16-102845 `ONM • Mechanical
City of Federal Way
Community&Econ.Dev.Services '� Permit #: 16-102845490-ME
33325 8th Ave S
Federal Way,WA 96003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (2
53)835-3050
Project Name: KE
Project Address: 28334 26TH AVE S Parcel Number: 326081.0070
Project Description: Replace gas water heater
Owner Applicant Contractor
SOKONVERY KE YE SOKONVERY KE YE OWNER IS CONTRACTOR
28334 26TH AVE S 28334 26TH AVE S
FEDERAL WAY WA FEDERAL WAY WA
98003 98003
Additional Permit Information
Mechanical Work Valuation 500 Is this an Online or O.T.C.application? Yes
Mechanical-Fixtures
Hot Water Tanks 1
PERMIT EXPIRES Tuesday, December 6, 2016
Permit Issued on Thursday,June 9, 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: ` Date: 6,7'/�//b
4M� . THIS CARD ISREMAIN ON-SITE
Construction Mpection Record - - -
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 16-102845-00-ME Address: 28334 26TH AVE S
Project: SOKONVERY KE YE FEDERAL WAY, WA 98003-3390
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) -0 Gas Piping(4125) a Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date
Q..).. Date 6,1 S^ b fo
El Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
0. ,
,..
do
..,„, __
DIVED
PERMIT APPLICATION
ow OF JUN 0 $ 2016
PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
Federal 253-835-2607+FAX 253-835-2609+uermitcenter(a)citvoffederalway.com
CITY OF FEDERAL WAY
co /10 /1
CDS
l 1PERMIT NUMBER \ ) _ I Iitit TARGET DATE 6
SITE ADDRESS SUITE/UNIT#
g33 I2C /�v,e.. S. r��rer O (,v- Rsoo3
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 5 On 3 oZ & iestz I - 0 ® O
TYPE OF PERMIT 0 BUILDING 0 PLUMBING ECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT ������
PROJECT DESCRIPTION ��`\0.�� 'S w� \� 40 c4.
Detailed description of work to
be included on this permit only
NAME
- PRIMARY PHONE
MAIL
IN \<„,e, 206-q1-2-'" 1"2-ie
PROPERTY OWNER MAILIN ADDRESS E-MAI t
2s633q 240+1AAv.e_ S• vC cornet`-r,
CITY t-eA U3 Ail Z�CIZ3
NAME � �Cir.)
r--) PHONE
C
lLhVI%WV' t (O'Vl
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME PRIMARY PHONE
MAILING ADDRESS E-MAIL
APPLICANT 401100 IJP ifY�J Y^ A�. Q_�.n /1
CI I STATE ZIP FAX
NAME _-. PRIMARY PHONE
PROJECT CONTACT -
MAILING ADDRESS E-MAIL
(The individual to receive and
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING 0 OWNER-FINANCED
When value is$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 this application. /�
16
�/ DATE & /4r
SIGNATURE: — �
PRINT NAME:
Bulletin#100-January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
lib ill° . - . .
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 x 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(Hitchen/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
s �
FIRST FLOOR(or Mobile Home)
,
COVERED ENTRY —
7,A ,„
GARAGE ❑ CARPORT 0
,^ . rr , t •27..:';'
xK .i. ., e.,.,». ;,F;,:.1%.+:',•»':,,,,"� .:h ., '---.1E.cep.-. w:„, ,,;G.. „�. „;,.. . ,,,,,,,:=1,--,.„,
EXISTING PROPOSED
Area Totals
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION ERN Occupancy Group(s) MEM # of mation
Stories Additional
� Infor0.
,.
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION MEM Occupancy Group(s) MEStories Additional Information
TENANT AREA ONLY
Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application