15-102002w _
Mechanical
City ofFederal way
Permit #: 15 -102002 -00 -ME
Community 8 Econ. Dev. v. Services
33325 8th Ave Srr
Federal way' WA 98003 Inspection Request Line: 2
Ph: (253) 835-2607 Fax: (253) 835-2609 pect Q 53) 835-3060
Project Name: LOPEZ
Project Address: 35011 27TH AVE SW Parcel Number. 351800 0030
Project Description: Add gas piping for furnace & hot water tank.
Owner
Contractor
REYMUNDO LOPEZ
REYMUNDO LOPEZ
OWNER IS CONTRACTOR
35011 27TH AVE SW
35011 27TH AVE SW
FEDERAL WAY WA 98023-3080
FEDERAL WAY WA 98023-3080
Additional Permit Information
Is this an Online or O.T.C. application .................Yes
Mechanical Fixtures
Ducting ........................................... 1 Furnaces..... ......... ............ ...... 7 Gas Piping...................................... 1
Gas Pipe Outlets ............................. 3 Hot Water Tanks .........................., ° 1
PERMIT EXPIRES
Permit IssiLed
I hereby certify that the above information
the occupancy and the us
Owner or agent:
[ruction on the above described property and
and regulations of the State of Washington
'y' / /
CITY CW
Federal Way
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 15 -102002 -00 -ME Address: 35011 27TH AVE SW
Project: REYMUNDO LOPEZ FEDERAL WAY, WA 98023-3080
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
0
Mechanical Rough -in (416
Gas Piping (41 5)
0
Final - Mechanical (4 5)
1:1Approved
Approved
By
Appro 0ease test
Approved
By
Date
By
ate
By
Date
Rough Electrical
Approved
1:1Approved
Final Electrical
1:1Approved
Right of Way
By
Date
By
Date
By
Date
DATE
INSPECTOR
AREA ANDTYPE OF INSPECTION
I Shitt —v Gey ✓ 1
//'i,-,14 6',-ie..,-
444 MY OF �� R I� A L' A\iWA A AQLAA A AdA V/L'A A A V i\
Federal Way APR 2 4 2015
OF FEDERAL WAY 7
PERMIT NUMER ; () d
_� TARGET DATE
SITE ADDRESS
sIi1E/uxrr #
35011 27th Avenue South West, Federal Way, WA 98023
PROJECT VALUATION
ZONING
ASSESSOR'S TAR/PARCEL #
$ 5,500.00
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING i7 MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
Rey Lopez - Residence
PROJECT DESCRIPTION
Fumance change out and ductwork modification (�)
Detailed description of work to
Gas piping t0 3 outlets
be included on this permit only
NAME PRIMARY PRONE
PROPERTY OWNER
-Rey Lopez 253-732-3877
KAnJNG ADDRESS
E-MAIL
35011 27th Avenue South West
dopez9112Qgmail.com
CITY STATE ZIP
Federal y WA 98023
I
NAS
PHONE
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
PRIMARY PHONE
Rey Lopez
MAUJNG ADDRESS
Same as above
E -MAR.
APPLICANT
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAME
Rey Lopez
PRIMARY PHONE
253-732-3877
(The individual to receive and
MAMING ADDRESS
WKAM
respond to all correspondence
CITY STATE ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
Rey Lopez
® OWNER-FIltANCED
Required value of $5,000 or more
(RCW 19.27.095)
MAILING ADDRESS, CITY, STATE, ZIP
PRONE
253-732-3877
I certify under penalty of perjury that I ant the property owner or authorized agent of the property owner. I cert{ fy that to the best
of my knowledge, the injbrmation 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 authorised by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's respons Misty for compliance with local, state, or federal laws regulating
constrwctiort or environmental laws.
I farther 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 cl abnq, which may be made by any person, including the undersigned, and filed against the city,
but only where such c�la��i,m, �arises o_w2 �e .&- --- of the city, inchuling its o leers and employees, upon the accuracy of the
inormation supplied as a part of this cation
SIGNATURE: DATE 4/20/15
PRINT NAME. Rey Lopez
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
Indicate how many of each type
of fixture to be installed or relocated as
part of this project. Do not include
AIR HANDLING UNITS
FANS
3 GAS PIPE OUTLETS _
AIR CONDITIONER
FIREPLACE INSERTS
HOODS (c - w)
BOILERS
t FURNACES
1 HOT WATER TANKS (Gan
COMPRESSORS
GAS LOG SETS
REFRIGERATION SYST
2 DUCTING
1 GAS PIPING
WOODSTOVES
5,500.00
existing fixtures to remain.
OTHER (Describe)
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet) EXISTING
PROPOSED
VALUE OF PLUMBING WORK
PLUMBING PERMIT
BASEMENT
# of
Stories
$
Indicate how many o each type offixture
to be installed or relocated as
part of this project. Do not inchAdeeidstingfwtures to remain.
BATHTUBS (orn,blsbow combo)
LAVS (HaodSika)
TOILETS WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS )K;rba/unity)
WATER HEATERS (F1ecuiq
HOSE BIBBS
SUMPS
WASHING MACHINES TOTAL FEKTURES
Additional Information
BUnmma
GENERAL INFORMATION
CRITICAL AREAS OF PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EZISMG OffPROVEIOSPTS
**Jaw aomm ONLY"
ESTIMATED SELLING PRICE
I # OF BEDROOMS
Zxnn1xG/PREVIOUS USE
LOT SIZE (in Square Feet)
EXISTDIG FIRE SPROOMER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No
❑ Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet) EXISTING
PROPOSED
TOTAL
FOR OFFICE USE
BASEMENT
# of
Stories
Additional Information
NNW Bunimw
FIRST FLOOR (or Mobile Home)
SECOND FLOOR
ADDITION
COVERED ENTRY
COMMERCIAL - REMODEUTENANT IMPROVEMENTS
DECK
Ana
aFeet
in SquareTOTAL
Occupancy Group(s)
Construction Type3t
GARAGE ❑ CARPORT ❑
Additional Information
BUnmma
OTHER (der�
mWUM
Area Totals
Pam
mrn.
**Jaw aomm ONLY"
ESTIMATED SELLING PRICE
I # OF BEDROOMS
COMMERCIAL - NEW/ADDITION
AREA DESCRIPTION
Area
In Square Feet
Occupancy Group(s)
Construction
# of
Stories
Additional Information
NNW Bunimw
ADDITION
COMMERCIAL - REMODEUTENANT IMPROVEMENTS
AREA DESCRIPTION
Ana
aFeet
in SquareTOTAL
Occupancy Group(s)
Construction Type3t
ries
Additional Information
BUnmma
TENANT AREA ONLY
PROIIECT AREA ONLY