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18-104265City of Federal Way Community Development Dept- 33325 ept33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835-2607 Fax (253) 835-2609 Project Name: HOLMES Project Address: 2124 S 286TH ST Project Description: Replace gas hot water tank. A Mechanical rILEPermit #:18 -104265 -00 -ME Inspection Request Line: (253) 835-3050 Parcel Number: 422210 0380 Owner Applicant Contractor MARTHA HOLMES MARTHA HOLMES OWNER IS CONTRACTOR 2124 S 286TH ST 2124 S 286TH ST FEDERAL WAY WA 98003-3321 FEDERAL WAY WA 98003-3321 Additional Permit Information Mechanical Work Valuation? .................................. 2500 Is this an Online or O.T.C. application?.................. Yes Hot Water Tanks 1 PERMIT EXPIRES Monday, 11 March, 2019 Permit Issued on Wednesday, September 12, 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. c Owner or agent:® __ Date: J< < [3-, °t THIS CARD IS TO REMAIN ON-SITE Federal Construction Inspection Record deral Way INSPECTION REQUESTS: (253) 835-3050 PERAW #: 18104265 00 Address: 2124 S 286TH ST Project: MARTHA HOLNIES FEDERAL WAY WA 98003-3321 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 insoections are logged an the hnri, „ft},;. —A ® Mechanical Rough -in (4165) Q Gas Piping (4125) 0 Final - Mechanical (40657 Approved Approved to release test Approved By Date By Date By Date Rough ElectricalFinal Approved Electrical Right of Way Approved Approved By Date By Date BY Date RECEIVED At PERMIT APPLICATION ciry of SEP 12 2018 PERMIT CENTER + 33325 8th Avenue South + Federal Way, WA 98003-6325 Federal Way 253-835-2607 + FAX 253-835-2609 + permitcenter@cityoffederalway.com CITY OF FEDERAL WAY COMMUNf1Y DEYE6®pMENi PERAITf NUffiBER _ -/ /� Y,-6 TARGET DATE SITE ADDRESS Y :11 9-q s SUITE/UNIT I# PROJECT VALVATION ZONINGASSESSOR'S TAR/PARC TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING KMECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT�� PROJECT DESCRIPTION r Detailed description of work to be included on this permit only NAME '1 e ` `1 . O `� �PRa7JYPa5 a— PROPERTY OWNER NAILING AD KESS Or �� E d� Ods CITY Pe �? 0A n`` I � ��AA'\\o" s ZIP 9 8 o a23 NAME PHONE NAMING ADDRESS E-MAIL CONTRACTOR CITY STATE ZIP FAX WA STATE CONTRACTOR'S LICENSE # ERPIRATION DATE FEDERAL WAY BUSINESS LICENSE # NAME PRIMARY PHONE APPLICANT- MAILING ADDRESS EMAIL CITY STATE ZIP FAX NAME PRIMARY PHONE PROJECT CONTACT NAILING ADDRESS E-MAIL (The individual to receive and respond to all correspondence CITY STATE ZIP FAX concerning this application) PROJECT FINANCING NAME ❑ OWNER -FINANCED When value is $5, 000 or more (RCW 19.27.095) NAILING 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 taws 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: s k��DATE PRINT NAME: S. A6 �yV&e Bulletin #100 — January 29, 2016 Page 1 of 2 kAl-landoutsTermit Application 1 PLUMBING PERMIT VALUE OF PLUMBING WORK Indicate how man of each type offixture to be installed or relocated as part of this pro'ect. Do not include wdstingfixtures to remain BATHTUBS (or Tub/shower combo) LAVS (Hand Sinker) TOILETS V pFME-CHANICAL WORK MECHANICAL PERMIT URINALS OTHER (Describe) DRAINS .760.6© Indicate how many o each type off=ture to be installed or relocated as pcot o this pro'eet. Do not include s to remain. AIR HANDLING UNITS FANS ' ,a '-GAS. PIPE OUTLETS - OTHER (Describe), AIR CONDITIONER FIREPLACE INSERTS HOODS (com—vw) BOILERS FURNACES HOT WATER TANKS (Gas) COMPRESSORS GAS LOG SETS REFRIGERATION SYST Construction DUCTING GAS PIPING WOODSTOVES Square Feet PLUMBING PERMIT VALUE OF PLUMBING WORK Indicate how man of each type offixture to be installed or relocated as part of this pro'ect. Do not include wdstingfixtures to remain BATHTUBS (or Tub/shower combo) LAVS (Hand Sinker) TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe) DRAINS SHOWERS VACUUM BREAKERS ❑ Yes ❑ No DRINKING FOUNTAINS SINKS pat h a/utait3l WATER HEATERS (m.e ujq HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIRTIIRES GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE, OF FMSTING IMPROVEDMUM Occupancy Group(s) Construction # of Additional Information EBIsTDIG/PR=ous usE LOT SIZE (In Square Feet( FMISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYWFM? Stories ❑ Yes ❑ No ❑ Yes ❑ No COMMERCIAL - NEW/ADDITION AREA DESCRIPTION Area in Occupancy Group(s) Construction # of Additional Information Square Feet Stories �. NEW BUILDnfG ADDITION COMMERCIAL - REMODEYrENANT IMPROVEMENTS AREA DESCRIPTION Area in Occupancy Group(s) Construction # of Additional Information Square Feet Stories TOTAL RM, 'D;NQ TENANT AREA ONLY PROJECT AREA dNLY — � 1 Bulletin #100 —January 29, 2016 Page 2 of 2 k:lHandouts\Permit Application