08-100434City of Federal Way
Communitit y Development Services Mechanical Permit #108-100434-00-ML
P.O. Box 9718
Federal Way, WA 98063 -9718
h: (253; 835 -2607 Fax'. (253) 835 -2609 Inspection Request Line: (253) 835 -3050
Project Name: STONE
Project Address: 1420 SW 296TH ST rL Ocel Nu r: 062 039
Project Description: Installing gas line for generator
Owner Applicant NG nt r —�.
CHRISTOPHER STONE CHRISTOPHER STONE ION S INC
1420 S 296TH ST 1420 S 296TH ST �G, 66D5 03- 25 -08)
FEDERAL WAY WA 98023 FEDERAL WAY WA 9 21 12 8T L SE
U 9092
Additional forma
Mechanical Valuation .............. .............................55 9 e Counter P ? ....... ............................Yes
Me Fi es
Compressors ................. I.................
ERMI PIRES Saturday, January 30, 2010
ermit Is ed on Wednesday, January 30, 2008
1 her ert' at the above ation is correct. and that the construction on the above described property and
th cup and the use will be in accordance with the laws, rules and regulations of the State of Washington
and t ityof Federal Way.
Owner or t: Date:
V.
dr sk it THIS CARD IS TIGaREMAIN ON -SITE s
CITY OF ` = Community Development Inspection Record
Federal Wad/ IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 08- 100434 -00 -ME
Owner: CHRISTOPHER STONE
Address: 1420 SW 296TH ST
FEDERAL WAY, WA 98023 -3411
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 By Date C)- By Date
For inspector reference only
O Rough Electrical 11 FINAL - Electrical
Approved Approved
By Date By Date
w._ no q
`Fe�I Way -
RMIT
C0U&VNND8V OPMRNrssRYfC{S SF MF CO JOL PL DE EN FP
3332S8DBRAL WAY, WA B PO 9� 9718 JAN 0
253.835 -2607• FAX 253-835.2609 I'4�' P L I C AT I O N
www. �L,�orrea�,otuM�. �m
The otlowt QFJEDEERAL WAY
f ng or tQn — an incomplete application will not be accepted. Please print legibly (in ink) or type.
SITE ADDRESS --; T-.4 C 6L / 64 4 11 L-It �,� T-- SUITE /UNIT #
ASSESSOR'S TAX /PARCEL 9 _ _ _ _ _ _ _ _ _ LOT SIZE (s]
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Aff-A &Va.ute vwlbr knoW lVid aa.v"*N
PROJECT • •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only
PROJECT NAME (Name of Business or Owner Last Name)
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
PEOPLE INFORMATION
CO PANY NAM
I APPLICANT NAM
OFFICE PHONE
t
....
-
WMI1111511 ����
PAX NUMBER
( ) -
CO PANY NAM
I APPLICANT NAM
OFFICE PHONE
t
l
-
MAILING D
PAX NUMBER
( ) -
A , ZIP
CELL PHONE
ZJ�k d Is
It -
OF EDERA WAY B IN SS LICENSE NUMBER TION ATE
FAX NUMBER
COCTOR'.�BTTIO$ N)JMSgRN IRATION TE
E-MAIL ADDRESS
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent ❑ Other
PAX NUMBER
( ) -
NAME PRIMARY PHONE EMAIL ADDRESS
NAME
Per RCW 19.27.095.
Lender ir{fornuttion is required {f project value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO
WATER SERVICES PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
R1
1*
AREA DESCRIPTION
EXISTING
S . FT.
PROPOSED
$ . FT.
TOTAL
S . FT.
BASEMENT
o YES ONO
BASIC PLAN?
FIRST
o NO
ZONING DESIGNATION
SECOND
CHANGE OF USE?
a YES
o NO
THIRD
o YES a NO
UP /SEPA /SU?
ADDITIONAL FLOORS (DESCRIBE)
ONO
PLATTED LOT?
a YES a NO
DECK (O COVERED OR 0 UNCOVERED ?)
DEMO PERMIT REQUIRED?
a YES
ONO
GARAGE O CARPORT O
NUMBER OF FLOORS6
TtOrOtRD
iOTA1
rorecsasrnrosr
ror�creorossosr
rnrwsr
" *NEW HOMES ONLY•" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing f lures to remain.
MECSANICAL IC
Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS.
BATHTUBS (arTubfshe Comho)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS LOG SETS
LAVS (Bid. sh*4
RAIN WATER SYST
SHOWERS
SINKS
SUMPS
GAS PIPE OUTLETS
GAS WATER HEATERS
HOODS (cosimard�q
RANGES
REFRIG. SYSTEMS
VACUUM BREAKERS
WATER CLOSETS (Tom.4
WASHING MACHINES.
WOODSTOVES
MISC (Describe)
MISC (Describe)
I cort(* under penalty of psiyury than I am the property owner or authorised agent of the property owner. t eert{/y that to the best of any
knowtedye, the b{ formation submitted in support of this permit application is true and correaL I certUk that I will comply with all applicable
City of Federal Way regulations pertaining to the work authorised by the issuance of a permit. I understand that the issuancs 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. --�
SIGNATURE: M JIB J I� X71 _ DATE S
a NEW a ADDITION
a ALTERATION
a REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o YES ONO
BASIC PLAN?
a YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
a YES
o NO
NEW ADDRESS REQUIRED?
o YES a NO
UP /SEPA /SU?
o YES
ONO
PLATTED LOT?
a YES a NO
DEMO PERMIT REQUIRED?
a YES
ONO
Bulletin #100— January 1, 2008
Page 2 of 4
MandoutsTermit Application