09-104460 City of Federal Way III • Me hanicalPermit #: 09-104460-00-ME
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: WARD
Project Address: 31924 36TH AVE SW Parcel Number: 873198 0110
Project Description: Installation of gas piping.
Owner Applicant Contractor
JERRY G&JANICE K WARD JERRY G&JANICE K WARD SUPERIOR HEATING
31924 36TH AVE SW 31924 36TH AVE SW SUPERH*077QK(11/13/11)
FEDERAL WAY WA 98023-2138 FEDERAL WAY WA 98023-2138 PO BOX 835
PUYALLUP WA 98371
Mechanical Valuation 1468 Is this an Online or O.T.C.application9 Yes
\t "Tii \' ami
Gas Logs 2 Gas Piping 1
PERMIT EXPIRES Wednesday, May 12, 2010
Permit Issued on Friday, November 13, 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
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and the City of Federal Way.
Owner or age _-�Z�d Date: /,`/ ' 4"6-GJ
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THIS CARD IS TO REMAIN ON-SITE
CITY OF • Construction In!pection Record
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT#: 09-104460-00-ME Address: 31924 36TH AVE SW
Owner: JERRY G & JANICE K WARD FEDERAL WAY, WA 98023-2138
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.
Ei Mechanical Rough-in (4165) ❑ Gas Piping(4125) 0 Final-Mechanical(4065)
Approved to release test Approved
Approve /�
By Date By 4 Date ////
By A �� Date 1. , /1�
El Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
425-679-72,-A Expedia, \lei" Expedia,Inc. AIR( a.m. 11-12-2009 1 ,2
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CITY Of
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COMMUNITY DEVELOPMENTSERVlCES e T I O N /
253.835-2607•FAX 253-835.2609 r'(, i/
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;PROPERTY :'; �..
SITE ADDRESS
31924 36 Avenue SW
SUITE/UNIT 41 ZONING ASSESSOR'S TAX/PARCEL#
PROJECT • — —
NAME OF PROJECT Jerry Ward
(Tenant or Homeowner Name)
0 BUILDING ❑ PLUMBING X MECHANICAL
TYPE OF PERMIT
0 DEMOLITION ❑ ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION
Contractor to Install gas supply line from meter, through attack space to fireplace
PROJECT DESCRIPTION boxes (2) with in wall D - e valves to the opposite side of ioner a, g
atta-
Detailed description of work to pp home.� ,,�eow�
be included on this permit only Xel tei gac to 5-etS (2), .. � I b .
NAME PRIMARY PHONE
PROPERTY OWNER Jerry Ward
(253 ) 927 - 4148
MAILING ADDRESS,CITY,STATE.ZIP• E-MAIL
31924 36 Avenue SW Adward@conicast.net
OWNER IS ALSO: o CONTRACTOR X APPLICANT [] PROJECT CONTACT
NAME PRIMARY PHONE
Superior Heating ( 253 ) 863— 2603
\ CONTRACTOR MAILING ADDRESS,CITY,STATE,ZIP FAX
13123 Valley Avenue East,Sumner Washington 98390 ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
SUPERH"077Qk / /
NAME PRIMARY PHONE
APPLICANT Jerry ward ( 253 ) 927 - 4148
MAILING ADDRESS,CITY.STATE,ZIP FAX
31924 36 Avenue SW ( ) -
PROJECT CONTACT NAME PRIMARY PHONE
(The individual to receive and Jerry ward ( ) -
respond to all correspondence MAILING ADDRESS.CITY,STATE.ZIP FAX
concerning this application) 31924 36 Avenue SW ( ) -
ALTERNATE CONTACT NAME: PRIMARY PHONE E-MAIL
( 253 ) 927 4148
PROJECT FINANCING NAME
OWNER-FINANCED
Required for projects with
value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PRIMARY PHONE
(RCW 19.27.095) ( )
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the
best of my knowledge, the information submitted in support of this permit application is true and correct.I cert(fy that I will comply
with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that
the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
Ifurther agree to hold harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred
in the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the
city, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
SIGNATURE: vim"" DATE
PRINT NAME: .../E.,ZR,5 WA/RD
Bulletin#100-11/12/2009 Page 1 of 4 k:\Handouts\Permit
Application
425-679-7233 Expedla,Inc. Expedla,Inc. "53 a.m. 11-12-2009 2/2
MECHANICAL FIXTURES
Value of Mechanical.Work$_l 468.00 (A COPY OF BID OR ESTIMATE MUST BE PROVIDE!))
Indicate number of each type of fixture to be instnllpd 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(case
COMPRESSORS 2 GAS LOG SETS REFRIGERATION SYST
DUCTING X GAS PIPING WOODSTOVES
PLUMBING FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not inch,rle existing fixtures to remain.
BATHTUBS(or74b/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
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 o No ❑Yes ❑ No
RESIDENTIAL
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY _ _. _--•--.__----
DECK.
GARAGE 0 CARPORT 0
OTHER(riPscribe) — —
EXISTING pROP09® TOTAL
Area Totals
**NEW!HOMES ONLY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of
in Square Feet p y p( ) Type Stories Additional Information
NEW BUILDING
ADDITION
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Construction #of
in Square Feet OccupancyGroup(s) Additional Information
Type Stories
TOTAL BUILDING - -
TENANT AREA ONLY
PROJECT AREA ONLY
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