18-104017City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: NELSON
Project Address: 36fW 9TH AVE SW
3S(o4S
Project Description: Installing new gas piping for furnace.
Mechanical
Permit #:18 -104017 -00 -ME
Inspection Request Line: (253) 835-3050
Parcel Number: 440560 0165
Owner
Applicant
Contractor
STANLEY NELSON
STANLEY NELSON
OWNER IS CONTRACTOR
35665 9TH AVE SW
35665 9TH AVE SW
FEDERAL WAY WA
FEDERAL WAY WA
98023-7226
98023-7226
AdditionalPermit Information
Mechanical Work Valuation? .................................. 300
Is this an Online or O.T.C. application? .................. Yes
CONDITIONS:
Electric service & Electrical permits by TACOMA POWER.
PERMIT EXPIRES Monday, 25 February, 2019
Permit Issued on Wednesday, August 29, 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: 2Date:
cm CwTHIS CARD IS TO REMAIN ON-SITE
Federal Way Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 1810401700 Address: 35655 9TH AVE SW
Project: STANLEY C NELSON FEDERAL WAY WA 98023-7226
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.
9❑
Mechanical Rough -in (4165)Z❑
Gas Piping (4125)
Final Electrical
Final - Mechanical (4065)
0
Approved
Approved to release test
Approved
By
Date
By
I Date
By 0
Date -/I- lk
Rough Electrical
Final Electrical
0
Right of Way
Approved
Approved
IBY
Approved
By
Date
By
Date
Date
4ik
CITY OF
Federal Way
PERMIT NUMBER )
RECEIVED PERMIT APPLICATION
AUG 2 9 2018 PERMIT CENTER + 33325 8th Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenter@cityoffederalway.com
C" F FEDERAL COM UNITY DEV OPME
IDgDI?-0a
TARGET DATE
P ) '�-
SITE ADDRESS
SUITE/UNIT #
3&S 76'S TSF u Lac%
PROJECT VALUATION
$
ZONING
ASSESSOR'S TAX/PARCEL #
D 5(0 o- Q I s
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING aECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
PROJECT DESCRIPTION
(� ,�(/��
n r 02,g2(4 tv>/ 'Q.Lr ac
Detailed description of work to
be included on this permit only
NAME
A)elsun
PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRESS
3S'�L5 9 .�44j'fa
E-MAIL
CITY
STATE
ZIP
NAME
PHONE
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
`JC. rv\ e o,5 Gi v-e—
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
OWNER -FINANCED
When value is $5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27.095)
I certify under penalty of perfury 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.
SIGNATURE: '^C/`�/./ DATE
PRINT NAME:
Bulletin #100 — January 29, 2016 Page 1 of 2 k:\Handouts\Permit Application
MECHANICAL PERMIT VALUE OF MECHANICAL WORK
Indicate how many of each type offLxture to be installed or relocated as part of this project. Do not include existing res to remain
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (commercial)
BOILERS FURNACES HOT WATER TANKS (Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
Yh4; n j2__
WATER PURVEYOR -
l�l�c�
VA LUE OF PLUMBING WORK
PLUMBING PERMIT
EXISTING/PREVIOUS USE
Y>1
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
❑ Ye5K No
PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yesx No
Stories
NCR
�•A�`LDI- ate.:
Indicate how many o each type offwture
to be installed or relocated as
part of this project. Do not include existing res to remain.
BATHTUBS (or Tub/Shower Combo)
LAVS (Hand Sinks)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
DRINKING FOUNTAINS
SINKS (Kitchen/Utility)
WATER HEATERS (Electric)
Construction
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
Yh4; n j2__
WATER PURVEYOR -
l�l�c�
SEWER PURVEYOR
S�� �,c
VALUE OF EXISTING IMPROVEMENTS
$ _.e--
EXISTING/PREVIOUS USE
Y>1
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
❑ Ye5K No
PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yesx No
COMMERCIAL —NEW/ADDITION
AREA DESCRIPTION
Area in Occupancy Group(s)
Construction
# of
Additional Information
Square Feet
a
Stories
NCR
�•A�`LDI- ate.:
a x `� ���' "�•�
s�
y',� /
'
fF
.,; w
�
,.
uu,
ADDITION
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area in
Occupancy Groups)
Construction
# of
Additional Information
Square Feet
a
stories
TOTAL " t�ILilIIli(a
42
vX c�+ +`` .5Y �. P,"�
,''s'�."+4'3
f� A.�'l.ni"y' ##
TENANT AREA ONLY
ECT AREA ONLY»
r'',� 1, F y/g
f
/
Bulletin #100 —January 29, 2016 Page 2 of 2 k:\Handouts\Permit Application