12-104870 I -,
• • Mechanical
City of Federal Way
Community&Econ.Dev.Services Permit #: 12-104870-00-ME
33325 8th Ave S
Federal Way,WA 98003 Q ues
Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: PIERCE
Project Address: 31236 47TH PL SW Parcel Number: 211570 0180
Project Description: Install up to 10' gas piping for associated generator install.Electrical permit by separate
contractor.
`
Owner Applicant Contractor
FREDERICK PIERCE FREDERICK PIERCE OWNER IS CONTRACTOR
31236 47TH PL SW 31236 47TH PL SW
FEDERAL WAY WA 98023 FEDERAL WAY WA 98023
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Additional Permit Information
Mechanical Valuation 500.00 Is this an Online or O.T.C.application? Yes
Mechanical Fixtures
Gas Piping 1
PERMIT EXPIRES Monday, April 22, 2013
Permit Issued on Wednesday, October 24, 2012
I hereby certify that the above information is correct and that the construction on the above describedproperty and
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington
and the Cir of Federal Way.
Owner or agent: .7-.2/ P21f'i lo, l!„// Date: /6 • •, ?"/ /
1 /IL'
•" THIS CARD IS TO AMAIN ON-SITE •
CITY OF
- Construction In ! ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 12-104870-00-ME Address: 31236 47TH PL SW
Project: FREDERICK PIERCE FEDERAL WAY, WA 98023-2020
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.
Mechanical Rough-in(4165) Gas Piping(4125) Final-Mechanical(4065)
Approved Approved to release test Approved
By Date ByC `� Date , Bye Date c 13--"3��� }+
❑ Rough Electrical Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
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CITY OF 4,'z "`. f E *PERMIT •MF CO ME PL DE EN FP
Federal it Iv�
co253835-Mh1UN1TY26DEVELOPM07•FAX25EiV3-8 T 2 , A 2012 APPLICATION
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CITY OF FEDERAL{� WAY
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SITE ADDRESS DS SUITE/UNIT#
\ 3 i ,S 6 -�"�l �s . j-ed cd 3,ti, 'a, ,3
PROJECT VALUATION ZONING ASSESSOR'S TAX/PAR #
$ z r 5 O1 C 8O
TYPE OF PERMIT Ell M
BUILDING ❑ PLUMBING V ECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT O
(Tenant Name/Homeowner Last Name) jjep�
�kc m z �iy1 e "iC' Jc4
PROJECT DESCRIPTIONCJ''
Detailed description of work to V
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER k r r „0eri'l i 1 r}-/ 6)47'( �� i5S Q��_��/ Q
MAILING ADDRESS �f/ / E- n �e [
Q_T °41 "di 5 o daft-rmeel)( . . e
NAME- / �p�/ 1Q
/ rcdeiv i i 1, ,i. / e ( li PHONE
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
///
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NAME -----j,..eL't )
e"J /c I. W' r I &17( 8 PHONE
APPLICANT
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
PROJECT CONTACT NAME / � i
/ / PHONE
(The individual to receive andL. � '[n /l � IA) i / tel/ ` 'e
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application)
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME OWNER-FINANCED
Required value of$5,000 or more
(RCW 19.27.095) MAILING ADDRESS,CIl,- T% , IP PHONE
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 city as a part of this application.
WC
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SIGNATURE: , L It), ' E'6'de„) DATE / ' (X02.//° /
PRINT NAME: ,t/ !i/
e d Z/c/c 0 • JD,/el/r --
Bulletin#100—January I,2011 Page 1 of 3 k:\Handouts\Permit Application
. •
VALUE OF MECHANICAL WORK $ 5 (a copy of bid or estimate must be provided)
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 OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS�co�erciarl
BOILERS FURNACES HOT WATER TANKS pas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING ' GAS PIPING WOODSTOVES
Indicate how many of each type of fixture to •- nstalled or relocated as part of this • iject. Do not include existing fixtures to ain.
BATHTUBS(orTnb/shower Combo) LAVS(Hand Sinks) +ILETS WATE' 'ING
DISHWASHERS RAINWATER SYSTEMS URINALS I "ER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING F•. 'TAINS SINKS�Kimhen/u WATER HEATERS(electr c)
HOS :BS SUMPS WASHING MACHINES '* ®' `
i te .e •vv.
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?
CI Yes El No ❑ Yes ❑ No
AREA DESCRIPTION(in square feet) EXISTING PROPOSTOTAL FOR OFFICE USE
'
it ^ t:
FIRST FLOOR(or Mobile Home) I —
r
COVERED ENTRY --
GARAGE ❑ CARPORT ❑ AIM
EXISTING
PROPOSED
4
Area Totals
_.,
�, `�. ,.,� r ffi°mm = � m. Marr 6 ,I v+ '.,i y __ - - _-
ial # OF BEDRO•
i
Construction #of
AREA DESCRIPTION Occ. •ancy Group(s) .e Stories Additior}af Information
.oS,.�;" 9 s 37C, a�TMa i , t4SF "! ss., f7 s;a Z' k,„ k,� q,7%w " r. fieky
< '''' a,m fi °1 F d �,' v�I7ts !. .. i= 9a a:,.
ADDITION MIII.PIIIIIIIIF“ :„.,,,.:„.,,,T, v ,,,,,,,,,,,,u,, ,,,,,,,, ,,,_:„T.,. ...,,, ,..::
T� 1 za8 a '� om`5 to 6 � ,-,::117:::,,,:,--,,
_ _ PI v I W ams- � _ � "�+� ' ,_, -
� Construct'. #of� k
AREA DESCRIPTION' Occupancy Group(sl Stories Additional Information
TtSTAL UILI'rINCi � ' �� *11. 1 '� � r i 1 �`��i 'rv
^_..^<,. _ >.,r ti ,r .ca,
T AREA ONLY ' -
Bulletin#I00—January I,2011 Page 2 of 3 k:AHandouts\Permit Application