13-101351City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835.2607 Fax (253) 8355-2609
Project Name: NGUYEN
Project Address: 31005 36TH AVE SW
Project Description: Add gas line for new generator install
Mechanical
Permit #: 13 -101351 -00 -ME
Inspection Request Line: (253) 835-3050
Parcel Number: 058755 0500
Owner
ARRIlcant
Contractor
LINH Q NGUYEN
WASHINGTON ELECTRIC LLC (GENERAL)
WASHINGTON ELECTRIC LLC (GENERAL)
31005 36TH AVE SW
12501 SE 299TH PL
WASHIEL879BW (1/16/15)
FEDERAL WAY WA
AUBURN WA 98092
12501 SE 299TH PL
98023
AUBURN WA 98092
Additional Permit Information
Is this an Online or O.T.C. application? ................. es
Mechanical Fbdtues
GasPiping ...................................... 1
CONDITIONS:
A permanently installed generator is not allowed to be placed within required yards (setbacks). See Bulletin
#150 for placement details.
PERMIT EXPIRES Saturday, September 2% 2013
Permit Issued on Monday, March 25, 2013
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 ity of Federal Way. ,
Owner or agent: - Date: ZS✓/ ""�
CITY..A1 "
Federal Way
PERMIT #:
13 -101351 -00 -ME
THIS CARD IS TO MAIN ON-SITE
Construction Inlection Record
INSPECTION REQ TS: (253) 835-3050
Address: 31005 36TH AVE SW
Project: LINH Q NGUYEN FEDERAL WAY, WA 98023-4004
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 (4
Gas Piping (4125)
Final Electrical
Approved
Final - Mechanical (4065)
Approved
By
Approved to release test
Approved
By
Date
By
Date
By,"Date
3
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
} MYOF
Federal Way
PERMIT NUMBER 1 ✓ _ I O I
l
V-0-cq9
PERMIT qKPPLICATION
RECEIVED
-�0 MAR 252013
TARGET DATE Crry oF FEDERAL WAY
SITE ADDRESS
-3j o 5-96T� Nvi Sv✓
SUIT i
PROJECT
/)VALUATION
ZONING
A33ESSOR'S TAR/PARCEL #
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING.MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
L Ni-- N 6U
PROJECT DESCRIPTION
T
Detailed description of work to
be included on this permit only
PROPERTY OWNERJ
NAME (� ` /
v
PRIMARY PHONE
MAHJNG ADDRESS
E-MAIL
.4167,
CITY
STATE
ZIP
/�
NAME W,4 L% /,/,& ' / /� (/j c
v
ONE
PH'7 —
E-MAIL
CONTRACTOR
MAILING ADDRESS
O/ /- 2 -
CITY
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE M
ERPD2ATION DATE
/ Z //L
FEDERAL WAY BUSINESS LICENSE M
NAME � � � ' /
N
PRIMARY PHONE
MAILING ADDRESS
541K,/'
E -MAH.
APPLICANT
CITY
STATS
ZIP
FAX
PROJECT CONTACT
NAME
I C AJ-
PRIMARY PHONE
MAILING ADDRESS
EMAIL
(The individual to receive and
respond to all correspondence
CITY STATE ZIP
FAX
concerning this application)
PROJECT FINANCING
❑ OWNER -FINANCED
Required value of $5,000 or more
(RCW 19.27.095)
MAILING ADDRESS, , 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 Iaws 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 t reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as apart this application.
SIGNATURE: 6,,DATE 3 /2 S
—
PRINT NAME: / AjS
Bulletin #100 – January 1, 2013 Page I of 3 k:\Handouts\Permit Application
MECHANICAL PERMIT
Indicate how many of each type
AIR HANDLING UNITS
AIR CONDITIONER
BOILERS
COMPRESSORS
DUCTING
to be installed or relocated as
FANS —
FIREPLACE INSERTS _
FURNACES —
,GAS LOG SETS _
GAS PIPING
VALUE OF MECHANICAL WORK
$ ('s-0
rthis project. Do not include existingfixtures to remain_
GAS PIPE OUTLETS OTHER (Describe)
HOODS )commercial)
HOT WATER TANKS IG—)
REFRIGERATION SYST
WOODSTOVES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VALUE OF PLUMBING WORK
PLUMBING PERMIT
in tiara Feet
Stories
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
$
Indicate how many of each type offixture
to be installed or relocated as part
o this project. Do not include a)dstir�grvctures to remain.
BATHTUBS (or Tub/shoe combo)
LAVS )Hand SikA
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
Type
DRINKING FOUNTAINS
SINKS (vitehen/utility)
WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FEKTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEI[ENTS
in tiara Feet
Stories
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
ADDITION
❑ Yes ❑ No
❑ Yes ❑ No
COMMERCIAL — NEWIADDITION
AREA DESCRIPTION
Area Occupancy Group(s)
Construction #I Additional Information
in tiara Feet
Stories
ADDITION
COMMERCIAL — REMODEUTENANT IMPROVEMENTS
AREA DESCRIPTION
Area
Occupancy Group(.)
Construction#
of
Additional Information
in Sauare Feet
Type
Stories
TENANT AREA ONLY
Bulletin #100 —January 1, 2013 Page 2 of 3 k: liandoutsTermit Application