14-104941 I Mechanical
City of Federal
Community&Econ.De veServices Permit #: 14-104941-00-M E
33325 8th Ave S
Federal Way,WA 98003
Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p Q
Project Name: EARSLEY
Project Address: 32101 9TH AVE S Parcel Number: 609390 0220
Project Description: Add heat pump.
Owner Applicant Contractor
BRIAN EARSLEY RACHELLE ALEXANDER BLACK HILLS INC(GENERAL)
32101 9TH AVE S BLACK HILLS INC BLACKHI066JL(7/19/15)
FEDERAL WAY WA 98003-5919 1003 85TH AVE SE UNIT A 1003 85TH AVE SE UNIT A
OLYMPIA WA 98501 OLYMPIA WA 98501-5706
Additional Permit Information
Is this an Online or O.T.C.application? Yes
Mechanical Fixtures
Furnaces 1
PERMIT EXPIRES Tuesday, March 24, 2015
Permit Issued on Thursday, September 25, 2014
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: IAI�6� Date: q--a.S - t 1-∎
co
• THIS CARD IS TO ON-SITE ti
CITY OF Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 14-104941-00-ME Address: 32101 9TH AVE S
Project: BRIAN EARSLEY FEDERAL WAY, WA 98003-5919
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.
0 Mechanical Rough-in(4165) ❑ Gas Piping(4125) Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By r '9 Date I O(2 t
I
El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
E •
R
•
ECEIVED PERMIT APPLICATION
CITY Of
A.
Federal Way SEP 2 5 2014 -517
OF E_�E Y
PERMIT NUMBER `/ /E 1/�/ ��
� LLL �L (_� TARGET DATE
SITE ADDRESS SUITE/UNIT#
N6
PROJECT VALUATION ZONING ASSESSO) S TOPARitL# ^ M - ( ^ )
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT ' _ 3
PROJECT DESCRIPTION
ILd1 ► .all 44;■-im
1
Detailed description of work to
be included on this permit only
PROPERTY OWNER NAME I + , 4/110— (0_ PRInSgRY/' `(nrlE /
MAILING ADDR l ` / E-MAIL/,(/�/`I✓ (lSn{ `�l
CITY f
V w`i\ S n 1ZI P/ Jco.„3
NA LCCL - - L( T(1 C- PHS` J5
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MAILING ADDRESS E-MAIL
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CONTRACTOR
CITY ou1/4...i 1l/\ Btk ZI FAISCcO' .74Y
WA T CO CTO S CENSE ON DATE FEDERAL WAY BUSINESS LICENSE
NAME R �� --C3V iC PRI Y PHONE 5'!/�
APPLICANT MAILING • RESS E-s a*L `
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CITY /1` STATE ZIP9V J v FAX
A �9— C
1/I�l/(il/1 A (`/.��IQ1_ ` /{/:qr) Q`� -(ICJ(/
NAME Y �/` �` 9 PRIMARY PHONE/tY�_J
PROJECT CONTACT I P 6 .I1 -(C-Pj(/rie/L� ,I --ztp'3o
(The individual to receive and MAILING ADM 0 t!5 ---(14 i,111 f i I 'n/,,,�, ''/6(respond to all correspondence I �� l 0lObt'�t/II,U.JI • 60IA.
concerning this application) CITY S A ZIP t FAX G(
PROJECT FINANCING NAME l IS OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY, TE ZI PHONE
(RCW 19.27.095)
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 wh- - ch claim arises out o the relia of 'he city, including its officers and employees, upon the accuracy of the
informatio• suppl d to e cpy as a •• i IA this apt ,ati•
■
•11JI / �-
SIGNATURE: A `�/r /� ,, DATE 9/&Emii
PRINT NAME: - 1. L (J \ I k r(y/p I/1f
Bulletin#100—January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
• .
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $ 7,618
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 OUTLETS x OTH (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $
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
EXISTING/PREVIOUS USE LOT SIZE In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes ❑ No ❑Yes ❑ No
RESIDENTIAL - NEVV OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
u9 'SE ENT ti :. r tR a
FIRST FLOOR(or Mobile Home)
SEGO FLOOR u
COVERED ENTRY
3 '"ti x
GARAGE ❑ CARPORT ❑
,
r..
EXISTING PROPOSED TOTAL
Area Totals
. w of 1VLY
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION
Area rea Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
x .
TENANT AREA ONLY
OJECT A 3NLY k„ '
Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application