12-101496IN
0 0 Mechanical
City of Federal ay
Community & Econ. Dev. Services Permit #: 12 -101496 -00 -ME
33325 8th Ave S u
Federal Way, WA 98003 Inspection Request Line: 2
Ph: (253) 835-2607 Fax: (253) 835-2609 p q (53) 835-3050
LU
Project Name: GARDNER
Project Address: 30052 6TH AVE SW Parcel Number: 039600 0160
Project Description: Installation of gemerator with 18' of gas piping.
Owner
A121211can
Contractor
LEON R GARDNER
WESCO NORTHWEST PERMIT
WASHINGTON ENERGY SERVICES CO
WENDY S GARDNER
NORTHWEST PERMIT/ WESCO
(GENERAL)
30052 6TH AVE SW
1345 W GULF RD
WASHIES971OB (9/2/13)
FEDERAL WAY WA 98023-3520
POINT ROBERTS WA 98281
2800 THORNDYKE AVE W
SEATTLE WA 98199
Additional Permit Information
Mechanical Valuation............................................6026.5 Is this an Online or O.T.C. application? ................. Yes
Mechanical Fixtures
Gas Piping ...................................... 1
CONDITIONS:
A permanently installed generator is not allowed to be placed within required yards (setbacks). See Bulletin
#150 for placement details.
PERMIT EXPIRES Monday, October 1, 2012
Permit Issued on Wednesday, April 4, 2012
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
an .!hp City of Federal Way.
Owner or went: Date:
CITY OF &'i� ..
Federal Way
PERMIT #:
Project:
THIS CARD IS TO REMAIN ON-SITE
Construction I>ection Record
INSPECTION REQUE TS: (253) 835-3050
12 -101496 -00 -ME Address: 30052 6TH AVE SW
LEON R GARDNER FEDERAL WAY, WA 98023-3520
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.
E] Mechanical Rough -in (4165)Gas
Piping (4125)
Final - Mechanical (4065)
Approved
Approved to release test
Approved
By Date
By Date r _i;� _i
By Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
IBy
Date
By
Date
CITY of A
F � der �\f RMIT
COMMUNITY DEVEL P -2609 S AP P LI CAT I O N
253-835-2607• FAX 253-835-2609 � �, �.}
ruunu.cituo ederaLva .rnr �n C1 4 �, is .�, .
t - /?M7_ 0
MF C
PL DE EN FP
SITE ADDRESS
SUITE/UNIT #
30052�WHZ* parcel 0396000160
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCLE�L/ #
6026.50
f
0 -3 ( V/ 0 40 -
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING 0 MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
f
(Tenant Name/Homeowner Last Name)I
PROJECT DESCRIPTION
INSTALL 8KW GAS GENERATOR WITH 18' GAS PIPING
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
LEON & WENDY GARDNER
PRIMARY PHONE
253-946-2156
MAILINGADDRESS
30052 6TH AVE SW
F -MAIL
CITY
FEDERAL WAY
STATE
WA
ZIP
98023
NAME
WASHINGTON ENERGY SERVICES
PHONE
800-398-4663
CONTRACTOR
MAILING ADDRESS
2800 THORNDYKE AVE W
F,MAIL
NAIDA@NWPERMIT.COM
CITY
SEATTLE
STATE
WA
ZIP
98199
FAX
WA STATE CONTRACTOR'S LICENSE #
WASHIES9710B 9/2/2013
EXPIRATION DATE
j j
FEDERAL WAY BUSINESS LICENSE #
2003104234BL
NAME
SAME AS CONTRACTOR INFORMATION
PHONE
APPLICANT
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
PROJECT CONTACT
(The individual to receive and
NAME
NAIDA KHAN / NORTHWEST PERMIT
PHONE
360-945-2787
MAILING ADDRESS
1345 GULF RD
E-MAIL,
NAIDA@NWPERMIT.COM
respond to all correspondence
concerning this application)
CITY
PT ROBERTS
STATE
WA
ZIP
98281
FAX
360-945-2091
ALTERNATE CONTACT NAME:
PHONE
E.KAIL
PROJECT FINANCING
Required value of $5,040 or mare
NAME
OWNER -FINANCED
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RC W 19.27.095)
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certjfy that to the best
of my knowledge, the irtformation submitted in support of this permit application is true and correct. I certUy 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 feted 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 p rt of this application.
SIGNATURE: DATE 4/4/2012
PRINT NAME:
Builelln itI0U -January I, 2011 Page I of 3 k:\HandoutslPermit Application
0
VALUE OF MECHANICAL WORK $ 6026.50
(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 factures 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 �_ 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)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS (Kitchen/Utility) WATER HEATERS (Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
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 ❑ No
AREA DESCRIPTIONI in Square Feet I Area Occupancy Group(s)
ADDITION
AREA DESCRIPTION in Square Area Feet Occupancy Group(s)
TENANT AREA ONLY
ConstructionI # of Additional Information
Tvne Stories
# ofI Additional Information
Stories
Bulletin #100 -January 1, 2011 Page 2 of 3 k:\Handouts\Permit Application