11-102465 r Ili
• • Mechanical
City of Federal Way
Community Development Services Permit #: 11 -102465-00-M E
P.O.Box 9718
Federal Way,WA 98063-9718 ,.�„ I111.E
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: FEDERAL WAY PUBLIC ACADEMY
Project Address: 34620 9TH AVE S Parcel Number: 926480 0050
Project Description: Replace gas hot water tank.
,
Owner Applicant Contractor
EQUILON ENTERPRISES LLC GENERAL MECHANICAL INC GENERAL MECHANICAL INC
P O BOX 4369 2701 S"I"ST GENERM*306QF(9/30/12)
HOUSTON TX 77210 TACOMA WA 98409 2701 S"J"ST
TACOMA WA 98409
tik AdditionaMEOfinforrnation
Mechanical Valuation 12475 Is this an Online or O.T.C.application9 Yes
.:,,'4�,
x Mechanical Fixtures • {
Hot Water Tanks 1
PERMIT EXPIRES Monday, December 19, 2011
Permit Issued on Wednesday, June 22, 2011
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: HCS — Date: 0?fr
P/WAtt611) 4/z*S4i
THIS CARD IS TO MAIN ON-SITE
CITY OF '-` Construction I ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 11-102465-00-ME Address: 34620 9TH AVE S
Project: EQUILON ENTERPRISES LLC FEDERAL WAY, WA 98003-6731
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) -0 Gas Piping(4125) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
.By Date By Date By -.,/C Date 0d///
❑ Rough Electrical CI Final ElectricalCI Right of Way
Approved Approved Approved
By Date By Date By Date
• •L - e J 5
CITY OF w PERMIT SF MF C• PL DE EN FP
Federal Way � '�
COMMUNITY DEVELOPMENT SERVICES APPLICATION �--
253www.607•FAX 253-u.com 09 N 2 2 2,011 -
www.cituoffederalwau.com j,1
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SITE ADDRESS ry4AAFEpERAL W A SUITE/UNIT#
� &C)-01 c E S
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ ,F q 6 I ( - ) 05c
TYPE OF PERMIT ❑ BUILDING .PLUMBING ❑ MECHANICAL
❑ DEMOLITION 0 ENGINEERING ❑ FIRE PREVENTION /
NAME OF PROJECT p ( If
C ¢ j (� 144- mixt- WC A Al i€1,141--
PROJECT
Name/Homeowner Last Name/ v y � r�!p'1.�' Q � �
PROJECT DESCRf work t r6 Y ,J, t% /� L' 642
c 1 r—
Detailed description o work to �' C� /217`�e `'T� w'"�`Y (i �T r
be included on this permit only
NAME rr��� / PHONE
PROPERTY OWNER �.i�Y/i€/ rl/ L/61(c Sc , /5 #2/o 753 PRIMARY g415 3 000
MAILING ADDRESS `� E-MAIL
31
CITY ,/ 1 STATE
EEj ZIP -
.._rr1lvtl gull 't/7/ '(3 c $
QCTenlrat aAeatavlrca I ,.f!�tC. PHONE
C '/S ``
MAILING ADDRESS J� E-MAIL
CONTRACTOR ) ?o( Sa(iI't .r 31 Qtl
CITY1 /d ry�f SATE ti/el ZIPge4' FAX FAX }.3 .-.1 Z 2 �5 e
STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
WGtiLQ fri De 3496 a r / /
NAMEv Wq AA -/ d /dal,6f� PHONE
APPLICANT MAILING ADDRESS `i•' ��l/ /Y C E-MAIL
CITY STATE ZIP FAX
PROJECT CONTACT NAME PHONE
(The individual to receive ander
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application)
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME
0 OWNER-FINANCED
Required value of$5,000 or more
(RCW 19.27.095) MAILING ADDRESS,CITY,STATE,ZIP 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 f this application.
�
SIGNATURE: ���� DATE C9/r/>//>/
PRINT NAME: , /7' ( i'i,/
Bulletin#100—January 1,2011 Page 1 of 3 101-Iandouts\Permit Application
I'
• •
VALUE OF MECHANICAL WORK $ (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(commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
T
DUCTING / GAS PIPING WOODSTOVES
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.
BATHTUBS(or Tub/Shower Combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)�'ri
DRAINS SHOWERS VACUUM BREAKERS (4)a,14-4e1 a/Vrc 9
DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(Electric) ✓
HOSE BIBBS SUMPS WASHING MACHINES
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?
❑Yes ❑ No ❑Yes 0 No
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
SEMENT— _ _
FIRST FLOOR(or Mobile Home) —_
COVERED ENTRY _--
GARAGE ❑ CARPORT ❑ --_
EXISTING PROPOSED TOTAL
Area Totals
ESTIMATED SELLING PRICE$ #OF BEDROOMS
AREA DESCRIPTION
Area Occupancy Group(s) Construction #of Additional Information
in •uare Feet Stories
ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in •uare Feet A.e Stories
TENANT AREA ONLY
Bulletin#100-January 1,2011 Page 2 of 3 k:\Handouts\Permit Application