11-104102 Mechanical.
City of Federal Way • * .{{.�� '
Commw�y& con.Dev Services re r "' ' Perlllll #: 1 1 -104102-00-ME
33325 8th Ave S
Federal Way,WA 98003
Ph (253)835-2607 Fax (253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: WILLIAMS
Project Address: 2004 S 282ND PL Parcel Number: 422231 0170
Project Description: Install ducting for ductless heating system,gas piping for direct vent gas fireplace&
fireplace install. 11/16/11-Revised permit to add 2 exhaust fans for new bathroom and
washer/dryer area.
Owner Applicant Contractor
PATRICIA JEAN SMITH PATRICIA JEAN SMITH PATRICIA JEAN SMITH
2004 S 282ND PL 2004 S 282ND PL 2004 S 282ND PL
FEDERAL WAY WA 98003-3241 FEDERAL WAY WA 98003-3241 FEDERAL WAY WA 98003-3241
: Aclditianal "ernI t Information
Mechanical Valuation 10000.00 Is this an Online or O.T.C.application? Yes
• >NM1 eCh,�n1 3 F1 ��'�"
Ducting 1 Gas Piping 1
CONDITIONS:
Exhaust fans to be minimum 50 cfm,vent to outside.
PERMIT EXPIRES Wednesday, April 4, 2012
Permit Issued on Friday, October 7, 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
, a d e ity of Fed r I Way.
Owner or age
'r[/i f( 1 (e)� Date: (/—( -y/
F1P4,kLL1, 4 Z
tl
• Mechanical,
City of Federal Way
'Community Development Services Permit #: 11 -104102-00-M E
P.O.Box 9718
Federal Way,WA 98063-9718 °" r
Ph:(253)835-2607 Fax:(253)835-2609 Ey FpY F Inspection Request Line: (253) 835-3050
t'
Project Name: WILLIAMS
Project Address: 2004 S 282ND PL Parcel Number: 422231 0170
Project Description: Install ducting for ductless heating system,gas piping for direct vent gas fireplace&
fireplace install
Owner Applicant Contractor
PATRICIA JEAN SMITH PATRICIA JEAN SMITH PATRICIA JEAN SMITH
2004 S 282ND PL 2004 S 282ND PL 2004 S 282ND PL
FEDERAL WAY WA 98003-3241 FEDERAL WAY WA 98003-3241 FEDERAL WAY WA 98003-3241
Additional Permit Information
Mechanical Valuation 10000.00 Is this an Online or O.T.C.application? Yes
11,11
i e t res
Ducting 1 Gas Piping 1
PERMIT EXPIRES Wednesday, April 4, 2012
•
Permit Issued on Friday, October 7, 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 • Fed r r.l Way.
Owner or agent: II, ,/ rfi /, �_ Date: /()#1/
THIS CARD IS TO REMAIN ON-SITE .•
CITY OF
0Construction Lection Record
Federal WayINSPECTION RE UESTS: 253 835-3050
PERMIT #: 11-104102-00-ME Address: 2004 S 282ND PL
Project: PATRICIA JEAN SMITH FEDERAL WAY, WA 98003-3241
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
1
By Date By Date By � � Date
c 44,...3,._ v` �-i' ..-t i . . 'tom1
Lo- e.7q..4,..— S t„ti‘
0 Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
- I0. 4 02
Federal Way +PERMIT •MF COPL DE EN FP
COMMUNITY DEVELOPMENT SERVICES APPLICATION
253www.ri07•FAX 253-835-2609 e ! D
253w -de1UIU!4ll•CO/It `'1/{
SITE ADDRESS U C I LTE/UNIT#
(.r (Iv p
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# �v'-'` WAY
2 2 2 ( _ Qals fid
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING X MECHANICAL
❑ DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) ' 71/
PROJECT DESCRIPTION /ALL'r/A l Y- ia�' ��` ` `� ",
Detailed description of work to
be included on this permit only ^ jS J l _2),'q>e n1�7 i /eA
N �.. � - 1 .7/
_ PRIMARY PHONE
PROPERTY OWNER J (p4/14
C // I// �—J}i/f DS
)MAILING ADDRESS J < (((f//���/// ir"t� E-MAIL
CITY STATE ZIP
NAME PHONE
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME ----- PHONE
Gti'NlpZ
APPLICANT MAILING ADDRESS E-MAIL
CITY S STATE ZIP FAX
PROJECT CONTACT NAME /,1, ),( PHONE
(The individual to receive and (l//Y���/
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application)
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME OWNER-FINANCED
Required value of$5,000 or more
(RCW 19.27095) 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 city as a part of this application.
1 .1
SIGNATURE: ` !�( 4( �% `'
ti\I ( 1 DATE /O
PRINT NAME: l/G((pt Skti
Bulletin#100—January 1,2011 Page 1 of3 k:\Handouts\Permit Application
• •
>` � ... g At i IXT . RF E4 ' x f "' ' fir.
lir
.� �sz�..a.<. � z
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(commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING / GAS PIPING WOODSTOVES
X
ITWONLI
Indicate how many of each type offuture to be installed or relocated as partof 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/Uulity) WATER HEATERS'(Eteotrio)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES<41v ,
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 E Yes D No
l .� 1
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
.... fin., R4 6 S
FIRST FLOOR(or Mobile Home)
x
COVERED ENTRY
GARAGE 0 CARPORT 0
EXISTING PROPOSED TOTAL
Area Totals
i;og s
ESTIMATED SELLING PRICE$ # OF BEDROOMS
AREA DESCRIPTION
Area rea Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
•
LW liurl,DING x ,, �
4014,6411
ADDITION
COMMERCIAL-REIIQDE.LJTTENANT IMPROVEMENTS,
AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
in Square Feet Type Stories
�u.. " .. - ,z, t Ai',?•sz;"sI .: «at.�y? .'L`.' ,. ''-l�s�e" -fit _;
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—January 1,2011 Page 2 of 3 k:\Handouts\Permit Application