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15-105625r— `O.'ity'otFederal Way Community Development Dept. 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835-2607 Fax: (253) 835-2609 Project Name: SHAH/ANANTH Project Address:- 30020 20TH PL SW Building - Single Family Permit #:15-106515"00=SF ' r, IFLInspection Request Line: (253) 835-3050 Parcel Number: 012103 9114 Project Description: ADD - Renewal of Permit #11-104820 for the construction of an accessory dwelling unit within existing structure's foundation/footprint. Includes plumbing & mechanical. Owner Applicant Contractor Lender VIRAL SHAH TERRY JENSEN CONSTRUCTION G K INDER CONSTRUCTION LLC OWNER IS LENDER 30016 20TH PL S PO BOX 1237 ST 4413 S 146TH ST R-3 FEDERAL WAY WA 98023 SEAHURST WA 98062 TUKWILA WA 98168 900 Census Category: 433 - Residential alt/add - increase in number of units Includes: #1 #2 #3 #4 Occu anc Class: R-3 R-3 Construction Type: Type V- B Type V- B Occupancy Load: Occupancy #2 - Class .............................................. R-3 Floor Area (sq. ft.) 800.00 100.00 Additional Permit Information New / Additional Sq. Feet - 1 st Floor ..................... 800 New / Additional Sq. Feet - 2nd Floor.................... 0 New / Additional Sq. Feet - 3rd Floor ..................... 0 New / Additional Sq. Feet - Basement .................... 0 Occupancy #I - Construction Type ......................... Type V - B New / Additional Sq. Feet - Garage ........................ 0 Mechanical Work Valuation? .................................. 2272 Occupancy #2 - Class .............................................. R-3 Is this an Online or O.T.C. application? .................. No New / Additional Sq. Feet - Total ........................... 900 Occupancy # 1 -Use ................................................ Residence (1 or 2 family) Zoning Designation ................................................. RS 15.0 Total Valuation: 92,065.00 Ducting 1 Fans Gas Logs 1 Gas Piping Bathtubs 1 Dishwashers Lavatories 2 Showers Water Closets 1 Water Heaters Occupancy #I - Area (Sq. Feet) .............................. 800 BasicPlan?........................................................... No New / Additional Sq. Feet - Deck ........................... 100 Mechanical to be Included? ..................................... Yes Number of Stories ................................................... I New / Additional Sq. Feet - Other ........................... 0 Plumbing to be Included? ........................................ Yes Will Certificate of Occupancy be Issued? ............... Yes Comprehensive Plan Designation ........................... SF - Medium Density Residential 4 Fireplace Inserts 1 1 Gas Pipe Outlets 5 1 Laundry Washer Outlets 1 1 Sinks 1 1 Hose Bibbs 2 CONDITIONS: 1. Prior to the ADU framing inspection, an approved sprinkler system must be installed in the ADU. 2. Prior to final inspection for the ADU, the signed and notarized "Letter of Application & Deed Restriction" shall be recorded at King County by the applicant & a recorded copy provided to the City. NOTE: No residential use is permitted in the attic of the ADU. I PERMIT EXPIRES Monday, 20 March, 2017 _ Permit Issued on Tay, upe 21 2016 H„ 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: � �/ 1 ��QC-lDate: 2' l City of Federal Way Certificate of Occupancy This Certificate issued pursuant to the requirements of Section 111 of the International Building Code or Section R110 of the International Residential Code is certifying that at the time of issuance, this structure was in compliance with the various ordinances of the City regulating building construction or use. This certificate is valid ONLY when endorsed by City staff. Tenant Name: SHAHIANANTH Address: 30020 20TH PL SW Includes: # 1 #2 Occupancy Class: R-3 R-3 Construction Type: Type V - B Type V - B Occupancy