12-102075City of Federal Way Wchahical
Community & Econ. Dev. Services Permit #: 12 -102075 -00 -ME
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (2
53) 835-3050
Project Name: CHURCH
Project Address: 4709 SW 325TH PL Parcel Number: 873219 0490
Project Description: Installing a new permanent generator with 5 feet of gas piping
Owner
A niicant
Contractor
ROBERT MICHAEL CHURCH
WESCO NORTHWEST PERMIT
WASHINGTON ENERGY SERVICES CO
4709 SW 325TH PL
NORTHWEST PERMIT/ WESCO
(GENERAL)
FEDERAL WAY WA
1345 W GULF RD
WASFUES97IOB (9/2/13)
98023
POINT ROBERTS WA 98281
2800 THORNDYKE AVE W
SEATTLE WA 98199
Additional Permit Information
Mechanical Valuation............................................5586
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, November 6, 2012
Permit Issued on Thursday, May 10, 2012
I hereby certify that the %I'; �irbi6ALBVI�i at the construction on the above described property and
the occupancy and the e l i laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: MAY 10 2012 Date:
FINALED
CITY CW VA�
Federal Way
TINS CARD IS TO REMAIN ON-SITE
Construction I1ection Record
INSPECTION REQU TS: (253) 835-3050
PERMIT #: 12 -102075 -00 -ME Address: 4709 SW 325TH PL
Project: ROBERT MICHAEL CHURCH FEDERAL WAY, WA 98023-1919
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
r- r(�;
IByDate ?-7 _i
Rough Electrical
Approved
Final Electrical
Approved
1:1Approved
Right of Way
By
Date
By
Date
By
Date
R/ 1
`r"W V& . 50ERMIT SF MF
Federal NRf C�,
CO253,8, YDEVEIAPhfENTSERVICES ,PLICATION
253-835-2607• FAX 253-835-2609
ww.Atuoffederalwaa.com
O 2-0 �
CO ME PL DE EN FP
ag10
SITE ADDRESS t
47097A TH PIED�)arcel 8732190490
SUITE/UNIT k
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCELM
P
5586.19
_
— — — —
TYPE OF PERMIT
❑ BUIIAING ❑ PLUMBING a MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
INSTALL 7KW GAS GENERATOR WITH 5' GAS PIPING
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER
ROBERT & MAGGIE CHURCH 253-838-2640
MAILING ADDRESS
E-MAIL
4709 SW 325TH PL
CITY STA
FEDERAL WAY WAS ZZP
98023
NAME
PHONE
WASHINGTON ENERGY SERVICES
800-398-4663
MAILING ADDRESS
E -MAD.
CONTRACTOR
2800 THORNDYKE AVE W
NAIDA@NWPERMIT.COM
CITY
STATE
ZIP
FAX
SEATTLE
WA
98199
WA STATE CONTRACTOR'S LICENSE k
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE 0
WASHIES9710B 9/2/2013
2003104234BL
NAME
PHONE
SAME AS CONTRACTOR INFORMATION
APPLICANT
IIAI ING ADDRESS
E-MAIL
CITY STATE ZIP
FAX
PROJECT CONTACT
NAME
PHONE
(The individual to receive and
NAIDA KHAN / NORTHWEST PERMIT
360-945-2787
MAILING ADDRESS
1345 GULF RD
E-MAIL
NAIDA@NWPERMIT.COM
respond to all correspondence
concerning this application)
CITY
STATE
ZIP
FAX
PT ROBERTS
WA
98281
360-945-2091
ALTERNATE CONTACT NAME: PHONE
E-MAIL
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value of $5,000 or more
MAILING ADDRESS, CITY. STATE. ZIP
PHONE
(RCW 19.27.095)
I cert(fy under penalty of perjury that I am the property owner or authorised agent of the property owner. 1 cert(fy that to the best
of my knowledge, the irtformation submitted in support of this permit application is true and correct. I cert(fy that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorised 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 s claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supp efi tot city as a pVt of this application.
SIGNATURE: DATE 5/10/2012
PRINT NAME:
Bulletin #100 - January 1, 2011 Page 1 of 3 L% k:\Handouts\Permit Application
MECHANICAL FIXTURES
VALVE OF1iiEC LAMCAL WORN $ 5586.19 (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 (commercial) GENERATOR
BOILERS FURNACES HOT WATER TANKS (Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
GENERAL INFORMATION
Pl, mmiNG FIxrum
Indicate how many of each type offuclure to be installed or relocated as part of this project. Do not include existingfwtures to remain.
BATHTUBS (or Tbb/shower Combo)
LAVS (Hand Sinks) TOILETS WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS URINALS OTHER (Describe)
DRAINS
SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Rhchen/utility) WATER HEATERS (m_uic)
HOSE BIBBS
SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL, AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
# of
Stories
Additional Information
NEW BUUMINo
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
ADDITION
❑ Yes ❑ No
❑ Yes ❑ No
COMMERCIAL. - NEW/ADDmoN
AREA DESCRIPTION
Area
in Square Feet
Occupancy Group(s)
Construction
# of
Stories
Additional Information
NEW BUUMINo
ADDITION
COMMERCIAL- REMODELITENANT hVROVEMENTS
AREA DESCRIPTION
Area
in Square Feet
Occupancy Group(s)
Construction
# of
Stories
Additional Information
TOTAL BUILDINti
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin #100 -January I, 2011 Page 2 of 3 k:AHandouts\Permit Application