13-101276Ir
t Mechanical
City of Fedel
Community & Econ.raDev.eServices Permit #: 13-101276-00-ME
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Line: 253 836-3050
Ph: (253) 835-2607 Fax (253) 835-2609 I
Project Name: ROCKEY
Project Address: 35652 13TH AVE SW Parcel Number. 713780 0380
Project Description: Relocate gas meter
Owner
ApRlicant
Contractor
DAVID ROCKEY
H*-RASOURCE SERVICES LLC
INFRASOURCE SERVICES LLC
KANYA ROCKEY
14103 STEWART RD
R*TASL871C2 (2/22/15)
3565213TH AVE SW
SUNNER WA 98390
14103 STEWART RD
FEDERAL WAY WA 98023
SUMNER WA 98390
Additional Permit Information
Mechanical Work Valuation?.................................1000.00 Is this an Online or O.T.C. application?................ Yes
Mechanical Fixtures
GasPiping ...................................... 1
CONDITIONS:
Electric service & Electrical permits by TACOMA POWER.
PERMIT EXPIRES Monday, September 16, 2013
Permit Issued on Wednesday, March 20, 2013
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 a laws, rules and regulations of the State of Washington
and a of Fed Way.
Owner or agent Date:
s;(t*Uz't-*A BAC113
THIS CARD IS TO 'KMAIN ON-SITE f
CITY OF Construction In ection Record
Federal Way INSPECTION REQ TS: (253) 835-3050
PERMIT #: 13 -101276 -00 -ME Address: 35652 13TH AVE SW
Project: DAVID ROCKEY FEDERAL WAY, WA 98023-7238
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 ( 165)
Gas Piping (4125)
Final - Mechanical (4065)
Approved
Approved to release test S'�S/
Approved
By Date
By IoV Date 3•a S _
By /?�r_ Date 3, .Zr , 3
Rough Electrical Final Electrical Right of Way
Approved Approved 1:1Approved
By Date By Date By Date
Federal Way
COMMUNITY DEVELOPMENT SERVICES
253-835.2607• FAX 253-835-2609
_�tcr.,;iii •r.� jrlrra_r rani. rr. rt
0 PERMIT
APPLICATION
MF CO ME PL DE EN FP
RECEIVED
MAR 2 0 2013
SITE ADDRESSsWOF
FEDERAL
5 A 0 E S
WA
CDS
PROJECT VALUATION
20NING
ASSESSOR'S TAX/PARCEL 1i 3�
TYPE OF PERMIT
JOBUILDING ❑ PLUMBING MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
PROJECT DESCRIPTION
I
`
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
PREM ART PHONE
� 9
�70
C/
ADDRESS
[� Cy' / J �T V
E NfAII.
PGr IE ti c.` CL
STATECITY
ZIP
NAME /t�/FR.4�ouRCC'xne L C,
PHONE
00,?
KAILIRO ADDRESS j� j�
/ IO 3 A /�-� ' Z"�
E-MAIL
CONTRACTOR
�S%'W
Cly
STAT$
+V`
ZIP
FAX
V m Ajar
•/
WA STATE CONTRACTORS LICENSE a
_:r/VF9-A S L
EXPMTION DATE
FEDERAL WAY BUSINESS LICENSE S
NAME
PHONE ✓ _ a
APPLICANT
CITY) �/JSTATE
ZIP 9 rI
/y�y(//—'
FAX
PROJECT CONTACT
NAS ,c
PHONE
(The individual to receive and
NAILING ADDRESS
E-MAIL
respond to all correspondence
concerning this application)
CITY
STATE
Z>p
FAX
ALTERNATE CONTACT NANEt
PHONE
E-MAIL
PROJECT FINANCING
NAS
OWNER -FINANCED
Required value of .$5, 000 or more
NAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27.095)
I certVy 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-environmentaLlaws
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 jiied against the city,
but only where such claim arifflop out of the reliance he city, including its officers and employees, upon the accuracy of the
information supplied to the a part oft app n
3IGNATIIRE: DATE
PRINT NAME:
Bulletin #100 -April 14, 2010 Page I of 3 k:\Handouts\Permit Application
VALUE of MECHANICAL WORK $ (a copy of Md 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 (commercjA
BOILERS FURNACES ' HOT WATER TANKS (aas)
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 (orTob/shower combo)
LAVS obndsmim)
TOILETS WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Kdchma/utwty)
WATER HEATERS ( )
HOSE BIBBS
SUMPS
WASHING MACHINES
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CRITICAL AREAS ON PROPERTY?
WATERPURVEYOR
SEWERPURVEYOR
VALUE OF EMMG IMPROVEMENTS
AREA DESCRIPTION (in square feet) EXISTING PROPOSED
TOTAL
FOR OFFICE USE
EMSTING/PREVWUS USE
LOT SIZE (Em Sgmre Foot)
EWSMG FIRE SPRUnMER SYSTEM?
PROPOSED FM SUPPRESSION SYSTEM?
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# OF BEDROOMS
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Bulletin #100 -April 14, 2010 Page 2 of 3 kMandoutsTemi t Application