16-100657City of federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003 -
Ph: (253) 835-2607 Fax: (253) 835-2609
Mecianical
Permit #: 16 -100657 -00 -ME
®, P Inspection Request Line: (253) 835-3050
Project Name: COSMA
Project Address: 111 SW 307TH ST
Project Description: Repair venting connection for water heater and gas furnace.
Parcel Number: 5560001080
Owne
ARRIecant -
Contractor
ANGIE COSMA
ANGIE COSMA
OWNER IS CONTRACTOR
111 SW 307TH ST
I I1 SW 307TH ST
FEDERAL WAY WA 98023
FEDERAL WAY WA 98023
Additional Permit Information
Mechanical Work Valuation?.................................500 . Is this an Online or O.T.C. application? ................. Yes
Mechanical Fixtures
Ducting..........:..............:.................. 1
PERMIT EXPIRES Tuesday, August 2, 2016
Permit Issued on Thursday, February 4, 2016
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:_
V0400K P"Atw OF F 4T Val-& . # 241 z
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' THIS CARD IS TO IN ON-SITE
CIT.Yor- Construction Ins tion Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 16 -100657 -00 -ME Address: 111 SW 307TH ST
Project: ANGIE COSMA FEDERAL WAY, WA 98023-3978
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) Final - Mechanical (4065)
Approved Approved to release test Approved
By Date By Date By Date 3lZ
❑
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF
Federal Way
49 PERN,MELICATION
FEB 0 4 2016
�
PERMIT NUMBER _ l CITY O F So
—� - ------ -- ' AWWA
SITE ADDRESS
/// 5 0 �tk-
SUITE/UNIT #
PROJECT VALUATION
ZONING
ASSESSOR'S TA71/PARC#
0 - � O 60
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
C O S-�IA
PROJECT DESCRIPTION
Detailed description of work to
e -fa
V
be included on this permit only
PROPERTY OWNER
NAME
L e
PRIMARY PHONE
MAILING ADDRESS
D -A ,We
FyMAIL
CITY
STA
Z��,� �a
_
NAME
PHONE
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAS; / e- Cod m a-
PRI Y PHONEIs
APPLICANT
MAILING ADDRESS 7 ! o ���.LL Ve- IV6
E-MAIL
(/�I•/
CITY kece / / 0 n-01-
oftf /
ZIP
% (yos_ 1
FAX
NAME
PRIMARY PHONE
PROJECT CONTACT
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 this application.
1`�'/�'
SIGNATURE: ?77t� DATE
PRINT NAME: caspn '
Bulletin #100 — January 1, 2013
Page I of 3
k:\Handouts\Permit Application
U#j
M�
G-
z (92
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
$ 500. a a
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing res 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
FOR OFFICE USE
................ ...... __.._._._..
BASEMENT `'f M'�'
in Square Feet
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
$
Indicate how many o each type offtxture
to be installed or relocated as
part o this project. Do not include existingftxtures to remain.
BATHTUBS (or Tub/Shower Combo)
LAVS (Hand Sinks)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DGiK
DRINKING FOUNTAINS
SINKS (Kitchen/Utility)
WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
FOR OFFICE USE
................ ...... __.._._._..
BASEMENT `'f M'�'
in Square Feet
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
NEW BUILDING
❑ Yes ❑ No
❑ Yes '❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet)
EXISTING
PROPOSED
TOTAL
FOR OFFICE USE
................ ...... __.._._._..
BASEMENT `'f M'�'
in Square Feet
..... -- _............ ..._..._..__.._
FIRST FLOOR (or Mobile Home)
NEW BUILDING
--..... _.............. __..-_...... __`
SECOND F
COVERED ENTRY
ADDITION
DGiK
GARAGE ❑ CARPORT ❑
AREA DESCRIPTION
Area
Occupancy Group(s)
Construction
OTTER (describe)
"
in Square Feet
---_.—._.. ................ ._.__....._._.....
Area Totals
EXISTEIG
PROPOSED
TOTAL
i�
"
K -
ESTIMATED SELLING PRICE $
r,—,,OF BEDROOMS
COMMERCIAL— NEW/ADDITION
AREA DESCRIPTION
Area
Occupancy Group(s)
Construction
# of
Additional Information
in Square Feet
Type
Stories
NEW BUILDING
ADDITION
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area
Occupancy Group(s)
Construction
# of
Additional Information
in Square Feet
a
Stories
TOTAL BUILDING
i�
"
K -
TENANT AREA ONLY
PROJECT AREA 0II%Y
t
Bulletin #100 – January 1, 2013 Page 2 of 3 k:lHandouts\Permit Application