10-105378City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: HANKINSON
Project Address: 3628 SW 309TH ST
Project Description: Replace gas hot water tank.
41 Mechanical
Permit #: 10 -105378 -00 -ME
FILLInspection Request Line: (253) 835-3050
Parcel Number: 058755 0420
Ownr
Applicant
Contractor
ROBERT C & MAIRI K HANKINSON
EVERGREEN STATE PLUMBING LLC
EVERGREEN STATE PLUMBING LLC
3628 SW 309TH ST
4609 W TAPPS DR E
EVERGSP95IM7 (7/15/11)
FEDERAL WAY WA 98023-2196
BONNEY LAKE WA 98391
4609 W TAPPS DR E
BONNEY LAKE WA 98391
Mechanical Valuation............................................800 Is this an Online or O.T.C. application? ................. Yes
Hot Water Tanks ............................ 1
PERMIT EXPIRES Saturday, June 25, 2011
Permit Issued on Monday, December 27, 2010
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'
nd the City of Federal Way.
Owner or agent: 4 Date: GSL Ly
IICIA 1ro
CITY OF
Federal Way
PERMIT #:
10 -105378 -00 -ME
THIS CARD IS TO REN -SITE
Construction Inspeon Record
INSPECTION REQUESTS: (253) 835-3050
Address: 3628 SW 309TH ST
Project: ROBERT C & MAIRI K HANKINSM 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.
Mechanical Rough -in (4165)Gas
Piping (4125)
Final Electrical
Approved
Final - Mechanical (4065)
Approved
By
Approved to release test
Approved
By
Date
By
Date
ByG -
Date t
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
::=:.=::: r-Z\IET-PERMIT
Fede
TY
W,FrVFcit^r_�[ir T,':C SERVICES
S
2.538-5-2607• FAX25-R 3,5 -?
.APPLICATION
C 2 2
cGnFRALwAY
10-/vs37g
MF CO e) PL DE EN FP
SITE -1 A,DD � `��^ t p
31 - [O l./ ,ll''I .� / �1 L �kl?t f k4^,' 11'f4
SUITE/UNITN
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL M
TYPE OF PERMIT
❑ BUILDING PLUMBING ❑ MECHANICAL
❑ DEPN# LITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
�, 1�
2 tl^z L Y i a' 1 �-� /°1-`f�1L A 7,01 10W �j n,�%- J4
PROPERTY OWNER.�f(�p
NAME
OGADDaZSS
J
C ,�
PRIMARY PHONE
E-MAII.
CITY
STATE
ZIP
NAME.
Evt; (,L2c'^'
PHONE
CONTRACTOR
MAILING ADDRESS
t v � ` I
E-KAIL
CITY
L kil PC
STATE
Z'
FAX
WA STATE CONT CTOR'S LICENSE ►
'F -'Z Sv'p q )—/
EXPIRATION DATE
? >' wt of )-
FEDERAL WAY BUSINESS LICENSE i
NAME
PHONE
APPLICANT
MAILING ADDRESS
E-MAIL
CITYSTATE
ZIP
FAX
PROJECT CONTACT
(The individual to receive and
NAS
�� / �'�' L L -C
PHONa _
vGt /
�,i MAQdNG ADDRESS ,1 �
7 L D Z✓
E-�
respond to all correspondence
concerning this application)
CITY
STATE
ZIP ^
FAX
ALTERNATE CONTACT NAME:
PHONE
E-MAIL
PROJECT FINANCING
Required value of $5, 000 0r ore
-NAM
O OWNER -FINANCED
MAILING ADD B,.CITY SATS
PHONE
(RCW 19.27095)
v -
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
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 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 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.
/}
SIGNATURE: DATEy �G. J G
PRINT NAME:
Bulletin #100 - April 14, 2010 Page l of 3 k:\l-landouts\Permit Application
VALUE OF MECHANICAL WORK ,J, `p S
(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 fixtures to remain.
AIR HANDLING UNITS FANS
GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS
HOODS Icommerciaq
BOILERS FURNACES
r HOT WATER TANKS (G -)._—
COMPRESSORS GAS LOG SETS
REFRIGERATION SYST
DUCTING GAS PIPING
WOODSTOVES
Indicate how many of each type
BATHTUBS (or Tub/shower combo)
DISHWASHERS
DRAINS
DRINKING FOUNTAINS
HOSE BIBBS
to be installed or relocated as part of this project. Do not include existing fixtures to remain
LAVS (Hendsin1m)
TOILETS WATER PIPING
RAINWATER SYSTEMS
URINALS OTHER (Describe)
SHOWERS
VACUUM BREAKERS
SINKS (yzwhm/utility)
WATER HEATERS (Electric)
SUMPS
WASHING MACHINES
. ..... .. .. ...:: •.:.:r:x::::::::: •x: •x::.:::::: r•:: •::::::::.r.r :r::.:.:+.:,}•,•:., : .
:.:: :.:.r..:Y.; •::..•? t•: ?..; ..,.?::. f.;r :r: r. f• :$}$$:. ?}••�i:f:i::.::r:.; .:. ..:+rx•,;•r.::.f:+r.: •:;:: ::r .r. ..r:•:...:.y. ::.:.?:
. rrY:: nr.:,if.+r r?fff :•f x?.. i. :Fi:r
•
;:,r ..r::.::rr .,{. •.;•,:. :.
?.rx .:....:: rr:r. r:. f/?.:.
....
;r;}• :.::..
ri?? r:.t 1:. .r%�' ::.::/'•:�':.'•/.::fix: x:::f r�:: $;'
%;:'•'F :$'.:.. .. ::.
