14-104568City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
FILE
Project Name: GONZALEZ
Project Address: 2755 SW 323RD ST
Project Description: Add gas piping for cook stove.
C�
Mechanical
Permit #: 14 -104568 -00 -ME
Inspection Request Line: (253) 835-3050
Parcel Number: 8731901510
Owner
ARRlicant
Contractor
RICHARD GONZALEZ
RICHARD GONZALEZ
OWNER IS CONTRACTOR
2755 S 323RD ST
2755 S 323RD ST
FEDERAL WAY WA 98023-2522
FEDERAL WAY WA 98023-2522
Additittnat °Permit Information
Is this an Online or O.T.C. application?.................Yes
Mechanical Fixtures
Gas Piping ...................................... 1 Gas Pipe Outlets............................. 1
PERMIT EXPIRES Saturday, March 7, 2015
Permit Issued on Monday, September 8, 2014
I hereby certify that the above information is correct and that the construction on the above described properly and
the occupancy and the use will be in acrprdar ce with the laws, rules and regulations of the State of Washington
;�;x
Federal Way. pp
Owner or agentVDate: �J
FINALED
CITY OF 41
Federal Way
. THIS CARD IS TO MAIN ON-SITE
Construction In ection Record
INSPECTION REQ TS: (253) 835-3050
PERMIT #: 14 -104568 -00 -ME Address: 2755 SW 323RD ST
Project: RICHARD GONZALEZ FEDERAL WAY, WA 98023-2522
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 tet
Approved
By Date
By VW Date "N J S (4
By V -g Date rt I t r i
Rough Electrical
Approved
1:1Approved
Final Electrical
1:1Approved
Right of Way
By
Date
By
Date
By
Date
41�-*
CITY OF
Federal Way
RECEIVED
SEP 02014
CITY OF FEDERAL WAY
CDS
PERMIT 91PPLICATION
y�
PERMIT NUMBER —11/ _ —Z—() Y –Y rn 2- _ M I
v� TARGET DATE
SITE ADDRESS5S W 3 �� 9T–�� ' o (�^M Q'L3
`^(/
`x/�^ O
SUITE/UNIT
N
oC I,--
ZONING
ASSESSOR'S TAX/PARCEL #
-3 7 -3 f q 6 - 1
P��ERMIT
El BUILDING ❑ PLUMBING ECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAMF/,—,
U(1Z P I t S I C" (� ;
PRIMARY PHONE
3 ' S g a
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
NAME
PHONE
MAILADDRESS
E-MAIL
CONTRACTOR��
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
PROJECT CONTACT
NAME
cr)
PRIMARY PHONE
MAILING ADDRESS
EMAIL
(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)
MAILINGADDRESS, 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 su aim arises out of the relian of the city, including its officers and employees, upon the accuracy of the
information suppli d t the city as a part is app tion.
D i /i
SIGNATURE: DATE �� ` 1 '/'
PRINT NAME: O�ZQ` eZ L Q V
Bulletin #100 – January 1, 2013 Page 1 of 3 k:\I-Iandouts\Permit Application
OF MECHANICAL WORK
MECHANICAL PERMIT
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (co—ial)
BOILERS FURNACES HOT WATER TANKS (Gas)
COMPRESSORS 'AS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VALUE OF PLUMBING WORK
PLUMBING PERMIT
1, F ,yam fr
fkov
$
Indicate how many o each type offixture
to be installed or relocated as
part o this project. Do not include existingfixtures 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 (Kitchin/Utility
WATER HEATERS (Eiectcic)
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
1, F ,yam fr
fkov
in S ware Feet
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
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❑ Yes ❑ No
❑ Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet) EXISTING
PROP ED
TOTAL
FOR OFFICE USE
_.. _..—
1, F ,yam fr
fkov
in S ware Feet
AS
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FIRST FLOOR (or Mobile Homy
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COMMERCIA — REMODEL/TENANT IMPROVEMENTS
AREA DESCRI ION
COVERED ENTRY
Occupancy Group(s)
Construction
#
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;DEQ l s zigg
;
4,
in Square Feet
a
Stories
GARAGE ❑ CARPORT ❑
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ERISTUFO
Area Totals
PROPOSED
TOTAL
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PROJECT AREA ONLY
ESTIMATED SELLING PRICE $
# OF BEDROOMS
COMMERCIAL — NE /ADDITION
AREA DESCRIPTION
Area
Occupancy Group(s)
Construction
# of
Add nal Information
in S ware Feet
a
Stories
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ADDITION
COMMERCIA — REMODEL/TENANT IMPROVEMENTS
AREA DESCRI ION
Area
Occupancy Group(s)
Construction
#
Additional Information
in Square Feet
a
Stories
R,+i'_ * k '/ f,
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TENANT AREA ONLY
PROJECT AREA ONLY
,
Bulletin #100 — January 1, 2013 Page 2 of 3 k:\Handouts\Permit Application