15-106411Ar _ h
Mechanical
Community & Federal Way
Services Permit #: 15 -106411 -00 -ME
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Line: 253 835-'3050
Ph: (253) 835-2807 Fax: (253) 835-2609 p q
Project Name: OLBERG
Project Address: 1002 SW 298TH ST Parcel Number: 195460 0025
Project Description: Gas line to generator
Owner
nlicant r
Contractor
DEBRA L OLBERG
ANTHONY BRAD
PUGET SOUND GAS PIPING INC
JEFFREY H OLBERG
PUGET SOUND GAS PIP
PUGETSG956MA (9/29/17)
1002 SW 298TH ST
13324 BINGHAM A�
13324 BINGHAM AVE E
FEDERAL WAY WA 98023
TACOMA WA 6
TACOMA WA 98446
Additional F
Mechanical Work Valuation?.................................800
Mechanical Fixt
Gas Piping ...................................... 1 C
i
A permanently installed generator is not alio
#150 for placement details. A
nation
an Online or
.................Yes
AQNS:
placed wio"uired yards (setbacks). See Bulletin
PE �47
Wed , June 15, 2016
Pe riday�mber 18, 2015
I hereby certify that the above informatioand th construction on the above described property and
the occupancy and the use w�th t rules and regulations of the State of Washington
n ity _ ederal Way.
Owner or agent:
Date: '� �J
ADDRESS:
cm of
Federal Way
Building Division
33325 Eighth Avenue South
Federal Way, WA 98003-6325
Phone 253-835-2607 Fax 253-835-2609
CORRECTION NOTICE
1002- sw zq�ra S7. PERMIT#: (5'-k0(0+0- 00 -- ting
I 11-G 11 ^ 4ets LiyAG Skati 6,e- Fai'►n+td '� Prw•&kJ1 Cyv✓•osi or, . SCd,
60w,,cc fi, am A*
C,Ali IV, F KA1 Ir-e_dA(Ai,it, 41 r,+ Tim{ of Fiw%& I.
IF YOU HAVE QUESTIONS CALL V t44+ (253) 835- 74-13
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.
1 13111,
DATE INSPECTOR
DO NOT REMOVE THIS NOTICE
Page of
THIS CARD IS TO REMAIN ON-SITE r' ..
Fed;z'"L Construction Inspection Record
eral Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 15 -106411 -00 -ME Address: 1002 SW 298TH ST
Project: DEBRA L OLBERG FEDERAL WAY, WA 98023-8256
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.
Mechanical Rough -in (4165)Gas
Piping (4125)
Electrical
Approved
Final - Mechanical (4065)
Approved
By
Approved to release test
Approved
By
Date
By A tj
Date 12-1 ii 5
By
Date
Rough Electrical
Approved
EJFinal
Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF
Federal Way
PERMIT NUMBER C 5 _ l
0 PERM MIXF&I CATI ON
DEC 17 2015
10 (p LA I I _A 1� CITY OF FEDERAL WAY
TARGLq%ATE
SITE ADDRESS
SUITE/UNIT #
;C6
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
$'300, '0
J _r b Ci - 17 2 -
TYPE
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
O
PROJECT DESCRIPTION
Detailed description of work to
be included on this perrnit only
PROPERTY OWNER
NAME
J e�� (! jp.
PRIMARY PHONE
_7Z25'
7-06 7-76
MAILING ADDRESS 1
'2 7
100Z S w �_�, St,
E-MAIL
CITY
STATE
ZIP
NAME
PHONE
-72,.0
o�.�c� 9�— �i�
x-5'3 ZZy
MAILING ADD S
2-
E-MAIL
CONTRACTOR�
i
CITY STATE
ZIP
FAX
C Ll �� WA
1c��1�16
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
pu, " FT "<-6
NAME n
N✓IT; n �;r.Ut/F
PRIMARY PHONE
APPLICANT
MAILING ADDR S
EMAIL
133zV
CITY
STATE
ZIP
FAX
NAME
PRIMARY PHONE
PROJECT CONTACT
r Nc< . G
MAILING ADDRESS
EMAIL
(The individual to receive and
respond to all correspondence
CITY
PTA"
P
FAX
concerning this application)
PROJECT FINANCING
NAME
❑ OWNER -FINANCED
Required value of $5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19,27-095)
1 certify under penalty of perjury that I am the property owner or authorized agent of the property owner. 1 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 clairrg, 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: DATE
PRINT NAME: nf.- k .
Bulletin #100 - January1, 2013 Page 1 of 3 k:\HandoutsTermit Application
• 0
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing res to remairL
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 O GAS PIPING WOODSTOVES
GENERAL INFORMATION
AREA DESCRIPTION
Area
in Square Feet
VALUE OF PLUMBING WORK
PLUMBING PERMIT
# of
Stories
SEWER PURVEYOR
$
Indicate how many o each type offLxture
to be installed or relocated as
part o this project. Do not include existin fixtures to remain.
BATHTUBS (or Tub/sh—rcombo)
LAVS (Hand Sinks)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
TOTAL
DRINKING FOUNTAINS
SINKS (Kitchen/utility)
WATER HEATERS (Electric)
TOTAL BUILDING
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
AREA DESCRIPTION
Area
in Square Feet
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
# of
Stories
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
❑ Yes ❑ No
PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No
ADDITION
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet)
EXISTING
PROPOSED
TOTAL
Construction
Type
FOR OFFICE USE
BASEMENT
TOTAL BUILDING
FIRST FLOOR (or Mobile Home)
PROJECT AREA ONLY
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER (describe)
Area Totals
rMSTDIG
PROPOSED
- TOTAL
.,h'EW HOMM 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 Groups)
Construction
Type
# of
Stories
Additional Information
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin #100 —January 1, 2013 Page 2 of 3 k:\Handouts\Permit Application