15-103426City of Federal Way Mechanical
Permit #: 15-103426-00-M E
Community &Econ. Dev. Services •
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: FEDERAL NATIONAL MORTGAGE ASSOCIATION
Project Address: 613 S 318TH PL Parcel Number: 794160 0170
Project Description: Replace gas hot water tank.
Owne
A1212111can
Contractor
FEDERAL NATIONAL MORTGAGE
THE PLUMBING & DRAIN COMPANY LLC
THE PLUMBING & DRAIN COMPANY LLC
ASSOCIATION
12910129 ST E
PLUMBDC891JF (4/1/16)
400 COUNTRYWIDE WAY
PUYALLUP WA 98374
12910 129 ST E
SIMI VALLEY CA 93065
PUYALLUP WA 98374
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes
Hot Water Tanks ............................ 1
PERMIT EXPIRES Sunday, January 10, 2016
Permit Issued on Tuesday, July 14, 2015
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:
\1 -U 11�'
THIS CARD IS TO MAIN ON-SITE - -
CITY OF Construction I ection Record
Federal Way � INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 15 -103426 -00 -ME Address: 613 S 318TH PL
Project: FEDERAL NATIONAL MORTGAGE FEDERAL WAY, WA 98003-5253
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)
1:1Approved
Gas Piping (4125)Final
- Mechanical (4065)
By
Date
Approved
Date
Approved to release test
Date
Approved
By
Date
By
Date
By
Date ",_
Rough Electrical
Approved
1:1Approved
Final Electrical
Right of Way �~
Approved
By
Date
By
Date
By
Date
DAT E
INSPECTOR1
TREVE®
�,r„oF . CWPERMIPPAPPLICATION
Federal Way JUL 14 2015 e` )1
3
CITY OF FEDERAL WAY
CDS
PERMIT NUMBER _ / TARGET DATE
SITE ADDRESS
3 3 l PL — RJ4A) U_),Ab -
SUITE/UNIT #
PROJECT VALUAT;Op
$ ®`4 find
ZO ING
ASSESSOR'S TAIL/PARCEL #
C� - -Q/- % 0-
TYPE OF PERMIT
❑ BUILDING PLUMBING ECHANICAL I]DEMOLITION ❑ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
p r iL
PRIMARY PHONE
MAILING ADDRES
E-MAIL
CITY
STATE
ZIP
NAMEJ , � \
AP r lv
PHONI_3
`
MAILING ADD RES } C
� 7 ' I SC, I
E-MAIL
'
CONTRACTOR
•
CI Q STATE
U ( �
ZIP �y
_3� l.J
FAX
WATATE CO TRACTOR'S LICENSE #
VL.
.v
IRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAMEF
PT PHONE _q
MAIM, D ESS }-
1-201 Li S • I ^' C�
E-MAIL
rx
APPLICANT
CITY STATE
ZIPG
'
FAX
PROJECT CONTACT
NAME I
fL
PRIMARY PHON
MAILING ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value of $5, 000 or more
(RCW 19.27.095)
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 cit as apart of this application.
SIGNATURE: DATE "✓ `
T
PRINT NAME & I -z' C,
Bulletin 4 100 —January 1, 2013 Page 1 of 3 BI IandoutsTermit Application
DM
•
•
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VALUE OF MECHANIC I
MECHANICAL PERMIT
PLUMBING PERMIT
Additional Information
$ !°
Indicate how many of each type of flxture
to be installed or relocated as
part of this project. Do not include existin ures to remain.
AIR HANDLING UNITS
FANS
GAS PIPE OUTLETS
OTHER (Describe)
AIR CONDITIONER
FIREPLACE INSERTS HOODS (commercial)
DISHWASHERS
BOILERS
FURNACES
HOT WATER TANKS (Gas)
OTHER (Describe)
COMPRESSORS
GAS LOG SETS
REFRIGERATION SYST
VACUUM BREAKERS
DUCTING
GAS PIPING
WOODSTOVES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF PLUMBING WORK
PLUMBING PERMIT
Additional Information
in Square Feet
EXISTING/PREVIOUS USE
Indicate how many o each ttjpe o fLxture
to be installed or relocated as part o this project. Do not include existir�g flxtures to remain.
BATHTUBS (or Tub/Shower combo)
LAVS (Band sinks)
;/
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
1riElii�BUILDING,
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
! v
DRINKING FOUNTAINS
SINKS (Kitchen/otiiity)
WATER HEATERS+mm )
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
HOSE BIBBS
SUMPS
Occupancy Groups)
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
FOR OFFICE USE
.... -..... --.._.....-----..__._......_..._.._.__...._..._-.----
Additional Information
in Square Feet
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
.... -..... --.._.....-----..__._......_..._.._.__...._..._-.----
Additional Information
in Square Feet
a
f'� _.�;�ir/,.,, ✓ ., -
;/
---....--....__._._._.......... _... —........... -----........ ... -..................
1riElii�BUILDING,
FIRST FLOOR (or Mobile Home)
ADDITION
J Ivm
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area
Occupancy Groups)
Construction
# of
Additional Information
in Square Feet
COVERED ENTRY
Stories
.._..---...... _.... — ........ _.... ------........... _
itcF/
r' , ,i77. ", /,f", s ,� /i" �./, e./✓*i,,,� �/, ,'
",./r ,,. !iFli� ",
„ f /.. .i'� �,i
_...... —...__._—__.....__.._.—.__.__.......__....._._—.—_...
...—__.._......._.—....
GARAGE ❑ CARPORT ❑
oTi1�b ,
TENANT AREA ONLY
Area Totals
EHISTIIPG
PROP03ED
TOTAL
,*1tt]KES
ia2**/ ,
O.TEGT A9AA
ESTIMATED SELLING PRICE $
# OF BEDROOMS
COMMERCIAL - NEW/ADDITION
AREA DESCRIPTION
Area
Occupancy Group
Construction
# ofs)
Additional Information
in Square Feet
a
Stories
1riElii�BUILDING,
ADDITION
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area
Occupancy Groups)
Construction
# of
Additional Information
in Square Feet
Type
Stories
TENANT AREA ONLY
F.
/i
O.TEGT A9AA
Bulletin #100 — January 1, 2013
Page 2 of 3
k:\Handouts\Permit Application