10-100009 •
Mechanical
City of Federal Way / /�
Community Development Services Permit #: 10-100009-G`0.M E
P.O.Box 9718
Federal Way,WA 98063-9718
Inspection Request Line: (253)
Ph:(253)835-2607 Fax (253)835-2609 p q 835-3050
Project Name: HAMMINGH
Project Address: 33246 36TH AVE SW Parcel Number: 109961 1300
Project Description: Gas fuel line extension
Owner Applicant Contractor
MARK&AMY HAMMINGH PILCHUCK CONTRACTORS INC PILCHUCK CONTRACTORS INC
33246 36TH AVE SW PO BOX 808 PILCHCI101MA(02/20/11)
FEDERAL WAY WA 98023 BOTHELL WA 98041-0808 PO BOX 808
BOTHELL WA 98041-0808
Additional Per t formation
Mechanical Valuation 1000 Is this an Online or O.T.C.application? Yes
ti
'' X14 :yO ' €l fixtures
Gas Piping 1
PERMIT EXPIRES Saturday, July 3, 2010
Permit Issued on Monday, January 4, 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
4and the ity of Federal Way.
Owner or agent: Date: 'y` (C)
t (WMA t I I /0
116,
0 THIS CARD IS TO IIIVAIN ON-SITE
CITY OFConstruction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT#: 10-100009-00-ME Address: 33246 36TH AVE SW
Owner: MARK & AMY HAMMINGH FEDERAL WAY, WA 98023-2903
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) ElGas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By � to j,/,/,f
-❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
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CONLIEJNITY DEVELOPMENT SERVICES JAN 0 APPLICATION
253-835-2607.FAX 253-835-2609
www.citypirekralum,com
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SITE ADDRESS ,..c 0 S
SW'
SUITE/UNIT# ......., ZONING ASSESSOR'S TAX/PARCEL#
9 (J / - / 3 o D
IMO iiiiiillinkaill11111111.1111111 tiMeriEMEiiinaiiiingeiligiliiiiiiiiMMEiiiiiiiikEiMilill
NAME OF PROJECT
71-
, n_a4
(Tenant or Homeowner Name) PV) ,f
0 BUILDING 0 PLUMBINg 'MECHANICAL
TYPE OF PERMIT
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION
(1_7/
A S F (...;:c. I (..., r"•\4•I: C Ael-r(iNfr.1-0-
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
110111111111111.1111•1111111111•10...0 it 1
NAME 1 PRIMARY PHONE
PROPERTY OWNER '144A-4 / /igai L. ( ) -
MAILING ADDRESS,CITY,STATE,ZIP - E-MAIL
:33,9, ci to aco /lye svk/ fkbetw (4)
OWNER IS ALSO: 0 CONTRACTOR 0 APPLICANT 0 PROJECT CONTACT
NAME PRIMARY PHONE
,..,
PLLC-.14 L.--''C ke---, CCYQ.T (5,i 37})fl -1C - -1: .
CONTRACTOR MAILING ADDRESS,CITY,STATE,ZIP FAX
P C ' 0")( g7 5 Ki V--e-,tiAll t,) vki,/4 ( ) _
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
PILLIAC.,i 'ICA iv" 4 / i
_________
NAB PRIMARY PHONE
APPLICANT Cc()_Lrli Ak,)C Ar\ b ER_ ( . ) - ' - 7F--,;-S
MAILING ADDREA CITY,STATE,ZIP FAX
1 C- 2:)C1)( as-7(1 l<21-- -cLiktql • W A ( ) -
PROJECT CONTACT N
-,_10. A-k
ciao(.____,.i , x,..4".i be_rz.... PRIMARY PHONE
0 C3) Y6S - 76 (ie,".
(The individual to receive and
respond to all correspondence MAILING ADDRESS,CITY,STATE,zip FAX
concerning this application) p c i5ec 9s-7 9 Kiv_ta_A"c., t,,,//l ( ) -
ALTERNATE CONTACT NAME: PRIMARY PHONE E-MAIL
-
PROJECT FINANCING NAME
0 OWNER-FINANCED
Required for projects with
value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PRIMARY PHONE
(RCW 19.27.095)
( ) _
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred
in the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the
city, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the as a part th•eplication.
iz ,
SIGNATURE: _.....,...--2924e, Alori ' /
p
' DATE /— 4-/-/&
PRINT NAME: f2,(z-xe ' • .'
Bulletin#100-January 1,2010 Page 1 of 4 k:\Handouts\Permit Application
•
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Value of Mechanical Work$ " '047 (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 OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(comme:dm)
BOILERS FURNACES HOT WATER TANKS)Gm)
COMPRESSORS / GAS LOG SETS REFRIGERATION SYST
DUCTING V 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(Headsinlm) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(iatcheu/utility) WATER HEATERS(nectar)
HOSE BIBBS SUMPS WASHING MACHINES 'FOIALFIX RES
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 ❑ No
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL
FOR OFFICE USE
: sahl�T
FIRST FLOOR(or Mobile Home)
TM�EGE7ND F' QIJR
•
COVERED ENTRY
GARAGE 0 CARPORT ❑
Rd
EXISTING PROPOSED TOTAL
Area Totals
*mow IfOMB o1111a
ESTIMATED SELLING PRICE$ #OF BEDROOMS
.. .........
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
"' :SE W:$IIILDING.. ... - _.
ADDITION
:' x� .......::..:::..
>:11.?`: COMME IAL.. . .REMO0.tLITE I MPR' Elal i3
AREA DESCRIPTION Area Construction #of
in Square Feet Occupancy Group(s) Type Stories Additional Information
.•. ICf'IAL BUI.DING
TENANT AREA ONLY
AREA ONLY )
Bulletin#100—January 1,2010 Page 2 of 4 k:\Flandouts\Peimit Application