12-102078City of Federal way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Project Name: MARTIN
Project Address: 1002 S 286TH PL
Mechanical
Permit #: 12- 102078 -00 -ME
Inspection Request Line: (253) 835 -3050
Parcel Number: 515296 0330
Project Description: Installing a new 7 kw permanent generator at the back of the house and one gas pipe outlet.
Owner
ARRI11can t
Contractor
JAMES L MARTIN
LEGACY TELECOMMUNICATIONS INC
LEGACY TELECOMMUNICATIONS INC
PATRICIA A MARTIN
(GENERAL)
(GENERAL)
1002 S 286TH PL
PO BOX 360
LEGACTIO05KD (6/1/13)
FEDERAL WAY WA 98003 -3173
BURLEY WA 98322
PO BOX 360
BURLEY WA 98322
dditional Permit Information
Mechanical Valuation ................. ...........................4040
Is this an Online or O.T.C. application ? .................Yes
Mechanical Fixtures
GasPiping ....... ............................... 1
CONDITIONS:
A permanently installed generator is not allowed to be placed within required yards (setbacks). See Bulletin
#150 for placement details.
PERMIT EXPIRES Tuesday, November 6, 2012
Permit Issued on Thursday, May 10, 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 will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Date: b 2
FINAIIAZ (P 111 hx
f .t
CITY OF
Federal Way
PERMIT #:
• THIS CARD IS T MAIN ON -SITE
Construction In ection Record
INSPECTION REQU TS: (253) 835 -3050
12- 102078 -00 -ME
Address: 1002 S 286TH PL
Project: JAMES L MARTIN FEDERAL WAY, WA 98003 -3173
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 6 10Sl
Approved
By fLf Date I
By Date g-_,;?1_12
By Date %Z-
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF
Federal Way
COMMUNITY DEVELOPMENT SERVICES
253- 835 -2607• FAX 253- 835 -2609
www.cituoffederalwau.com
• - 7 b
PERMI ECEIV CO E PL DE EN FP
APPLICATI
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SITE ADDRESS ®S
K- 0-
SUITE /UNIT #
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
$4,04
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TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ,43 MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name /Homeowner Last Name)
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PROJECT DESCRIPTION
Detailed description of work to
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OUVAA ont 4A'eJ
be included on this permit only
PROPERTY OWNER
NAME
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PRIMARY PHONE
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MAILING ADDRESS , e .
E -MAIL
STATE
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ZIP
NAME '�/�/ /
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CONTRACTOR
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\STATE
ZIP
FAX I r Q 1
WA STATE CONT CTOR'S LICENSE #
DEG
EXPIRATION DATE
/ t
FEDERAL WAY BUSINESS LICENSE #
- QI 101bO DORL
NAME
PHONE
(
LING ADDRESS
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E-MAIL
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APPLICANT
TY
STATE
FAX _ , 'b0'$ , O
PROJECT CONTACT
(The individual to receive and
NAM - G
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YAMING ADDRESS i
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E -MAIL
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respond to all correspondence
concerning this application)
ITY
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ZIP ^
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FAX
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ALTERNATE CO ACT NAME:
PHONE
E-MAIL
PROJECT FINANCING
NAM
OWNER- FINANCED
Required value of $5,000 or more
(RCW 19.27.095)
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I cert(fy 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.
I -7
SIGNATURE: A6W2A�j L DATE i I L
PRINT NAME: i rn l r Q C
Bulletin #100 - January 1, 2011 Page 1 of 3 k: l-landoutAPermit Application
9
VALUE OF MECHANICAL WORK $
I o
(a copy of bid or estimate must be provided)
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
I GAS PIPE OUTLETS (Describe)
AIR CONDITIONER
FIREPLACE INSERTS
/OTHER
HOODS (Commercial) -
BOILERS
FURNACES
HOT WATER TANKS (Gas)
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 (or Tob /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 MACHINES
TOTAL FIXTURES
Ra
v x
v
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING /PREVIOUS USE LOT SIZE (In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No ❑ Yes ❑ No
Bulletin #100 -January 1, 2011 Page 2 of 3 k:\Handouts\Permit Application