19-103362 71 8
Mechanical
City of Federal Way Permit #:19-103362-00-ME
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: HANSON
Project Address: 1811 SW 353RD PL Parcel Number:926975 0570
Project Description: Remove/replace gas water heater.(NOTE: Work was done under Permit#15-106031 which
expired without inspection)
Owner Applicant Contractor
MARIA HANSON SCOTT HANSON OWNER IS CONTRACTOR
1811 SW 353RD PL 1811 SW 353RD PL
FEDERAL WAY WA FEDERAL WAY WA 98023
98023
•
Additional Permit Information
Mechanical Work Valuation? 500 Is this an Online or O.T.C.application? Yes
' P x a .�.�'` " as "•. ry�...; d' �. &3 3 ",6c $,��...., � � ,.
it
.-- ,,.a v,�_w r ,x,_a>,. ... ,..a,�. .t� a&.< ,✓,,, . ..,,n, b�, a ., a.� �« ,. �.^.,"t:i,�,r,
Hot Water Tanks 1
PERMIT EXPIRES Wednesday,8 January,2020
Permit Issued on Friday,July 12,2019
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: 77—/Z- Z-0)9
1� ( Oct"
C .
THIS CARD IS TO REMAIN ON-SITE
SIT0°4 E
CITY OF Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 19 103362 00 Address: 1811 SW 353RD PL
•
Project: SCOTT HANSON FEDERAL WAY WA 98023-3118
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.
• .• .• .
Q Mechanical Rough-in(4165) j ® Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test i Approved
IBy tic Date e/440—1 5 By fC Date 7-23,14-1�j .By Date q'O1iip i- '1
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
` PERMIT APPLICATION
CITY OF E
Federal Way
PERMIT CENTER+33325 8th Avenue South+ Federal Way,WA 98003-6325
2019
253-835-2607 + FAX 253-835-2609 +permitcenter@cityoffederalway.com
rcDERAL WAY
J ` `-��,/�Ufy�iYi)c`y�LOPR9Ehl7•
PERMIT NUMBER / _ / JZ TARGET DATE
SITE ADDRESS SUITE/UNIT#
PRO JEVALUATION 3ZONING S3 / ASSESSOR'S TAX/PARCEL# /
$ 5-00 - - — - - -TYPE OF PERMIT ❑ BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT H-at-OLS 011
PROJECT DESCRIPTION - / k � �!Cc3tA
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
5e,Cr14- dast 04
PROPERTY OWNER MAILING ADDRESS E-MAIL
�s 1 1 g c t) 3S3`'1 JO
Y
oracle uX0-Eer
CITY STATE
ZIPv�VyF&�rA-mow Ay " /. 0-23
Gotmcorel-, �NAME PHONE
0&t.)141 -
' ,n -
,
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
•
NPRIMARY PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAME PRIMARY PHONE
PROJECT CONTACT I',('YBi/—
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING ❑ OWNER-FINANCED
When value is$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.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 a •• of this application.
SIGNATURE �/ _ DATE
PRINT NAME: '-
1--4.14 S 0 PN
Bulletin#100-January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $ S-00-
Indicate
dvaIndicate 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),
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial)
BOILERS FURNACES 1. HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $
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/shower Combo) LAVS(Hand sinks) 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 TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR - SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes ❑ No ❑Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
----
ri.
FIRST FLOOR(or Mobile Home)
8 " ''l^'^;441 .-�'� a/rs .._...._.__..........._.._—...,.._........_..._.........._............_.__..........._,...,._.._.............._..............._..
-.....—'--
COVERED ENTRY
............................__......................_.............._ _......_..._....__.'—_.___..___._...__.._'—_
� ,wf s���r� 55-5,55,5"5.5.5";� ;,y "x
"� <',taw.'' n. ,.,- ...�-..�&.r•�a.ar,�.r+�, -?a��r; ...� „4.�'� tir..r_...s..�..'�_."mss ....,...a.:
GARAGE We..-CARPORT ❑
A. ,rr� ---'------._.._........._........._._.......---'--....._.._.......................__._...._....---
�../
Area TotaEXISTING PROPOSED TOTAL
➢� �� ^fix x "T ,rr ,..
•
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION `rea in Occupancy Group(s) Construction #of Additional Information
Squareare Feet Tye Stories
BUILiDING�yf
Tyr
•
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
TOTAL TIL IN4` ✓
'r'�` . , ,`..Frsr ,,. r r • - `'�sc` s y_. ` sr. .,s ,.,4."`'� 5�� t
TENANT AREA ONLY
(, s l CT t` _ '�u.� /,✓�3�i,,3'r '':r'� r 'w,: .`1Z.,,,i :,. r,
21f.*:;;;', {
Bulletin#100-January 29,2016 Page 2 of 2 k:\Handouts\Permit Application