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13-100852 ' • Mechanical City of Federal ay Community&Econ.Dev.Services Permit #: 13-100852-00-M E 33325 8th Ave S Federal Way,WA 98003 Request Inspection Re t Line: (253)835-3050 Ph:(253)835-2607 Fax:(253)835-2609 p a Project Name: KELLER Project Address: 30231 27TH AVE S Parcel Number: 798480 0170 Project Description: Install gas piping for tankless water heater.Length of gas line approximately 50' long Owner Applicant Contractor BRUCE E KELLER BRUCE E KELLER OWNER IS CONTRACTOR 30231 27TH AVE S 30231 27TH AVE S FEDERAL WAY WA 98003-4212 FEDERAL WAY WA 98003-4212 Additional Permit Information Is this an Online or O.T.C.application Yes Mechanical Fixtures Gas Piping 1 PERMIT EXPIRES Wednesday, August 21, 2013 Permit Issued on Friday, February 22, 2013 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 th- Ci ;•f -•r ral Way. i Owner or agent: . // Date: 3"27 —�3 P1 A/ s ,43 • THIS CARD IS TO MAIN ON-SITE Federal WayConstruction In ection Record INSPECTION REQUE TS: (253)835-3050 PERMIT#: 13-100852-00-ME Address: 30231 27TH AVE S Project: BRUCE E KELLER FEDERAL WAY, WA 98003-4212 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) ❑ Final-Mechanical(4065) Approved Approved to release test - Approved .By Date .By /..-4 ".. Date 2_. -4feir-3 , .ByDate 3.75 15 •El Rough ElectricalEl Final Electrical Right of Way Approved Approved Approved By Date By Date By Date art of I PERMIWEItEk&ICATION Federal Way -, - FEB- 2 2 2013 r)jblq PERMIT NUMBER ✓ _ 1 0 0 �L OD CITYOF FEDERAL WAY?05- — TARGET BM SITE ADDRESS SUITE/UNIT# 3c2 31 — ;47 r-� live, 5e) - ; rF J �� ) 11)/1 PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# � � $ TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL ❑ DEMOLITION 0 ENGINEERING ❑FIRE PREVENTION NAME OF PROJECT Jh 5 t- //CI !-1 CY11 O c 62et s. L/yi,c'. , .- PROJECT DESCRIPTION ' s c C/ DN e ik^Ct't ,0l awe v' �S i-l'k Detailed description of work to 1114 V' 12, `-4-i4 L e s s 1.,.)e2 'le.{r` 1-I eci le r , be included on this permit only Leyte/ ?Lk a c ISCr/ S Li, h - 5.ha I/ b .. ler nix 3Z),12124 NAME PRIMARY PHONE //4-3 I'. t PROPERTY OWNER 13 —R L/C L 1:-.. I E'L L EA 23Y ? /.z‘ MAILING ADDRESS E-MAIL 3©'2 3 1 — 2 °7 14 V 1= , --5-0, q J ct f e 11 e.1"5F19&fol is,�` . ...T._/_. L•-i/h� 4 L1,0,,,r,- ��� SN'i ZIP 1 Q G/(,3 �..cJm NAME 1 _.. 5I- L /^ – Ow,Ke r PHONE MAILING ADDRESS E-MAIL CONTRACTOR CITY STATE ZIP FAX WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# / NAME5 E` f - a ktr-- PRIMARY PHONE APPLICANT MAILING ADDRESS ( p E-MAIL CITY STATE ZIP FAX __. __ �f i NAME ,�J ...�. / PRIMARY PHONEp 1 PROJECT CONTACT ��� "� ��v� - 5-3 pp 3 G/ / /2- (The individual to receive and MAILING ADDRESS Celt pito„.„. ; 2 S'3._3 q...7--/S-5'" E-MAIL to all correspondence / concerning this application) CITY STATE ZIP FAX PROJECT FINANCING NAME C..d 5 r t-e S`5 f-62, ,S J G - , OWNER-FINANCED Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE (RCW 19.27.095) [.'P II 2 53 3 L7—155 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 .,'ty as a part of this application. .., SIGNATURE: — u''r / "` DATE 2-20 -/3 WOW- PRINT NAME: L e IA C " AtL.1 L " - Bulletin#100—January 1,2013 Page 1 of 3 k:\Handouts\Pennit Application VALUE OF MECHANICAL WORK MECHANICAL PERMIT $ Yea•00 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 V 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(Ei«eic) 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 o Yes ❑ No RESIDENTIAL - NEW OR ADDITION AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE FIRST FLOOR(or Mobile 1,a- • COVERED ENTRY GARAGE O CARPORT D Elnsruw PROPOSED TOTAL Area Totals ESTIMATED SELLING PRICE$ I #OF BEDROOMS COMMERCIAL-NEW/ADDITION AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information in Square Feet Type Stories •} q ,� 3 ,41011111.100041110411104:4:. ADDITION COMMERCIAL-REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION Area Occupancy GrouP(a) Construction #of Additional Information in Square Feet Type Stories �eY sass a. °4 ', <' § _ € mar p €< TENANT AREA ONLY Bulletin#100—January 1,2013 Page 2 of 3 k:\l-Iandouts\Permit Application