11-104113 w • Mechanical
City of Federal Way •
Community Development Services Permit #: 11-104111;100-ME
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609r :' Inspection Request Line: (253)035-3050
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1
Project Name: BRICKELL
Project Address: 715 S 294TH PL Parcel Number: 51250 0060
Project Description: Gas meter relocation.
Owner Applicant Contractor
RANDY&DIANE BRICKELL INFRASOURCE CONSTRUCTION LLC INFRASOURCE CONSTRUCTION LLC
715 S 294TH PL 3380 146TH PL SE UNIT 310 INFRACL899CZ(2/14/131
FEDERAL WAY WA 98003 BELLEVUE WA 98007 3380 146TH PL SE UNIT 310
BELLEVUE WA 98007
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Mechanical Valuation 1000 Is this an Online or O.T.C.application? Yes
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Gas Piping 1
PERMIT EXPIRES Saturday, April 7, 2012
Permit Issued on Monday, October 10, 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: Date: /0 -/® — /I
r/
, II il ( 11
*‘' '
THIS CARD IS TO .MAIN ON-SITE
CITYOF Construction In ection Record
'. ._.�.._
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 11-104113-00-ME Address: 715 S 294TH PL
Project: RANDY& DIANE BRICKELL FEDERAL WAY, WA 98003-3613
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) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date Date (--- ---- j
I=1Rough Electrical CI Final Electrical .� Right of Way
Approved Approved Approved
By Date By Date By Date
1 / - 1 4 Lf ( _�
CITY OF •PERMIT 410MF CO PL DE EN FP
Federal Way
COMMUNITY DEVELOPMENT
ES � v ••APP Y a
5-2607PAX253-835-2609
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SITE ADDRESS 1� SUITE/UNIT#
PROJECT VALUATION ZONING ASSESSO /PARCEL#
$ / ooc) l5a5 0 - DO & O
TYPE OF PERMIT 0 BUILDING 0 PLUMBING (MECHANICAL
0 DE LITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT lie
(Tenant Name/Homeowner Last Name) ��77 �� �
PROJECT DESCRIPTION
C 7.qS m - l D C6- (74.5 ( I. (.9
Detailed description of work to
be included on this permit only
NAME V' C ` / /C PRIMARY PHONE
PROPERTY OWNER i J/(max„/(/
MAILING 2zz
E-MAIL
/5- z' 4-' 'L
CI STATE ZIP
c1-41 9 Boo
NAME
G ' Su'ol L6rns LC.0 &PHONE 6i3 /
MAILING ADDRESS E-MAIL
CONTRACTOR Loo ' S e�fe L '�� `'I 4&,
STATE ZI FAX
e_J-► c(L.y.J 1 L D 13 `7
WA STATE CONTRACIFGR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME PHONE
APPLICANT MAILING ADDRESS 11/ E-MAIL
CITY "`{{{ STATE ZIP FAX
PROJECT CONTACT
✓
(The individual to receive and 77, `L d 4.041". PHONE 3`3-7 0 Z 9/
respond to all correspondence G IDRESS E-MAIL
concerning this application) OC�CJ S 1 4 Pt '• '
C STATE FAX
/ V& 2
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME
El 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 suppli the ci pas a part of this application.
SIGNA DATE /O /0— / /
PRINT NAME: L&✓(O,C.O CJN
Bulletin#100-January 1,2011 Page 1 of 3 k:\Handouts\Permit Application
VALUE OFMECHAMCAL WORK $ /OC'U (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
DUCTING I GAS PIPING WOODSTOVES
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Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or-rub/shower combo) LAVS(Hand sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS pcitchen/utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES
' ,+sy em : i • '= 3 „,
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CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
•
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKL - SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes❑ 'o ❑Yes ❑ No
•
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AREA DESCRIPTION(in squar eet) EXISTING PROPOS.' TOTAL FOR OFFICE USE
•
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FIRST FLOOR(or Mobile Home)
3 3 4
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COVERED ENTRY
GARAGE 0 CARPORT 0
Area Totals
ESTIMATED SELLING PRI ' $ #OF BEDROOMS
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AREA DESCRI• ON Area Occupancy Group(s) ConstructionElfl
Additional Information
in S.uare Feet e
U
•ITION<
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AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in S•uare Feet • .e Stories
TENANT AREA ONLY --
Bulletin#100—January 1,2011 Page 2 of 3 k:\Handouts\Permit Application