17-103010 Y
Mechanical
City of Federal Way Permit #:17-103010-00-ME
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-305b
Ph:(253)835-2607 Fax(253)835-2609
Project Name: FORD
Project Address: 31610 42ND AVE SW Parcel Number: 873198 2770.
Project Description: Install and extend gas piping line for stub out for future gas oven
Owner Applicant Contractor
DARRYL FORD DARRYL FORD OWNER IS CONTRACTOR
31610 42ND AVE SW 31610 42ND AVE SW
FEDERAL WAY WA 98023 FEDERAL WAY WA 98023
USA USA
Additional Permit Information
Mechanical Work Valuation? 100 Is this an Online or O.T.C.application? Yes
Gas Piping 1
PERMIT EXPIRES Tuesday, 19 December,2017
Permit Issued on Thursday,June 22,2017
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
A Washington and the City of Federal Way.
Owner or agent: 1 ‘.4 Date: 671a9/ (2
4P
40At* THIS CARD IS TO REMAIN ON-SITE
COY OF Construction Inspection Record
F relway
INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 10301000 Address: 31610 42ND AVE SW
Project: LINDA FORD FEDERAL WAY WA 98023-2121
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.
• El Mechanical Rough-in(4165) ; ® Gas Piping(4125) ® Final.-Mechanical(4065)
Approved Approved to release test Approved
BY Date By( bNkl.:1 Date t.-! .By a ISLA Date 4- •:40A-,
t�S
Rough Electrical Final Electrical 0 Right of Way
Approved Approved Approved
By Date A • By Date By Date
�► PERMIT APPLICATION
CITY OF
PERMIT CENTER+ 33325 8th Avenue South +Federal Way,WA 98003-6325
Federal Way 253-835-2607 + FAX 253-835-2609 +permitcRettEt ] ay.com
I 7-- I 0 30 1
(3 M E JUN 21 2017
PERMIT NUMBER
- -` - TARGET DATE
CITY OF FEDFRAL WAY
SITE ADDRESS COMmititiftDEVELOPMENT
3 I1cz11) g AVE- -5W '; 1- Lthl )A
PROJECT VALUATION ZONING ASSESSOR'S TAR/PARCEL#
$ MDC-C2aQ, S S 7 ,5 1 q` 3' - a -) IO
TYPE OF PERMIT 0 BUILDING 0 PLUMBING MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
PROJECT DESCRIPTIONVIi� • _
Detailed description of work to qC iO&L C �-CCGAB6�O `1" Pb Zl?'t/.t
ifs
be included on this permit only c/1•1::,
N PRIMARY PHONE
NAME p.,p 'y� 470 -7 $
PROPERTY OWNER Rmr 1 r 7 L K P o 7( I '�v S
MAILING ADDRESS
A-e._— ct k+orcl OaTial'csr.-,
CITY I STATE FZIP
NAME V L IIF—,^ PHONE
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY 1 STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ ._.—/ ... ---
NAME —LV - --- PRIMARY PHONE
APPLICANT, MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
.� NAME �) ` PRIMARY PHONE
PROJECT CONTACT �-J\ /L'
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence -
concerning this application) CITY STATE ZIP FAX
NAME 0 OWNER-FINANCED
PROJECT FINANCING
When value is$5,000 or more MAILING DRESS,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 • ses out of the reliance of the city, including its officers and employees, upon the accuracy of the
information cplie• • i 1 as a part of this application.
SIGNATURE: �,��� ` ' DATE .-)/119./t 7
PRINT NAME: 4': F I K, I�
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
VALUE OP 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 HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING _ ice GAS PIPING WOODSTOVES
I V"VE CF LUM .NG r
vlSl.Vai yr "LVlVl13!!vV WO—
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(Kitchen/utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR i� A SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
__ -<IMO LIV $ �-'
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?-C j�Q L .g l '1/�1 D Ye(No ❑Yes No
RESIDENTIAL - NEW. OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
.::`.c..,-. � G ;A: .swx" *" r°, �£ L ' u� ar ,c.»tf a F� .. ,
FIRST FLOOR(or Mobile Home)
f'.,r`"Fir fr.'"* ,,,, c e E4 g*f } t > rp a k a.t",y 3rf ,.+. _...____........................_....... ................__........_........_..............._.................._.___..............._.._.....
ee 42,
COVERED ENTRY
r r^r"'• •.r, �*:t"3`t` `; fat roman. 'i. :,44s'"'' m f,^'�..' __"._'-__._.._.__..._.._.._._......_....._......__.._...._...---......_.—_..._............_.__...._..-- '---'-
w a
I! �.� s �„'" v "�-x ,v ,' ",.. " ` �#��'� ��ti'i � �✓ .17,:,/.1,
�'
p';" fir.: as a .. ..._... _ ._................... _..._._..__........ .._�__...._... .._._ _....._..
GARAGE ❑ CARPORT 0
x.dr:+.+wo-✓kQ'„ P s„ _ S"
. a L w �xe', e tr
'4wa.,424
........_....__._...__......_....................-------._..........---.....-----._...._......___—....___
EXISTING PROPOSED TOTAL
Area Totals
,4-7 , " *ts:I'j`I i,''41, i. z�6943ix i $" sa a
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Occupancy Area in Construction #of
S uare Feet Grou p(s) S.o ie Additional Information
tf �
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
Area in Construction #of
AREA DESCRIPTION Occupancy Group(s) Additional Information
S.ua�r;e Feet a Stories
r17,77;,177 774
"rzf,'? ® �'" '' .t f, .+r. "may, _��
TENANT AREA ONLY
h`e' ,� r *" `� £t ,� - `k2' r > ' ' °ai,
e S.f" � 81/1444;1£"„ ey, y y ?.f
Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application