11-104741 • X Mechanial
City of Federal Way •
Community&33325 Econ.DevS Services E, Permit #: 11 -104741 -00-M E
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Federal Way,WA 98003 '-��
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: KHAN
Project Address: 30139 29TH AVE S Parcel Number: 798380 0110
Project Description: Replacing a gas water heater
Owner Applicant Contractor
PARVAIZ G KHAN WASHINGTON CORROSION SRVC INC WASHINGTON CORROSION SRVC INC
SURRIAYA J KHAN 1425 BLAINE AVE NE WASHICS055KC(5/4/12)
30139 29TH AVE S RENTON WA 98056-2774 1425 BLAINE AVE NE
FEDERAL WAY WA 98003-4863 RENTON WA 98056-2774
Additional Permit'information `F
Mechanical Valuation 1227 Is this an Online or O.T.C.application? Yes
kNf Mechanical Fixtures
Hot Water Tanks 1
PERMIT EXPIRES Sunday, May 27, 2012
Permit Issued on Tuesday, November 29, 2011
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: ' 1.. Date: I I / . 1/
Flt'L ' 1 /(111
- imm,.... .,,A-- • THIS CARD IS TOMAIN ON-SITE
CITY OF
Construction Inection Record
Federal y INSPECTION REQUESTS: (253) 835-3050
yam'
PERMIT #: 11-104741-00-ME Address: 30139 29TH AVE S
Project: PARVAIZ G KHAN FEDERAL WAY, WA 98003-4863
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) ❑ Gas Piping (4125) ❑ Final-Mechanical (4065)
Approved Approved to release test Approved
By Date By Date By 6"1 Date f r b - (2-
❑ Rough Electrical 111 Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
RSC a �� RM IT
Federal WayS F CO PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES p p L I C A T I O N
253-835-2607.FAX 253-835-2609 r ®X Yj is c'
�r, r ;f fi l e ! m
SITE ADDRESS CITY OF FEDFRAL WAY .a
SUITE/UNIT#
op/3`it -1 h nv1:CQ 14' -' ,i (4/? / X4/7; %-)63
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ / da7 ()c?
TYPE OF PERMIT CIBUILDING 111PLUMBING ,'0 MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT /J i �Q
rq lc.
(Tenant Name/Homeowner Last Name) 7 Voll ^
P-eay cy.A s tu,-24.37-e r--- PIP e "I-r r--
PROJECT DESCRIPTION /
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER /,4-.1(VGt iJ' 1f <� t-r) 1ST ,:.G'2 '- n
A '` \-
MAILINGADDRESS E-MAIL
': t.'/_J q�`h 4-1,--e,
CITY -
N AME P ONE
/A)A J'1/�74} CprKbSiO� r1J Act AUC, 42 '22.01g'3
TAILING ADD E/ E-MAIL
!
CONTRACTOR 2c /J/& "-.9-• �"'i-c'----
'/$— ��L.
r"YI? ? �.../ i.�T C4 I�V J FAX
WA TATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
f AStITCS.DS-C1Cc aci ay i((
Nj E PHONE
L 1±)1,- t C--71-2)Y
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
PROJECT CONTACT N PHONE
(The individual to receive and Q� /
respond to all correspondence ING ADD 1 E-MAIL
MA
concerning this application) / Z_ ( rt-c-. £L. -c NC----
C ATE ZIP FAX
1A_. Nr
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME OWNER-FINANCED
Required value of$5,000 or more
(RCW 19.2 7.095( 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 to the e4y as a part of this application.
SIGNATURE: a, .`�( DATE �1 ) c .
�I
PRINT NAME: ' i//t of i
Bulletin#100—January 1,2011 �J1 Page 1 of 3 k:\Handouts\Permit Application
• •
VALUE OF MECHANICAL WORK $ (a copy of bid or estimate must be provided)
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(Commerc aI)
BOILERS FURNACES ( HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING ( GAS PIPING WOODSTOVES
,...t . "a. e '. .�v+,�.�,.i;a�,,. .,_,.�' � yzre%�..�
Indicate how many of each type of future to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS)or Tub/Shower Combo) LAVS)Nand 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
111,4;;: 41' GENERAL INFOR TION ;
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?
Li Yes ❑ No ❑ Yes n No
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
F'RST FLOOR (or Mobile Home)
_-.._
SECOND FLOORI
--.2..2.2..2.
COVERED ENTRY
dWO.` f b �?r ..
GARAGE D CARPORT D
p
OTHER(describe) . ? f ,„,
s P E I
-?-0 41,
EXISTING PROPOSED TOTAL
Area Totals
*"NEW HOMES ONLY**' ,.. x
ESTIMATED SELLING PRICE$ _ # OF BEDROOMS
AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
in Square Feet TTpe Stories
NEW BUILDINQ f. s
�r�.eate
ADDITION '..
wRC_iAI,— RE MOD)F:L NA1 T IMPROVigk .,..-
Are a Construction # of
AREA DESCRIPTION Occupancy Group(s) Additional Information
in Square Feet Type Stories
TOTAL BUILDINGr
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100- Januar, 1.21111 Page 2 of 3 k:\Handouts\Permit Application