18-103270,.. Mechanical
City of Federal Way r,-........ Permit #:18 -103270 -00 -ME
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Line: (253) 835-3050
Ph: (253) 8352607 Fax: (253) 835-2609
Project Name: GOODMAN
Project Address: 35830 8TH AVE SW Parcel Number: 302104 9111
Project Description: Replace gas hot water tank.
Owner
Applicant
Contractor
WILLIAM GOODMAN
WILLIAM GOODMAN
OWNER IS CONTRACTOR
35830 8TH AVE SW
35830 8TH AVE SW
FEDERAL WAY WA 98023-7225
FEDERAL WAY WA 98023-7225
Additional, Permitinfennation
Mechanical Work Valuations .................................. 900 Is this an Online or O.T.C. application?.................. Yes
�P d 5 iHot Water Tanks
PERMIT EXPIRES Sunday, 20 January, 2019
Permit Issued on Tuesday, July 24, 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 1 ws, rules and regulations of the State of
ashington and the City of F eral Way.
Owner or agent:be— Date:
Wry of 14A
Federal Way
PERMIT #: 18103270 00
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
Address: 35830 8TH AVE SW
Project: VICTORIA GOODMAN FEDERAL WAY WA 98023-7225
Scheduled inspections may be failed if this card isnot 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.
El
Mechanical Rough -in (4165)
0
Gas Piping (4125)
Final Electrical
Final - Mechanical (4065)
El
Approved
Approved to release test
Approved
By
Date
By
Date
By
(i , Date ►1•,.,, a • {
El
Rough Electrical
El
Final Electrical
El
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
41k
CITY OF 1�
Federal Way
PERMIT NUMBER
RECEIVED PERMIT APPLICATION
1, f PERMIT CENTER + 33325 8� Avenue South + Federal Way, WA 98003-6325
J U L i 4 2018 253-835-2607 + FAX 253-835-2609 + permitcenter@cityoffederalway.com
CITY OF FEDERAL WAY
A MUNrTYfEXITL 0 L TARGET DATE
SITE ADDRESS
35-oD l 5
SUITE/UNIT #
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
$
-
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING LNMECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
600d
PROJECT DESCRIPTION
/
! JA
Detailed description of work to
be included on this permit only
NAME t
PRIMARY PHONE-
�->e
PROPERTY OWNER
MAILING ADDRESS
36-Y-36 Lo
E-MAIL
CITX--
ZIP
NAME
PHONE
t� V�
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
PRIMARY PHONE
MAILING ADDRESS
E-MAIL
APPLICANT-
CITY
STATE
ZIP
FAX
NAME
PRIMARY PHONE
PROJECT CONTACT
MAILING ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME��n.�
❑ OWNER -FINANCED
When value is $5, 000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27.095)
1 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 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.
1 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 o of the reliance of the city, inclu g its officers and employees, upon the accuracy of the
information supplied to the city as of this application.
L� .�
SIGNATURE: DATE
PRINT NAME: 4 -
Bulletin #100 — January 29, 2016 Page 1 of 2 k:\Handouts\Permit Application