16-100012 • --
•
FILE
Mechanical
C &Eof cderal on.DWay Permit #: 16-100012-00-ME
Community&Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p q
Project Name: WHITE
Project Address: 30229 27TH AVE S Parcel Number: 798480 0160
Project Description: Installation of gas fireplace insert& gas piping.
•
Owner Applicant Contractor
DOUGLAS WHITE DOUGLAS WHITE • ADVANCED INSTALLATIONS INC
KAREN J WHITE 30229 27TH AVE S ADVANII033DU(3/13/16)
• 30229 27TH AVE S FEDERAL WAY WA 98003 16504 HWY 99 SUITE 101
FEDERAL WAY WA 98003 LYNNWOOD WA 98037
Additional Permit Information
Mechanical Work Valuation 675 Is this an Online or O.T.C.application? Yes
Mechanical Fixtures
Fireplace Inserts 1 Gas Piping 1
PERMIT EXPIRES Saturday, July 2, 2016
Permit Issued on Monday, January 4, 2016
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: K � � .� Date: ` 14 I 2 a I Co
C.J
THIS CARD IS TO MAIN ON-SITE
Construction In ection Record
Federal Way d
INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 16-100012-00-ME Address: 30229 27TH AVE S
Project: DOUGLAS WHITE 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 I )9l/ By Date By A 13 Date
Rough Electrical Final Electrical Right of Way
Approved Approved ❑ Approved
By Date By Date
By Date
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fOCEIVED
PERMIT tPPLICATION
CITY OF
Federal Way JAN 0 4 2015
CITY OF FEDERAL WAY
/ CDS l
PERMIT NUMBER / /� _ / D 0 U / 1� E TARGET DATE J
SITE ADDRESS ��[l// SUITE/UNIT#
3 0 2—'iCi 2,1 tQu ._ __S
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING /�. ECHANICAL El DEMOLITION El ENGINEERING ❑ FIRE PREVENTION
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NAME OF PROJECT f \ k t `�
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PROJECT DESCRIPTION i ' r n i n\/
Detailed description of work to I N c4-, -t t 5p,� ‘ '�-C_ `�' ( `vy @ a-
be included on this permit only
NAME PRIMARY PHO _ .
PROPERTY OWNER -a)Uq� 1f J W V\ t is (i ��(:,?___
MAILin ADDRESS E- L
r, STATE MR
r 67&_ak,a� L0 -- Lar �IC�UG --1L-Po
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NAMF) ,J JA i-Cell 17pc 1, A o&, ✓-/"c PLFAI26 l JCI 1
MAII,I``N''G__ADDRESS I, I ' (� { E- L' (0�� f, 5L I
CONTRACTORw� V'7 Rl1J�+ I N'(C: `7 Ytt(\\kv1 l)AP-C��((�Ij(f/)N C�ll��tl1D�J`
CITY !\LOA D 1 ll)A U O 1 STATE F `F-Th g 8 9 r �1
WA ST E CONTRACTOR'S LICENSE# EXPIRATION DATE FEDE WAY BUSINESS LIC SE#
AD . ) &,01\ C> 33O.GL 3 / 2 `(p O --1,o4-7z
NAME i PRIMARY PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAME (( � � PRIMARY PHONE
lJ
PROJECT CONTACT ( `nA �
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING D OWNER-FINANCED
Required value of$5,000 or more MAILING SS,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 application.
SIGNATURE: `. CCCc (U`/isC "`-� DATE J 1 1 7 I b
PRINT NAME: j t) t12.(
F WL
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Bulletin
Bulletin#100-January 1,2013 Page 1 of 3 k:AHandouts\Permit Application
VALUE OF MECHANI AL,WORK
MECHANICAL PERMIT
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Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include e . -`airy
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER I 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 . .. of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINW: SYSTEMS URINALS OTHER(Describe)
DRAINS =-OWERS 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 o No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL F• ' OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
**NEW :OMES ONLY**
ESTIMATED SELLING PRICE$ - # OF BEDROOMS
COMMERCIAL- W/ADDITION
AREA DESC' ' •N Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
N = LDING
ADDITION
C MERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Construction # of
Occupancy Group(s) Additional Information
in Square Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application