17-105020FILE
City oiFederal Way
Community Development Dept
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 8352607 Fax (253) 835-2609
0
Mechanical
Permit #:17-1
Inspection Request Line: (253)
Project Name: RIPPENTROP-DWINNEL
Project Address: 112 S 293RD ST
Project Description: Upgrade furnace and range to gas
REV1G D on 1AM7 TO INCLUDE..HE '�•
720250 0110
Owner
Applicant
Contractor
DAVID C RIPPENTROP
PLANTRAK HOME IMP Co
HOME
PLANTRAK HOME IMPROVEMENT CO
112 S 293RD ST
4312
PLANTH1892P4 (11/23/17)
FEDERAL WAY WA
EDGEWOOD W 371
4312102ND AVE E
98003-3694
EDGEWOOD WA 98371
Addi
Mechanical Work Valuation? .................................. 4500
OW
ae or O.T.C. application? ................. Yes
Compressors / Heat Pumps _ 1 Fpm/ P 1 Gas Piping 1
Ranges � '
M PIRETWbuday,16 April, 2018
few sued on Wednesday, October 18, 2017
I hereby certify thatJ�abi
and that the construction on the above described property
and the occupawith the laws, rules and regulations of the State of
the City of Federal Way.
Owner or agent: V ►✓1 Date:
AF
4
Mechanical
City
mitt' Feaeop—t Permit #:17 -105020 -00 -ME
Community Development Dept
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Line: (253) 835-3050
Ph: (253) 8332607 Fax (253) 835-2609
Project Name: RIPPENTROP-DWINNEL
Project Address: 112 S 293RD ST Parcel Number: 720250 0110
Project Description: Upgrade furnace and range to gas
Owner
Applicant
Contractor
ROXANNE RIPPENTROP-DWINNEL
PLANTRAK HOME IMPROVEMENT CO
PLANTRAK HOME IMPROVEMENT CO
112 S 293RD ST
4312 102ND AVE E
PLANT11I892P4 (11/23/17)
FEDERAL WAY WA 98003
EDGEWOOD WA 98371
4312 102ND AVE E
USA
EDGEWOOD WA 98371
Additional Permit Information
Mechanical Work Valuation? .................................. 4500 Is this an Online or O.T.C. application? .................. Yes
Furnaces 1 Gas Piping 1
PERMIT EXPIRES Monday, 16 April, 2018
Permit Issued on Wednesday, October 18, 2017
I hereby certify that the above inform 'on is correct and that the construction on the above described property
and the occupancy7the7Jllin accordance with the laws, rules and regulations of the State of
ington and the City of Federal Way.
Owner or agent: Date: 12 —
THIS CARD IS TO REMAIN ON-SITE
urr or ��
Construction Inspection Record
Federal INSPECTION REQUESTS: (253) 835-3050
PERN" #: 17105020 00
Address: 112 S 293RD ST
Project: ROXANNE RIPPENTROP DWINNEL FEDERAL WAY WA
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are lieled as close to sequential order as possrble
(read left to rigbt, top to bottom). Please whe&& insp ow as appropriate. Work must not be covered until it is approved. Check wM your inspector if
You aro unsure about eny of the inspections or the inspection sequence. On-going inspections are logged on the baric of this card.
El Mechanical Rough -in (4165)
0 Gas Piping (4125)
® Final - Mechanical (4065)
Approved
Approved to release test
JBy
Approved
By Date l L �
By Date I 1 Z ?
Date
Rough Electrical
El
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
A �
CITY OF Building Division
33325 Eighth Avenue South
Federal Wa Federal Way, 98003-6325
y Phone 253-835-2607 Fax
253-835-2609
vit�
CORRECTION NOTICE
ADDRESS: 1%Z 5. s -r . PERMIT#:
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IF YOU HAVE QUESTIONS CALL IMa+#- (253) 835- 7 -1o? -3
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE -INSPECTION. SEE BACK OF CARD
FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS.
to �- 1
DA E INSPECTOR
DO NOT REMOVE THIS NOTICE
Page of
e M 4... 41k�r
CITY OF
Federal Way
PERMIT NUMBER 17--
PERMIT APPLICATION
PERMIT CENTER + 33325 8th Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + ermitc offederalwa .corn
rItULIVED
I (D 5— 0 Z C ME7 OCT 182017
— TARGET DATE
- - CITY
OF FEDFPAI wev
SITE ADDRESS LOPikW
PROJECTVALUON
Gb !Z�
ZONING
ASSESSOR'S TAX C#
��0
0
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
OWNER
NAME
PRIMA7RY PHONE
S 351 _ 6 5 711/PROPERTY
MAILING AD RESS L^
E-MAIL
CITY J
STATE
ZIP
d Wit✓ 4
aroCr�
PHONE
3- jZ-
MAILING ADDRESS
�
t{� I e �t '
CONTRACTOR
_
e� STATE_
/AL
IAI?,
ZIP
/ ,72
FAX
WA ST CONTRACTOR'S LICENSE #
LA 15q,,z
EXPIRATION DATE
i 3 i
FEDERAL WAY BUSINESS LICENSE #
Ad' -17- -,06 -
NAME
PRIMARY PHONE
MAILING kDDkESS
E-MAIL
APPLICANT
CITY
STATE
ZIP
FAX
NAME
PRIMARY PHONE
PROJECT CONTACT
Q H/
1
MAILING ADDRESS
E-MAIL,
(The individual to receive an
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)
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 Ci of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in
the investigation and defense of such cl which may be made by any person, including the undersigned, and filed against the city,
but only where such ci arises out of t e reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to h city as a rt of his application.
SIGNATURE: DATE
"6
PRINT NAME: A V &_ / I'1 cI CA ce
Bulletin #100 - January 29, 2016 Page 1 of 2 k:\IIandouts\Permit Application
s
MECHANICAL PERMIT
Indicate how many of each typ
AIR HANDLING UNITS
AIR CONDITIONER
BOILERS
COMPRESSORS
DUCTING
Ffixture to be installed or relocated as
FANS _
FIREPLACE INSERTS _
FURNACES _
GAS LOG SETS _
JV GAS PIPING
VALUE OF MECHANICAL WORK
f this project. Do not include existing fixtures to remain.
GAS PIPE OUTLETS OTHER (Describe)
HOODS (commercial)
HOT WATER TANKS (Gas)
REFRIGERATION SYST
WOODSTOVES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VALUE OF PLUMBING WORK
PLUMBING PERMIT
Area in
Occupancy Group(s)
Construction
# of
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
$
Indicate how many of each type offixture
to be installed or relocated as
part of this project. Do not include existing futures to remain.
BATHTUBS (or Tub/Shower Combo)
LAVS (Hand Sinks)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Kitchen/Utility)
WATER HEATERS (aectric)
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
Area in
Occupancy Group(s)
Construction
# of
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
a
Stories
❑ Yes ❑ No
❑ Yes ❑ No
COMMERCIAL — NEW/ADDITION
AREA DESCRIPTION
Area in
Occupancy Group(s)
Construction
# of
Additional Information
S uare Feet
a
Stories
ADDITION
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
Area in
Construction
# of
AREA DESCRIPTION
Occupancy Group(s)
Additional Information
S "are Feet
a
Stories
10,0
AI.e ii - d� i I ; ..
c
i
TENANT AREA ONLY
Bulletin #100 — January 29, 2016 Page 2 of 2 k:\Handouts\Permit Application