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11-100284City of Federal Way Community Development Services P.O. Box 9718 Federal Way, WA 98063-9718 Ph: (253) 835-2607 Fax: (253) 835-2609 11 Project Name: EDMOND d Project Address: 1928 S 289TH ST Project Description: Gas fuel line extension relocation. 1 Mechanical Permit #: 11-100284-00-M E Inspection Request Line: (253) 835-3050 Parcel Number: 422300 0290 Owner Annlicant Contractor DANIEL EDMOND PILCHUCK CONTRACTORS INC PILCHUCK CONTRACTORS INC MARIE EDMOND PO BOX 2579 PILCHCI101MA (2/20/11) 1928 S 289TH ST KIRKLAND WA 98083 PO BOX 2579 FEDERAL WAY WA 98003-3815 KIRKLAND WA 98083 Mechanical Valuation............................................1000 hereby'( the occu Is this an Online or O.T.C. application?.................Yes ............................... 1 PERMIT EXPIRES Saturday, July 23, 20 Owner or agent: Date: / ^ Z --f— /( t A"� CITY OF 4;W Federal Way PERMIT #: Project: THIS CARD IS TO REMAIN ON-SITE Construction Inspection Record INSPECTION REQUESTS: (253) 835-3050 11 -100284 -00 -ME Address: 1928 S 289TH ST DANIEL EDMOND FEDERAL WAY, WA 98003-3815 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 test By Approved By Date By Q� Date a —1%--\ � By Date Rough Electrical Approved Final Electrical Approved Right of Way Approved By Date By Date By Date Federal Way PERMIT CONMAITY DEVEL0 PE 3 '5 2.538,5_ 5 \/eVAPPLICATION L!_ -4 f_2 0-2-2 z4 41 IF CO ME PL DE EN FP SITE ADDRESS SUITE/UNIT # PR#4ALbItION Co ZONING ASSESSORS TAX/PARCEL 0 $ /'00C) TYPE OF PERMIT 0 BUILDING 0 PLUMBING MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION NAME OF PROJECT (Tenant Name/Homeowner Last Name) - Lt'l;q atoL T-e-^f0AJ eelDaze— b_x-S PROJECT DESCRIPTION Detailed description of work to be included on this permit only PROPERTY OWNER NANE PRVAARY PHONE E-MAIL CITY STATT. ZIP PHONE —6� G ADDRESS P1190-Aox ZS�7'79 CONTRACTOR �ic� STATE a--- I q8 083 FAX WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE pl"o-C.? FEDERAL WAY BUSINESS LICENSE # NAV APPLICANT MAILING NG ADDRESS r E-KAIL CITYSTATE tole, 8 FAX PROJECT CONTACT individual VLof N& PHONE zg3- 4o S— (The to receive and ADDRESS - 0 60jr 0-s- -7 E-MAIL respond to all correspondence1%14ING concerning this application) CITY/C_ I STATE zl�F 8 FAX ALTERNATE CONTACT NAME: PHONE E-MAIL PROJECT FINANCING NAM OWNER -FINANCED Required value of $5, 000 or more MAILING ADDRESS, CITY, STATE, ZIP PHONE (RCW19.27095) I certify under penalty ofper jury that r am the property owner or authorized agent of the property owner. Y certify that to the best of my knowledge, the information submitted in support of this permit application is true and correct. I certify that r will comply with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. l' 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. rjurther 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 apart of this application. SIGNATUR]k= DATE PRINT NAME: iQ LM Bulletin #] 00 —April 14, 2010 Page 1 of 3 k:\Handouts\Pertnit Application 1 0 0 41 VALUE OF MECHANICAL WORK $ l � � 0 (a copy of bid or estimate must be provided) Indicate how many of each type of fvcture