11-100350 •- Mechanical
City of Federal Way
Community Development Services Permit #: 1 1 -100350-00-ME
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax(253)835-2609 F I LE Inspection Request Line: (253)835-3050
Project Name: PRECISION COLLISION AUTO BODY
Project Address: 1908 S 341ST PL Suite 1 Parcel Number: 390380 0070
Project Description: Run gas piping to new paint booth.
Owner Applicant Contractor ,
SCOTT&CHRISTY HENSRUDE R&T HOOD&DUCT SERVICES INC R&T HOOD&DUCT SERVICES INC
5505 EVERGREEN WAY 6100 12TH AVE S RTHOOD*088QL(12/01/11)
EVERETT,WA 98203 SEATTLE WA 98108-2702 6100 12TH AVE S
SEATTLE WA 98108-2702
Mechanical Valuation 2500 Is this an Online or O.T.C.application? Yes
Gas Pipit 1
.........
PERMIT EXPIRES Tuesday, July 26, 2011
Permit Issued on Thursday,January 273 2011
,t
I hereby certify that the above information is correct anti than the construction on the above described o d "
the occupancy andthe ` will be in accordance with the laws, rules and regulations of the ate • ;
the City of Federal Way. '
,
7— / (
Owner or agent: , Date: ��
Q
THIS CARD IS TO AIN ON-SITE
CITY OF Construction Ins ction Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 11-100350-00-ME Address: 1908 S 341ST PL Suite 1
Project: SCOTT & CHRISTY HENSRUDE FEDERAL WAY, WA 98003
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.
El Mechanical Rough-in(4165) ❑ Gas Piping(4125) ❑ Final-Mechanical(4065)
Approved Approved to release test GTQ,/ Approved
By /GF Date /// By `Lc Date a/# i/ By 4.4. Date a -1 ,E----1(
0 Rough Electrical Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
rk
0
anorA l r - _z_ ° �� U
r • ' Federal Way PERMIT - • MF CO O PL DE EN FP
COMMUNITYDEV �,IccE ,\J PLICATION
253w3w.ciuoffe .com
com
IAN 2 �. '
SITE ADDRESS ON
AY SUITE/UNIT S
,44- / 5 7- fi'L_.
PROJECT VALUATION C® ZONING ASSESSOR'S TAX/PARCEL#
$ 7_500 3 y o 3 U - �G a =7 c,
TYPE OF PERMIT 0 BUILDING 24 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) (ILC ( S I en 1\/ .-t, I I i S 1 O 1V
PROJECT DESCRIPTION 12 v N 6,4-c Pt P 1)J L'- Tec) Na L- 19A-1 ).11---
Detailed description of work to 13V o1 f
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER 560 jt 0- . -tl tz / 5 T Y }-IL to5avOG
CITY 5STATE ZIP
v e7Z 77 w,'4 c- Za 3
NAME (- d- T -1-100 0 Zo 6 7 26 0 4 q c-)
MAILING ADDRESS E-MAIL f
CONTRACTOR 6 ( G t3 ( Z r H .4/E-- 5 21,,,f+-rLa �T NODv_ Chi.
CITY /! STATE�� ZIPq �/O FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
a_7- 1--,(vo0--ocSis-QL / /
NAME PHONE
CON7ra .4L TOrL
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
PROJECT CONTACT NAME PHONE
(The individual to receive and J 4 Y Sc.-1.A t J E 4 L Y 2_,e,6 7 2 6 O Q 14- G
respond to all correspondence MAILING ADDRESS S E-MAIL
concerning this application) 6 ( C).C_, I Z1 t-( v� ZIP
�
CITY
STATE 4 c-/Q FAX
-c�4 ?t'Lc
ALTERNATE CONTACT NAME: PHONE E-MAIL
(2 tt-t-1 Irl-.9 <(An STI-(
PROJECT FINANCING
— p OWNER-FINANCED
Required value of$5,000 or more
(RCW 19.27.095) MAILING ADDRESS, - . E,ZIP PROMS
I certify under penalty of perjury that I am the property owner or authorised 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 authorised 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.
1 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 cityy as a part of application
SIGNATURE: v DATE I _ Z 6 ` `/
I
PRINT NAME: X21 t_i-1 $I-Yl- 0 S lM 1 --- +1
Bulletin#100—April 14,2010 Page 1 of 3 k:\Handouts\Permit Application