06-101606r �
1
City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
t s
Mechanical Permit #: 06 -101606 -00 -ME
Inspection Request Line: (253) 835-3050
Project Name: WILSON
Project Address: 32505 6TH AVE SW Parcel Number: 926490 2230
Project Description: Install new gas line for future range in basement, BBQ outlet and new gas line in existing
kitchen.
Owner
Applicant
Contractor
DAVID C WILSON
TPJ INC
TPJ INC
CANDICE R WILSON
351 UNION AVE NE
TPJIN**98]NR 08/19/2006
32505 6TH AVE SW
RENTON WA 98059
351 UNION AVE NE
FEDERAL WAY WA
RENTON WA 98056
98023-5622
Additional Permit Information
Mechanical Valuation............................................1977 Over the Counter Permit? ...................................... Yes
NWOha]hical Fixtures -
GasPiping ....... 3 Gas Pipe Outlets ............................./' 3 Hot Water Tank......... 1
PERMIT EXPIRES Wednesday, October 11,
Permit Issued on Monday; April 3, 2006
I hereby certify that the above information is correct and that the construction on a above described property and
the occupancy and the use will be in accordance with the laws, rules and reg ations of the State of Washington
and the City of Federal Way. �/ /
Date: % - IV—( -2 6
Owner or agent:
THIS CARD IS TO REMAIN ON-SITE 4 .
CITY OF _ Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -101606 -00 -ME
Owner: DAVID C WILSON
Address: 32505 6TH AVE SW
FEDERAL WAY, WA 98023-5622
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 G Date, l�• 5� % IV B If Cj
«�« ; RECEIVE?
Federal Way �. PERMIT
3 5�^�av,,.3E ° 3 2oo6APPLICATION
' FEDERAL WAY, WA 98063-9718
253-835-2607• FAX 253-83S-2609
unow.dtvo federah.A/ OF FEDERALWAX
SF MF CO IE L PL DE EN FP
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The following u ruormaClon —an incomplete accePted Please print legibly
(in ink) or
PROPERTYMFORMATION
SITE ADDRESS _ Z-50,5 6 t ~ fid ✓L 's `_ - SUITE/UNIT r
ASSESSOR'S TAX/PARCEL #
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
IAnadi separate page for lengthy legal d—pt-4
■ PROJECT INFORMATION
LOT SIZE (sn
TYPE OF PERMIT ❑ BUILDING PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of workincludedon this permit onlul
Lv-0-c._11 pyrte7,ctr `}I�c �0r dµl�✓L I��w.4C. ll.. �crel h� IJ�Q U'w �t� inCW
tact`s ., � :,,. e p', s � �u k• �l.try
PROJECT NAME (Name of Business or Owner Last Name) W! IS D►n
PEOPLE MFORMATION
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
NAME PRIMARY PHONE
MAILING ADDRESS CITY STATE, ZIP
Z,505 6 "� L s,� IfeJ 1 ww U�
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
7-19 T -,C
0,rc._LI./kIrcr
(VIS )Ukl
- 3z
MAILING ADDRESS
CITY, ATE, ZIP
CELL PHONE
(its) k4 -15s
3,51 o - .,u_ Ute. t_ . C ,
ecol-D,_ Ijy\ qPuS 6
( 915 ) j f
- /c/S
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
_-B
L
CONTRACTORS REGISTRATION NUMBER (copy of card required with each application)
EXPIRATION DATE
T_f.Is&2t5_IL_:1 Lie
�-//g
/0C
COMPANY NAME
(7- •
APPLICANT NAME
DL✓��
OFFICE PHONE
(91S ) zzv -3Z69
�t a�
CITY, STATE, ZIP
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
351 c.vL
let `
(its) k4 -15s
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent mother (Describe) L 0 k�Lb r
( 915 ) Z ZS- -
N ME PRIMARY PHONE E-MAIL ADDRESS
1 ,,.•- Owjti-��- (yZ
Per` RCW 19,7.495.- 2' Lender information is ° ',
NAME
required ff project value ezeeeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) I
SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLDNE ❑ PRIVATE (SEPTIC) JI
N
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK (COVERED el
GARAGE/CARPORT
HOW MANY FLOORS?
—NEWHOMES ONLY*' NUMBER OF BEDROOMS
FT.
1a@
TOTAL CIII 5T9I TOTAL PROPOSCD TOTAL C7DSTDIG AHD PROPOSW
ESTIMATED SELLING PRICE $
of each type of fixture to be installed or relocated as part of this project. Do not include existing fucheres to remain.
Indicate number
o NEW ❑ ADDITION
o ALTERATION o REI
MECILANIt AL
o YES o NO
ZONING DESIGNATION
Value of Mechanical Work $
NEW ADDRESS REQUIRED? o YES o NO
PLATTED LOT? ❑YES ❑ NO
AIR HANDLING UNITS
IVE COOLERS
GAS LOGS . SYSTEMS
REFRIEVAPORATIVE WOOD
OODSTOVES
BBQS
FANS
(cemm�r<;m)
HOODS MISC (Describe)
RANGES
BOILERS
FIREPLACE INSERTS
GAS WATER HEATERS
COMPRESSORS
FURNACES
DUCTS
GAS PIPE OUTLETS
s WATER CLOSETS (roii�q MISC (Describe)
BATHTUBS (-Tub/Sho—Combo) SHOWERS
DDRINKING FOUNTAINS
DISHWASHERS SINKS
SUMPS RAINWATER SYST
GAS PIPE OUTLETS HOSE BIBBS
WASHING MACHINES URINALS
LAYS (Bathroom Sinks)
VACUUM BREAKERS ELECTRIC WATER HEATERS
I certify 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 authorized 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, 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 of Federal Way, 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. /J (�
v V
NAME/TITLE
(Sig�ia
RELATIONSHIP TO PROJECT
( I im)
❑ Owner ❑ Agent {LContractor ❑ Architect o Other
FOR OFFICE USE ONLY
o YES
o NEW ❑ ADDITION
o ALTERATION o REI
BUILDING SHELL ONLY?
o YES o NO
ZONING DESIGNATION
o YES
NEW ADDRESS REQUIRED? o YES o NO
PLATTED LOT? ❑YES ❑ NO
AIR o TENANT IMPROVEMENT
BASIC PLAN?
o YES
a NO
CHANGE OF USE?
o YES
o NO
UP/SEPA/SU?
o YES
o NO
DEMO PERMIT REQUIRED?
o YES
o NO
11
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Bulletin # 100 — March 30, 2004 — Page 2 of 4
k\Handouts — Revised\Permit Application