14-101260 •
F • Mechanical
City of Federal Way /�
Community&Econ.Dev.Services Permit #: 14-101260-00-M E
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: MCARTHUR
Project Address: 28807 20TH PL S Parcel Number: 422280 0090
Project Description: Run gas piping to range from existing line.
Owner Applicant Contractor
GENE B MCARTHUR GREEN CITY HTG&AIR GREEN CITY HTG&AIR
WANDA L MCARTHUR 18135 85TH ST E GREENCH866B2 1/21/16
28807 20TH PL S BONNEY LAKE WA 98391 18135 85TH ST E
FEDERAL WAY WA BONNEY LAKE WA 98391
98003
,
Additional Permit Information
Is this an Online or O.T.C.application? Yes
Mechanical Fixtures
Gas Piping 1 Ranges 1
PERMIT EXPIRES Monday, September 15, 2014
Permit Issued on Wednesday, March 19, 2014
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the - will be in = ordance with the laws, rules and regulations of the State of Washington
110 ' - and the City of Federal Way. I 3
1 )
Owner or agent: ,�� Date: I LI
PINALED.
aimoba'� • THIS CARD IS TO MAIN ON-SITE
CITY OF ,p+ Construction Inection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT#: 14-101260-00-ME Address: 28807 20TH PL S
Project: GENE B MCARTHUR FEDERAL WAY, WA 98003-3834
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) 'El Gas Piping(4125) ❑ Final-Mechanical(4065)
Approved f Approved to release test Approved
� /By Date By Date
. — Date '–, C(- t .
❑ Rough Electrical Final Electrical 111 Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED
.% .CITY OF 44%. MA.9 2014 PERMIT I.PPLICATION
Federal Way
CITY OF FEDERAL WAY ci,y`l
CDS // /
PERMIT NUMBER 1 - I ( ,/ ;, / 3 - Mt-
-...
�j�j� VVVV '�/�(L� l� TARGET DATE
SITE ADDRESS d� 1,2 . SUITE/UNIT#
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL I
- - - - -
T}YPE OF PERMIT ❑ BUILDING 9 PLUMBING'CEJ MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT 6 C. AAL A r .J
PROJECT DESCRIPTION � i _
Detailed description of work to C lJ i �_ e t n 1 (1 4<) ('C\n�� Cron-)
be included on this permit only � x .` a n i-NC) I i i
NAME ` RIMARY PHONE C�G,
PROPERTY OWNER (c, f v , Ar -h ,�- �.c0(196-1 1 1 1
MAILING ADDRESSt_ 8 O._.y A ' ?- F. e^�1� -�y
CITY V z `r4� \A
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AME(r ,,-, C--,-4,,, 4 -A;c- PHONE Q .-7--v L,1 k,
MAILING ADDRESS i 13 sli? ' F�MAII• ":1
CONTRACTOR r �� ��" 1 / �ry '
CITY �A'T"E EN FAX __7(1-tic.-.''1 Con.
�3n� Lt.._ Mi.
3`1 FAX
-
W ST TL,CONT�tA�1 IiI E# EXPIRATION/ /I /qDATEJ`.,_ FEDERAL WAY BUSINESS LICENSE#
NAME 1'�`✓,...,((/l���� CCCCC i,'+j' j� li L PRIMARY PHONE
�'1 4 �an5c C-,1''' 2. )., 33(::,-` ,DLI
APPLICANT
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAME ,, PRIMARY PHONE
Sa N\
PROJECT CONTACT e_ S c 1
0 t._
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING 0 OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 7927095)
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 • envir• e- •1 laws.
Ifurther a ree t hold • ml'ss the C' of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred in
the investiga•'on - d defens o _:.ch el ,which may be made by any person,including the undersigned,and filed against the city,
but only whe e su h lai ari _ out • he reliance of the city, including its officers and employees, upon the accuracy of the
information s ••lie• .ilI j• p• f • •plication.
61 I i
SIGNATURE: DATE
PRINT NAME: (-Nei r 1-SC nL-
Bulletin#100-January 1,2013 Page 1 of 3 k:Handouts\Permit Application
i 0
e e VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
Indicate how many of each type offacture 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(c mmQ.,itl
BOILERS FURNACES HOT WATER TANKS pi.)
COMPRESSORS f GAS LOG SETS REFRIGERATION SYST
DUCTING /( GAS PIPING WOODSTOVES
C VALUE OFPLLIITBJ\'G WORK
PLUMBING PERMIT $
Indicate how many of each type of facture to be installed or relnrnted as part of this project. Do not include existing fixtures to remain.
BATHTUBS pi:Tub/Showc,Combo LAYS(Hand Sulks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(nctcb�n/utLcyq WATER HEATERS(Ei ct q
-
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
-
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
$
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING Fina SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes ❑ No ❑Yes 0 No
RESIDENTIAL - NEW OR ADDITION
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(describe)
EXISTING PROPOSED TOTAL
Area Totals
"NEW HOMES ONLY"
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION
Ar Ell Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area OccupancyGroup(s)s Construction #of Additional Information
in Square Fee ) Type Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application