Load: 0.00 Floor Area (sq. ft.) 800.00 100.00 Owner Name: VIRAL SHAH Owner Address: 30016 20TH PL S FEDERAL WAY WA 98023 �- Building Official Permit # 15 -106525 -00 -SF #3 #4 Date The priority focus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which experience has shown most severely affect the health and safety of the general public. Although the City, has made as complete a review and inspection as is reasonably possible (within budgetary time and personnel limitations), the City neither guarantees nor warrants to the owner/ occupant or to any other person that this Certificate evidences strict compliance with each and every ordinance or regulation of the City or the State of Washington affecting the construction or use of said structure or the land upon which itis situated. Such compliance is the responsibility of the owner and / or occupant of the premises. vARnC PI Arim INRPFC:TOR DESIGN (F'C) AT 28 DAYS REVIEWED BY TEST STRENGTH FRACTURE TYPE IF OTHER THAN CONE ID NO. TEST DATE FIELD CURE AGE SIZE (IN.) AREA (SQ.IN.) MAX: LOAD (LBS.) STRENGTH (PSI) SET NO. TESTED IN ACCORDANCE WITH: ASTM C39 ASTM C1019 OTHER SPECIFY NON CONFORMING CONFORMING LABORATORY USE ONLY TESTED BY REVIEWED BY ALL REPORTS ARE CONSIDERED CONFIDENTIAL AND ARE THE PROPERTY OF THE CLIENT AND A.A.R. TESTING LABORATORY, INC. REPRODUCTION EXCEPT IN FULL, WITHOUT THE WRITTEN CONSENT OF A.A.R. TESTING IS STRICTLY FORBIDDEN. CONFIRMATION #: FAR' MATERIAL DATA -FIELD: CONCRETE/MASONRY: ASTM C3 ASTM C143 C172'-,-,, ASTM C138 ASTM C231 ASTM C173 ASTM C140 ASTM C1019 ASTfiA C1064 CONFORMING TO APPROVED PLANS -VES 13 NO Explain if "NO" MATERIAL DATA -LABORATORY: CONCRETE: ASTM C78 ASTM C39 ASTM C192 ASTM C617 ASTM C1231 ASTM C42 INSPECTOR: REVIEWER: "00 fig J" zz -gl , !10 -z� 3�, �0' So v - a A 5,1 ... .... .. M31, 01 INSPECTOR: REVIEWER: "00 fig J" zz -gl -z� 3�, �0' So v - a A ALL REPORTS ARE CONSIDERED CONFIDENTIAL AND ARE THE PROPERTY OF CLIENT AND AAR TESTING. LABORATORY INC. REPRODUCT169 EXCEPT IN FULL, WITHOUT THE WRITTEN CONSENT OF AAR TESTING IS STRICTLY FORBIDDEN. THIS CARD IS TO REMAIN ON-SITE , cr� V1la 6nstruction Inspection Record Way INSPECTION REQUESTS: (253) 835-3050 PERMIT #: 15 -106525 -00 -SF Address: 30020 20TH PL SW Project: VIRAL SHAH FEDERAL WAIF, WA 98023-3404 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. SWM recon Site Mtg (4400)Initial 11 rosion Control (4 6) Footings/Setback ( 11 ) Approved To be done prior to breaking ground Approved to place concrete By Date By Date By Ad Date '0)1 f �� ❑ Foundation Wall (4115) Approved to place concrete By A pi Date g 3i 0 Slab/Concrete Floor (4255) Approved to place concrete By Date Shear Walls (4245) Approved to install siding By Date 2 ■ Mechanical Rough -in (4165) Approved Date Interim Erosion Control (4370) Approved By Date Insulation (4150) Approved to install wallboard By Date �? L 1" It 7 ❑ Final Erosion Control (4375) Approved By Date 0 Final - Building (4050) Approved By . A1j Date �110 lir! LAE4 61'� - A0 'Im 0 Drainage/Downspout (4040) Plumbing Groundwork (4190) By Approved to backfill Approved to cover By ►A --j Date Ot 1 L l � By, P Date Approved By ri1 Date &A By 0 Underfloor Framing (4285) 0 Floor Sheathing (4105) Approved to sheath floor Approved to install flooring By Date By Date ❑ Roof Sheathing (4220) Rough Plumbing (4230) Approved to install roofing Approved By ArJ Date 16 By AN Date Z 1 L Gas Piping (4125) Approved to release test 15 By .4A\ Date 2 Prior to scheduling a Framing inspection, Electrical, Plumbing & Mechanical Rough -in and Fire/Draft Stop inspections must be signed -off and approved IBC 1093.4 Gypsum Wallboard Nailing (4130) Approved to install mud & tape By Wvl, Date -1 y �-? 