11-100431a
City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: ADKINS
FILE
Project Address: 32215 11TH PL SW
Project Description: Hook up natural gas line to standby generator
Mechanical
Permit #: 11 -100431 -00 -ME
Inspection Request Line: (253) 835-3050
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Parcel Number: 926493 0730
Owner
Applicant
Contractor
LARRY H & JANET R ADKINS
LARRY H & JANET R ADKINS
SUMNER HEATING INC
32215 11TH PL SW
32215 11TH PL SW
SUMNEH1973CC (2/26/11)
FEDERAL WAY WA 98023-5558
FEDERAL WAY WA 98023-5558
PO BOX 98390
SUMNER WA 98390
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Mechanical Valuation............................................450 Is this an Online or O.T.C. application? ................. Yes
GasPiping ...................................... 1
PERMIT EXPIRES Sunday, July 31, 2011,
I hei
the
in
and the City of
Owner or agent:
Date: JZ - I L Oil
FIK446b Z/411Z
THIS CARD IS TO MAIN ON-SITE
CITY OF Construction I - ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 11 -100431 -00 -ME Address: 32215 11 TH PL SW
Project: LARRY H & JANET R ADKINS FEDERAL WAY, WA 98023-5558
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.
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Mechanical Rough -in (4165)El
Gas Piping (4125)
Final - Mechanical (4065)
I
Approved
Approved to release test
Approved
By
Date
By
Date _1By
Date `l
Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
CUT wW.41�
Federal Way
COMM(IM7YDEVELOPMENr SERVICES
253-835-2607• FAX 253-8.35-2609
www. cituoffederalwauxom
PERMIT
APPLICATION
SF R DFP
FFA 1 1 �q�3g
SITE ADDRESS
32215 11th CITY OF
Place SW, Federal Way, WA 98023-5558
jVi"YMAL MAT
QUS
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Narne/HorrwownerLast Name)
ADKINS
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PRIMARY PRONE
PROPERTY OWNER
Lar & Janet Adkins
253-874-8613
MADiNG ADDI 215 11th place SW
'MAdkinsaaacom
' Federal Way
IM
x`98023
NAIM �5cn l th .. f �.
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/`�L�� , " t
CONTRACTOR
C Rf� ��
STA
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T-5'3_ 3__"-7 t.. t,
WA STATE CONTRACTOR'S LICENSE #
SL J CX
- I
EXPIRATION
CZ i
FEDERAL WAY HUMMESS LICENSE #
NAME Larry Adkins
PDT3-874-8613
mm"GADDRT 215 11th Place SW
Adkinsaaol.com
APPLICANT
crff Federal Way
0V9
18023
"253-874-8613
PRO`IFT CONTACT
(The indwidtud to receive and
respond to all correspondence
concerning this application)
NAM Larry Adkins
3-874-8613
"ADDIGADDIM215 11th Place SW
'MAdkins@,aol.com
I Federal Way
W
96023
F253-874-8613
ALTERNATE CONTACT NAME: PRONE
E -MAD.
PROJECT FINANCING
RAW
OWNER -FINANCED
Required uahie of $5,000 or more
(RCW 19.27.095)
MAEUNG ADDRESS. Crrr. STATE, ZIP
PHONE
I certVy 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 iriforntation submitted in support of this permit application is true and correct. i cerft 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.
I further agree to hold harmless the City of Plederal Way as to any claim ('occluding 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,jUed against the city,
but only where such claim arises out of the reliance of the city, including its qfflcers and employees, upon the accuracy of the
Wormation supplied to tha city as apart gfthis application.
SIGNATURE: {JAZ>.=� " -. DATE
J z
PRINT NAME:
Bulletin #100 —January 1, 2011 . Page 1 of 3 k:\HandoutslPermit Application
MECHANICAL RxTURES
VALUE OF MECKWCAL WORK $ (a copy of bid or estimate must beprovided)
Indicate how many of each hffle off fixture to be installed or relocated asp of this pro t vo not a,ciude exdstimy jbdures to rematm.
AIR HANDLING UNITS FANS GAS PIPE OI)TLE S OTHER (Describe)
AIR CONDITIONER FIREPIACE INSERTS HOODS (comm—w)
BOILERS FURNACES HOT WATER TANKS (GaQ
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING FIXTURES
Indicate how maty of each type offixture ixture to be installed or relocated as part of this project Do not include existing remain
BATHTUBS (or 11.b/shower Combo) LAVS W8nd %-I-) TOILETS WA PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS R (Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS (mtai_/omny) WATER HEATERS (Fl-ftk)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FECTURES
GENERAL INFORMATION
CUMCAL AREAS ON PROPERTY?
WATER Pi7RVEYOR
SEWER PURVEYOR
VALUE OF EnSTMG ENUMOVERCIM
=119G
OPOSED
TOTAL
FOR OFFICE USE
ExwMG/PREVIOUS DBE
LOT SPLE (in Sgoers Feet)
XXWWG FM FIROMM STFIIW?
PROPOSED FM SUPPRESSION BYSTSI[?
AD ON
FIRST FLOOR (or Mobile Home)
❑ No
/eS
❑ Yes ❑ No
RESID
AREA DZWRff7iON
W OR ADDITION
Occupancy Groups)
AREA DESCRIPTION (in square feet)
=119G
OPOSED
TOTAL
FOR OFFICE USE
BASEMENT
AD ON
FIRST FLOOR (or Mobile Home)
SECOND FLOOR
ESCRIPTION
Area
in Square Feet
Occupancy Groups)
COVERED ENTRY
# of
Storm
Additional Information
TOT Bim nme
DECK
TENANT ARFA ONLY
GARAGE ❑ CARPORT ❑
OTHER (describe)
Area Totals
8AL
TM
--NEW moms ONLY-
ESTIMATED SELLING PRI $
# OF BEDROOMS
COMMERCIAL-. NEW/ADDITION
AREA DZWRff7iON
Area in SquareFeet
Occupancy Groups)
Construction TypeStories
Additional Information
NEW 3/60 m
AD ON
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
ESCRIPTION
Area
in Square Feet
Occupancy Groups)
Construction Type
# of
Storm
Additional Information
TOT Bim nme
TENANT ARFA ONLY
PROJECT AREA ONLY
Bulletin #100 -January 1, 2011 Page 2 of 3 kAHandouts\Permit Application