07-100730�City of Federal Way
Community Development Services Mechanical Permit #: 07-100730-00-ME
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 836-2609 Inspection Request Line: (253) 835-3050
Project Name: RIGG
Project Ad.dress: 3615 SW 339TH PL Parcel Number: 921150 0660
Project Description: Install 20' of 3/4 inch gas pipe from meter to 15 kw generator
Owner
Applican
Contractor
DELAINE L RIGG
FULLER ELECTRIC
FULLER ELECTRIC
ROLAND L RIGG
37107 12TH AVE S
FULLEE1027BK 1/12/08
PO BOX 24356
FEDERAL WAY WA 98003
37107 12TH AVE S
FEDERAL WAY WA 98093-1356
FEDERAL WAY WA 98003
Additional Permit Information
Mechanical Valuation ............................................ 160 Over the Counter Permit? ...................................... Yes
Mechanical Fixtures
Gas Pi]PM* ................. 20
PERMIT EXPIRES Monday, February 9,
01110A
U
THIS CARD IS TO "MAIN ON-SITE If .4
Community Development Inspection Ricord.
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07-100730-00-ME
Owner: DELAINE L RIGG
Address: 3615 SW 339TH PL
FEDERAL WAY, WA 98023-2971
This card is part of your required inspection documents. 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 Approved
% By Date ByC-,_ "N Date 2. —A By Date
00 Ta)o
Federal Way SF -0� — — —
CEN EDp E R-M IT (LL'yL DE EN FP
'WWWAITY DEVELOPMENr SERVICES MF CO ME
3=5 8= AVENUE SOUM - PO BOX 9718
PEDEM WAY, WA 98063-9718 FEB 0 APPLI�ATION
.253-835-2607-,FAX 253-835-2609
www.d1moffedrrTjIwnti cDm
)rz rec)ERAL WAY
The following is requiliyi;4tMUGiD�FU%Tincomplete application will not be acceptect. Please print legibly (in ink) or type.
PROPERTY INFORMATION
SITE ADDRESS 3 61s- --w. y3frq, toxlla-c r4a&.0; / Alaq SUITE/UNIT
I
ASSESSOR'S TAX/PARCEL # LOT SIZE (sj)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING El PLUMBING 0!5MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work Ocluded on this Permit only)
7;15fz21/ 6F Yel"4�547� AjP� -16i4o, lVc�lc- -11(-6 IS--,e�
PROJECT NAME (Na-e of Business or Owner Last Nam
—_7
PEOPLE INFORMATION
PROPERTY PRIMARY PHONE
OWNER (2-n )7?S7 2 37 2—
CONTRACTOR
COPY of cwd regafted
v,tth g ". pplktion
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
CQWANY NAME
h1c t te V
CANT NAME
OFFICE PHON8
CITY, !ITATE, ZIP
E!�ir"l &kf
E-MAIL ADDRESS
tj
CQWANY NAME
h1c t te V
CANT NAME
OFFICE PHON8
MAILINGADDRESS
- a'f 04 C- �1�- C-
CELL PHONE
(2--r3 ) 4c t
7191
MAILING ADDRESS
-3 -716 -7 2--rl--f 40 e - <.
ATE, ZIP
(Flit eon
-'el
CELL PHONE
—
--7,05 /
C OF FEDERAL WAY BUSINESS LICENSE NUMBER
El
FAX NUMBER
1.2 -0 -?
441
of r(,
EGISTRATION NUMBER
EXPIRATION DATE
E-MAIL ADDRM
27 '? C, 2 56
1— 71'0 - Z 10 of?
14//r.. /. '.
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILINGADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
0 Architect 0 Tenant 0 Agent 0 Other
FAX NUMBER
PRIMARY PHONE E-MAIL ADDRESS 'd
t�r�I�Weo 1 (2-OP ) 40 IF&-/ I F .