to be installed or relocated as part of this project. Do not include existing f-ctures to remain. AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe) AIR CONDITIONER FIREPLACE INSERTS HOODS IG—rcig BOILERS FURNACES HOT WATER TANKS (G-) COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES CRITICAL AREAS ON PROPERTY? WATERPURVEYOR SEWERPURVEYOR VALUE OF EXISTING IMPROVEMENTS ERISTING/PREVIOUS USE LOT SIZE (In Square Feet) EXISTING FIRE SPRINIMER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? ❑ Yes ❑ No ❑ Yes ❑ No :::r::::.:.: .. ::n•rr:.. •:..:::...:::.:..}.•.:.:..:..:..:.•.:.v:..J.•.. e:rr rf"::..:...:;.f...•rv.+.....t..,.:..:..r..F.. .M .f...3,r..• .{{ +3r/..?.+L••.:::..h?.?..:"F:.i.trr.:.?..:..•Y....4. rA?Fv..?......1.r:vr:: t:+•Y.:..rr:..:,r.,;•.::;:r::......r . r::/:....+..•.:..:..rtr....::..: '1: Jr� f., ., /. ,..•. :r n::.:..; .rJ,...:;,.:..:..:..:..;:.!:.:.:i:..::.:v.:.:•.::.r:..::.r:..r M;' �.:•:r f ;•?r.fi:..x?:...•. ;;... r r::r?:F.;..,.j::.•.f .,..vv.:v.:.:. {;... J.:' :v•:;.:•:::.•:r?:::;}nr..;.:::..}.:..;:.�:: }::..::Jn....:.rr:..... �?r'l:+'' f'.•.}.�r.?•{:••::•:.•.•?{}.r..:.!{{...: {/:. r{''•%x /I.:{..:r'%:.::�}! ��j:{iJ ' .!p • {{?'r::.: �.%r:'?.F:f /.•.:4.%"?Jv:?:+!:'J:: fir::? S:•? ;� .r{!.•:�i•: •.:f ?% :::... t}: v. ;; .,,.;r.:t?:•r.?.+,.F:: ry,:viF::•i:::v: •}::::,:.: ... r. r:•:?3'+.. f... :r??....... k:J:::!o-::J:::,r:.:::.... tf•i4ld� .. ? r. . EXISTING : F. PROPOSED TOTAL x.:''/.+:r.. .t r:.: FOR OFFICE USE AREA DESCRIPTION fin square feet) .... r......r. r.::::::::::::.:::.:rr :::r::..:rr.•.}•r:?:,r•>"•}:?•,.:..:?:?.}•r?.;,?o>x•}:.}•?:.;•::;:;,:.?.;:"•' x. JGnr.;; ?.:�::+ v:? + x. {.•... }:�, ti�•r'.;: '....................t•,.y:?..;?..??:..... : • 4:.: n; r?.:::::::}': r:3' . :•}:•f... +...::?;:•:::":•t•::'.:.,•.,,•::::::...:. {.tr; •. :.4: r';•}K:: ?'?:::.v; }.r.. .. •: :. •. irk?•?x.;.;.;::::�; {i': i.'•::::.:;iy;. .v.:�:.:.. .}.•�?.:,•::fit. r........ ............ . •}:?::::::;•}:•}}:•}::•r::::::::::::::: r.:•::::::::::::• :::.::.....::::.::::•>::::: r:::::::..:•r. rn:... r::::::::::. �: r::: r.:.............::........................ ................... r :. r.: ••:r:::::::.r-::`• •}}}>}r}:. �:::::.}}}>:•::•:?:•?:: •}:•:J::?•:S; S FIRST FLOOR (or Mobile Home) ............. : ..:........:.... :. ::.i:::�::#::::%#::::`i::::rk�S;:}::::::i::is2:;t;:;::;:.::�::::>i::::::;; • :•raS:•:::ii:::::s5:.::?.}}::}::s::: >�:•}:.:?<??.:t?•:r:?.;:rz::}}:•;:•}:• •rir:::}: •t«?•:��: :.. ... :::,•::?.}:•>:•}••:;•}:+•:;??•}>:t•:.:ii::i::iiiii::ii::}::ss}<•:::•::::;?•}:•:: ............... .... .:....r.......r............ .. ........:....::..:::: f :rr::: ::.::r:rv•:: ::............... ............................. .............r ... :::..ur.........: .:... ..................................... ... ;:;..... v....... r..; :......... .: .. .. COVERED ENTRY :.::.:.::.:........r.:::::.::r::..... �. t }:t'•.?tr.;;:.}•:::.:::::::::: :.•.:.::}.::...�:::::r•:::.::<•r}:f'.;..;•,}........ : F r:::r.:•;fy:::}}>•:: •�:-r}}:•}}}:•}y.. ..:...:........ ................. ....... r.:f.,vFil:ti?::ii:�:''i::.'•i.'•::}:::ii:<:ii:}:'-4::•;:i:t} :; r.?••::: •.•...... r f r ::#:: .':?f.