09-102448 Mechanical
City of Federal Way Q
Community Development Services Permit #: 09-102448-00-M E
P.O.Box 9718
Federal-260,WA 98063
Ph:(253)835-2607 Fax (253)835-2609 p Ins ection Request Line: (253) 835-3050
Project Name: PERRON 4.
Project Address: 1702 S 371ST CT :
�ro Parcel Number: 721266 0650
Project Description: Installation of underground gas piping for future outdoor fireplace& barbeque appliance.
Owner Applicant Contractor
DANIEL J PERRON PUGET SOUND GAS PIPING INC PUGET SOUND GAS PIPING INC
MARY E PERRON 13324 BINGHAM AVE E PUGETSG956MA(7/1/09)
1702 S 371ST CT TACOMA WA 98446 13324 BINGHAM AVE E
FEDERAL WAY WA 98003-7589 TACOMA WA 98446
,,. i 5 ';'•,',,, \,,,A;;,, AddCtir��l ` N�, tiara 5' €
Mechanical Valuation 950.00 Is this an Online or O.T.C.application? Yes
Mechanical F� ,
v3 y
Gas Pipe Outlets 2
PERMIT EXPIRES Saturday, December 26, 2009
Permit Issued on Monday,June 29, 2009
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: &/.:)—° bi
THIS CARD IS TO REMAIN ON-SITE
CITY OF
Federal Wa Construction Inspection Record
y INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 09-102448-00-ME Address: 1702 S 371ST CT
Owner: DANIEL J PERRON FEDERAL WAY, WA 98003-7589
Scheduled inspections may be failed if this card isnot 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) Ei Final-Mechanical(4065)
Approved Approved to release test Approved
•
By Date By Cit..) Date 4,7 .By Date•
For inspector reference only
❑ Rough Electrical 0 FINAL-Electrical
Approved Approved •
By Date By Date
ny / 0 Zq
°PAPERMIT ��� S F CO`MEJ EL PL, DE EN FP
Federal
DEVELOPMENT
29 ?pAPPLICATION
SITE ADDRESS 9 /
SUITE/UNITS ZONING ASSESSOR'S TAX/PARCEL S
z _ c
NAME OF PROJECT 'rp
(Tenant or Homeowner Name) h-�
0 BUILDING 0 PLUMBING MECHANICAL
TYPE OF PERMIT
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER !" • Vt-t f e5 (a.Ob ) '—f) - ()ISS
MAILING ADDRESS,CITY,STATE,ZIP E-MAIL
OWNER IS ALSO: 0 CONTRACTOR ❑ APPLICANT 0 PROJECT CONTACT
OCONTRACT#
NAME ` HONE
wbu�c. C5� + 15 5 ('\ _Y �t`I$i
MAILING ADD- ,CITY,STA - ZIP
�/ ,TATE COQ • 'S LICENSE f EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE e
��C:► S c1CLn1 a7 /
NAME PRIMARY PHONE 1
APPLICANT # $ I S s CA - I�CSV
MAILING ADD----,CI7vSTATE,
PROJECT CONTACT NAM$ �� _ PRIMARY PHONE
(The individual to receive and -
respond to all correspondence MAILING ADDRESS,CITY,STATE,ZIP ,..
concerning this application)
ALTERNATE CONTACT NAME: PRIMARY PHONE E-MAIL
PROJECT FINANCING NAME
0 OWNER-FINANCED
Required for projects with
value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PRIMARY PHONE
(RCW 19.27.095)
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.l certify that to the
best of my knowledge,the information submitted in support of this permit application is true and correct.I certify that I will comply
with all applicable City of Federal Way regulations pertaining to the work authorised by the issuance of a permit.I understand that
the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred
in the investigation and defense of such claim), which may be made by any person,including the undersigned, and filed against the
city, but only where such claim aris of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to as a of this application. )
SIGNATURE: DATE b f ( J®O\
PRINT NAME: ' Qrrz�to� /
Bulletin#100—4/17/2009 Page 1 of 4 k:\Handouts\Permit Application
Value of Mechanical Work$ 15° (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 Z GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial)
BOILERS FURNACES HOT WATER TANKS(ce.)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
ft
Angialwaspl7fr.„ &admgagg,:niga 1-,4:4 gawf„, Noti 40 444
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 MA* 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 AL Aft S
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
' r� ' -._t vg r: t' iii _ ,r, ak:x a z s
ri gs
m
;� rigs .e tki a'..
y AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
j $10MtM"d - 1 3 "I K dd 3 3:3
3
3 3 3
iEgIi
FIRST FLOOR(or Mobile Home)
SECTOND
F ,��
gils.?emsva rift,`.< ..lragig110.21MEnZiatillatig NCNB m ,., ... ginglangglia
COVERED ENTRY
SEK
GARAGE 0 CARPORT 0
: 3 flf 3I
y
Area Totals EXISTING PROS TOTAL
ESTIMATED SELLING PRICE$ { #OF BEDROOMS
AREA DESCRIPTION Area Construction #of
in Square Feet Occupancy Group(s) Type Stories Additional Information
;111311v Ul13 ''� d r�° 3l Y3
3
n:u, i . .3' 11,1a.,1 .d 3; Aa .a... ,, ..3. .,.r..., ? gaRlEnt
ADDITION
AREA DESCRIPTION Area
TAL,• Construction #ofOccupancy Group(s)
Additional
Information Square Feet -1 _ Stories
rN, �' 3 s , li I 3 INI - n rTU D G' � i 3 S n a . til \
3 # .
,:: '3.4,.`,5 t3teq _ a„,... ....,.. ....
TENANT AREA ONLY
me 3
-r„ .. n., ..,1„ ': >..,3�7 •� ,.;ani, .,.- .....��.... ��,. .,x. .'��. -?..v. ..,x ,.�. ->v.,_A.a_ e. Q3v_.3
Bulletin#100—4/17/2009 Page 2 of 4 k:\I-Iandouts\Permit Application