10-100822 • • Mechanical
City of Federal Way Permit #: 10-100822-00-M E
Community Development Services �
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609 p Q
Project Name: D'ANDREA
Project Address: 36206 1ST PL S Parcel Number: 113780 0460
Project Description: Gas line extension for fireplace and cook top
Owner Applicant Contractor
MARK J&ALICE M D'ANDREA PUGET SOUND GAS PIPING INC PUGET SOUND GAS PIPING INC
36206 1ST PL S 13324 BINGHAM AVE E PUGETSG956MA(7/7/11)
FEDERAL WAY WA 98003 TACOMA WA 98446 13324 BINGHAM AVE E
TACOMA WA 98446
Mechanical Valuation 900 Is this an Online or O.T.C.application? Yes
tt e ..�
Fireplace Inserts 1 Gas Piping 1
PERMIT EXPIRES Sunday, August 29, 2010
Permit Issued on Tuesday, March 2, 2010
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:
F11414I, 3/3/10
THIS CARD IS TO IN ON-SITE NNW
COY OF
• Construction Ins ction Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 10-100822-00-ME Address: 36206 1ST PL S
Owner: MARK J & ALICE M D'ANDREA FEDERAL WAY, WA 98003-8623
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
1 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.
El Mechanical Rough-in(4165) 0 Gas Piping(4125) - 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By G Date - 3../n 'By G t.__ Date 3 - 3 .-/ 6
El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
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Federal way 40 PERMIT ?1Y? F CO, ME L PL DE EN FP
co 53-8352607•R11(25IVT 5-2609ES APPLICATION S j[
253-8352607•FAX 253-8352609
www.cituo irederahuau.com
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NAME or PROJECT /�, y�
(Tenant or Homeowner Name) �N p �/-�-----
❑BUILDING ❑ PLUMBING ,.1MECHANICAL.
TYPE OF PERMIT
❑ DEMOLITION ❑ ELECTRICAL 0 ENGINEERING ❑ FIRE PREVENTION NQ •
Z.1:7,,,__.5 ,154^ t X7t: -e'S'\ 4 Yom. r!(C:C-( Cel.Ck ee r��P .
PROJECT DESCRIPTION 1
Detailed description of work to
be included on this permit only
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NAME PRIMARY PHONE
PROPERTY OWNER YV `2(71(.2 k s k-- ' t c r Q .( el S.trs ( ) -
MAILING ADDRESS,CITY,STATE,ZIP E-MAIL
OWNER IS ALSO: 0 CONTRACTOR 0 APPLICANT ❑ PROJECT CONTACT
NAME PRIMARY PHONE
it re. _* C>c•..;' 6z�=�S V�0\ (2 )i !* - 'Nee
' NTRACTOR MAD N DRESS,CITY,STATE,ZIP l�` :J FAX
I 3.37 L1 1�,..,, :,,_ 4. r t2-,cc,w,.0_ eiS( ( )
WA STATE CONTRACTOR'S/LICENSE• EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE►
NAME 4 PRIMARY PHONE
APPLICANT /MAIL, i ('5-3)7-3, v- L/r P
MAILING ADDRESS,CITY,STAIE,ZIP FAX
t L( 0 0V k,,0,\_ , .,< E + tiLy, cti-{qc, ( ) -
PROJECT CONTACT N rr PRIMARY PHONE
(The individual to receive and \i""L A, ' t,rt,A 1 ktt�/ (2%`-7) 2 24- 7 ZS'
respond to all correspondence MAILING ADDRESS%CITY,STATE,ZIP I FAX
concerning this application) 133 2 l� 1«,,� / ) -
?.� GIG.:'vim -< f�, �'�`�d
ALTERNATE CONTACT : PRIMARY PHONE E-MAIL
( )
PROJECT FINANCING NAME
Required for projects with
❑ OWNER-FINANCED
value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PRIMARY PHONE
(RCW 19.27.095)
( )
I certlfj under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge,the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred
in the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the
city, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
SIGNATURE: (L-1-71------ ---"--- DATE . 7---7:C?
PRINT NAME: N(k-e (.fv I —�'-_A,A J,,---
Bulletin#100-January 1,2010 Page 1 of 4 k:\Handouts\Pelmit Application
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE PROVIDED)
Indicate number 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 GAS PIPE OUTLETS I OTHER f Describe)
AIR CONDITIONER ( FIREPLACE INSERTS HOODS(CommerciaQ p
BOILERS FURNACES HOT WATER TANKS pee)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/shower Combo) LAVS(Hand Sint ) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(xstchen/ut WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES 'I PAL FI1[Fl11 S
GE'' ERAL I FORMATI
PROJECT VALUATION WATER PURVEYOR PURVEYOR VALUE OF E]QSTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(Is Square Feet) •, •FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes❑ No ❑Yes ❑ No
AREA DESCRIPTION in square feet EXISTING PROPOSED TOTAL
FOR OFFICE USE
BAS$M1;NT
FIRST FLOOR(or Mobile Home
SECOND OO
• COVERED ENT:
•t•AGE ❑ CARPORT ❑
OTHETc de8cb
EXISTING ?IMPOSE TOTAL
Area Totals
. *N&WHAMF :ONLY�*
ESTIMATED SELLING PRICE$ #OF B°I ROOMS
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AREA DESCRIPTION Area Construction #of
Occupancy Group(s) Additional Information
in Square Feet Type Stories
NEW:BUThDINt#..::
ADDITION
M.'RCIAti4REM <':DELrfEAISTAIVI ...... ....:...............:................:........
AREA DESCRIPT Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
ANT AREA ONLY
t�REA OPi.3�
Bulletin#100—January 1,2010 Page 2 of 4 k:\Handouts\Pennit Application