11-100922 r •
Mechanh al
City of Federal Way • •
Community Development Services Permit #: 11 -100922-00-ME
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609 p G
Project Name: BUTTERFIELD
Project Address: 30820 11TH AVE SW Parcel Number: 525980 0250
Project Description: Installation of gas piping
Owner Applicant Contractor
CHARLES&LORRAIN BUTTERFIELD HUNTER MECHANICAL HUNTER MECHANICAL
30820 11TH AVE SW 12202 174TH AVE SE HUNTEM*984JD(5/12/12)
FEDERAL WAY WA 98023-4545 RENTON WA 98059 12202 174TH AVE SE
RENTON WA 98059
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Mechanical Valuation 300 Is this an Online or O.T.C.application? Yes
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Gas Piping 1
PERMIT EXPIRES Monday, September 5, 2011
Permit Issued on Wednesday, March 9, 2011
I hereby certify that - abs e in •rmation is correct and that the construction on the above described property and
the occupancy a , " ; us= wit •e in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Date: J ))
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pI 1 r
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CITY'�F THIS CARD IS TO REMAIN ON-SITE '
Construction I ection Record
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 11-100922-00-ME Address: 30820 11TH AVE SW
Project: CHARLES & LORRAIN BUTTERFIE FEDERAL WAY, WA 98023-4545
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) - 0 Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date Date(b`.((
.
0 Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
fri_ _ ( 00 92Z
a>~«APERMIT
Federal Way FP
COMMUNITY AP P L I CATI O N
3 � -
www atuoffederalwau.com MAR 0 9 2.n. ',1 ),%7-29
SITE ADDRESS CITY OF FL WAY
30g2o ()'` O- Su.) CDS
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL i
$ 3CO sas9* gD _ � s
z0
TYPE OF PERMIT ❑BUILDING 0 PLUMBING (�MECHANICAL
❑ DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT n �
(Tenant Name/Homeowner Last Name) g u 1 1 V` f j1
PROJECT DESCRIPTION /
Detailed description of work to lei AS 6C-,��
be included on this permit only
NA �ti PRIMARY PHONE
\ll�jaeiv
PROPERTY OWNER Ae9
MAILING ADDRESS E-MAIL
3o8zt I te_ S of
cr ( ( STATE 3
NAIL
PHONE
CiONTRACTOR IK„, Meco,N,am , ,, ✓71 99 -`�
IMAILING
Z t 7 y SE ,,,44-e earn..T
C rte' '0" , STATE' ZIPq SOS ci FAX
WA STATE CONTRACTOR'S LICENSE i TION DATE FEDERAL WAY BUSINESS LICENSE i
F]ulV , - 948 ).) / /17-
NAME
ZNAME PHONE
4
APPLICANT MAILING ADD E-MAIL
CITY STATE ZIP FAX
PROJECT CONTACT NAME PHONE
(The individual to receive and
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application)
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
•
PROJECT FINANCING NAME
0 OWNER-FINANCED
Required value of$5,000 or more
(RCW 19.27.095) MAILING ADDRESS,CITY,STATE,ZIP PHONE
I certify under penalty of perjury that I am the property owner or authorised 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 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 . •'In- • the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred in
the investigation • • such claim),which may be made by any person,including the undersigned,and filed against the city,
but only where - - out of the reliance of the city, including its officers and employees, upon the accuracy of the
Information supp• as a part of this application. 2 l
SIGNATURE: APDATE
(11 /! 1
IV
PRINT NAME: /tn ZuGS /0
Bulletin#100—April 14,2010 Page 1 of 3 k:\Handouts\Permit Application
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VALUE OF MECHAMCAL WORK CtC)
(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 fvctures to remain-
AIR
emainAIR HANDLING UNITS FANS `, GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS Co( mmercial(
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
`s��,.,1'�.,�f',�i" ,..x,�..yx<kspw: -"• ;��.y'�",'`"F'�4:%,E';�.Ts-" ri, n�k'yi .3.Ri'„•-'` �:R:,., mr,� {T,ae _ _ _ _
_ ., a-.I ",.4.'l .C��-' �'k Ma'.a,. -;„.k:..-:::,-;;:,,,,:;,...,;=.1,.:,x `.. Fi\'JtJ � �� �a���k�,�; ,':,s _ _ a -`-�'"' _ T-
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 Sink* TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(K tchen/uulrty( WATER HEATERS(mecum)
HOSE BIBBS SUMPS WASHING MACHINES •'AL FIXTURES
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR UE OF EXISTING IMPROVEMENTS
•
$
EXISTING/PREVIOUS USE LOT SIZE Ku Square Feet) 1' (STING FIRE SPRINKLE !STEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes❑ 'o ❑Yes ❑ No
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. -
AREA DESCRIPTION(in square feet) EXISTING PRO.0 -ED TOTAL FOR OFFICE USE
BASMET `' --
FIRST FLOOR(or Mobile Home)
SECOND FLOOR • ' `
------ ----- -------- --- --------------COVERED ENTRY
DECK- ,-
—
GARAGE 0 CARPORT 0 — - -
OTHER(describe) - - - - -- - -
CUSTOM !ROl06�D TOTAL __-----__—__-_—____-____—______--_-
Area Totals
.. ,,, HOMES ONLY
ESTIMATED SELLING PRICE$ [[pn (#OF BEDROOMS j r
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AREA DESCRIPTION ` reA OccupancyGroup(s) Construction 11 of
in Square Feet P( 1 Type Stories Additional Information
NZWBuILD• ,
ADDITIO
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AREA D' - RIPTION Area Occupancy Groupie) Construction #�of X Additional Information
in Square Feet Type Stories
TiOTAALB •U G ' -
RANT AREA ONLY
PROJECT Aitio.ONLY
Bulletin#100-April 14,2010 Page 2 of 3 k:\Handouts\Permit Application