10-103885 City of Federal Way • Mechaiical
Community Development Services Permit #: 10-103885-00-ME
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: SIRACUSE
Project Address: 2412 S 284TH PL Parcel Number: 326081 0130
Project Description: Install new A.O Smith 50 gallon gas water heater
Owner Applicant Contractor
GEORGE SIRACUSE RUSH PLUMBING INC RUSH PLUMBING INC
2412 S 284TH PL 1259 SW ORCHARD ST RUSHPPI903M8(07/28/12)
FEDERAL WAY WA 98003 SEATTLE WA 98106 1259 SW ORCHARD ST
SEATTLE WA 98106
•
•
Mechanical Valuation 1000 Is this an Online or O.T.C.application9 Yes
•
4& " I,4s!f�. .,aAt.
Hot Water Tanks 1
PERMIT EXPIRES Sunday, March 13, 2011
Permit Issued on Tuesday, September 14, 2010
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the se will be in accordance with the laws, rules and regulations of the State of Washington
DVity of Federal Way.
1 ?//4///°
Owner or agent: ,GCG% /�Cf,/�/,l' Date:
.
f,c29 2 Aft°
•
r _ . . THIS CARD IS TO AIN ON-SITE i , ,
CITY OF 1/101/111 • Construction Ins ction Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 10-103885-00-ME Address: 2412 S 284TH PL
Owner: GEORGE SIRACUSE FEDERAL WAY, WA 98003
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.
El Mechanical Rough-in(4165) El Gas Piping(4125) El Final-Mechanical(4065)
Approved Approved to release test Approved
By Date .By Date 'B t...'" Date".1- 9.3 ,
1
El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
r • C) i0 / 0 3 g E_S`
1 p OF PERMI SF MF CO ME PL
Federal Way PERMIT �� , DE EN FP
COMM(INITYDEVELOPMENT SERVICES APPLICATION RECEIVED
253-835-2607•FAX 253-835-2609
www.rituoffecieralwau.com
SEP 1 4 2010
SITE ADDRESS SUITE/UNIT#
4-//'A S. R�8y-/"h Pia-c- ci FO AL WAY
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# CDS
$ /lop. o0 3A (o o S 1 - 01 30
TYPE OF PERMIT ❑ BUILDING t PLUMBING El MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT ^J/, A-WS -----
(Tenant Name/Homeowner Last Name)
Zns-f-GLI/ Neu , . 0. Smith So ga,P.e.e-r�
PROJECT DESCRIPTION `J
Detailed description of work to 3 a 5 (,)Q. ut, h_e_a_LEA>
be Included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER Cl W i`qq e _ s t r c r-GiL5 D c )cp 5 3-7/_cg
MAILING ADDRESS J5. a SL/th aw E-MAIL./N A I ll��
ay PI
re.cL a./ U)CA-y Oc t mP0 800 h' /A
NAME /?usJ/ P/urnb1 i'J Ir?a ' c2,0(o)6)59-aayl
MAILING/D E-MAIL v w J rc h rcl V-f �usN P
lumbl nge Cam CONTRACTOR
CITY( � s� C P C, ./UCH ((o C o)7DS-7 7
WA SSTAATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
lZusHPPr9o3MS D7/As / /(9,
NAME Nea fh Crate/ 'P2�C0)yO -11Do�
APPLICANT MAILING, 59 5j3 Or�c h cl st ° �"
? pi n °''rl�+
° _t.fL e_ Zrya. ZIP?F�t o C0
(170(40) 70 -7a177
PROJECT CONTACT NAME Ro eh t Crcc_. Coco) 707_2362,��,,,�� �
(The individual to receive and C lI7►iui/��
respond to all correspondence MAHdNG ADjss E-MAIL
concerning this application) �J/�u-// ((,{sql up.)bin�} t-) 21J
C�.iLR�' / STATE CL) RHONE ZIP FAX ` ,/A J
ALTERNATE e-CC -Er L a-uJJ (glob) /U)I-�I D�E-MAIL iv /A
PROJECT FINANCING xAME /V 7 il 0 OWNER-FINANCED
Required value of$5,000 or more /►
(RCW 19.27.095) MAILING ADDRESS.CITY.STATE.ZIP
N/ N /117
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 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 sup. -. to the city as a part o is application.
•
SIGNA : C)I aJ DATE q-13 /0
PRINT NAME: /7&9T,/i i _ 1) CR/9uL..
Bulletin#100-April 14,2010 Page 1 of 3 k:\Handouts\Permit Application
• •
,: ,,' ... r NI
ACAL FIXTU,
VALUE OF MECHANICAL Woxx $ //000. 00 (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 GAS PIPE OUTLIcIS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commcrcia))
BOILERS FURNACES I HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
ini 'ire.' bP r ,
'f $ING Ft TUit '.S
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo( LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
/i 1000. 00
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
)9 I ❑Yes g/No ❑Yes e'No
.ESID EN'TIAL ,`NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
8, ME1T `'
FIRST FLOOR(or Mobile Home) t _ 3 Lp. QQ
sa1�FLOOR
_._._..---.._.
COVERED ENTRY .
D ,
GARAGE ❑ CARPORT ❑
' Rt(dribe)'
EXISTING PROPOSED rorly.
Area Totals 1
"NEW HOMES ONLY'"'
ESTIMATED SELLING PRICE$ ((I w'0� #OF BEDROOMS 3
'_ O MERCIAL'-NEW/AYDD ITION A
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
NEW BuIW INO ^17, ,, ; / I ,h:/f/
ADDITION (?
i
C MERCIAL-RgMODEL/TENANT IMPROVEMENT
Area Construction #of
AREA DESCRIPTION Occupancy Group(s) ape Stories Additional Information
Square uare Feet
`TOT.A BUILDING' 1 �I `1 1 N� N(q A
TENANT AREA ONLY
Bulletin#100-April 14,2010 Page 2 of 3 k:U-Iandouts\Permit Application