18-102959Medical.
City of Federal Way Permit #:18 -102959 -00 -ME
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Line: (253) 835-3050
Ph: (253) 835-2607 Fa)c (253) 835-2609
Project Name: BAINS
Project Address: 27744 25TH DR S Parcel Number: 757561 0740
Project Description: Extend gas line from garage to kitchen
Owner
Applicant
Contractor
TRILOCHAN S BAINS
TRILOCHAN S BAINS
KOHLER HEATING & A/C (GENERAL)
27744 25TH DR S
27744 25TH DR S
KOBLEHA95001 (10/3/19)
FEDERAL WAY WA 98003-6928
FEDERAL WAY WA 98003-6928
9511 54TH AVE NW
GIG HARBOR WA 98332
Additional Permit Information
Mechanical Work Valuation? ................................. 1000 Is this an Online or O.T.C. application?.................. Yes
Gas Piping 1
PERMIT EXPIRES Wednesday, 2 January, 2019
Permit Issued on Friday, July 6, 2018
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:
r
�-11)-4-1-e-,b
cn'r ck-v &,
Federal Way
PERMIT #: 1810295900
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUE TS: (253) 835-3050
Address: 27744 25TH DR S
Project: GURINDERPAL BAINS FEDERAL WAY WA 98003-6928
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.
E Mechanical Rough -in (4165)
® Gas Piping (4125)❑
Final - Mechanical (4065)
Approved
Approved to release test
Approved
Right of Way
By Date
By �tN Date
By Date 7/1 3jj'y'
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
RECEIVED
PERMIT APPLICATION
CITY OF JUL 0 6 20141
PERMIT CENTER + 33325 81h Avenue South +Federal Way, WA 98003-6325
Federal Way cin 253-835-2607 + FAX 253-835-2609 + permitcenterc)cityoffederalway.com
COMMUN�EDEf�gL yygy
DEVELOPMDEVELOPMENTl//� )
PERMIT NUMBER l _ h
V _Z a— � _ I� t TARGET DATE /Iv/ A
SITE ADDRESSi _
77 5�,�� D P p >� ' w Cj 4j
SUITE/UNIT #
PROJECT VALUATION
$ z_' P 6 0" Z-0
ZONING
ASSESSOR'S TAX/PARCEL #
_T_ 5 7 5— l - D
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
4 S r 1j 0'0 l
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME ^ r t
PRIMARY PHONE
I2�1-
PROPERTY OWNER
MAILING ADDRESS
7-77 i U 2-5 l) `� g '�
E-MAIL
3��' i r3,r}r '� %Fi^7/� i_., Cr
CITY
STATE "'
ZIP
AME
NV,tiG�°`
PHONE
CONTRACTOR
MAILING ADDRESSA
' C% r4 Ute: �"
E-MAIL
laTl 4. l7/4 k t3t'
STATE
Zf� 33Z
FAX�, j Zy
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
j
NAME MA V r
V `% � 1' /�--
PRIMARY PHONE
MAILING ADDRESS S
E-MAIL
APPLICANT,
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAM
E/ k 1� /
� �1 � � P-9 i t r `� ��
PRIMARY PHONE
2 57 3_ S� j �j – rid) 2-7–
Z(The
MAILING ADDRESS
E-MAIL
(Theindividual to receive and
respond to all correspondence
CITY
STATE
T ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
OWNER -FINANCED
When value is $5,000 or more
(RCW 19.29.095)
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
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 apart of this application. ry
SIGNATURE: 1� 1 DATE
PRINT NAME: /� L L C 0,4
Bulletin #100 –January 29, 2016 Page 1 of 2 k:\Handouts\Permit Application