06-101246AV
City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
FILEanical Permit #: 06 -101246 -00 -ME
Project Name: SOUTHRIDGE HOUSE APARTMENTS
Project Address: 30838 14TH AVE S
Project Description: Install gas piping from propane tank to generator.
Inspection Request Line: ;(253) 835-3050
Parcel Number: 082104 9231
Owner
Applicant
Contractor
K C HOUSING AUTHORITY ADM
SURBURBAN PROPANE
SURBURBAN PROPANE
600 ANDOVER PARK W
30405 SE 84TH ST
SUBURPL044DA (3/1/07)
SEATTLE WA
ISSAQUAH WA 98027
30405 SE 84TH ST
98188-3326
ISSAQUAH WA 98027
Additional Permit Information
Mechanical Valuation............................................35.00 Over the Counter Permit?...................................... Yes
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -101246 -00 -ME
Owner:
Address: 30838 14TH AVE S
FEDERAL WAY, WA 98003-4763
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 leis 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) ❑/.00 #Y Gas Piping (4125) ❑ Final - Mechanical (4065)
Approved 04
c,4s Approved to release test Approved
By Date By W Date S� - d G By Gc.J Date STIo
3120H 16.3,4 FAX 25366 14040 City of Federal Way 002/005
RECEIVED 0
• Federal Way PERMIT
r.-OwAgMY D9vPU.,PmEh-r.55RwcEs 5 2006SF Mill CO PL DZ EN FP
JIM251mAVERT 30EMI -M MX IAM
FIDERM WAY, WA 9tw 9118 Tr:
?53�94[.2607- ftl 233-035-2649 APPLICAT16Ak I
CITY OF FEDERAL LY
604d==
BUILDING DEPT.
The following is required infoemation - QA Incurmulete acroucation urm nut fir occrmtmd. p amp nmyle: 10"ihfu in I'l a. e,,.><.
SITE ADDRESS 30 % % SUITE/UNIT
ASSESSOWS TAX/PM�--L i 21 c 231
LOT SIZE (sn
LEGAL DESCRIPTION to -9. Amir Lot Ij
TYPE OF PERwrr U BUTLEIM(A Ll PLUBIMING
0 DEMOLrrIO11 r- ELECTRICAL 13 ENGINEERING 0 FIRE PpxVvxTI0N sygrEm.
PROJECT DESCRIPTION iTlrou[d& efop-1— ; r -lw�)
hid -4 —
PROJWT NAME (..Name Of L-rwner I a. -,f JVajjjo-)
PROPERTY NAME '7-TPRIMARY MORE
0WWruR
CITY, .irovr.:, 4N
3oSI
J
CONTRACTOR COMPA.14)1 AU AD �LICA - NA OFFICE MONE
15
, LL e'(SCIA I -
NAILING ADDRESS CELL PRONE
---3c-yc)s sc q 9c 2-? (14Z:V -A,6-0602
CITY C-19-FETIEML WAY 01,1bINLSS La-611SF NUMBER
I ,
3 Li 6
TIO -PT 14 --T4 C�911111d With e&tb Appli-ti-I EXPIPATION DA79"
'20n)i-1
t;uw-rwtlfc N. N
' 15 67
APPLICANTf7-0M-fK1WAA-:-r14 —OFFICE 15wc-,Nz,-
CONTACT
MAIL41110 CrrY. ST01t. 71P
RTA-fi —5 mK-71F7-6—?k0J —CCT FAX N111AAM
0 Architect a Tenant U Agent o Other JE'eyelbe)
ZXISTINO USE PROPOSED USE
EXISTING ASSF�WEDJAPFRAISED VALUE VALUE OF PROPOSED WORK L* 354Lx)
SIIRIINIKLERED bViLL)VIG? `QI
'Yrls 0 NO FIRE SUPPRESSION 8YVtEW PR.0PQr>E,0JRZQV1HED? x YES 0 NO
WATER SERVICE PRO VIDER LAKE14AVEN 0 HIGM, m' 13 TACOMA u PRIVATE (WELLI
SEWER SERVICE PROVIDERIAKMAVEN 0 Hlc;HLI� 0 PRIVATE (SEPTIC)
C t->O-
Im',` ?6. .:3 fp,:i ?r3Gb'1�..Qc: i:ity f Fe!t l: !V !r i;at);3,'p5
ARM DBSCFUPTI(i1Y
SQ- FT_-__
FT.
, REFRIC;. iYS� M:i
_ BBGS
_
- Hoof)Nlc�t„g;
- -"
j�.FIIR.S.T
_ h'IKGVLACK 1NSKW1.J
—
RANGES
([74+ueril,rj
—_i COMPRESSORS
FUFNACES _
GAB WATER HEATERS
{•
rxl�r�
�r
-- ----
F
•
-NAL
ADDIT O
� DECli LCOVEKEU?j � —
�CARA ;E Ci CARPORT U ._..___
-M:MBER OF MOORS weirvo rsn'roaco � Ta.0 - roYsc gey "y' tvs�r�drso�a - -: - apyt'�'�'�
L"NEw xO"d rS ONLY" NLIMBER (-)P REDRGOMS. ._._ _ _ _—_ ES (MATED SSELLINO Pit CZ S
Indicate
Value'. of wedtankvt
type
to be irslul(ed or
red as pan of O%Ls projert. DO not incitide existing j',,Mrr s to rPrna:in,
_— -- AJR HANDUN(; UNITS
_ EVAPORATIVt; COOI.E,^S ..
GAS LOGS
, REFRIC;. iYS� M:i
_ BBGS
_ FANS
- Hoof)Nlc�t„g;
1VUOLsS I GVES
^. Kj(LERS
_ h'IKGVLACK 1NSKW1.J
—
RANGES
([74+ueril,rj
—_i COMPRESSORS
FUFNACES _
GAB WATER HEATERS
_ DUCTS
GAS PIPS 01I71XTS
PkiJ2et2?ING
DA71I'TUrSS fa-nu,tSho�.co®tb) _
SHOWERS
D1511WAS1IERS
SINKS
-- GAS PIPE OUTLETS
SUMI9
—_.., WASHIK- MAC:MINYS
VR3NA1Z
_._..�, LAVS jo.a,.o.. &4t,-----_--- —
VACULIM BRE., i.KERS
T WATER CLOSM Ir.a.q _ _ MISC (be scri�tt
DRINKIINCa FOUNTAINS
RAINWATER SY2 r
HOSE BIBBS
ELECIYUC WATER HEATS S
I curt* :order penalty of perjury that the Infermatien fia-nished by me is true and correct to the best of mjp knowledge -seal further, that i
am authorlsod by the owner of the abevt promlate to ,perform the work for which the permit applicatlort is made, I JLrthar agree to hold
harml~ the CltV of Arderal W., as to ruty claim !including costs, cxpenses, and atterneys' fees incurred in the investigation and defonse vj
such elainq, which may be made by any person, tnrluding the undersigrre4 and filed against the City of isderal way, but only where such claim
arises out of the reiianm of the city, including Its offteors and employees, upon the atettraey of the information vupplied to the city acs a part of
this appuration.
NAME/ TITLE DATE _ � `1. V o �
i5t(y'�e are) (Tike)
RELATIONfiF);Ii TO PROJECT D OvAler 0 Agent �Cuntractor u :architect Other.
t, H .21ir'
Bullon #!Citi lanutu), !, 2006
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k',HandQucs>Pcrrnit Application
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