16-101328ir
. ., MeehU' cal
_uiity&Federal Way
ev.S Permit #: I6-101328-00�ME
Community &Econ. Dev. Services
33325 8th Ave S
Federal Way, wn 98003 Inspection Request Line: (253) 835-3050
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: DOW -JONES
Project Address:.. 600 S 334TH $T Parcel Number: 926500 0260
Project Description: Replace existing gas fired boiler with 750,000 BTUs gas boiler
Owner .
ARplican
Contractor
DOW JONES & COMPANY INC
HURLEY ENGINEERING CO OF TACOMA
HURLEY ENGINEERING CO OF TACOMA
- PO BOX 300
INC (GENERAL) . . .
INC (GENERAL)
PRINCETON NJ 08543-0300
302 E 26TH ST
HURLEET341LO (7/22/16)
TACOMA WA 98421
302 E 26TH ST
TACOMA WA 98421
Additional Permit Information
Mechanical Work Valuation?.................................72211.00 1 Is this an Online or O.T.C. application? ................. No
Mechanical Fixtures
Boilers ............................................ 1 Gas Pipe Outlets............................. 1
PERMIT, EXPIRES Saturday,.October 1, 2016
Permit Issued on Monday, April 4, 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
and the City of Federal Way.
Owner or agent: Date:
�_Vf_z l
THIS CARD IS TO ON-SITE
CITY of Construction Ins tin Record _
Federal Way INSPECTION REQ TS: (253) 835-3050
PERMIT #: 16 -101328 -00 -ME Address: 600 S 334TH ST
Project: DOW JONES & COMPANY INC FEDERAL WAY, WA 98003-6344
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 to to bottom). Please schedule inspections as appropriate. Work must not be covered untilrtis 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)
0
Gas Piping (4125)
Final Electrical
Approved
Final - Mechanical (4065)
Approved
By
Approved to release test
Approved
By
Date
By
Date
By
Date _ 2-% -
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
I ATI
'\k PERMIAPFL N C O
CITY Of
Federal Way
PER(/� MAR 16 2016 (� C
bIIT NUMBER � Y _
--CITY OF WMA
SITE ADDRESS Ws
SUITE/UNIT tt
Do 3 :S d 4-2Tei
PROJECT VALUATION
ZONIN4
ASSESSOR'S TAX/PARCEL Ii
/ r (D� � %
/q
$
Z— �
7L 7-1) 1 0
_(.0—
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING MECHANICAL ❑ DEMOLITION C1 ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
D �` G _ a l e 1 a w► e T
c ���+ a iH •�s ,rc� ba%� ; f�
PROJECT DESCRIPTION
Detailed description of work to
`l Q G1/ ;A7 t G)eN C�e Oz 0 00
be included on this permit only
NAME �-- +. �<--I / ` � }\� � PRIMARY PHONE
J/
PROPERTY OWNER
MAILING ADDRESS\\
E-MAIL
CITY
STATE
ZIP
N r/ t L--�! ir1 eii n •-� %44 c a"t:
PHOKZ
2,53 Z7Z 1395
M3 -GAD Ess ZL� ST�eCT
love, al ty C0IheY
CONTRACTOR
CITY
7-AC0r.%
STATE
wIA-
ZIP
G1$`tZl
FAX
253 272- 95o2–
WA STATE CONTRACTOR'S LICENSE 8 EXPntATION DATE
FEDERAL WAY BUSINESS LICENSE #
HU1CL-L % 3 / L O 7 / ZZ //(o
Z.o -Do—to d -00.91'
NAME
PRIMARY PHONE
OC y s/ N Ca .
7-59 2 1t -
MAILING AD RESS
30 f Zr,
E-MAIL
vile err iaeee
APPLICANT
CITY STATE ZIP
TA-coM^S w� lyfgZt
FAX
053 o2L
PROJECT CONTACT
NAME
?
L� v G w o c
PRIMARY PHONE
7,53 2-7
MAULING ADDRESS
O L 2` �I n'CG
E-MAIL
�juLk �jVr� e i7ee,,l
(The individual to receive and
respond to all correspondence
CITY STATE ZIP
FAX
concerning this application)
W1 r4
,-C 33 2 7 Z. e75-0 2
PROJECT FINANCING
NAME (,4jTbh e_.S NL C
[A---OWNER-FINANCED
1.9' OWNER FINANCED
MAILING ADDRESS, CITY, STATE, ZIPt
PHONE
When value is $5,000 or more
IRCW 19.27.095)
,�
PC)O 3 p f r 1 G A.1 fA p1�S
2'S L C1 21 rj
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I cert{firj 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, andfiled iled 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.
2
SIGNATURE: DATE J l� �)
r'
C
PRINT NAME: o. w
Bulletin #100 - February 22, 2016 Page I of 2 k:\Handouts\Permit Application
LOP
ryg Co O %
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4
N
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet)
EXISTING
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
FOR OFFICE USE
BASEMENT
� -7z z„ , 00
Indicate how many of each type offtxture
to be installed or relocated as parta this project. Do not include existing res to remain.
AIR HANDLING UNITS
FANS �_
GAS PIPE OUTLETS
OTHER (Describe)
AIR CONDITIONER
FIREPLACE INSERTS
HOODS (Commercial)
SINKS (Kimber,/UtWty)
�— BOILERS
FURNACES
HOT WATER TANKS (car)
WASHING MACHINES TOTAL FIXTURES
COMPRESSORS
GAS LOG SETS
REFRIGERATION SYST
GENERAL INFORMATION
DUCTING
GAS PIPING
WOODSTOVES
SEWER PURVEYOR
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet)
EXISTING
VALUE OF PLUMBING WORK
PLUMBING PERMIT
FOR OFFICE USE
BASEMENT
NEW BUILDING
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing res to remain.
BATHTUBS {o Tub/Shower Combo) LAVS (liana sinks)
TOILETS WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS URINALS OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Kimber,/UtWty)
WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
WASHING MACHINES TOTAL FIXTURES
Occupancy Group(s)
Construction
Type
# of
Stories
GENERAL INFORMATION
DECK
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE
Ott �/"'1�
LOT SIZE (la Square Feet(
+'7�j�6ZI
EXISTING FIRE RINKLER SYSTEM?
es❑ No
PROPOSED FIRE SUPPRES N SYSTEM?
❑Yes No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet)
EXISTING
PROPOSED
TOTAL
FOR OFFICE USE
BASEMENT
NEW BUILDING
FIRST FLOOR (or Mobile Home)
ADDITION
SECOND FLOOR
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
COVERED ENTRY
Occupancy Group(s)
Construction
Type
# of
Stories
Additional Information
DECK
GARAGE ❑ CARPORT ❑
TENANT AREA ONLY
OTHER (describe)
PROJECT AREA ONLY
Area Totals
SXISTIRG
PROPOSED
TOTAL
**NEW SOILS ONLY**
ESTIMATED SELLING PRICE
I # OF BEDROOMS
COMMERCIAL - NEW/ADDITION
AREA DESCRIPTION
Area in
Square Feet
Occupancy Groups)
Construction
Type
# of
Stories
Additional Information
NEW BUILDING
ADDITION
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area In
Square Feet
Occupancy Group(s)
Construction
Type
# of
Stories
Additional Information
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin #100 — February 22, 2016
Page 2 of 2
k:�Handouts\Permit Application