12-104290 •
Mechanical
City of Federal Way ' 12-104290-00-ME
Community&Econ.Dev.Services a> Permit #:
33325 8th Ave S "
Federal Way,WA 98003 ��a 6.
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: CONNECTING THE DOTS LLC
Project Address: 28802 8TH AVE S Parcel Number: 515293 0260
Project Description: Install 1"gas piping from meter to range stub with shut off valve
Owner Applicant Contractor,
DIRECT ING UNIVERSAL REFRIGERATION INC UNIVERSAL REFRIGERATION INC
1460 OAKES BLVD STE 150 (GENERAL) (GENERAL)
ROSEVILLE,CA 95747 PO BOX 614 UNIVERI159RF(4/1/14)
AUBURN WA 98071-0614 PO BOX 614
AUBURN WA 98071-0614
Additional Permit Information
Mechanical Valuation 1500.00 Is this an Online or O.T.C.application? Yes
Mechanical Fixtures
Gas Piping 1 Gas Pipe Outlets 1
PERMIT EXPIRES Monday, March 18, 2013
Permit Issued on Wednesday, September 19, 2012
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 -- ,rdance with the laws, rules and regulations of the State of Washington
digr. a r, he Ci► o `ederal Way.
1 Owner or agent. �_��/ /_%, �. Date: /9 �7 �O/z
t11'IAUFP ( g
4THIS CARD IS TOOMAIN ON-SITE '
CITY OF = - 0 Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 12-104290-00-ME Address: 28802 8TH AVE S
Project: DIRECT ING FEDERAL WAY, WA 98003-3701
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 /y/osi Approved
By Date By��� Date 40.J//Z By GG Date dY�Z
Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIV• •2 _ ( O4 2 O
PERMIT SF MF COCME)EL PL DE EN FP
Federal WalSEP 19 2012 -
COMMUNITY DEVELOPMENT SERVICES p LI CAT I O N
253-8
3
5-26
o7•Fnlc25zrOF FEDER/ -'
--- — CDS q Gib
SITE ADDRESS
0o2- 63't'i 4v
SUITE/UNIT# ZONING ASSESSOR'S TAX/PARCEL#
l - 77 �`'
NAME OF PROJECT p.
(Tenant or Homeowner Name) O/`//V i ( /IVOi ( (/ 0-7-5
5
0 BUILDING 0 PLUMBING )(MECHANICAL
TYPE OF PERMIT
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION
(( /'/ a s •�>* . K (`a/Ll.Cis
PROJECT DESCRIPTION cam.�- [, [A's S`A u' aNe
Detailed description of work to
be incl"dPd on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER Yt✓i C f �c3'f$ ( ) -
MAILING ADDRESS.CITY,STATE,ZIP E-MAIL
/' /2c) /'7v- 4-(4-11.2.76,2- ea(7 �'T (,<44- rig/0/
OWNER IS ALSO: 0 CONTRACTOR 0 APPLICANT 0 PROJECT CONTACT
NAME
PRIMARY PHONE
s.
1/t81 C i0 eet.( G� Pfi l dr• ( ) - •
MAILING ADDRESS,CITY,STATE,ZIP
CONTRACTOR
PO�x 6v( 4L40,-.-- T9 r '7 O7(
WA STATE CONTRACTOR'S CENSE it EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/CZ?}�F '( i ( i (O /1.-- /0701?-�
NAME PRIMARY PHONE
APPLICANT -
MAILING ADDRESS,CITY,STATE,ZIP FAX
7) 6,ty 444h 4T4. %O7( ( )
PROJECT CONTACT NAME PRIMARY PHONE
(The individual to receive and / , �' (moi 3)PRIMARY
f'
respond to all correspondence MAILING ADDRESS,CITY,STATE,ZIP f
concerning this application) '7 ) N,/t( (��'W^dl (�( - 16°7( Mriatilill
ALTERNATE CONTACT NAME: PRIMARY PHONE E-MAIL
7/Cfi (Z- )734- - 111(
PROJECT FINANCING NAME
0 OWNER-FINANCED
Required for projects with
value of$5,000 or more MAILING ADDRESS.CITY,STATE.ZIP PRIMARY PHONE
(RCW 19.27.095) ( ) -
I under penalty of perjury that I am the property owner or authorised agent of the property owner.I certify that to the
best of my knowledge,the information submitted in support of this permit application is true and correct.I certify that I will comply
with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that
the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred
in the investigation and defense of such claim),which may be made by any person, including the undersigned, and filed against the
city,but only where such claim • o .j reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city ,: wpart of th applic. n.
•
SIGNATURE: 1.4,1 DATE C/ CS
PRINT NAME: ' G�] (1-:: '
l t4
Bulletin#100 Page 1 of.3 k:\Handouts\Permit Application
• •
MECHANICAL FIXTURES
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE PROVIDED)
Indicate number of each type of jbct re to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS / GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING I GAS PIPING WOODSTOVES
PLUMBING FIXTURES
Indicate number of each type offbcture to be installed or relocated as part of this project. Do not inchidP existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo) LAVS(Sand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(uteben/unity) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
PROJECT VALUATION 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 0 No
RESIDENTIAL
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR ^ T
COVERED ENTRY
DECK
GARAGE 0 CARPORT 0
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
"'NEW HOMES ONLY"
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area Occupancy Groups) Construction #of Additional Information
in Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Construction #of
in Square Feet
Occupancy Group(s) Type Stories Additional Information
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100 Page 2 of 3 k:Wandouts\Permit Application