0 Final - Mechanical (4065) Approved By Atj Date & 2 6 0 Skirting/Final (4250) Approved By Date Fire/Draft Stops (4095) Approved BqcZ�G Date 7� Framing (4120) Approved to insulate By 4,3 Date 1 / 1 &1)-7 Blocking/Tie Downs (4015) Approved By Date Right of Way Approved By Final - Plumbing (4075) Approved By ri1 Date &A By Date Rough Electrical Approved1:1 Final Electrical Approved Right of Way Approved By Date By Date By Date SADLER/BARNARD & ASSOCIATES 717 W. STEWART PUYALLUP, WASHINGTON 98371 Ph. (253) 848-5170 Fax (253) 848-5246 E-mail: daleoaks@sadlerbamard.com Date: August 17, 2016 Subject: Site address: 30016 20"' PI SW, Federal Way, WA 98023 Parcel No. 012103-9113 To Whom it may concern, On July 26, 2016, a field crew from our office visited the subject property and set a steel fence post at the back of the seawall near the West property line such that the top of the post is at 16.00 feet elevation on NAVD 88 datum. The Base Flood Elevation for the subject property is 15.00 feet on NAVD 88 datum. Please feel free to contact me with any questions. Sincerely, Dale Oaks PLS 19635 ■ SADLER/BARNARD & ASSOCIATES, INC. TAKING SURVEYING INTO THE FUTURE 717 W. STEWART PUYALLUP, WA 98371 PHONE: 253-848-5170 FAX: 253-848-5246 TOLL FREE: 1-888-941-1599 September 18, 2015 To whom it may concern: On September 17, 2015 a field crew from Sadler/Barnard & Associates, Inc. surveyed the seawall located on the beach at 30016 — 201h Place SW, Federal Way, WA. The elevation of the top of the seawall was determined to be 13.76 feet (NAVD 88). This elevation was established by GPS using a Leica ATX 1230 with Leica Smartnet Network RTK Survey, which uses GRS80 Ellipsoid and Geoid 09. Sincerely, Dale E. Oaks, PLS President Sadler/Barnard & Associates, Inc. WadwOmASSOCK Mofi Ao..8m2M,04mmpikVM 9 364.628-8669 ♦ www.vmbo.org Certified Wolder Card DAVID A. DUNIVENT 12965 HADFIELD RD SE OLALLA, WA 98359-9540 ; W01650 Renew on or before expiration date WASO welderc+ d pooess gmVicebms am ouffmW in wASD SbWetd2743Ain wRhMSf1AWSDlj D}.3 DSA THIS CARDIS THEPROPERTY 0 REPORT SUBMITTED TO: DAILY FIELD REPORT, 1,GeoResources, LLC PROJECT NO.: TerryJensenConst. Shah Res 5007 Pacific Hwy E. Ste 16 .... _..... REPORT DATE: Friday, August 5, 2016 Fife, Washington 98424 REPORT NO.: -_0 *2 Office: (253) 896-1011 GR FIELD REP.: VRR Fax: (253) 896-2633 PERMIT NO.: SHAH RESIDENCE PROJECT NAME/LOCATION FEDERAL WAY, WASHINGTON REPORT SUBMITTED TO: Contractor Name And Contact: WEATHER i Sunny, low &TEMP, 1 70's Client Mr. Terry Jensen Terry Jensen Construction cc Subcontractors for Geotechnical Construction TIMES OF SITE VISITS: Matrix Drilling — Mike Steffen From 8:00a To 10:00a From To From To FIELD NOTES Upon arrival onsite, the contractor had already driven piles #1 through #3 for the ADU to refusal. The contractor was driving 3" schedule 80 steel, open ended pipe piles with a 14001b hammer. Pile numbering on the site plan (page 2) was agreed upon between us and the pile contractor. According to information provided by the contractor, refusal criteria required a pile was driven 1 inch or less in 8 seconds. Piles #4 through #9 were installed during our observation to the following depths: Pile #4 — 13' Pile #5 — 12' Pile #6 — 14' Pile #7 — 25' Pile #9 —18.5' See page 2 for the foundation plan. The contractor also provided the depths of the piles that were installed yesterday, but not verified by us as follows: Pile #1 — 13' Pile #2 — 23' Pile #3 — 24' Pile #10 —21' Pile #11 —17' Pile #12 —19' Pile #13 —12' Pile #14 —21' Pile #15 —21' Pile #16 —21' Pile #17 —18' Pile #18 —11.5' Pile #19 —18' Pile #20 —17' According to our Limited Geotechnical Engineering Report dated March 16, 2016, 3 inch piles can be designed for a maximum allowable compressive capacity of 12,000 pounds per pile. We understand that these piles were designed by the Structural Engineer to support 6,000 pounds per pile. LIMITATIONS: The GeoResources field representative is present on site solely to observe the field activities of the contractor identified