16-102315 • Methan cal .
CrP_11IFF
eral Way _
Community&Econ.Dev.Services Permit #: 16-102315-00-M E
33325 8th Ave S L
Federal Way,WA 98003 ' .Inspection Request Line: (253)
Ph:(253)835-2607 Fax:(253)835-2609 p q 835-3050
Project Name: OLDS pIkt,.c. Q& �trw, 1? 1
Project Address: 310 S 327T PL nit 17B • Parcel Number: 701681 0740
• Project Description: Gas piping for oven and fireplace. - -. -
Owner Applicant Contractor
LONNY OLDS BURLEY PLUMBING BURLEY PLUMBING
310 S 327TH LN 25836 193RD PL SE BURLEP*880LA(1/21/17)
FEDERAL WA_Y WA 98003 COVINGTON WA 98042 25836 193RD PL SE
COVINGTON WA 98042
Additional Permit Information
Mechanical Work Valuation? 600 Is this an Online or O.T.C.application? Yes
Mechanical Fixtures
Gas Piping 1
PERMIT EXPIRES Wednesday, November 9, 2016
Permit Issued on Friday, May 13, 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
�,�/� ito�Federal Way.
Owner or agent: c'�,� Date:�7�J3/J(,
FINALE ,
THIS CARD IS TO R AIN ON-SITE5. , ,
CITY°� s4.1111*14��� � Construction Ins ction Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 16-102315-00-ME Address: 310 S 327TH PL Unit 17B
Project: LONNY OLDS FEDERAL WAY, WA 98003
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
By Date By ifirv, Date t, p 10 1 'By Date (,'2.b 1 is„
❑ Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
INSPECTOR :` AREA AND TYPE NSPECTION
CL3i1 (,945 fc5-\- )6 P5 y -OK - ;45.4'61( , Ge•e..e
it
CITY OF . Y PERM APPLICATION
Federal Way20'U PERMIT CENTER+33325 8'h Avenue South+Federal Way,WA 98003-6325
cm(OF FED 253-835-2607+FAX 253-835-2609+permitcentenacityoffederalway.corn
CD
y MI' WAY
PERMIT NUMBER — / v / �- A--4' 1
6 ` Al TARGET DATE
SITE ADDRESS SUITE/UNIT#
3 t 0 , 32-it v Feder! uvici u 9i 3
".„7, . ATION ZONING ASSESSOR'S T /PARCEL#
\- -k60, j _
TYP F P r. IT ❑ BUILDING ifi.PLUMBING MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
PROJECT DESCRIPTION
Ll+moi k CX 'i, Cci 4,( I/✓- 1o(c e
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
{
0 J,5 E-MAIL35 t Z 149/
PROPERTY OWNER MAILING ADD AI
?/0 3 3 211'- /A /lam 0 (bvlicyy/, n
CITY l 0STATE ZIP
111 WeC)c53
NAME . t-r- PHONE
6 ( (j Mt, - Latt Our(/4 tt:to--3g1. 7ti q
MAILING ADDRESS E-MAIL
,?� (,t, L�i',il*=' PI, 1_;24��leiyAatitttr ll'. i
CONTRACTOR ^ �,
CITY STATE ZIP. FAX
(inlet- 1
t� a��� t-�l ()Li A- q`�( 1 L. J����t I `cp
WA STATE CONTR.ACTORa LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
'xk.rtfti\iL �(3�Lel I z/ / 17 Iia lot 7t.4- ec r(--
NAME PRIMARY PHONE.
APPLICANT MAILING ADDRESS _
I'!/ ,S3t4. rk2)-- - PL. -SE--- .4 't4,\Mrc��T../1.itri ;y
C (,� 1 114,\1 V T STATE L,i\ ZIPG-1' S i FAX r,j t+�_.y I ,(.4v+,.:i
NAME 4 PRIMARY PHONE
PROJECT CONTACT
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING ❑ 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.
SIGNATURE: k! --.-,----. ,/ e "``"-'- DATE =S"/3 /i
PRINT NAME: t`O/,/di/ Z e Oe-P5
Bulletin#100-January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
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 Z. GAS PIPE OUTLETS A OTHERp���q (Describe)
W
AIR CONDITIONER FIREPLACE INSERTS HOODS)commercial) €IA
BOILERS FURNACES 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(Kitchen/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
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER(describes)
Area TotQiS EXISTING PROPOSED TOTAL
**PEW HOMES ONLY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area in Occupancy Group(s) Construction #of Additional Information
Square FeetType Stories
NEW BUILDING
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area in Occupancy Group(s) Construction #of Additional Information
Square FeetType Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100-January 29,2016 Page 2 of 2 k:\Handouts\Permit Application