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14-102797 • Meehanital City of Federal ay Community&Econ.Dev.Services Permit #: 14-102797-00-ME 33325 8th Ave S Federal Way,WA 98003 Inspection Request Line: 253 Ph:(253)835-2807 Fax(253)835-2809 Pe Q � )835-3050 Project Name: BENSON Project Address: 1324 SW 353RD ST Parcel Number: 502860 0960 Project Description: Replace wood burning fire place with gas and add new piping for for new gas range**11110/14 add range hood** , Owner Applicant Contractor SURANG M BENSON DAVID H BENSON OWNER IS CONTRACTOR DAVID H BENSON 1324 SW 353RD ST 1324 SW 353RD ST FEDERAL WAY WA 98023 FEDERAL WAY WA 98023 • Additional Permit Information Is this an Online or O.T.C.application? Yes Mechanical Fixtures Fireplace Inserts 1 Gas Piping 1 Ranges 1 PERMIT EXPIRES Tuesday, December 9, 2014 Permit Issued on Thursday, June 12, 2014 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: . %- �� ii �, Date: //rid /( . • • ` Mechanical Cof Fedel Way Community a Econ.raDev.Services Permit #: 14-102797-00-ME 33325 8th Ave S Federal Way,WA 98003 Inspection Ph:(253)835-2607 Fax:(253)835-2609 lnS pe Request Line: (253)835-3050 Project Name: BENSON Project Address: 1324 SW 353RD ST Parcel Number: 502860 0960 Project Description: Replace wood burning fire place with gas and add new piping for for new gas range Owner Applicant Contractor SURANG M BENSON DAVID H SR BENSON OWNER IS CONTRACTOR DAVID H SR BENSON 1324 SW 353RD ST 1324 SW 353RD ST FEDERAL WAY WA FEDERAL WAY WA 98023 98023 Additional Permit information Is this an Online or O.T.C.application Yes Mechanical Fixtures Fireplace Inserts 1 Gas Piping 1 Ranges. 1 PERMIT EXPIRES Tuesday, December 9, 2014 Permit Issued on Thursday, June 12, 2014 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 an• the City of Federal Way/ A Owner or agent: . / //, d, _ ; 1// ' / Date: 6O r7`' 7/ ti ' i Met hanical Clof FederalWay Permit #: 14-102797-00-M E FILE Community 8 Econ.n.Dev.Services 33325 8th Ave S Federal Way,WA 98003 Inspection Request Line: (253)835-3050 Ph:(253)835-2607 Fax:(253)835-2609 I eq Project Name: BENSON Project Address: 1324 SW 353RD ST Parcel Number: 502860 0960 Project Description: Replace wood burning fire place with gas and add new piping for for new gas range Owner Applicant Contractor SURANG M BENSON DAVID H SR BENSON OWNER IS CONTRACTOR DAVID H SR BENSON 1324 SW 353RD ST 1324 SW 353RD ST FEDERAL WAY WA FEDERAL WAY WA 98023 98023 Additional Permit Information Is this an Online or O.T.C.application? Yes Mechanical Fixtures Fireplace Inserts 1 Gas Piping 1 PERMIT EXPIRES Tuesday, December 9, 2014 Permit Issued on Thursday, June 12, 2014 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: 6 /2- /Z d rk THIS CARD IS TO ON-SITE CITY • °F Construction In ection Record Federal Way INSPECTION REQ TS: (253)835-3050 PERMIT#: 14-102797-00-ME Address: 1324 SW 353RD ST Project: SURANG M BENSON FEDERAL WAY, WA 98023-6948 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) o Final-Mechanical(4065) Approved Approved to release test Approved By Date By I A7 Date (0/214 fi L By 4 Date ❑ Rough ElectricalEl Final Electrical El Right of Way Approved Approved Approved By Date By Date By Date A, S PERMIT IIPPLICATION CITY