14-105478City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax (253) 835-2609
Project Name: STOUT
Project Address: 2410 SW 317TH ST
Project Description: Add gas piping for cook stove.
0
Mechanical
Permit #: 14 -105478 -00 -ME
Inspection Request Line: (253) 835-3050
Parcel Number: 193840 0240
Owner
AIRRlican
Contractor
MARY STOUT
MARY STOUT
GRIFFIS HEATING INC (GENERAL)
MICHAEL R STOUT
2410 SW 317TH ST
GRIFFI-HO88DZ (115115)
2410 SW 317TH ST
FEDERAL WAY WA 98023-2202
402 E MAIN ST SUITE 130
FEDERAL WAY WA 98023
AUBURN WA 98002
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes
Mechanical Fixtures
Gas Piping ...................................... 1
PERMIT EXPIRES Saturday, April 18, 2015
Permit Issued on Monday, October 20, 2014
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, piles and regulations of the State of Washington
and t e City of eral Way.
Owner or agent: Date:b
a
CITY OF
Federal Way
PERMIT #:
Project:
• THIS CARD IS TOMAIN ON-SITE
Construction In ection Record
INSPECTION REQ TS: (253) 835-3050
14 -105478 -00 -ME Address: 2410 SW 317TH ST
MARY STOUT FEDERAL WAY, WA 98023-2202
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)11
Final Electrical
Final - Mechanical (4065)
1:1Approved
Approved
By
Approved to release test
Approved
By
Date
By
Date z
By
Date
Rough Electrical
Approved
1:1Approved
Final Electrical
1:1Approved
Right of Way
By
Date
By
Date
By
Date
CITY OF OCT 2 - PERMIT APPLICATION
Federal W ZO14L 2014
�% OF(!L MTDV!
f ►L WAY
C�S
PERMIT NUMBER I-V _ Z a� �— -Z 6p _ D Z:) TARGET DATE
SITE ADDRESS r c i
Vl `l./ `D �J�J
SUITE/UNIT #
PROJECT VALUATION
ZONING
ASSESSOR'S TAR/PARCEL # O
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBIN ECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
PROJECT DESCRIPTION
a v Y e -
Detailed description of work to
be included on this permit only
PROPERTY OWNER'NN
NAMEPRIMARY
\ v `\
PHONE
g Lj
MAILING�DDRESS A
Z
E-MAIL
- TY\ CA� U_XA
C
A
STATE
ZIP
oar
LC` I')')C.
NAME
PHONE
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY
STAT
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME �� _ 0 �
�,�\-`yj ♦
PRIMARY PHONE ` Gt s
as 3 8\l
MAILING ADDRESS
aU ��
E-MAIL
-No,\"\D C., R)
APPLICANT
CI
STATE
ZIP
FAX
PROJECT CONTACT
NAME \
PRIMARY PHONE
MAILING ADDRESS _ , r
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, includin its officers and employees, upon the accuracy of the
information supplied to the city as apart of this application.
1 1
SIGNATURE: DATE
PRINT NAME: -
Bulletin # 100 - January 1, 2013 Page 1 of 3 k:\Handouts\Permit Application
GENERAL INF TION
CRITICAL AREAS ON PROPERI'7\
WATER PURVEYOR
VALUE OF MECHANIC WORK
PLUMBING PERMIT
MECHANICAL PERMIT
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
❑ Yes ❑ No
$
GD
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..
AIR HANDLING UNITS
FANS
GAS PIPE OUTLETS OTHER (Describe)
RAINWATER SYSTEMS
AIR CONDITIONER
FIREPLACE INSERTS
HOODS (commerciat)
SHOWERS
BOILERS
FURNACES
HOT WATER TANKS (cas)
SINKS (Kitchen/utaity)
COMPRESSORS
GAS LOG SETS
REFRIGERATION SYST
SUMPS
DUCTING -x_
GAS PIPING
WOODSTOVES
Add ional Information
in Square Feet
COVERED ENTRY
GENERAL INF TION
CRITICAL AREAS ON PROPERI'7\
WATER PURVEYOR
VALUE OF PLUMBING WORK
PLUMBING PERMIT
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
❑ Yes ❑ No
Indicate how many of each type of flxture
to be installed or relocated as
part o this project. Do not include existingftxtures to remain.
THTUBS ("_b/Shoo—Combo)
LAVS (Hand Sinks)
TOILETS
WATER PIPING
DI WASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
D S
SHOWERS
VACUUM BREAKERS
DRIN G FOUNTAINS
SINKS (Kitchen/utaity)
WATER HEATERS (Electric)
��,
..'
HOSE B BS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INF TION
CRITICAL AREAS ON PROPERI'7\
WATER PURVEYOR
SEWER PURVEYOR
VALUE F EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
❑ Yes ❑ No
PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes ❑ No
RESIDENTIAL - NEW OR AD ITION
AREA DESCRIPTION (in square feet)
EXISTING
PROPOSED
TO AL
FOR OFFICE USE
Type
x>
i'
✓ sF,�
-----......... — --
FIRST FLOOR (or Mobile Home)
Ntories
---------- __--- --
f di
"S
��,
..'
AREA DESCRI14ION
,,
r
Construction
# of
Add ional Information
in Square Feet
COVERED ENTRY
Stories
-
Asx r t
lklit
r/
TETAL'3UILfINl3fi :
`'
fs`
GARAGE ❑ CARPORT ❑
f
f
f f ?
Area Totals
e1¢stnc11
raorossD
ornu
r'; , f ;*mow o
or>lr�►* F
ESTIMATED SELLING PRICE $
# OF BEDROOMS
COMMERCIAL — NEW/ ITION
AREA DESCRIPTION Area
Occupancy Group(s)
Construction
# of
Additional Information
square Feet
Type
i'
✓ sF,�
x,-
Ntories
'
ADDITION
COMMERC REMODEL/TENANT IMPROVEMENTS
AREA DESCRI14ION
Area
Occupancy Group(s)
Construction
# of
Add ional Information
in Square Feet
a
Stories
F'-
lklit
r/
TETAL'3UILfINl3fi :
`'
fs`
TENANT AREA ONLY
PRQcT AREA ONLY .
f
f f ?
Bulletin # 100– January 1, 2013 Page 2 of 3 k:\Handouts\Permit Application