15-101953Cky of Federal Way
community & Ecxm. Dev. Services
33325 8th Ave S
Federal Way, WA 98003 FILE
Ph: (253) 835-2807 Fax: (253) 835-2809
Project Name: QUAEL RUN CONDOMINIUMS
Project Address: 3105 SW 3191M PL Unit 8
Project Description: Replace gas line under crawl space
Mechanical
Permit #: 15 -101953 -00 -ME
Inspection Request Line: (253) 835-3050
Parcel Number: 698000 0080
Owner
MYRNA TAYLOR
ARRIIcan
NATURAL GAS SERVICES LLC
Contractor
NATURAL GAS SERVICES LLC
3105 SW 319TH PL #81)
718 GRIFFIN AVE SUITE 36
NATURGS971BC (2/5/16)
FEDERAL WAY WA
ENUMCLAW WA 98022
718 VE SUITE 36
98023-2240
E WA 98022
Additional Permit Irdormation a
Is this an Online or O.T.C. application? ................. es
Mel:
GasPiping ...................................... 1
PERMIT
Permit
I hereby certify that the above inform
the occupancy and the us iiibe in
t�
Owner or agenC�
\;1
W
Octo r 19 2
y, April
and that the cons 'on on the above described property and
with theImV.d regulations of the State of Washington
�i of F y.
Date: z1( 2 Z h 3,
CITY CW
Federal Way
PERMIT #:
Project:
THIS CARD IS TOMAIN ON-SITE
Construction In ection Record
INSPECTION REQU TS: (253) 835-3050
15 -101953 -00 -ME Address: 3105 SW 319TH PL Unit 8
MYRNA TAYLOR FEDERAL WAY, WA 98023-2233
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.
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
C,TMOF # PERMIT4KPP TION
Federal Way
4o1a"
HUK 22 2015
PERMIT NUMBER I �j _ 0 j'j'� OF FEDERAL WAY
— TARGET DlliLr'
SITE ADDRESS /
�� l 4—
SUITE/UNIT #
PROJECT VALUATION
$ /o vo `�
ZONING
ASSESSOR'S TA$/PARCO O (D� O O
&��—��//'' — — — — — — [—j�� —
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(� (�UA [L "A/ CDA)t>06�
PROJECT DESCRIPTION
Detailed description ofoork to
4"1•S
be included on this permit only
PROPERTY OWNER
NAME
My 2/./ A 714- A; k
PRIMARY PHONE
Z-C-2-5-1c?,.7 y
MAILING ADDRESS
hJ3 / L
E-MAIL
CITY
�
STATE ZIP
O
NAME
/)6-A&��
/r A- yLA 6-A&J�C-I-LC
PHO NE
3 &32 9c) /
MAILING ADDRESS (0
4,-- f
E-MAIL
CONTRACTOR2/9
CITYvWVN �
STATE
,V ••V Nr1'
ZIP 90 O
FAX
WA STATE CONTRACTOR'S LICENSE #
iZ
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
PRIMARY PHONE
APPLICANT
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAMEPRIMARY
�D Lr% SII A/
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 apart of thisplic t' n.
c�SIGNATU DATE
PRINT NAME: t. (� N
Bulletin #100 - January 1, 2013 Page 1 of 3 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT s
Indicate how man.y of each type offixture 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)
BOILERS FURNACES HOT WATER TANKS (Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VALUE OF PLUMBING WORK
PLUMBING PERMIT
# of
Additional Information
$
Indicate how many o each type offixture
to be installed or relocated as
part o this project. Do not include existin fixtures to remain.
BATHTUBS (or Tub/Shower Combo)
LAVS (Hand Sinks)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
TOTAL
DRINKING FOUNTAINS
SINKS (Kitchein/utiiity)
WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
# of
Additional Information
in S are Feet
EXISTING/PREVIOUS USE
LOT SIZE )In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No
❑ Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet)
EXISTING
PROPOSED
TOTAL
FOR OFFICE USE
7
ADDITION
A
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area
FIRJ/ST FLOOR (or Mobile Home)
Construction
# of
Additional Information
—. __�.��� _.__.._.—__..__..___.._.__
In S uare Feet
�/,fl" // /
l•ly / s�/fid
BUILDING
"04
�777,
COVERED ENTRY
„TOTAL
04
TENANT AREA ONLY
PROdECTi/� ONLY
.S�.�iKTWl �4,-hh,< rhr'Sr', �"� li y'/��✓.�f�'.�'
•r ;✓�
JAZ S,Y .�Fh ...,
�>�,5,
.__.-__�-_.. ..._..........._�._�_ -_
GARAGE ❑ CARPORT ❑
WN,
84
EXISTING
PROPOSED
TOTAL
Area Totals
//��■■//s��
ESTIMATED SELLING PRICE $
# OF BEDROOMS
COMMERCIAL— NEW/ADDITION
AREA DESCRIPTION
Area
Occupancy Group(s)
Construction
# of
Additional Information
in S are Feet
Type
Stories
7
ADDITION
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area
Occupancy Group(s)
Construction
# of
Additional Information
In S uare Feet
a
Stories
BUILDING
"04
�777,
„TOTAL
TENANT AREA ONLY
PROdECTi/� ONLY
'f
i
Bulletin #100 — January 1, 2013 Page 2 of 3 k:\Handouts\Permit Application