•: :: /•r: Additional Information AREA DESCRIPTION Area Occupancy Group(s) Construction # of Stories In Square Feet Type GARAGE ❑ CARPORT ❑ <.'•}:q:::i:;}r;::::2:i}i5i:<+:'tv:'::'s:$:`:;'.:':•::3:L:::::;:ii:::i iiii::::: iJ}:?:4:•:•ik+::::{:}'{.�'?\r..:.. r ................ n....• ..... +:::S::t;:r: i:::irr......rr. v:::::•:.v: r:?.} •.......... v........... . •::: x::: :.:...n..........,•.::::v::.......}}:•}:3:•}}:•'i:}:t::::.:�}:•}:•:•}}:o}Y:i:<.}::.::::::::::::k.:.-:A.:r:r:: 'ria?i r..,.::.•er::::: r.•::: .. :::::::. n...... TENANT AREA ONLY BXISTDi6 PROPOSED TOTAL.:: Area Totals ESTIMATED SELLING PRICE $ # OF BEDROOMS r.....r.r ::::::....{"::::'::... ............ .......... r. ...:.......,........... r. M............. w::::..: r::::: r: ?: r,:.:;•h,: •?•}"?•}:?? }'i :•'ii i:•}i}:•}}:fw:::.v r.. r. fr.. u.... : v:: +.•:.. .. �:r: r::: ctttr•}:ct•}:::• ?::.::::}}:::.::::::::: :.::: :::::.:: r: •:::.:.::.. .••...... ;.;..::;.::?........ .... ............. ... 4. ::1. r . .v............ ... ��1F((•rr $ ;r •:::::: m:::::.... :: ... •: . ' ' + .. •. '-. ' ? ,; ...... }:i;:i?'•::}:}::�i?;::•Sit•:: ..G .. . :. i•:'•'•:3.::: r::nv:::::; YYpp,, Gpp�� j��f.............:.::•'r}::rii}:+r}�?L}`}i}:•:?:'n,'+�. - •i:::•i.'•:iii::i�:'{Sii: •;:...r.::j;r.?y,:•:.::tv'?f.•::r?tr?•};r?.}:?.:•}:•::??.}:•}}}:•};i}Fl?::i::::i: .........:.. .. .... .. {r:. .....:...........nr. •::::.:::::::.::::::.::v;:.::.:r.:,•:+•:r}1:.;•.;+•xt+.••}}}}:•}:.:•?•:.v:::::;...rr..r:...........•3i�Y•!.....C�.. AREA DESCRIPTION .............. ............ :. :1• FF••:.::. ,�4.:.•,.,�.,,,�'.%:�:.. Area occupancy Group(s) s .iPFih:�:ti':'v:::: ..:�f.°'... Construction v:::::: # of r::::::: Additional Information in Square Feeta Stories F:•i:}:::i::S::ii:3}::.}:•:::: ":::.>:•>:.:: • ......:::.� :i:< •: •.::??•:::::.� •::: •:::::...:....:::..::...... ................... r :. r.: ••:r:::::::.r-::`• •}}}>}r}:. �:::::.}}}>:•::•:?:•?:: •}:•:J::?•:S; S ............. : ADDITION ............... .... .:....r.......r............ .. ........:....::..:::: f :rr::: ::.::r:rv•:: ::............... ............................. .............r ... :::..ur.........: .:... ..................................... ... ;:;..... v....... r..; :......... .: .. .. ;..... :...:::..:: r:::::.::::::.:r: •• .: r.::::::::::::::.:::r..::::::.;•:::r::::::::.:.:::r:rr.:.:.•;; ........ ..r............f ...:::.:..rr::::: n.... v... e : • .:: }�y it :.,'• 'F :.::.:.::.:........r.:::::.::r::..... �. t }:t'•.?tr.;;:.}•:::.:::::::::: :.•.:.::}.::...�:::::r•:::.::<•r}:f'.;..;•,}........ : F r:::r.:•;fy:::}}>•:: •�:-r}}:•}}}:•}y.. ..:...:........ ................. ....... r.:f.,vFil:ti?::ii:�:''i::.'•i.'•::}:::ii:<:ii:}:'-4::•;:i:t} :; r.?••::: •.•...... r r ::#:: .':?f.•: :: /•r: Additional Information AREA DESCRIPTION Area Occupancy Group(s) Construction # of Stories In Square Feet Type :.::::::: •::::..:.:::::::r... :;-}:-£1tit Ifs .......................:...:;:. ............................... -::::::::::::::.. ....... %.... ............ ' `' .................. Y f y :...r........:......r......................:............ TENANT AREA ONLY Bulletin #100 —April 14, 2010 Page 2 of 3 k:\Handouts\Permit Application