19-104000 Mechanical
City or Federal Way Permit #:19-104000-00-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: UNO
Project Address: 30620 2ND AVE SW Parcel Number: 556000 0760
Project Description: Installation of laundry and kitchen vent fans.
Owner Applicant Contractor
GORDY UNO GORDY UNO OWNER IS CONTRACTOR
30620 2ND AVE SW 30620 2ND AVE SW
FEDERAL WAY WA 98023 FEDERAL WAY WA 98023
USA USA •
Additional Permit Information
Mechanical Work Valuation" 300 Is this an Online or O.T.C.application? Yes
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Fans 2
PERMIT EXPIRES Saturday, 15 February,2020
Permit Issued on Monday,August 19,2019
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. cp
Owner or agent � U Date: '/
t /
THIS CARD IS TO REMAIN ON-SITE
CITY OF Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 19 104000 00 Address: 30620 2ND AVE SW
Project: GORDY UNO FEDERAL WAY WA 98023-3906
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) I Ei Gas Piping(4125) 1E1Final-Mechanical(4065)
Approved Approved to release test Approved
.By CIL Date GI la- tC\ .•By Date .�By`45 Date 12/ //7 .
0 Rough Electrical ❑ Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
PERMIT APPLICATION
CITY OF
Federal Way PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
253-835-2607 + FAX 253-835-2609 +permitcenter@cityoffederalway.com
PERMIT NUMBER _ 0 o E/ 7 _ TARGET DATE
SITE ADDRESS // 11 SUITE/UNIT#
Ayr �J .
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$
3 . 5c ( 0 00 - (0'
TYPE OF PERMIT ❑ BUILDING ❑)PLUMBING 3R1 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT /^ ')
PROJECT DESCRIPTION 4140 o� U t C o - At;c1, t
G w A v
Detailed description of work to U t wA- 3ke y K Cr ti w,
be included on this permit only D tie vt
NAME PRIMARY PHONE
J V 63~ 476-2
PROPERTY OWNER
MAILING ADDRESS E-MAILGGv Vl�Jt 0
36‘.2-6 a t . s. W JJCZ9G� CO/L„,
9.7y STATE
STATE ZIP
cti �/ L-N1 9 6 2 3
NAME / PHONE
Ga U I
MAILING ADDRESS' /� / E-MAIL
CONTRACTOR G l c 2� 4(PC S. W .
STATE�G ZI FAX
C 6
WA STATE CONTRACTOR'S LICISE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME ° ,10144 PRIMARY PHONE .. ...
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAME PRIMARY PHONE
PROJECT CONTACT
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME n �
PROJECT FINANCING / VAfr
ElOWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STAT 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 part of this application. Q
SIGNATURE: .t DATE Er-1g— I
PRINT NAME 41,
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT ] 0-1.)
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 /7\ 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
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 MACHIN : TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR - SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTI 'IRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes❑ No ❑Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXI I G PROPOSED TOTAL FOR OFFICE USE
-', ., `"34i �v , .sem ., .;, ,urf,,,
FIRST FLOOR(or Mobile Home)
�n
COVERED ENTRY
� ..� � ... �✓ r ,fir �r `. ''rrr .........._..____......_......._.._.............__.._..........._.__._....._.___—'_—_'—`--.---"---"-
DECKt •
..a_»;..a-P s,'X,.w-.•...:M�_ �_....;,,.�>..+.�,,N�....,�... `�..,�.. k ',:wr c..''� Fn�*..4.xc� ��. rF_.a`+s,v ..,... _, .._< ._____._—.__.__..............__.__..............._.............._............_....._._.........___—.__._____._._,
GARAGE 0 CARPORT 0
4 / ' w wlrr/ T w: 'a x'r irf.,�, S`'ryai"�y/
,
4THE (descn€)ep f
•
EXISTING PROPOSED TOTAL
Area Totals
; ,�" r *"NFW FIOb3ES:t�1VL1' jr . ?;;/ '
ESTIMATED SELLING PRICE$ # OF BEDROOMS
COMMERCIAL—NEW/ADDITION
Area in Construction #of
AREA DESCRIPTION Square Feet Occupancy Group(s) Type Stories Additional Information
..!' nlr �r/ al/aa "a;%. "aa /a", .'r.x` t - :,/s'.?6r,",a :a,1,'�",G/.,,,`.
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
S.uare FeetType Stories
' ` 4f 3alio s �;¢
fCOTAL C "' 4*4
TENANT AREA ONLY
LfEGT ' y i -. , ,,r,.
1%,
Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application