and keep our client informed of the progress and quality of the work. The presence and activities of the GeoResources field representative and our acceptance of any non -conforming work or failure to reject any non -conforming work does not relieve the contractor from complying with its contract documents. GeoResources does not have the authority to direct the contractor's work. Any information provided by the GeoResources field inspector is intended solely to advise the contractor of the technical requirements of the plans and specifications and/or design concept. The contractor is solely responsible for its means, methods, sequences, construction site safety, quality of work, and adherence to the contract documents. REVIEW BY (PM initial/date) WRITTE BY (initiaVdate) I Page 1 of 2 'i DAILY FIELD REPORT. �,GeoResources, LLC i PROJECT NO.: Terr JensenConst.ShahRes 5007 Pacific Hwy E. Ste 16 REPORT DATE: Friday, August 5,201 - 6 Fife, Washington 98424 REPORT NO.: 02 Office: (253) 896-1011 GR FIELD REP.: VRR Fax: (253) 896-2633 PERMIT NO.: SHAH RESIDENCE PROJECT NAME/LOCATION FEDERAL WAY, WASHINGTON i5'•6' 94 VV i 1 i A es+t N€tip Pile #5 Pile #4 Pile #3 Pile #2 Pile #1 ,,. 40 �~PilsS#6t l� (t Pile #8 �ac+:+lai � _ Pile #7 � + i I I Y r C"XI r" PLR t I 66t Av P" PLR, Seth RMIM *0L*wPwr i Pile #11 �•C47&'- d Pile #10 rR.aftSw Pile #9 s , ; +Kx*t3lb+rhN+ tsP • lLPAAFRA Ir. StC�i ._J ' Pile #15 Pile #14 Pile 413 Pile #12 IZ,`� Pile #16 Pile #17 Pile #18 Pile #19 Pill #20 I Piles verified by us Piles as reported by the contractor LIMITATIONS: The GeoResources field representative is present on site solely to observe the field activities of the contractor REVIEW BY (PM Initial/date) identified and keep our client informed of the progress and quality of the work. The presence and activities of the GeoResources field representative and our acceptance of any non -conforming work or failure to reject any non -conforming work does not relieve the contractor from complying with its contract documents. GeoResources does not have the authority to direct the contractor's work. Any information provided by the GeoResources field inspector is intended solely to advise the contractor of the technical W I ipitial/date) requirements of the plans and specifications and/or design concept. The contractor is solely responsible for its means, methods, sequences, construction site safety, quality of work, and adherence to the contract documents. Page 2 of 2 ' DAILY FIELD REPORT, . GeoResources, _.____--_--...__----_.______._..._..._-.._......_ PROJECT NO.: TerryJensenConst.Shah Res 5007 Pacific Hwy E. Ste 16 REPORT DATE: Monday, August 8, 2016 Fife, Washington 98424 REPORT NO.: 03 Office: (253) 896-1011 GR FIELD REP.: VRR Fax: (253) 896-2633 PERMIT NO.: Matrix Drilling - Mike Steffen SHAH RESIDENCE PROJECT NAMEILOCATION FEDERAL WAY, WASHINGTON REPORT SUBMITTED TO: Contractor Name And Contact: '- Partly WEATHER ; Cloudy, low Client Mr. Terry Jensen Terry Jensen Construction &TEMP. 60's cc Subcontractors for Geotechnical Construction TIMES OF SITE VISITS: ----- ------ ... --.._........ ......... .............. ............ Matrix Drilling - Mike Steffen From 9:00a To 12:00a _....__._.__.._._.... _.......... _..... _..... __-.- From To - ----.__._.._.._._._...._......._.._..__.........._......_.