06-1019824 .
City of Federal Way
Community Development Services Mechanical Permit #• 06 -101982 -00 -ME
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: 253) 835'5-3050
Project Name: SOUTH KING FIRE & RESCUE
Project Address: 3700 S 320TH ST Parcel Number: 551560 0037
Project Description: ALT - relocating a 1" gas line.
Owner
Applicant
Contractor
SOUTH KING COUNTY FIRE & RESCUE
SOUTH KING COUNTY FIRE & RESCUE
SOUTH KING COUNTY FIRE & RESCUE
31617 1ST AVE S
31617 1ST AVE S
31617 1ST AVE S
FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
Additional Permit Information
Mechanical Valuation............................................300 Over the Counter Permit? ...................................... Yes
Mechanical Fixtures
Yc........................................ 1
I hereby certify that the above information is correct and that the construction on the above describedproperty and
the occupancy and the use will bk in accordance with the laws, rules and regulations of the State of Washington
a ity of Federal Way.
Owner or agent: Date:
THIS CARD IS TO REMAIN ON-SITE -w
CITY OF Community Development Inspection Record
Feral Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -101982 -00 -ME
Owner: SOUTH KING COUNTY FIRE & RESCUE
Address: 3700 S 320TH ST
FEDERAL WAY, WA 98003
This card is part of your required inspection documents. 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 Date BYAL Date
RECEIVED
aw OF
F'ederalwaXAPR 2 0 Zoos PERMIT
COMQlMPY DSVZ" BNT SM1CBS
' FdE "ENUESOA V + YPPLI CATI O N
FBDERALWAY, WA 9 ! _ ��C��I�AL
2S3-a9ss6o�•FAxss�eas IILDING DEPT.
wwur.dtwth'etierahouu. oom
is
- an
SITE ADDRESS & 700 6. Sal Q
ASSESSOR'S TAX/PARCEL # L 7 -
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
IAS �a pita �Iw A•ci daojptla,Q
PROJECT• •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING MECHANICAL
❑ DEMOLITION OftECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlul
will not be
SF MF CO (a EL PL DE 'EN FP
rted. Please print Wibitl (in ink) or tune.
SUITE/UNIT #
1.4 LOT SIZE (sf)
i��i:�Iwll/LtIY�lf/I!�`"�I � **l�li�77��-s. ,.. �:
t
PROJECT NAME. Business or Oumer Last Name)
PEOPLE INFORMATION
•
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
NAME PRIMARY PHONE
MAILING ADDRESS } CITY, STATE, ZIP j
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
cr'
T,L '-1 774F
Urd QZ49 - 7zd 7
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
MAILING ADDRESS
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
FAX NUMBER
CELL PHONE
US7 ) `14(& -'710q
_-B L •
FAX NUMBER
CONTRACTOR'S REGISTRATION NUMBER teopT of card raga@•d with "eh application) EXPIRATION DATE
X /
ii -Q C e' D- 1 j 8/ 9'I
COMPANY NAMEAPPLICANT
NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect
❑ Tenant
❑ Agent ❑ Other (Describe)
NAMEPRIMARY PHONE E-MAIL ADDRESS
ATYE 3 • 1 - A 0 7
NAME
MAILING ADDRESS CITY, STATS, ZIP PHONE
EXISTING ASSESSED/APPRAISED VALUE
SPRINKLERED BUILDING? ❑ YES ❑ NO
PROPOSED USE
VALUE OF PROPOSED WORK
FIRE SUPPRESSION SYSTEM PROPOSED%REQUIRED? ❑ YES
WATER SERVICE PROVIDER ❑ I AIVEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER a LAKEHAVEN . 0 HIGHLINE ❑ PRIVATE (SEPTIC)
❑ NO
AREA DESCRIPTION
EXISTING PROPOSED TOTAL
SQ. FT. SQ. FT. SQ. FT.
BASEMENT
SINKS
FIRST
SUMPS
SECOND
URINALS
THIRD
VACUUM BREAKERS
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK (COVERED?)
GARAGE O CARPORT O
NUMBER OF FLOORS ssntv�o mopo.so~
"NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
to be installed or relocated as part of this project. Do not include existing furh4res to
MECHANICAL ELO
Value of Medtarucal Work
AIR HANDLING UMTS EVAPORATIVE COOLERS
BBQS FANS
BOILERS FIREPLACE INSERTS
COMPRESSORS FURNACES
.DUCTS GAS PIPE OUTLETS
BATHTVB3 (w Tub/showwcombo)
SHOWERS
DISHWASHERS
SINKS
GAS PIPE OUTLETS
SUMPS
WASHING MACHINES
URINALS
LAVS p thmomst4
VACUUM BREAKERS
GAS LOGS
HOODS Ic.mm.,aq
RANGES
GAS WATER HEATERS
WATER CLOSETS (r iwq _
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
REFRIG. SYSTEMS
WOODSTOVES
MISC (Describe)
MISC (Describe)
I cert; fy under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that I
am authorised by the owner of the above premises to perform the work for which the permit application is made. I further agree to hold
harmless the City of Federal Way as to any claim (Including costs, expenses, and attorneys' fess `incurred in the investigation and defense of
such claim/, which may be made by • y person, including the undersigned, and filed against the City of Federal Way, but only where such claim
arises out of the reliance of the ct including its officers and employees, upon the accuracy of the information supplied to the city as apart of
this application.
NAME/TITLE DATE
signature) (Tide)
RELATIONSHIP TO PROJECT a Owner a Agent 0 Contractor O Architect i] Other