09-104146r �
City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
. 0 Mechanical
Permit #: 09 -104146 -00 -ME
r- -
Inspection Request Line: (253) 835-3050
Project Name: RHODODENDRON SPECIES FOUNDATION RUTHERFORD CONSERVATORY
Project Address: 2525 S 336TH ST Parcel Number: 212104 9002
Project Description: Install underground gas piping to building with 1/2 PE pipe for 500 gallon UGLPG tank
install
Owner
Applicant
Contractor
RHODODENDRON SPECIES FOUNDATION
AMERIGAS PROPANE
AMERIGAS PROPANE
2525 S 336TH ST
19244 E VALLEY HWY
AMERIPLO55LL (7/31/11)
FEDERAL WAY WA 98003
KENT WA 98032
19244 E VALLEY 14WY
KENT WA 98032
Additional Permit lMorMatlpn
Mechanical Valuation............................................350.00 Is this an Online or O.T.C. application? ................. Yes
No �Ixturas Associated With This Permit 1"C
PERMIT EXPIRES Monday, April 19, 2010
Permit Issued on Wednesday, October 21, 2009
I hereby certify that the above information is correct and that the construction on the above described property and,
the occupancy and the us ill be in accordance with the laws, rules and regulations of the State of Washington
d ity f Federal Way.
Owner or agent: G Date:
Pi WA114101"Impw- WW Ifall /10
,24GY3?Y1,5
9
cm of
Federal Way
PERMIT #:
Owner:
. THIS CARD IS TO AIN ON-SITE
Construction Ins ction Record
INSPECTION REQUE TS: (253) 835-3050
09 -104146 -00 -ME Address: 2525 S 336TH ST
RHODODENDRON SPECIES FOUN 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.
Mechanical Rough -in (4165)Gas
Piping (4125)
Final - Mechanical (4065)
Approved
Approved to release test
Approved
Right of Way
Approved
By
By Date
By Date
By Date
El
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
Z- ff L
FederEIV
ede TtEIVE PEOWIT
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M�VS-2W- Aa 2&"35-2609 fp.LICATION
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SITE FE
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SUITE/UNIT # ZONING ASSESSOR'S T,=/PAR= #
's
'M
NAM OF onROJECT(7r
enant or Homeowner lime)
Ja�D � Gil �viVD�
TYPE OF PERMIT
11 I1U=ING 13 PLUMING 10�11ANICAL
0 DEMOLITION 13 ELECTRICAL 11 ENGINEERING 0 FIRE PREVENTION
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAM
PRUKAW PHONE
PROPERTY OWNER
a
11AWNG ADDTM. CWT, STATE, ZIP
it -NAM
OWNER IS ALSO:
CONTRACTOR APPLICANT El PROJECT CONTACT
PPMARY PHONE
0
CONTRACTOR
MAHM6 ADDR=6 Cars, ATS,
I/
gAx
WA STATS CONTRACTOR'S L1CXN8Z 0
Fom,4 414 &-Z—
MmutiTION DATE
FEDERAL WAY wonmss LICENSE 0
AM—
MUMT PSONZ
APPLICANT
11111�e-& Sw�
:?�F—<
ADDRESS, CWT, STATE, ZIP
VAX
PROJECT CONTACT
('The individual to receive and
PRIMARY PHONE
respond to all correspondence
concerning this application)
FAX
ALTERNATE CONTACT X&MM
PRIMARY PHONE
19 -M&M
PROJECT FINANCING
NAM
Required for projects with
zo 'O'e-f
OWNER -FINANCED
value of $5, 000 or more
WW 29.27x0957
KAWNGADDRESS, CITY, STATE, ZIP
PRDURY PHONE
H
X certVy under penalty of perjury that X am the property owner or authorized agent of the properV owner. Z certVq that to the
best of nvj knowledge, the itiLformation submitted in support of this permit application is &w and correcL I certify that I will comply
with all applicable City of Federal Way regulations pertaining to the wark authorized by the issuance of a permit. Z understand that
the issuance of this permit does not remove the owner's responsibility for compliance with 16=4 federal laws regulating
construction or environmental laws
Ifurthar agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneyefess incurred
in the investigation and def— Of such chdn), which may be —do by any p—Y4 including the undersigned, and filed against the
city, but only where such clam arises out oft reliance oft city, including its offlcem and employees, upon the accuracy of the
information supplied to
SIGNATURE: DATE
PRINT NAME -
Bulletin # 100 — 4/17/2009 Page 1 of 4 k.\Handouts\Pennit Application
Value of Mechanical Work $ "'�— A COPY OF BID OR ESTIMATE MUST BB PROVIDED
Indicate number of each type qrflxture to be installed or relocated as part of this project. Do not include existingfixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHE (Descn'be)
AIR CONDITIONER FIREPLACE INSERTS HOODS (commactg
BOILERS FURNACES HOT WATER TANKS (cam
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
GENERAL INFORMATION
�XEI'I1RES
WATER PURVEYOR
SSWSR PIIRVETOR
Indicate number of each type of
re to be installed or relocated as part of this project. Do not include axis '
jbdures to remain.
BATHTUBS (ornb/Show.. b,)
LAVE a-dsh*4
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
•
DRINKING FOUNTAINS
SINKS pate h./utpt
WATER HEATERS (machin
Construction
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
PROD= VAWATION
WATER PURVEYOR
SSWSR PIIRVETOR
VA= OF EXUr QO n 0VFAEWT8
FOR OFFICE USE
13AASEMENT
l�E1F$IIILDiRti
-
SZISTING/PRRVIOUS USS
LOT SIZE (In 8"— F—tj
EIaSTn(G FIRS SPRIRRLER SYSTEII?
PROPOSIM FIRE SUPPPESSION 8lSTEM?
❑ Yes ❑ No
❑ Yes ❑ No
RESIDENTIAL
AREA DESCRIPTION (in square feet)
EILISTING
PROPOSED
TOTAL
FOR OFFICE USE
13AASEMENT
l�E1F$IIILDiRti
-
--
FIRST FLOOR (or Mobile Home)
ADDITION
S>✓CONA �'Lt}O12
COAMRCIAL -.REI OD'',L/TENANT, E"ROVEMENTS
•
AREA DESCRIPTION
Area
In Square Feet
COVERED ENTRY
Construction
S of
stories
Additional Information
TOTAL BDILDINIi
DECK
GARAGE ❑ CARPORT ❑
OAR (desa�`ie)
AREA ONLY
Area Totals
TOMA'
�*xswaol�s
oxLl�►•
ESTIMATED SELLING PRICE $
# OF BEDROOMS
CON.[l'fRCLU
— NEtWIADDITION
AREA DESCRIPTION
Area
In Square Feet
Occupancy Group(s)
Construction # of
a Stories
Additional Information
l�E1F$IIILDiRti
-
--
ADDITION
COAMRCIAL -.REI OD'',L/TENANT, E"ROVEMENTS
•
AREA DESCRIPTION
Area
In Square Feet
Occupancy Group(s)
Construction
S of
stories
Additional Information
TOTAL BDILDINIi
TENANT AREA ONLY
AREA ONLY
Bulletin #100 — 4/17/2009 Page 2 of 4 k:\Handouts\Pelmit Application