11-103826 City of Federal Way Mechknichl
Community Development Services Permit #: 11-103826-00-ME
PO.Box 9718
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Federal Way,WA 98063-9718 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p
Project Name: LEONARD
Project Address: 35611 11TH AVE SW Parcel Number: 440560 0016
• Project Description: Installing approx.50 lineal feet of new gas piping from meter to stubs for future furnace
and water heater.
•
Owner Anolicant Contractor
AUSTIN L LEONARD SUPERIOR HEATING SUPERIOR HEATING
SARA M LEONARD PO BOX 835 SUPERH*077QK (11/13/11)
35611 11TH AVE SW PUYALLUP WA 98371 PO BOX 835
FEDERAL WAY WA 98023-7233 PUYALLUP WA 98371
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Mechanical Valuation 500 Is this an Online or O.T.C.application Yes
Gas Piping 50
CONDITIONS:
1.This permit does not include installation of furnace and water heater.
2. A separate permit is required to to install furnace and water heater.
PERMIT EXPIRES Monday, March 19, 2012
Permit Issued on Wednesday, September 21, 2011
I hereby certify that the above inform- •• orrect and that the construction on the above described property and
the occupancy and the use w .- ccordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Date: / Z
•
41 /2q/it
g , .44A, THIS CARD IS TO MAIN ON-SITE r
CITY OF • Construction I ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 11-103826-00-ME Address: 35611 11TH AVE SW
Project: AUSTIN L LEONARD FEDERAL WAY, WA 98023-7233
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.
0 Mechanical Rough-in (4165) '❑ Gas Piping(4125) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By � � Date 4 o1 ,t `By a Date Q-1..\-1—t/
. ♦ \ .
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
«.°, '"�� `�' RMIT
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Federal w4 ECEI111,F CO41111 PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES
APPLICATION to-
253-835-2607•FAX 253-835-2609 `E p
WWW atgoffederolWnn con
-
T1-{�{/ OF FEDERAL WAY
SITE ADDRESS �+ " CDC _ SUITE/UNIT#
C 11 Tk4_ L/ e ,S co, lsc2 s
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
.5---C,C -
— — — —
TYPE OF PERMIT 0 BUILDING ,DUMBING 0 MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) C y
l i c',C_
(Q /R 5 rte/i-i''' /J .I/c f1'1 4(- L(} fl'r c 7 1 r ,
PROJECT DESCRIPTION /;i
Detailed description of work to (' i L- ,i -C-___ '7-'t.'(Pt ii( C .9 (._(. i 9/ 'it //i ,47 -/'
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER /1 U 5 7-Y,-1 eo4er,:it ( c- 5—
MAILING 3,5-6R`/ /r 7k hiL'C 6.?_- -; E-MAIL
CITY ' STATE Zn?9 13
NAME J`L Y V Ayre 17c ,4 77/77 2 PHONE
3- !� 6-3- zC'0 3
JN DD
MAHA .� E-MAIL
CONTRACTOR 0 O" g-.3 5
CITlt 'j t�//(, P STATE' /`T ZIP �'� 7< FAX
J-. - O l / -"5- �/4/
WA STA CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
5vPcrl, " c, ? 70 /C /// // / /(
NAME PHONE
APPLICANT MAILING ADDRESS ` E-MAIL
CITY 9 STATE ZIPFAX
�
If Y(7( G' 0' ii ` 'b 7 / e 3 - a 2'/ -_•;(// Cf
PROJECT CONTACT NAME
(The individual to receive and / t f�'�-� /1 ��G
respond to all correspondence MAILING ADDRESS / E-MAIL
concerning this application) �f IS T i t ,.-; /7 4C 1/C
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME 0 OWNER-FINANCED
Required value of$5,000 or more
(RCW T 9.27.095) MAILING 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 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 of this application.
SIGNATURE: e/".� ���L /`---' DATE a - z / - (7
PRINT NAME: /cd( Ke jq ii l c
Bulletin#100—January 1,2011 Page 1 of 3 k:\Handouts\Permit Application
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VALUE OFMECHAMCAL WORK $ L':-C9 O (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 Z,-- GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commerc,al)
BOILERS FURNACES HOT WATER TANKS(Gan)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
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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.
BATHTUBS(or Tub/Shower Combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(1Gtchen/Utility) WATER HEATERS(etecenc)
HOSE BIBBS SUMPS WASHING MACHINES =� -,,-`;',, ei af i>'' ui• x f,
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CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
$
EXISTING/PREVIOUS USE LOT SIZE(Ia Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes❑ No ❑Yes ❑ No
•
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
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FIRST FLOOR(or Mobile Home) _-_ ------ -- - --
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COVERED ENTRY >.
GARAGE 0 CARPORT 0 _-_ - - - - - ----
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a $IXISTING PROPOSZD TOTAL -- —----—Area Totals 7�_rr
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ESTIMATED SELLING PRICE$ #OF BEDROOMS
•
AREA DESCRIPTION Area Occupancy Group(s) Construction of Additional Information
in S•uare Feet • .e Stories
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ADDITION
AREA DESCRIPTIONIMES Occupancy Group(s) Construction Stories
Additional Information
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Bulletin#100-January 1,2011 Page 2 of 3 k:\Handouts\Permit Application