__...._....._... From To _.. _. FIELD NOTES Upon arrival onsite, the contractor had already driven pile #1 for the outdoor kitchen building to refusal. The contractor was driving 3" schedule 80 steel, open ended pipe piles with a 14001b hammer. Pile numbering on the site plan (page 2) was agreed upon between us and the pile contractor. According to information provided by the contractor, refusal criteria required a pile was driven 1 inch or less in 8 seconds. Piles #2 through #6 were installed during our observation to the following depths: Pile #2 — 19' Pile #3 — 20' Pile #4 — 23' Pile #5 — 24' Pile #6 — 17' See page 2 for the foundation plan. The contractor also provided the depths of the piles that were installed yesterday, as follows: Pile #1 — 11' Pile #11 — 13' Pile #7 — 21' Pile #12 — 29' Pile #8 — 16' 6" Pile 413 — 10' 6 Pile #9 — 16' Pile #14 — 15' Pile #10 — 21' Pile #15 — 29' According to our Limited Geotechnical Engineering Report dated March 16, 2016, 3 inch piles can be designed for a maximum allowable compressive capacity of 12,000 pounds per pile. We understand that these piles were designed by the Structural Engineer to support 6,000 pounds per pile. LIMITATIONS: The GeoResources field representative is present on site solely to observe the field activities of the contractor identified and keep our client Informed of the progress and quality of the work. The presence and activities of the GeoResources field representative and our acceptance of any non -conforming work or failure to reject any non -conforming work does not relieve the contractor from complying with its contract documents. GeoResources does not have the authority to direct the contractor's work. Any information provided by the GeoResources field inspector is intended solely to advise the contractor of the technical requirements of the plans and specifications andior design concept. The contractor is solely responsible for its means, methods, sequences, construction site safety, quality of work, and adherence to the contract documents. REVIEW BY (PM initial/date) BY Page 1 of 2 Pile #11 Pile #12 _ Pile #13 TO 6E AT FLOW 1 Pile #14 \ R„ ILEVAT04s,,�,.w Pile #15 I I41 Pile #9, Pile #10 /34101" "Petri Pile #8 xj �i .._. <. cum e�ae a Pile #7 I r �GR4M ' Pile #6 __ # I t � t I Piie #5 ---.__ Pile #4 "IV _ I S w Pile #1 Pile #2 Pile #3 46 Piles verified by us Piles as reported by the contractor LIMITATIONS: The GeoResources field representative is present on site solely to observe the field activities of the contractor REVIEW BY (PM initial/date) identified and keep our client informed of the progress and quality of the work. The presence and activities of the GeoResources field representative and our acceptance of any non -conforming work or failure to reject any non -conforming work does not relieve the contractor from complying with its contract documents. GeoResources does not have the authority to direct the contractor's work. _ Any information provided by the GeoResources field inspector is intended solely to advise the contractor of the technical WRITTEN BY initlal/date) requirements of the plans and specifications and/or design concept. The contractor is solely responsible for its means, methods, sequences, construction site safety, quality of work, and adherence to the contract documents. _ Page 2 of 2 DAILY FIELD REPORT', - _ , _ _.-.._......_....__-...__..._ __ .............. ._...._.._._.. PROJECT NO.: TerryJensenConst.Shah Res 5007 Pacific Hwy E. Ste 16 _ ----- --...._..._......_._......_.-_......._.._....... - ....... REPORT DATE: Monday, August 8, 2016 Fife, Washington 98424 REPORT NO.: 03 Office: (253) 896-1011 GR FIELD REP.: VRR Fax: (253) 896-2633 PERMIT NO.: SHAH RESIDENCE PROJECT NAME/LOCATION FEDERAL WAY, WASHINGTON Pile #11 Pile #12 _ Pile #13 TO 6E AT FLOW 1 Pile #14 \ R„ ILEVAT04s,,�,.w Pile #15 I I41 Pile #9, Pile #10 /34101" "Petri Pile #8 xj �i .._. <. cum e�ae a Pile #7 I r �GR4M ' Pile #6 __ # I t � t I Piie #5 ---.