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15-101888Project Name: WILLIAMS Project Address: 30303 31ST AVE SW Project Description: Replace 16' feet, V inch of gas piping 0 Mechanical Permit #: 15 -101888 -00 -ME Inspection Request Line: (253) 835-3050 Parcel Number: 416710 0115 Owner Applicant City of Federal Way DAVID C WILLIAMS DAVID C WILLIAMS Community & Econ. Dev. Service 30303 31ST AVE SW 30303 31ST AVE SW 33325 8th Ave S FEDERAL WAY WA 98023-2321 FEDERAL WAY WA 98023-2321 Federal Way, WA 98003 Ph: (253) 835-2607 Fax: (253) 835-2609 Project Name: WILLIAMS Project Address: 30303 31ST AVE SW Project Description: Replace 16' feet, V inch of gas piping 0 Mechanical Permit #: 15 -101888 -00 -ME Inspection Request Line: (253) 835-3050 Parcel Number: 416710 0115 Owner Applicant Contractor DAVID C WILLIAMS DAVID C WILLIAMS OWNER IS CONTRACTOR 30303 31ST AVE SW 30303 31ST AVE SW FEDERAL WAY WA 98023-2321 FEDERAL WAY WA 98023-2321 Additional Permit Information Is this an Online or O.T.C. application?.................Yes Mechanical Fixtures Gas Piping ...................................... 1 PERMIT EXPIRES Wednesday, October 14, 2015 Permit Issued on Friday, April 17, 2015 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: /�Gry-�.�� d Date: `>)711,S CITY OF Federal Way PERMIT #: Project: • THIS CARD IS TOMAIN ON-SITE Construction In ection Record INSPECTION REQUE TS: (253) 835-3050 15 -101888 -00 -ME Address: 30303 31ST AVE SW DAVID C WILLIAMS FEDERAL WAY, WA 98023-2321 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 Electrical Approved E] Final - Mechanical (4065) Right of Way Approved Approved Date Approved to release test By Date Approved By Date By ' ' Date ` ? By Date - F1 Rough Electrical Approved EJ Final Electrical Approved Right of Way Approved By Date By Date By Date 40� C,r„oF p1NN1 PERMIT4KPPLICATION Federal Way I V - i g-� APR 17 2015 PERMIT NUMBER C1 I Y OF - TARGET DATE EDFR81 WAV SITE ADDRESS s v30 3' 3( 57 - SUIT]CPM # PROJECT VALUATION $ liv — ZONING ASSESSOR'S TAX/PARCEL # I _ 0 - -TYPE TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT J�/� rt Tl /�+ L ✓Z E NL /} c z llc f= T 1 �� } s L j �/ PROJECT DESCRIPTION Detailed description of work to 6"4'!E / 1�-/ C be included on this permit only PROPERTY OWNER NAME .� IPA V1W ) 0 G l 5 PRIMARY PHONE -2-5 - 5 3 *36 7/-2—Z MAILING ADDRESS 5r AVC E-MAIL a v,cdo CITY STATE ZIP G NAME ow A4r_`j2 PHONE MAILING ADDRESS E-MAIL CONTRACTOR CITY STATE ZIP FAX WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE # NAME oLurgi/=!� PRIMARY PHONE APPLICANT MAILING ADDRESS E-MAIL CITY STATE ZIP FAX PROJECT CONTACT NAME vt-'. ` I e ✓� PRIMARY PHONE MAILING ADDRESS E-MAIL (The individual to receive and respond to all correspondence CITY STATE ZIP FAX concerning this application) PROJECT FINANCING NAME OWNER -FINANCED Required value of $5,000 or more (RCW 19.27.095) 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 of this application. apart SIGNATURE: ��'�' *� ce'� DATE PRINT NAME: 0,4 V J 1 i C lnJ f L L jam- --t f Bulletin #100 - January 1, 2013 Page 1 of 3 k:\Handouts\Permit Application GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR VALUE OF MECHANICAL WORK MECHANICAL PERMIT FOR OFFICE USE BASEMENT $ �O' G p !:f - Indicate how many of each type offtxture to be installed or relocated as part of this project. Do not include existingfixtures to remain. AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe) AIR CONDITIONER FIREPLACE INSERTS HOODS (commercial) OTHER (Describe) BOILERS FURNACES HOT WATER TANKS (Gas) Occupancy Group(s) COMPRESSORS GAS LOG SETS REFRIGERATION SYST DECK DUCTING _ GAS PIPING WOODSTOVES TOTAL FIXTURES GARAGE ❑ CARPORT ❑ TENANT AREA ONLY GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR VALUE OF PLUMBING WORK PLUMBING PERMIT FOR OFFICE USE BASEMENT $ Indicate how many o each type offixture to be installed or relocated as part o 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 Occupancy Group(s) DRINKING FOUNTAINS SINKS (Kitchen/utility) WATER HEATERS (electric) DECK HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS FOR OFFICE USE BASEMENT NEW BUILDING EXISTING/PREVIOUS USE LOT SIZE (In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? ADDITION ❑ Yes ❑ No ❑ Yes ❑ No RESIDENTIAL - NEW OR ADDITION AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE BASEMENT NEW BUILDING FIRST FLOOR (or Mobile Home) ADDITION SECOND FLOOR COMMERCIAL — REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION COVERED ENTRY Occupancy Group(s) Construction Type # of Stories Additional Information DECK GARAGE ❑ CARPORT ❑ TENANT AREA ONLY OTHER (describe) PROJECT AREA ONLY Area Totals EXISTING PROPOSED TOTAL **NEW Homs ONLY** ESTIMATED SELLING PRICE $ # OF BEDROOMS COMMERCIAL— NEW/ADDITION AREA DESCRIPTION Area in Square Feet Occupancy Group(s) Construction Type # of Stories Additional Information NEW BUILDING ADDITION COMMERCIAL — REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION Area in Square Feet Occupancy Group(s) Construction Type # of Stories Additional Information TOTAL BUILDING TENANT AREA ONLY PROJECT AREA ONLY Bulletin 4 100 — January 1, 2013 Page 2 of 3 k:\Handouts\Permit Application