13-100608ib
0 Mechanical
Community & Econ. Nv. of Federal Services Permit #: 13 -100608 -00 -ME
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Line: 253 835050
Ph: (253) 835-2607 Fax: (253) 835-2609 ,j p q
r_ - ' L
Project Name: BALL
Project Address: 3327 SW 323RD ST Parcel Number: 873190 0870
Project Description: Install gas piping for permanent stand-by generator
Owner
ARI21ican
Contractor
GIGI BALL
DICK'S HEATING AND A/C INC (GENERAL)
DICK'S HEATING AND A/C INC (GENERAL)
3327 SW 323RD ST
1516 45TH ST E UNIT 200
DICKSI*214DH (7/5/13)
FEDERAL WAY WA 98023-2525
SUMNER WA 98390
1516 45TH ST E UNIT 200
SUMNER WA 98390
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes
Mechanical Fixtures'
Gas Piping ...................................... 1
CONDITIONS:
A permanently installed generator is not allowed to be placed within required yards (setbacks). See Bulletin
#150 for placement details.
PERMIT EXPIRES Tuesday, August 6, 2013
Permit Issued on Thursday, February 7, 2013
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the u e will be in accordance with the laws, rules and regulations of the State of Washington
9�and the City of Federal Way. —7 1,3
Owner or agent: Date:
�: ,.. sa z/regia
CITY..
Federal Way
THIS CARD IS TOMAIN ON-SITE
Construction In ection Record
INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 13 -100608 -00 -ME Address: 3327 SW 323RD ST
Project: GIGI BALL FEDERAL WAY, WA 98023-2525
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
By Date
Date
—12—t3
Rough Electrical
Approved
1:1Approved
Final Electrical
1:1Approved
Right of Way
By
Date
By
Date
By
Date
•
Federal Way
PERMIT APPLICATION
PERMIT NUMBER 1 3 _ t o 0 YJ V 0- - oir
— TARGET DATE
RECEIVED
EB 0 7 2013 `✓U� �
SITE ADDRESS �
3 3�. � 5.1,x.
SUITE/UN�S
PROJECT VALUATION
$ SUCH
ZONING
ASSESSOR'S TAR/PARCEL /
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING 1p/MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
� �
PRIMARY PHONE
/
MAILING DV` r
J
E-MAIL
IS)7
fig,
NAME l
PHONE r %
CONTRACTOR
E -MAH.
C
ATE
ZIPW
FAX
WA STATE CO CTO LICENSE
S� a �
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE A
NAME 'G i��a '
PRIMARY PHONE
APPLICANT
MAILING ADDRESS
E-MAIL
CITY STATE ZIP
FAX
PROJECT CONTACT
NAME
/
r� i%
PR7/
EHHQNS 3 7-/7/)
S 3
(The individual to receive and
MAILING ADDRESS
gMNL
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value of $5,000 or more
(RCW 19.27.095)
MAIIJNG ADDRESS, CITY, STATE, ZIP
PHONE
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 suchclai arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied city as a t of this application.
1
SIGNATURE: DATE
PRINT NAME: r
Bulletin # 100 — January 1, 2013 Page I of 3 k.\Handouts\Permit Application