12-105674Meiehanical
City & Permit #: 12 -105674 -00 -ME
Federal way
Community Econ. ev. Services FILE
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Line. 253 835-3050
Ph: (253) 835-2807 Fax: (253) 835-2809 P q
Project Name: PURTON
Project Address: 32001 28TH AVE SW Parcel Number: 873190 0140
Project Description: Install gas piping for new generator
Owner
A uiicant
Contractor
DEREK W PURTON
WASHINGTON ENERGY SERVICES CO
WASHINGTON ENERGY SERVICES CO
3200128TH AVE SW
(GENERAL)
(GENERAL)
FEDERAL WAY WA 98023-2277
2800 THORNDYKE AVE W
WASIRES97IOB (9/2/13)
SEATTLE WA 98199
2800 THORNDYKE AVE W
SEATTLE WA 98199
Additional Permit Information
Mechanical Valuation............................................500.00 Is this an Online or O.T.C. application? ................. Yes
Mechanical Fixtures
GasPiping ...................................... 1
CONDITIONS:
A permanently installed generator is not allowed to be placed within required yards (setbacks). See Bulletin
#150 for placement details.
PERMIT EXPIRES Wednesday, June 19, 2013
Permit Issued on Friday, December 21, 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
anMeCi ofFederal Way.
Owner or agent: Date:
FIN.4 � !7D
8;4/f3
THIS CARD IS TO MAIN ON-SITE
CITY OFVA�' Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 12 -105674 -00 -ME Address: 32001 28TH AVE SW
Project: DEREK W PURTON FEDERAL WAY, WA 98023-2277
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
By Date By(T Date Z �_ 3 y Date 2 _ r _ 17 -
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY Of ECEIVEP
FederalWa�i PERMIT
3S �7-11F�'SFR,VC 21 201APPLICATION
� 53L�3o07• E1,�i -11 3-a'SS-2b rtL
{, rt!ivu .cit uo0edcralr,au. mm
CITY OF FEDERAL WAY
41z - 10 5-� :Ej
SF MF CO ME PL DE EN FP
SITE ADDRESS
SUITE/UNIT #
32001 28TH AVE SW parcel 8731900140
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
6026.50
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING O MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
lleruud Nana,/llonleowner Las( Name)
INSTALL 10' GAS PIPING TO GENERATOR
PROJECT DESCRIPTION
Detailed descriptinr7 of work to
be included on this penn(t only
NAME
PRIMARY PHONE
PROPERTY OWNER
DEREK & JOAN PURTON
253-838-7532
MAILING ADDRESS
EMAIL
32001 28TH AVE SW
CITY
FEDERAL WAY
STATE
WA
ZIP
98023
NAME
PHONE
WASHINGTON ENERGY SERVICES
800-398-4663
MAILING ADDRESS
E-MAIL
CONTRACTOR
3909 196TH sT sw
NAIDA@NWPERMIT.COM
CITY
STATE
ZIP
FAX
LYNNWOOD
WA
98036
WA STATE CONTRACTOR'S LICENSE N
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE k
WASHIES9710B 9/2/2013
2003104234BL
NAME
PHONE
SAME AS CONTRACTOR INFORMATION
APPLICANT
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAME
PHONE
Mw 0ldiviclucd to receive cu id
NAIDA KHAN / NORTHWEST PERMIT
360-945-2787
MAILING ADDRESS
E-MAIL
respond to all correspondence
coacernbig this application)
1345 GULF RD
NAIDA@NWPERMIT.COM
CITY
STATE
ZIP
FAX
P F ROBERTS
WA
98281
360-945-2091
ALTERNATE CONTACT NAME:
PHONE
E-MAIL
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value of $5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 161.27.09 ,)
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. 1 certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certify that 1 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 arty 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 reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
Naida Khan o„.°K°;
wia :�:�
SIGNATURE: 20121z.mz,a 0 DATE 12/20/2012
PRINT NAME, NAIDA KHAN
Bulletin 4100— January 1, 2011 Paoc I of 3 k:AHandouts\Permit Application
VALUE OF A&CIIANICAL WORK _150.00 (a copy of bid or estimate must beprovided)
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existbig fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS IIOODS (Connnerdal)
BOILERS FURNACES I IOT WATER TANKS ze—)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCIING �_ GAS PIPING WOODSTOVES
Indicate how many of each type oJ_Jirhue to be installed or relocated as pcu't of this project. Do riot irtettule existblg,/uitu-es to retnnctbn.
GAT[ (TUBS 1, T,ib/Sh—, Comb,-)
LAVS Aland St„k,)
TOILETS
WATER PIPING
DISI IWASI IERS
RAINWATER SYSTEMS
URINALS
OTI I E R (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (xnohe„ Fjnitcy)
WATER I [EATERS
ILOSE BIBBS
SUMPS
WASIIING MACIIINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VVaALUE OF EXISTING IMPROVEMENTS
•p____________ _____
EXISTING/PREVIOUS USE LOT SIZE (In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No ❑ Yes ❑ No
�0M11'IEIZCI�iL-1�+TEr/AI)�?ITI( N. .
AREA DESCRIPTION Area Occupancy s Construction # of
in Square Feet P Y (sou P(� a Stories Additional Information
NEW BUILDING
ADDITION
Bi lcun #100- January 1,20H I Page 2 of I k- AHandoutsAPcrmit Application