16-104256 Mechanical
City of Fc Way �-�• •r-� #:Permit 16-104256-00-M M E
Community 8 Econ.n.Dev.Services
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax.(253)835-2609 Inspection Request Line: (253)835-050
Project Name: SCOTT
Project Address: 2421 SW 318TH PL Parcel Number: 193840 0570
Project Description: Installation of gas piping into house. Appliances by separate permits.
•
Owner Applicant Contractor
TERRANCE SCOTT • TERRANCE SCOTT OWNER IS CONTRACTOR
2421 SW 318TH PL 2421 SW 318TH PL
FEDERAL WAY WA 98023 FEDERAL WAY WA 98023
Additional Permit Information oft
Mechanical Work Valuation? .350 Is this an OnlinNor O.T.C:'aPP lication? Yes
ger
Mechanical Fixtures\ it 114:00,
Gas Piping 1
PERMIT EXPIRES Saturd e , 2017
Permit Is rd oma' =y,Au s9, 2016
I hereby certify that the above infor tion ' • ec . ''d ttro4eWstruction on the above described property and
p rtY
the occupancy and the use will be in c-/lith the Wgiorules and regulations of the State of Washington
ity •,i •eral Way.
cam/
Owner or agent �...�'' - .tha . A+ Date: (981 a9/t'
.4)"
•
lio._. . .
THIS CARD IS TO REMAIN ON-SITE
CM/OFWa Construction Inspection Record
Federal INSPECTION REQ TS:(253)835-3050
PERMIT#: 16-104256-00-ME Address: 2421 SW 318TH PL
Project: TERRANCE SCOTT FEDERAL WAY, WA 98023-2218
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.
0 Mechanical Rough-in(4165) 0 Gas Piping(4125) n Final-Mechanical(4065)
Approved Approved to release test )5j 9 . Approved
By Date By ,q,3 Date qJ 7riI.. . .By Date ,
•
0 Rough Electrical Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
KCLE I V iv
Au 2016 N
CITY OF �► .,- PERMI'1�APPLICATIO
Federal Way CITY OF FEDERAL WAY PERMIT CENTER+33325 8th Avenue South +Federal Way,WA 98003-6325
CDS 253-835-2607 + FAX 253-835-2609 +permitcenter@cityoffederalway.com
PERMIT NUMBER—t/e L / / `f 54— .4-4
TARGET DATE
SITE ADDRESS �/–1 �J W J 1 G . .1 2 f C T ( SUITE/UNIT#
J 1
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
/ 9 3F- Lf U - O X70
TYPE OF PERMIT ❑BUILDING 0 PLUMBING MECHANICAL 0 DEMOLITION Q ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT '00
I -
PROJECT DESCRIPTION
Detailed description of work to C� a-.S / )
be included on this permit only P
NAME PRIMARYPHONE
C•E CIO X06 /-
PROPERTY OWNER
MAILING ADDRESSE-MAIL
w. (t PI
CITY STATE ZIP
1c4( (Jp-? ga)-
NAME PHONE
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME Qr\ PRIMARY PHONE
APPLICANT- MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAME RIMARY PHO)
PROJECT CONTACT
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
PROJECT FINANCING NAME 0 OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CI , E • 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 reli ce of the city, including its officers and employees, upon the accuracy of the
information supplied t he city as a part of this p iication.
/SIGNATURE: e^i.r U ✓lam DATE G /2 /
PRINT NAME: v _ �
Bulletin#100–January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
11111
MECHANICAL PERMIT $ of s�F jyjcO
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)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS T 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 P •ING
DISHWASHERS RAINWATER SYSTEMS URINALS •OTHER D escribe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/utility WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES OTAL FIXTURES
GENE' • ' INFORMATION
CRITICAL AREAS ,N PROPERTY? WATER PURVEYOR - SEWER PURVEYOR VALUE 0^ ''4 STING IMPROVEMENTS
EXISTING/PREVIOUS US LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? 'OPOSED FIRE SUPPRESSION SYSTEM?
❑Yes ❑ No ❑Yes ❑ No
RESIDENTIAL - W OR ADDITION
AREA DESCRIPTION(in ; uare feet) EXISTING PROPOSED TOT 4 FOR OFFICE USE
6^'r
2;Y:
h Cy;r " i. sm K ye ,4i y r brz ^t 'x a +ti'7 .x,,.. ;t x"`.; ....__—__.__............................._......°' � of "4 { i'` ` "° �`x' I8
•.E:.�., zs.� .;Xr.. " .r •ri`--'ia f y .. at s;�y°-�.�*x,i.
FIRST FLOOR(or Mobile Home)
COVERED ENTRY ¢ ' p%
,�.. *
. _-..._.—�_—.._—.._— .._—.—___—..........._....__�_—_....._
GARAGE 0 CARPORT 0
3 Y� . x,4740,4•;. A ^3 J2aigkK d'lif�?Ya{�:
ak PROPOSED TOTAL
Area Totals
k ::r#•��. 1 "i; ,,; r ,t 1�*' +'fir•}'
• - Yn
ESTIMATED SELLING PRICE$ OF BEDROOMS
COMMERCIAL—NEW/AD i ITION
AREA DESCRIPTION ea in Occupancy k oup(s) Construction #of Additional Information
quare Feet Type Stories
=`.• #� fir'- x. ` .. `^ r,i , 'r,.: ,. ��. ''.• ^' „ �,. a ,
s ms i'a ;i f 3 9 r "'. '•s"rs +��, d r^t r. zit. `Pm'
ADDITION
COMMERC •, -REMODEL/TENANT IMPROVEMEN
AREA DES • ION
Area tea in Occupancy Group(s) Construction #of Additional Information
S.uare Feet ' •e Stories
TENANT AREA ONLY
iq ry
'444'• ?�f r .. . x a -„4,0„,,464,„;, "Ji-,44-„Ni/
Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application