18-101598 4
roe Mechanical
City of Federal Way 's Permit #.18-101598-00-ME
Community Development Dept. 79
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: JOHNSON
Project Address: 1613 SW 327TH ST Parcel Number: 010453 0380
Project Description: Installation of gas piping for gas range.
Owner Applicant Contractor
ALDIN JOHNSON ALDIN JOHNSON OWNER IS CONTRACTOR
1613 SW 327TH ST 1613 SW 327TH ST
FEDERAL WAY WA 98023 FEDERAL WAY WA 98023
USA USA
Additional Permit Information
Mechanical Work Valuation9 1000 Is this an Online or O.T.C.applications Yes
�3Cf" aIItC`hlIXt1Ir � '� a �" w
Gas Piping 1 Ranges 1
PERMIT EXPIRES Wednesday, 10 October,2018
Permit Issued on Friday,April 13,2018
I hereby certify that the above information is correct and that the construction on the above described property
and the occupan d the use will be in accordance with the laws, rules and regulations of the State of
,Washington and the Cjty of Federal Way.
/ ,_.__.� Date: AP
Owner or agent: /,. �IA/1, L'i/ �-----
` THIS CARD IS TO REMAIN ON-SITE
fir' Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 18 101598 00 Address: 1613 SW 327TH ST
Project: ALDIN JOHNSON FEDERAL WAY WA 98023-6404
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 4,,,j Date bh5//77
0 Rough Electrical ❑ Final Electrical ❑ Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED
PERMIT APPLICATION
CITY OF �� APR 13 1018
Federal Way CITY OF FEDERAL WAY PERMIT CENTER + 33325 8th Avenue South + Federal Way,WA 98003-6325
253-835-2607 + FAX 253-835-2609 +pernutcenter@cityoffederalway.com
COMMUNITY DEVELOPMENT
PERMIT NUMBER / S _ / O / 5 Q _ M E
/ U ! / CJ TARGET DATE
SITE ADDRESS SUITE/UNIT#
t 3 51.J 3 2:11-N .S r , DE Q4
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# p
$ , COO �a O / B (i 3 _ 03 O 0
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT -
I-40 Oa b (t S i I tv G L . 5Tu
PROJECT DESCRIPTION
•
Detailed description of work to I ki S't/�i��. t�l �� C.,A S L i iv L ( /m'P tz.uX ZS I
be included on this permit only
1•-)S t,A Li_ Le-) G A4 S S 7CYV
NAME PRIMARY PHONE
PROPERTY OWNER ALottvi W, Vbk� IVSG 2
MAILING ADDRESS E-MAIL
1 6IT Si.0 1211t1k ST PO LIT
CITY STATE ZIP 5'Eft ET , C V IV\
F EbtA21.1-L. WA `is. v 2'3
NAME ( PHONE
MAILING ADDRESS V V v` E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME !\ V w V PRIMARY PHONE
Uw
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAME PRIMARY PHONE
PROJECT CONTACT 0-JCL)IL,t.
(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 AT)DI22ESS,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 def - of such claim), which.4nfity be made by any person, including the undersigned, and filed against the city,
but only where such aim 'ses out of the reliane of the city, including its officers and employees, upon the accuracy of the
information supplie• to the c' as a •• of this applicat'en.
SIGNATURE: '' . � Ab,k, DATE
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PRINT NAME: h 1_,0 t9k- Oki
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $ /� 00 b
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 I. 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 ower combo( LAVS(Hand sinks) TOILETS / WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS / OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS //
DRINKING FOUNTAINS SINKS(Kitchen/utility) WATER HEATERS(Electr
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? I WATER P VEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
$
ERISTING/PREVIOUS USE LOT SIZE(In Squa Feet) EXISTING FIRE SPRINKLER SY' EM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No ❑ Yes ❑ No
RESIDENTIAL — NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED OTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR /
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER(describe) ----,
EXISTING PROPOSED TOTAL
Area Totals
**NEW . •MES ONLY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW A DDITION
AREA DESCRIPTION
Area Occupancy Group(s)in Construction #of Additional Information
Square Feet Type Stories
NE13F$IJILDYPt �.. , ,
ADDITION
COMMER —REMODEL/TENANT IMPROVEMENTS
AREA CRIPTION Area in Occupancy Group(s) Construction #of
Square Feet Type Stories Additional formation
TOTAL UIL ING
TENANT AREA ONLY
PROJECT AREA ONLY, ,,..
Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application