__ Pile #4 "IV _ I S w Pile #1 Pile #2 Pile #3 46 Piles verified by us Piles as reported by the contractor LIMITATIONS: The GeoResources field representative is present on site solely to observe the field activities of the contractor REVIEW BY (PM initial/date) identified and keep our client informed of the progress and quality of the work. The presence and activities of the GeoResources field representative and our acceptance of any non -conforming work or failure to reject any non -conforming work does not relieve the contractor from complying with its contract documents. GeoResources does not have the authority to direct the contractor's work. _ Any information provided by the GeoResources field inspector is intended solely to advise the contractor of the technical WRITTEN BY initlal/date) requirements of the plans and specifications and/or design concept. The contractor is solely responsible for its means, methods, sequences, construction site safety, quality of work, and adherence to the contract documents. _ Page 2 of 2 mriamn Fun[Doc D. CONSULTING ENGINEER 12181 C Street S. - TACOMA, WA 98444 - (253) 537-8128 - FAX 531-1285 t'sl.4 L�') ly ,I u 0 PROD CT: 75 SHEET NO. s`11 BY: DATE: JJOBNO. -15 C"T� Federal Way REWED DEC 2 3 2015 CITY OF FEDERAL WA PERam N mmit - /5'_ _ / 6'6'. gj a PERMIT APPLICATION Y TARGET DATE SITE ADDRESS -&0mc) 20, 15W SUITE/UNIT A P.Act, PROJECT VALUATION ZONING ASSESSOR'S TAR/PARCEL N $ N `A $ %0 f-orp 1 S a _L 2 L_ A0_ '!2- - - TYPE OF PERMIT eBLqLDING RrPLUMBING RIMECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT S UA B C0/61WU ..� PROJECT DESCRIPTION Detailed description of work to be included on this permit only NAME PROIARY PHONE VI ot. S 1 I AP AN4iJT44 2 3 6W7 PROPERTY OWNER MAILING ADDRESS E-MAIL l * 8101 . CMR STATE ZIP 2� NAME PHONE ©o ADD SENATE ' 211�11 CONTRACTOR C STATE ZIP FAX 5VA 180 1 - WA STATE CONTRACTOR'S LICENSE N WA E7I nNATION DATE FEDERAL WAY BUSINESS LICENSE N PRIMARY PHONE NAME\\GGww !! -reepwt�N a MAILING Awr \ " APPLICANT C f U STATE ZIP FAX 80lQ Z. NAME PRIMARY PHONE PROJECT CONTACT NAMING ADD Z_MAIL D (The individual to receive and respond to all correspondence CMR STATE W ZIP FAX q �� concerning this application) PROJECT FINANCING NAME HA ErOWNER-FINANCED Required value of $5,000 or more MAmmo ADDRESS, CITY, STATE, ZIP PHONE (RCW 19.27.095/ I certify under penalty of perjury that 1 am the property owner or authorised agent of the property owner. 1 certify that to the best of my knowledge, the Wormation submitted in support of this permit application is true and correct. 1 cerft that 1 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 f4trther 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 tothe city as a part o this application. V/_� SIGNATURE: DATE v i—A-L— 54-t ? r I PRINT NAME: Bulletin #100 - October 26, 2015 Page 1 of 3 k:\Handouts\Pennit Application Ill 0 • VALUE OF MECHANICAL WORK MECHANICAL PERMIT Indicate horn many of each tt1pe of kture to be installed or relocated as part of this prQject. Do not include existing fixtures to remain. AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe) AIR CONDITIONER _� FIREPLACE INSERTS HOODS (come mini) BOILERS FURNACES �_ HOT WATER TANKS p—) COMPRESSORS _L GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES GENERAL INFORMATION CRITICAL AREAS OR PROPERTY? WATER PURVEYOR 8EWER PURVEYOR VALUE OF PLUMBLVG WORK PLUMBING PERMIT $ EXISTING/PREVIOUS USE LOT SIZE (In Sgnsee Feet) EXISTING FIRE SPRN(KLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? COvVA— $ Indicate how many of each type of axture to be installed or relocated as gart of this project. Do not include existin vctures to remain. BATHTUBS (oc Tub/Shower combo) LAVS (Hand Sink.) TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe) DRAINS SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS SINKS (ricehen/uwity) WATER HEATERS (Ei—tt ic) HOSE BIBBS SUMPS L_ WASHING MACHINES TOTAL FIXTURES GENERAL INFORMATION CRITICAL AREAS OR PROPERTY? WATER PURVEYOR 8EWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS � -�'' W a&..4V �t/ti $ EXISTING/PREVIOUS USE LOT SIZE (In Sgnsee Feet) EXISTING FIRE SPRN(KLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? COvVA— 1 G (, 4tlj ❑ Yes VNo ❑ Yes ❑ No Bulletin #100 — October 26, 2015 Page 2 of 3 k:\Handouts\Permit Application