11-104686Mechanical
City of Federalay
Commu ty & Econ. De . Services Permit #: 1 1 -1 04666-00-M E
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (2.513) 835-3050
Project Name: HANKINSON
Project Address: 3628 SW 309TH ST Parcel Number: 058755 0420
Project Description: Installation of (2) gas lines for future installation of fire pit and generator.
Mechanical Valuation............................................1500
Gas Piping ......................................
I hereby certify that the
the occupancy and k
11RES Saturday, Al 9, 2012
on Monday, No,141k&ber 21, 2011
flation is correct and that
in accordance with the la
aqaAhe City o
Ibnstruction on the above described property and
.files and regulations of the State of Washington
I Way.
Date: v-/ 4,-,, y //
Ownr
Applicant
Contractor
BOB HANKINSON
COVENANT PLUMBING PLLC
COVENANT PLUMBING PLLC
3628 SW 309TH ST
4609 W TAPPS DR E
COVENPP891LI (6/21/13)
FEDERAL WAY WA 98023
BONNEY LAKE WA 98391
46 W TAPPS DR
B Y LAKE Z.4K8391
Mechanical Valuation............................................1500
Gas Piping ......................................
I hereby certify that the
the occupancy and k
11RES Saturday, Al 9, 2012
on Monday, No,141k&ber 21, 2011
flation is correct and that
in accordance with the la
aqaAhe City o
Ibnstruction on the above described property and
.files and regulations of the State of Washington
I Way.
Date: v-/ 4,-,, y //
CITY OF 4A��
Federal Way
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 11 -104686 -00 -ME Address: 3628 SW 309TH ST
Project: BOB HANKINSON FEDERAL WAY, WA 98023-2196
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 ,� _L _
By Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
V_o .
Federal Way
COMMUNITY DEVELOPMENT SER110ES
253-835-2607• FrLI 253-835-2609
r,rr �f 1': u' rr-crn
HERMIT S CO E PL DE EN FP
APPLICATION Rece
140 %1 ZO
r_oAl WAY
SITE ADDRESS^ 3 ® _ 5 Cts/ CDC
SUITE/UNIT #
PROJECT VALUATION
ZONING
ASSESSOR'S TAWPARCEL # 7 5 ^ - /�
17`J U
TYPE OF PERMIT
❑ BUILDING OPLUMBING MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
v ,4s 41""1 �„T s •t
.1
6 ► L
S . '� i't M /
PROPERTY OWNER
NAME1
B y j�fi N i //V S O/V
PRIMARY PHONE
MAI3L 6Gi- fT S S W 3 0 r�- S'
E-MAIL
CITY
STATE
ZIP
NAME /1 V I% N ' 1 N 1 • �' t., w / /1r (r L
HONE
PI Y _ 1 J V.).
MAIL �ADDRESS � ��� � � � �
qCONTRACTOR
E-MAIL
CITY
C.A-— T s
k
STATE
��
ZIP
elf 3
FAX
3
WA STATES CONTRACTOR'S LICENSE #
EXPIRATION DATE
6 �-
FEDERAL WAY BUSINESS LICENSE #
r o
NAME 1- r
PHONE
APPLICANT
MAILING ADDRESS
s'^ %-., 4
E-MAIL
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAME
PHONE
(The individual to receive and
MAILING ADDRESS
E-MAIL
respond to all correspondence
concerning this application)
CITY
STATE
ZIP
FAX
ALTERNATE CONTACT NAME:
PHONE
E-MAIL
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value of $5,000 or more
(RCW 19.27095)
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
I certify 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
ail 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 filed against the city,
but only where such claim arises out of the relianc of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this ication.
SIGNATURE: DATE
! /
PRINT NAME: ` T' �Y ✓- I
Bulletin 4100 - January 1, 2011 Page 1 of 3 k:\Handouts\Permit Application
is
0
r
VALUE OFMECHAWCAL WORK $
BATHTUBS (-Ttm/sh—comho(
(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 futures to remain.
AIR HANDLING UNITS
FANS
GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER
FIREPLACE INSERTS
HOODS ieor -ie d(
BOILERS
FURNACES
HOT WATER TANKS (C—)
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 (-Ttm/sh—comho(
LAVS (H—dslnks(
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Kitchen/Utdity)
WATER HEATERS (Eje,t;,(
HOSE BIBBS
SUMPS
WASHING MACHINES
TUTA F.XTiiRL$`
CRITICAL AREAS ON PROPERTY? I WATER PURVEYOR I SEWER PURVEYOR I VALUE OF EXISTING IMPROVEMENTS
EXISTING/ PREVIOUS USE LOT SIZE flu Squ— Feet( EXISTING FIRE SPRINKLER SYSTEM? I PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No ❑ Yes ❑ No
Bulletin #100— January I, 2011 Page 2 of 3 Vflandouts`,Permit Application