15-102542City of Federal Way
Community & Econ. Dev. Services
Aonlicant
CRAIG CROSSLAND
Contractor
OWNER IS CONTRACTOR
33325 8th Ave S
32655 39TH PL SW
FILE
Federal Way, WA 98003
FEDERAL WAY WA
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: CROSSLAND
Project Address: 32655 39TH PL SW
0
#1 , 19
Mechanical
Permit #: 15 -102542 -00 -ME
Inspection Request Line: (253) 835-3050
Parcel Number: 873195 0110
Project Description: Adding and extending 30' of gas line for existing barbeque and fire pits.
Owner
CRAIG CROSSLAND
Aonlicant
CRAIG CROSSLAND
Contractor
OWNER IS CONTRACTOR
32655 39TH PL SW
32655 39TH PL SW
FEDERAL WAY WA
FEDERAL WAY WA
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes
Mechanical Fixtures
Gas Piping ...................................... 2 Gas Pipe Outlets............................. 2
PERMIT EXPIRES Monday, November 23, 2015
Permit Issued on Wednesday, May 27, 2015
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 Date: Z
volt,ALEO
' THIS CARD IS TO MAIN O -SITE' �.
C�a CoOX-SITE'
In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 15 -102542 -00 -ME Address: 32655 39TH PL SW
Project: CRAIG CROSSLAND FEDERAL WAY, WA 98023-2648
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)
0 Final - Mechanical (4065)
Approved
Approved to release test
Approved
By Date
By V4 Date to to JIS7
By V W Date to t a
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF 4A PERMIT'ftPPLICGN
Federal Way MAY 2 7 2015
f
PERMIT NUMBER I O CITY OF FEDERAL WAY
— - —� TARGET DATE CDS
SITE ADDRESS
SUITE/UNIT #
PROJECT VALUATION
ZONING
ASS SOR'S TAX/PARCEL � � _ � �
— 7 O— —
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING kMECHANicAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME(g �S`I
PRIMARY PHONE
MAILING ADDRESS � � / , . ^
Z f�•/ZIP
E-MAIL
C
TE
NAME
PHONE
CONTRACTOR
MAILING ADDRESS /
E-MAIL
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
PRIMARY PHONE
APPLICANT
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
NAME
PRIMARY PHONE
PROJECT CONTACT
MAILING ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
CITY pr 1
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,
ew
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 tot city asap of this application.
SIGNATURE: DATE Z7 I S
PRINT NAME: sV
Bulletin #100 – January 1, 2013 Page 1 of 3 k:\Handouts\Permit Application
MECHANICAL PERMIT
Indicate how many of each typo
AIR HANDLING UNITS
AIR CONDITIONER
BOILERS
COMPRESSORS
DUCTING
M
LJ
VALUE OF MECHANICAL WORK
to be installed or relocated as Caa of this project. Do not include existingfixtures to remain..
FANS GQS PIPE OUTLETS OTHER (Describe)
FIREPLACE INSERTS HOODS (commercial)
FURNACES HOT WATER TANKS (Gas)
GAS LOG SETS REFRIGERATION SYST
GAS PIPING WOODSTOVES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VALUE OF PLUMBING WORK
PLUMBING PERMIT
FOR OFFICE USE
AREA DESCRIPTION
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
Indicate how many o each type o
ure •to be installed or relocated as
part o this project. Do not include existin ures 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 (Electric)
�r f
. ,.,
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
FOR OFFICE USE
AREA DESCRIPTION
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
in Square Feet
❑ Yes ❑ No
❑ Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet)
EXISTING
PROPOSED
TOTAL
FOR OFFICE USE
AREA DESCRIPTION
Occupancy Group(s)
Additional Information
in Square Feet
FIRST FLOOR (or Mobile Home)
Stories
NEW BtiILDIKa"
SECO
�l
Y F
" /
i
,.
�r f
. ,.,
COVERED ENTRY
u
r'
Area
,;DECT�
# of
,
AREA DESCRIPTION
GARAGE ❑ CARPORT ❑
Additional Information
in Square Feet
Type
Stories
TOTAL BUILDING
Area Totals
EXISTING
PROPOSED
TOTAL
A, woo
PR03ECl' AREA ONLY
ESTIMATED SELLING PRICE $ # OF BEDROOMS
COMMERCIAL — NEW/ADDITION
Area
Construction
# of
AREA DESCRIPTION
Occupancy Group(s)
Additional Information
in Square Feet
a
Stories
NEW BtiILDIKa"
�l
Y F
" /
i
,.
�r f
. ,.,
ADDITION
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
Area
Construction
# of
AREA DESCRIPTION
Occupancy Group(s)
Additional Information
in Square Feet
Type
Stories
TOTAL BUILDING
TENANT AREA ONLY
PR03ECl' AREA ONLY
, fr' j r
r /
Bulletin #100 — January 1, 2013 Page 2 of 3 k:\Handouts\Pennit Application