EXPIRES Saturday, September 1, 2012
Permit Issued on Monday, March 5, 2012
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 Washington
and the City of Federal Way.
Owner or agent: ,.-6A �/'^� Date: . �t' Z-.° IZ5f I pt.
THIS CARD IS TO REMAIN ON-SITE
Federal Waya Construction I ection Record r
INSPECTION REQUETS: (253)835-3050
PERMIT#: 12-101014-00-ME Address: 413 SW 322ND ST
Project: NIWARA LLC FEDERAL WAY, WA 98023-5632
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) ❑ Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By 0_2\ ^ Date S,)4 t 7
El Rough Electrical1:1 Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
...
,...A. .
-L / 0 / 4
Federal Way PERMIT MF CO ME PL DE EN FP
COMMUNITY DEVELOPMENT SERVICERS
253-835-2607•FAX 253-835-2609 fiLL'.rw. i ' CAT I O N 4`�
www.cityoftederalwati.com
MAR 0 5 2�'s?
SITE ADDRESS SUITE/UNIT M
y/3 S,w•Cj FE$ER �-c- £'\i -( cAi
PROJECT VALUATION Z(en S ASSESSOR'S TAX/PARCEL�$ # ^ ® - I � 6 V
TYPE OF PERMIT`
0 BUILDING 0 PLUMBING MECHANICAL
0 DEMOLITION ❑ ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) .S c p --r pAtn1-/n G- :YAC. aPr1/7,� .L CP'.e..7.r
PROJECT DESCRIPTION �'�.ffi".p C L hie ii-/ 1-cr ll-n/ c--k-, ora l-r i- f./i is fisc/LC t,-,�s ) pA/,1 7
Detailed description of work to d-'r£A--I c.1L , {LSTC(-I Cot_j r-. 111-‘ A- "'IRA./ D 0 pit.r d 7Ri,,n , d-^f,r-mC<
be included on this permit only Nifc� w/ek D col
crr_ETI' 4 GAf7r�leE iJ"
NAME PRIMARY PHONE
PROPERTY OWNER 1 i W W R.A LLC_ ary_tel'LI- p i'7.2"
MAILING ADDRESS E-MAIL
qy'� `)13 f w- .7 2 a " xi— eco*i&% c- (A"A`-(
V CITY STATE ZIP
FE,D£P,AL (01/4.4.`4'i (AAA-
.
NAME PHONE
4.-C Q1-1- PA1Ivr/,1d ? -cC -.7_.T7 '' ''.1 C)3q
MAILING ADDRESS E-MAIL
CONTRACTOR 1.07-1.7c!7 pod,- C7 (,CJ ixq ft.'T T�c crv.ca.r?. vis
CITY STATE ZIP FAX
UniveA,'' /rY (7L 0.---Ps j SYS-'7 2.,.f3 3 o/--?wisr
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE it
c c7?P..7ct97,2A .i' / '-( 72...0 it-
..
NAME PHONE
I'"%-k\Lei SC1JT'T j-3-75- '7107`°t+
APPLICANT MAILING ADD E-MAIL
(.02.k3 Ct 1 . `''z c'T U/ ilLCAfC5TT} Cc,...te2,✓'T-f1 1
CITY STATE ZIP FAX
(,,f'IUW 11 y pc. GC/1A 5?V 7 Z.rz-lei- ?°N.! '
PROJECT CONTACT NAME PHONE _ .
(The individual to receive and >‘"kkLS- a -- •t o r-1- •J--3- -i-1 - c/o?L/
respond to all correspondence MAILING ADDRESS E-MAIL ,, i:r
concerning this applications GI 2-t? 9 l A�� Crr 0e mi-_A-r't-PTr J cc..,CA-"T-
CITY STATE ZIP FAX
orlwC&1I1,( pL 1A/Pr 5,t'VC-'7 -J- 20/-3 c`/-r-
ALTERNATE
/ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME
0 OWNER-FINANCED
Required value of$5,000 or more
(RCW 19.27.095) MAILING ADDRESS.CITY.STATE,ZIP PHONE
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 tothecity as a part of this application.
SIGNATURE: ,....rill 4 r,�� DATE 0 r / ac-/2-
PRINT
PRINT NAME: m iK-1. A ✓`cal-•T
Bulletin#100-January 1,2011 Page 1 of 3 k:\Handouts\Permit Application
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MECHANICAL FIXTURES
VALDE OF MECHAIVIC.AL WORK $ 70Q 0 (a copy of bid or estimate must be provided)
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not incbuIP existing fixtures to remain.
)( AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(coalmen-um
BOILERS FURNACES Y HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING FIXTIJRES
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not inclurle existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo) 3 LAVS(Hand Sinks) 2— TOILETS WATER PIPING
i DISHWASHERS - RAINWATER SYSTEMS tJRINALS OTHER(Describe)
DRAINSFIC1RS' VACUUM BREAKERS
DRINKING FOUNTAINS SINKS ocitdtihty:--- WATER HEATERS(sieemo
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 n No UYes No
itESIi)ENTIAL - 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 El CARPORT D
OTHER(describe)
RUSTING PROPOSED TOTAL
Area Totals 2:300
--ivziv HOMES WILY"
ESTIMATED SELLING PRICE$ #OF BEDROOMS
CiariEViERaAL NEVV/ADDITION
Area #o
AREA DESCRIPTION in Square Feet Occupancy Group(s) Construction f Additional Information
Type Stories
NEW
Bunaum
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
Area of
AREA DESCRIPTION in&ware Feet Occupancy Group(s) Construction #Stades Additional Information
TYPe
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100-January 1,2011 Page 2 of 3 k:\Handouts\Permit Application