12-104554i 3
Mechanica11
City of Federal Way Permit #: 12 -104554 -00 -ME
Community 8 Econ. Dev. Services
33325 8th Ave S u
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253
) 835-3050
Project Name: SCHIEMER
Project Address: 32914 39TH AVE SW Parcel Number: 873213 0890
Project Description: INstalling a new water beater
Owner
ARI21ican
Contractor
CHARLES W SCHIEMER
H T H CONSTRUCTION
H T H CONSTRUCTION
32914 39TH AVE SW
1609 SW 324TH PL
HTHCOTH945KA (3/28/14)
FEDERAL WAY WA 98023-2620
FEDERAL WAY WA 98023
1609 SW 324TH PL
FEDERAL WAY WA 98023
Additional Permit Information
Mechanical Valuation............................................2106 Is this an Online or O.T.C. application? ................. Yes
Mechanical Fixtures
Hot Water Tanks ............................ 1
PERMIT EXPIRES Tuesday, April 2, 2013
Permit Issued on Thursday, October 4, 2012
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: 244VAW/2
FINAgerb 10117114
THIS CARD IS TOMAIN ON-SITE
CRY OF
Federal Way Construction In ection Record
y INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 12 -104554 -00 -ME Address: 32914 39TH AVE SW
Project: CHARLES W SCHIEMER FEDERAL WAY, WA 98023-2620
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.
El
Mechanical Rough -in (4165)
Gas Piping (4125)
Final Electrical
Approved
Final - Mechanical (4065)
Approved
By
Approved to release test
Approved
By
Date
By
Date
ByA/C
Date 1Q -17-12--
El
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF »:b
Federal W�y„^IVED
COMMUNITY DEVELOPMRC S
253-835-2607• FAX 253-835-2609
unur -f:U 2j(rde;rnl�rrt —1 0 4 2012
0 PERMIT
APPLICATION
I�-tea
0 MF C ME
PL DE EN FP
SITE ADDRESS CITY Q
SUITE/UNIT #
-? ' sem
PRO) CT VALUATION
ZONING ASSE R S TAX/PARCEL #
TYPE OF PERMIT
❑ BUILDING ❑ PLUM SING 1� MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
('Tenant Name/Homeowner Last Name)
h
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
N
PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRESS J
3�/g,/T/A�T
E-MAIL
CI
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NAME
!LG7
PHONE
5' ;7
MAILING ADDRESS
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CONTRACTOR
CI
STATE
ZIP
FAX
WA STATE CONT LICENSE #
/-10
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAMS
PHONE
MA*
r I DRESS
d57
E-MAIL
APPLICANT
CI
ST TE
ZIP
FAX
PROJECT CONTACT
N
PHONE
(The individual to receive and
-
MAIL ADDRESS
E-MAIL
respond to all correspondence
concerning this application)
.
CI
T E
ZIP
FAX
_
D 3
ALTERNATE CONTA AME:
PHONE
E-MAIL
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value of $5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27.095)
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. 1 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 this application.
SIGNATURE: DATE
PRINT NAME:
Bulletin #100 - January 1, 2011 Pagel of 3 k:\Handouts\Permit Application
VALUE OFMECHAMCAL WORK $ (a copy of bid or estimate must be provided)
Indicate how many of each type offixture xture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (commercial(
BOILERS FURNACES HOT WATER TANKS (cas(
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS (or Tub/showercombo(
LAVS (Hand sink.)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Kitchen/utility)
WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
WASHING MACHINES
r ItOTALiiRE3�:
CRITICAL AREAS ON PROPERTY? I WATER PURVEYOR I SEWER PURVEYOR I VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE (In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? I PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No []Yes ❑ No
Bulletin #100 —January 1, 2011 Page 2 of 3 k:\Handouts\Permit Application