12-101402E
.r
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835 -2607 Fax: (253) 835 -2809
Project Name: UNE
Project Address: 31600 12TH AVE SW
,Meclanical
Permit #: 12- 101402 -00 -ME
Inspection Request Line: (253) 835 -3050
Project Description: Installation of gas piping and permanently - installed generator.
Parcel Number: 416810 0310
Owner
ARRIiican
Contractor
JEREMY UNE
OLD TIME ELECTRIC INC
R -K PLUMBING & HEATING LLC
HIROE UNE
PO BOX 39745
RKPLUPH913CQ (2/18/13)
3160012TH AVE SW
LAKEWOOD WA 98498
11524 CLOVER CREST DR SW
FEDERAL WAY WA 98023 -4706
LAKEWOOD WA 98499
Additional, Permit Information
Mechanical Valuation .................... ........................4919.97 Is this an Online or O.T.C. application? ................. Yes
Mechanical Fixtures
Gas Piping ....... ............................... 1
PERMIT EXPIRES Tuesday, September 25, 2012
Permit Issued on Thursday, March 29, 2012
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use %ein accordance with the laws, rules and regulations of the State of Washington
an City f Federal Way.
Owner or agent: Date:
FiHacm 4 /iaht
Federal Way
THIS CARD IS TOAEMAIN ON -SITE
Construction In ection 'Record
INSPECTION REQ TS: (253) 835 -3050
PERMIT #: 12- 101402 -00 -ME Address: 31600 12TH AVE SW
Project: JEREMY UNE FEDERAL WAY, WA 98023 -4706
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)
as Piping (412)
Final - Mechanical (4065)
Approved
Approved to release test
Approved
By Date
By Date ° � ` /�
By Date r- �,
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
r
0"or A O'ERMIT
Federal
COMMUNITY DEVELOPM NT V
253- 835 -2607• FAX 253- 835 -2609 r ' L I G A T I O N
v'u'u': cif- 1jrderrsJrS'2S:c �.n_r
MAR 29
It P.-- t o fq:0
ALF C ME L DE ENV
FP
SITE ADDRSS�uT"i�! t✓"y� � W4y3 /1 , 1
�,,,j ' T (q y►( (dj/
SUITE /UNIT N
PROJECT VALUATION
ZONING
ASSESSOR'S TAX /PARCEL #
TYPE OF PERMIT
Q BUILDING ❑ PLUMBING NE MECHANICAL
d DEMOLITION 0 ENGINEERING Q FIRE PREVENTION
NAME OF PROJECT
(Tenant Name /Homeowner Last Name]
`J
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME `
v e U ,
PRIMARY PHONE
c25 7 3 44 j — a(, . j r
MAILING ADDRESS
1 6 O0
E MAIL
CITY
STATE
ZIP
NAME T1Um�1 n
PH
093 aaa - "6 aSq
CONTRACTOR
MAILING ADDRESS 1
1 l sari C.k�(- Qrsf— &, 5 0
E -MAIL
CITY
STAT
ZIP
FAX
WA STATE LICENSE X
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE X
I
NAME � (� '�
1
PHONE
MAILING AD
E -MAIL
APPLICANT
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAME
PHONE
(The individual to receive and
MAILING ADDRESS
E -MAIL
respond to all correspondence
concerning this application)
CITY
STATE
ZIP
FAX
ALTERNATE CONTACT NAME:
PHONE
E -MAIL
PROJECT FINANCING
NAME
E] OWNER- FINANCED
Required value of$5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW r 9.27.095)
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 clairn), 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.
SIGNATURE: '— ) w , QQI DATE
,--�
PRINT NAME: , j_ �cu w�(a �p•Q,�
Bulletin #100- January], 2011 Page] of 3 k:\Handouts\Permit Application
0
VALUE OPMECHAMCAL WORK $
BATHTUBS {m Tub /Sh.we c—b.)
(a copy of bid or estimate must be provided)
TOILETS
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include
x ting fixtures to remain.
AIR HANDLING UNITS
FANS
GAS PIPE OUTLETS
OTHER (Describe)
AIR CONDITIONER
FIREPLACE INSERTS
HOODS (c._ ,r ia!)
DRINKING FOUNTAINS
BOILERS
FURNACES
HOT WATER TANKS (Gas)
HOSE BIBBS
COMPRESSORS
GAS LOG SETS
REFRIGERATION SYST
DUCTING
GAS PIPING
WOODSTOVES
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 {m Tub /Sh.we c—b.)
LAVS (HandSUdcs)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (wuhan /Utiu"
WATER HEATERS (El -tmj
HOSE BIBBS
— SUMPS
WASHING MACHINES
-ALI
CRITICAL AREAS ON PROPERTY? . ) WATER PURVEYOR
EXISTING /PREVIOUS USE ) LOT SIZE (In Square Feet)
SEWER PURVEYOR
EXISTING FIRE SPRINKLER SYSTEM?
❑ Yes ❑ No
VALUE OF EXISTING IMPROVEMENTS
PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No
Bulletin #100— January 1, 2011 Page 2 of kAliandouts \Permit Application