�r/ �/:+ r :.{, %$Y:?•:: r• v/•,•: ri} ::fi$i,'i ji,'i
r., rr
. f:.:. . n?',{'•%: f::.rfY•• ':••r�+
:: :.f%::J.•{??�'{ :ryx,/:.•: r?$:�::i:+•r.!r+f/f.Y.: ri:l f Jf ::y �i,=f
?:�::: :+If.:}I,.?r!/.::: r: rY.•. :+•k0: :?-.
r%$:�.'•J. f. .?%:iy; .$•r :. ':?.6:}}:?:•}:•}
:{.$'.`?frfry.;$i:
AREA DESCRIPTION (in square eet) EXISTING PROPOSED
TOTAL
FO_OFFICE USE -
_.
............:.:.....rr::.,::::::::.,::::::::::.:::r::r::::.:• :::r:::::::::::r:::r:::::::.:. ; .;•::: r.;{{??::?;?: {::.:{:;: ->}::::.......:,;:::::r
i$:;}iii::i�?Y:$: r:r x.:xx?•}.v::: •w: •-;n: ii::}.•$::':i'i$$$$$i$ii=:}lii$?4$::$$r?•"i:•
r.:: r::::::::r...,•r....: ,�,,:.::::::::.::...:::::. ••}}x:r:r}::}Y:::}}: }r.v
"fi•x$'
�.Q'•��"}..:: ... r..ri:•Y:•Yi x::: r:: :Hix:: x++++'
:::::.,r::.
$$$$$$$$$.'•:'ii$${$$±::r{%'+'r,'{:
..:.:
:i$$:... r.
w... ....,.::: ... : ???:??.x .v :.:x: x::.v:::::nr.. n,.: ..:. r: x::r :::::.•::::' xr..::
.. fi•'.W: riti{r: ::x:?•Y:•}:Kp;, r,{r{ .{.::•:??:•}i ?::.+.$C:$•}i$':..
n..n........n.r.xrr,,, m::: •• r:.:.:xrw•..,, r..n.rxxx.....:x: •::::•
4:•::.w: xr::::::.:w: xv::::::n.:i:•Y:i$:??.}:^:•Y:•Y:?4:•:4:::xxrrw.v: x: x:: r..:...::. ::::: :.::.:.}::}Y:$xi:i::xxr.:::: •Y x: x::.::xA::::::::•:::::::
x:ni.
.::.v. •i::^:
{$v x::::::: nv}:::::.
�_—_.—.._.-....__-..-
FIRST FLOOR (or Mobile Home)
•Y:•;;.}}r:r:::::.:}}•::::::::::..:......:..;r.,r::??.}•:::::.;•::;:.:::::::::::r:: •• :.,:.::}•r::::Y:•.;:::.r$r:.
.. ...... •v:r.•x::.....x.xr...::::: r. xr. r.:r::: •F:':?+'{> ?Y:+ ?:{:?}q':}}
rrix w...
�y.y r:?{rr:..; ?. r }nviY'.:n'O}:•$}}::
r :$$::$$:y::$$$:j':$
ry� xx..rx: x:x •x?.•: vii:?i?•+}$:+..}:}r.,.. .
COVERED ENTRY
�•>siY:::,:$$$::i::i><ii:::.... •::•;:i>::•�:YNii:>.;<;:;:$. •!iii:
��'#z�������»�>�>#%%`
:rrrrr.:.::::.•: : •x:•K•:ir:;��<::$$$:Y•r...:.::..::::r:rr:::::.:...:..ri
::::: x::::: x?{4:x:: x.•r.:wxx4 .. ..- .. .....f.?ry}:Y::::n;?x::m:: ..::x: +r ::: x:xx: m::::: x::::}}. •::. n x::::: i::• v
_--. .__—.--._.._..-....__
GARAGE ❑ CARPORT ❑
—
............::::::::r:::::::::rr r.}:;.};•.}::r::::.:::,}.;,.;::r:r..•:.�::::::::::::::::::........::,•::.,:::::::::::::::::::::.:.::: x,:•.:::-.,•:::r:::r.•::x::::::...:..;...
;•:::::.:::::::... ..::.::•:.•::::r. r.:...:..rr•:: r.:::.. r... rx::::::•:::::::: r:.}:.::::: �:}:•Y}:•Y ::::::::::::::::::::::: •:::::.::.: ::...:::.:..
.r..:..:...:::r•r: ...:......:::r:#r:::::•:r::::::.,..:..:.......::::::.•:::::::::.v.:•Y...•::::::....:..... ... ..:.... r......:�?+?:�.
.......
---..-.....---._.._..._•.---------
X.
:.:::.:}>.}}}Yr?.Y}:.Y}:•}};rrr?:•YY:::::.:..,x•Yr•Y::}}}}:•}Y}:•$.>.r•�:>Y::::::r.•::::..,::r::::::::::::::::}}YY^•:::::::::rr:::::r -,•}}Y}Y:::::: ..:..:
::. •.
-:::.}•:::::}r•Y}:?:::::>}:
.......:
...-_.._—..__-.._._—_.__.._._-__..—.__._.---...._...._._.._.._.._..
8M=G
TOTAL
Area Totals
ESTIMATED SELLING PRICE $
# OF BEDROOMS
AREA DESCRIPTIONI inSquare Feet I Occupancy Group(s)
ADDITION
11 ea
AREA DESCRIPTION I in Square Feet I Occupancy Group(s)
ANT AREA ONLY .
# of I Additional Information
Construction J# of I Additional Information
Tvne ories
Bulletin #100 - April 14, 2010 Page 2 of 3 k:\Ilandouts\Permit Application