EXISTING ASSESSED/APPRAISED VALUE
PROPOSED USE
VALUE OF PROPOSED WORK
SPRINKLERED BUILDING? o YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? C) YES 0 NO
WATER SERVICE PROVIDER aLAKEHAVEN 0 HIGHLINE a TACOMA o PRIVATE (WELL)
SEWER SERVICE PROVIDER o LAKEHAVEN 0 HIGHLINE o PRIVATE ISEPTICI
0%
Per RCW 19.27.095.-
Lender information Is required ifproject value exceeds $S,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
EXISTING ASSESSED/APPRAISED VALUE
PROPOSED USE
VALUE OF PROPOSED WORK
SPRINKLERED BUILDING? o YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? C) YES 0 NO
WATER SERVICE PROVIDER aLAKEHAVEN 0 HIGHLINE a TACOMA o PRIVATE (WELL)
SEWER SERVICE PROVIDER o LAKEHAVEN 0 HIGHLINE o PRIVATE ISEPTICI
0%
AREA DESCRIPTION
EXISTING
FT.
0 Contractor 11 Architect o Other
PROPOSED
SQ. FT.
TOTAL
SQ. FT-
BASEMENT
o ALTERATION
a REPAIR TENANT IMPROVEMENT.
FIRST
BUILD G SHELL ONLY?
o YES o NO
SECOND
t3 YES
o NO
THIRD
CHANGE OF USE?
ADDITIONAL FLOORS (DESCRIBE)
o NO
NEW ADDRESS REQUIRED?
DECK (0 COVERED OR 0 UNCOVERED?)
UPISEPA/SU?
o YES
GARAGE I-] CARPORT EI
PLATTED LOT?
a YES o NO
NUMBER OF FLOORS
ZMijigo
PROPOSED
TOTAL
TOTAL ZXFSTLW ST
TOTAL PROPOSED ST
'NEWHOMESONLY" NUMBER OF BEDROOMS ES77MATED SELLING PRICE $
Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existingfixtures to remain.
MECITANICAL 91 /� 0 6-a
Vahte of Mechanical Work $ (ACOP OF BID OR ESTIALATE MUST BE INCLUDED WITH APPIXATION)
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUC
BAT14TUBS ("Tub/Sh��C-Mb-)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS LOG SETS
LAVS lea.— sik.)
RAINWATER SYST
SHOWERS
SINKS
SUMPS
GAS PIPE OUTLETS
GAS WATER HEATERS
HOODS (conunerdaq
RANGES
REFRIG. SYSTEMS
URINALS
VACUUM BREAKERS
WATER CLOSETS (Taiie4
WASHING MACHINES
WOODSTOVES
)4 M13C (Describe)
- 174- -+.5 'no
.Z�. 1/ 2,0' 31y" .
f-OA_ lfrL� 64rA1ffA4-'rdR_
MISC (Describe)
I certify underpenalty ofperjuryt.hat the infor7nation furnished by me is true and correct to the best ofmy knowledge, andfurther, that I
am authorized by the owner of the above p remises, to perform the work for which the permit application is made. I further agree to hold
harmless the City of Federal Way as to any claim (including costs, expenses, and attomeys'fees incurred in the investigation and defense of
such claim), which may be made by any person, including the undersigned, andfifedagainst the City of Federal Way, but only where such claim
arises out of the reliance of the ci luding its officers and employees, upon the accuracy of the information supplied to the city as apart of
this anozication'--N
NAME/TITLE
.� - f -o?
RELATIONSHIP TO PROJECT
00wner oftent
0 Contractor 11 Architect o Other
13 NEW o ADDITION
o ALTERATION
a REPAIR TENANT IMPROVEMENT.
BUILD G SHELL ONLY?
o YES o NO
BASIC PLAN?
t3 YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
a YES
o NO
NEW ADDRESS REQUIRED?
o YES o NO
UPISEPA/SU?
o YES
o NO
PLATTED LOT?
a YES o NO
DEMO PERMIT REQUIRED?
0 YES
o NO
Bulletin #IGO — January 112007 Page 2 of 4 MandoutsTermit Appfication