OF Federal Way RECEIVED 1 JUN 12 2014 11 PERMIT NUMBER l _ l _ TARGET DATE CIT(OF FEDERAL WAY SITE ADDRESS , / SUITE/UNI'1�#S 34 q 4i,. ,t/ 3S2 rol S`�!'P� l Qr�-QrCI A/( , \p4‘ $ '. PROJECT VALUATION ZONING ASSESSOR'S�PARCEL# 174, � - n TYPE OF PERMIT 0 BUILDING ❑ PLUMBING 121VIECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION NAME OF PROJECT (L/�)41 (� V rC . / t7 k� oo12 1. PROJECT DESCRIPTION gs Pito)a c;m `i'" ''�` 11,45 741,9'4 ` ��` ��`L- 1-.4 4� ,O Detailed description ofwork to S t-a .L- ��:G Q_ 14r 14 c r1 P /.�G-f �� !�'��j be included on this permit only r. J V 41/.44 c r/ � 1 c i)v lc -id t' x-/-o v-e , NAME PRIMARY PHONE PROPERTY OWNER 4/ay rct ," (S&, , (.z )j 2772_ MAILING ADDRESS E-MAIL /3�c/ 21,,2rG0 ara,4 24 Cor>-ed;XS" CITY STATE ZIP NAM PHONE 4` NSon) CZ66)CS/_ 4.6 32- MAILING ADDRESS E-MAIL / CONTRACTOR t?.?4" 41' 24-3 rd f 1,St NSJ010,4re. cc�>7+cGPf 144-- CITY STATE ZIP FAX IV/R/-4 Wq Vati Z? N/4 WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# N PRIMARY PHONE ir� „e/4.o ' c 2.2)8791 277Z_ MAILING ADDRESS��/ 1 E-MAIL �[ 32 APPLICANT - </Y r 1r*• 53�� -Ph-4e NS3J4 a CtJt*ICC�` CITY STATE ZIP FAX IQds cc 'NAY 'z/4i, qeF627 NAME 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 0 OWNER-FINANCED Required value of$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: Qr ( _-' RJ f ��,�_� DATE 6// /2o//'�/ PRINT NAME: V Ct Y.W N SJ 7. Bulletin#100-January 1,2013 Page 1 of 3 k:\Handouts\Permit Application M, • • ' 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 GAS PIPE OUTLETS OTHER(Describe) AIR CONDITIONER 3/ FIREPLACE INSERTS HOODS(commercial) Wv F1 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/ut lily) 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 /./Oo° �; 1 ' .;ow wo/r f,•fi 400 r 1iPoo,wwwW, owi,27, w, rwo r▪05 !!/f/,i;`< ./),04,101.00 .r' <` ;„000t•r�'rr,/`or FIRST FLOOR(or Mobile Home) "al,r%F/�!" �,/<`f,�'' %f/,7.<w�,1i"y� f` .,r/z!f,:4%/,,f+Er/ e ,!� / /1:47/47,7,749:‘,77///0/7/ 7 ..... ----. COVERED ENTRY KtvvOOir i /5 ,/'`✓,r moi4,1K '� /7 ' `�' , rfi /7 r rf., �k4% % fi, // y," ;Wffi/. r▪ ff%/F` s / j„ %r ..:../ - - -- . -- ... - GARAGE 0 CARPORT 0 �xl : f yir/i/,�`` ;' /ry/,%,"< .wry/y///l" '',�J`r /�/�! /r r r r/ r . 'fir%!r`�'/r,`4--;:,�i.<'/,r/, /;" // ,.'i. i' /,, €iia,✓,r,�>"r/,'_/"y 'if"�i<F! I fa lir,. ri.��/,r,v,_'..,,,�;;/ _._..._.-___....__.-_._..------ r.r r .,yf . .rri ., EXISTING PROPOSED TOTAL Area Totals f ,F '',WO 20. / r I/k i" ,r fV rF a sof. //>`! ESTIMATED SELLING PRICE$ #OF BEDROOMS COMMERCIAL-NEW/ADDITION Area Construction #of AREA DESCRIPTION Occupancy Group(s) Additional Information In Square Feet Type Stories % F, `�, r ! ` f,6�� fi /!r 0rV7,/,7/r�rEr�,> t `// rs // r 04,0 rf `f /10,, : `;i , , r:1 /o, .fr 4>1 .,11'•w:> „ /, d,1- . 2:/"7 0'0 0, 040.,.z ADDITION COMMERCIAL-REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information in Square Feet Type Stories 1t/i,F b•,afi{/,/r�r '7�/��/;i f<, Of,ap ` �/ r �: 1 i�f ✓%, ;/1//''P r, ^151s F ,�X %/ iF�f' !��,i- F //✓f ,1'...` er`!/4777,04404"10 /i/�«>%%.;fi f /rfl�,,'yF ,f*10,40.07' >r ,.t </ /�rIfF .; � ,' "�// /, v,jr'.�,� ,ter TENANT AREA ONLY ;304. /,;12/://';'F r, ' r i Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application