15-101144 411 0 Mechanical
Cityof Federal Way Permit #: 15-101144-00-ME
Community&Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line:
Ph:(253)835-2607 Fax:(253)835-2609 � � (253)835-3050
Project Name: CLEVELAND
Project Address: 31016 11TH PL SW Parcel Number 525980 0360
Project Description: Replace gas hot water tank.
Owner Applicant Contractor
CRAIG CLEVELAND JEROME GIBSON JEROME GIBSON
31016 11TH PL SW 11207 1ST AVENUE CT E APT A203 JEROMG*884NN(8/15/16)
FEDERAL WAY WA 98023-4535 TACOMA WA 98445 11207 1ST AVENUE CT E APT A203
TACOMA WA 98445
Additional Permit Information
Is this an Online or O.T.C.application? Yes
Mechanical Fixtures
Hot Water Tanks 1
PERMIT EXPIRES Saturday, September 5, 2015
Permit Issued on Monday, March 9, 2015
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 accord. ce withl.. laws, rules and regulations of the State of Washington
an• i��f Federal Way.
/74
Owner or agent �� �..�7 Date: 3-7
/-S,___
THIS CARD IS TO ,MAIN ON-SITE .
CITYCr OF 101111 • Construction In ction Record
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 15-101144-00-ME Address: 31016 11TH PL SW
Project: CRAIG CLEVELAND FEDERAL WAY, WA 98023-4535
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) 0 Gas Piping(4125) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By Date 4_et_-1.
CI Rough ElectricalEl Final Electrical EI Right of Way
Approved Approved Approved
By Date By Date By Date
Re'D
CITof PERMIT XPPLICATION
Federal Way MAR 0 g 2015
CITY OF FEDERAL WAY '40W
CDS "IP'*'
(� v '�
/ /
PERMIT NUMBER /5 _ ® 1 7" r _ 4f 6 TARGET DATE
SITE ADDRESS l / SUITE/UNIT#
t."-
...PA
� (AV✓ (A'J3tO #7-41
W.
f ve)(T3
R UATIONZONING ASSSOR'STm/PjE
/690 0 - --. 5 A ,._ ? 0 - 0 3 (e °
/TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT i% fr � ,C`Lp�7' L j A f- �Cp /Y0u I
PROJECT DESCRIPTION ! /, G C/
Detailed description of work to
be included on this permit only
NAME ` PRIMARY PHONE
PROPERTY OWNER E a- C e 1g` tv b.
CCT13/LING� /I( /t' /4> PL-56-
Gti�DRESS E-MAIL
STATE ZIP
FeOe1,41
u"9y' a- 9. 9 0:2_
PHONENAME ' o?4 E' 6 (? SO
MAIL,G ADD E-MAIL
CONTRACTOR 4.7—AVe Gj
CITY ,c, ��,,,,rrSTATE Z � ( FAX
/—film 4r1 Q v-9 �J
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAMEAro Rte' ,9-c (9 PRIMARY PHONE
APPLICANT MAILING DRESS /J E-MAIL
CITY STATE ZIP FAX
NAME PRIMARY PHONE
PROJECT CONTACT
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING 0 OWNER-FINANCED
Required value of$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 pplication.
dij
441.11°K q#--- fs--
SIGNATURE: , ," .i! . ......,#:,./s.',.�
DATE /7� �
PRINT NAME 7 i t`
Ii ' C`/<1 5O'/
Bulletin#100—January 1,2013 Page 1 of 3 k:\l-Iandouts\Permit Application
S •
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $ !009
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 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
9,4/4'
40/4-4,44,4, /VL rr`•r
F.. , , 4 %^ y . . '/J,^r /f
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........._._..---------------•
FIRST FLOOR(or Mobile Home)
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COVERED ENTRY
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� � �' �, j``r� ��r� %`?/r ``f,//fir^ls,..i'r,��,r�����r�r�i�`�",rf..��J�/.�.`r,'r`�'""� -�;//i1 r.�,^,.!-
+ /r^''ri'•,ry ,�� ir.✓//,/Z ,`,/r„MMrMMM%/`,f!/` //Z,:t,1 f+;/.:..-;rir fi``.//r/ 4'4 f% /;� ,�//,,,rr.r,.,...
GARAGE ❑ CARPORT ❑
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EXISTING PROPOSED TOTAL
Area Totals
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ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area Group(s) Construction #of Additional Information
Occupancy
in
Square Feet Type St
ories
//% � �24: � ` q � rr' i fr� y
r� /�
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ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
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TENANT AREA ONLY
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Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application