09-100111City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
i
Mechanical
e
Permit #: 09- 100111 -00 -ME
Inspection Request Line: (253) 835 -3050
Project Name: RHODODENDRON SPECIES FOUNDATION
Project Address: 2525 S 336TH ST
Project Description: Installation of gas piping for unit heater and water tank.
Parcel Number: 212104 9002
Owner
Applicant
Contractor
RHODODENDRON SPECIES FOUNDATION
GAS SOLUTIONS INC
GAS SOLUTIONS INC
2525 S 336TH ST
30421 128TH PL SE
GASSOSH966D5 (3/28/10)
FEDERAL WAY WA 98003
AUBURN WA 98092
30421 128TH PL SE
AUBURN WA 98092
Mechanical Valuation ................. ...........................1500 Is this an Online or O.T.C. application? ................. Yes
Gas Piping; ...... ............................... 1 Gas Pipe Outlets ............................. 2
PERMIT EXPIRES Saturday, July 11,
I he
the
Owner or agent:
in
and the City of
a
Date
�o�
- THIS CARD IS TMAIN ON -SITE
CI OF 10community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 09- 100111 -00 -ME
Owner: RHODODENDRON SPECIES FOUNDATION
Address: 2525 S 336TH ST
FEDERAL WAY, WA 98003
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)
Approved
By Date
Gas Piping (4125)
Approved to release test
11 Date /f-
[] Final - Mechanical (4065)
Approved
By, /%� Date
For ins ector reference only
O Rough Electrical 0 FINAL - Electrical
Approved Approved
By Date By Date
CITY OF GENE / — 1 l /
Ara ty'
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COMMUMTY DEVELOPMENT SERVI 2 ZQQJ PERMIT SF MF C ME EL PL DE EN FP
3332E Et" AVENUE SOUTH • 63 BOX 1 � � L I C AT I O N
FEDERAL WAY, WA 98063 -97]8 �
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253-835-2607-FAX 259E F E'� E
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The following is require�tion - an incomplete application will not be accep Please print legibly (in inl� or type.
C ••• ERTY INFORMATION
SITE ADDRESS 1;:�i" SUITE/UNIT #
ASSESSOR'S TAR /PARCEL # Z �? -y - LOT SIZE (sj)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach separate page for lengthy legal description)
PROJECT • ' •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING -MMECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide det 'led des n of work included on his erm't onl
e ht 11 /
I� V
r
44.-i l07 d yr
PROJECT NAME (Name of Business or Owner Last Name)
PEOPLE •- •
PROPERTY
OWNER
NAME 21 j
KD pwe4�
PRIMARY PHONE
OFFICE PHONE
MAILING ADDRESS/ �
CITY, 7P
�� 4.0-�D/
E-MAIL ADDRESS
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
CO ANY NAM
APPLICANT NAME
APP CA T NAM
OFFICE PHONE
CITY, STATE, ZIP
a�
1 i
4c�
MAILING ADDRESS
TY, TA E, ZIP
CELL PHONE
o
4- Lj 4
-
CITY =SINESS
LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
( )
CONT
NUMBER
EXPIRATION DATE
E -MAIL ADDRESS
�i
96 6
3 0
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent ❑ Other
FAX NUMBER
NAME PRIMARY PHONE E -MAIL ADDRESS
S -9i
NAME
Per RCW 19.27.095:
Lender information is required if project value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
/PHONE
l ) -
PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION
EXISTING
S . FT.
PROPOSED
SQ.FT.
TOTAL
SQ.FT.
BASEMENT
VACUUM BREAKERS
DRINKING FOUNTAINS
SHOWERS
FIRST
ELECTRIC WATER HEATERS
SINKS
WASHING MACHINES
SECOND
SUMPS
❑ YES
❑ NO
THIRD
❑ YES ❑ NO
UP /SEPA /SU?
ADDITIONAL FLOORS (DESCRIBE)
❑ NO
PLATTED LOT?
❑ YES ❑ NO
DECK (❑ COVERED OR ❑ UNCOVERED ?)
DEMO PERMIT REQUIRED?
❑ YES
❑ NO
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
MSMO
raoroaso
TOTAL
TOTAL 22797M Sr
Tor- rsopolm sr
TOTAL Sr
" *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 fixtures to remain.
AIRCHAMCAL .a.. -
Value of Mechanical Work $ ) `7 r (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC (Describe)
BOILERS FIREPLACE INSERTS HOODS (commercial)
COMPRESSORS FURNACES RANGES
_ DUCTS GAS LOG SETS REFRIG. SYSTEMS
BATHTUBS (or Tub /Shower combo)
LAVS (BafluoomSinks)
URINALS MISC (Describe)
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
DRINKING FOUNTAINS
SHOWERS
WATER CLOSETS (Toney
ELECTRIC WATER HEATERS
SINKS
WASHING MACHINES
HOSE BIBBS
SUMPS
❑ YES
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 =i in support of this permit application is true and correct. I certfy that I will comply with all applicable
City of Federal Way regulations ing to the work authorized by the issuance of a permit. I understand that the issuance of this permit
does not remove the owner's res lity for compliance u #h local, state, or federal laws regulating construction or environmental taws.
I further agree to I h 1 s the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred to the
Investigation and d ens h c m), which may bs made by any person, including the undersigned, and filed against the city, but only
where such claim see once of the city, Including its officers and employees, upon the accuracy of the information supplied to
the city as a part this i
SIGNATURE:
Owner and /or
1 )2
❑ NEW ❑ ADDITION
❑ ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY?
❑ YES ❑ NO
BASIC PLAN?
❑ YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE?
❑ YES
❑ NO
NEW ADDRESS REQUIRED?
❑ YES ❑ NO
UP /SEPA /SU?
❑ YES
❑ NO
PLATTED LOT?
❑ YES ❑ NO
DEMO PERMIT REQUIRED?
❑ YES
❑ NO
Bulletin #100 — January 1, 2009 Page 2 of 4 Mandouts\Permit Application