11-102709 Mechanical
City of Federal Way
Community Development Services Permit #: 11-102709-00-ME
P 0 Box 9718
Federal Way, Fax
(253-9718
)835- Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609 p Q
Project Name: ARNBRISTENek eJe r SO r�
Project Address: 31403 12TH VE SW Parcel Number: 416810 0190
Project Description: Install gas line running from meter to swimming pool
Owner Applicant Contractor
JONAS ARNBRISTER HYDRO-TEK POOLS INC HYDRO-TE POOLS INC
31043 12TH AVE SW 5544 SW 300TH PL HYDRI"44R7(5/20/13)
FEDERAL WAY WA FEDERAL WAY WA 98001 ,4 SW 300TH PL
V• RAL WAY WA 98001
Mechanical Valuation 1000 Is this anter'= or O.T.C.application? Yes
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Gas Piping 1 / S
•4
PERMIT EXPIRES W- ,T„ , .ay, uary 4, 2012
Permit Issued on " day, Ju 2011
I hereby certi that the -•ove information is correct - d that t ruction on the above described property and
the occupanc and the us; will be in accordan, i the laws es and regulations of the State of Washington
.. a• �' Ci f IWay.
Owner or agent: i' `----- N,� Date: 7 ii
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Of
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6-79190,7o y
THIS CARD IS TO REMAIN ON-SITE
CITY OF + Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT#: 11-102709-00-ME Address: 31403 12TH AVE SW
Project: JONAS ARNBRISTER FEDERAL WAY, WA 98023-4505
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) El Gas Piping(4125) I 0 Final-Mechanical(4065)
Approved Approved to release test Approved
opoBy Date By' Date 7 '--` By Date
0 Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
AI � 1Q2j007
Federal Way PERMITMF �
COMMUNITY DEVELOPMENT SERVICES APPLICATION ( a,
253-835-2607-FAX 253-835-2609 I i
1181=h o ruernlPD11com J U L 0 $ Lu,�2 G 1 a
at
SITE ADDRESS CITY tiCkfifEIGERAL WAY
3 < qc iZJ /A 4v(5-- SW 1j,1,, L %1 r) C 'L--3 CDS
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 4 I ( o _ Q L E Q
TYPE OF PERMIT ❑ BUILDING 0 PLUMBING XMECHANICAL
❑ DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT � D t 1— D N
(Tenant Name/Homeowner Last Name) 6_p_.....4d--6a r n6� F�� 'a-�
c_,-,z 3 l,- ,Yom. L r r/v � L%l0z � F'
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER
--S'el ti a (Nit- I -1-4—_.t-,N...._
MAILING ADDRESS E-MAIL
3 I (``3 1 Z -t �v- it'v,v
CrET STATE ZIP
NAM PHONE
1�`l J "LYS" /C+r )C 1T U`:L,S '-2-Ce 2--7—el '1 Z 31-'-
MAILING ADDRESS E-MAIL
e4ONTRACTOR SS y S -
CITY itTi(TE MI PI vv 4_. i FAX
WA FATE CONTRACTOR'S( LICENSE �- EXPIRATION-2ID/T1� FEDERAL WAY BUSINESS LICENSE X
NAME` GJl/ PHONE
APPLICANT MAILING ADDRESS 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 NAME0 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 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 Iaws.
I further • • to hold harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred in
the investiga on an• • -fense of such claim),which may be made by any person,including the undersigned,and filed against the city,
but only where such c , arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the ty as a part of this application. '}�,
SIGNATURE: �� DATE 'Y+ ' ( i \
7-11-1
PRINT NAME: N- �— N ia „.
Bulletin#100—January 1,2011 Page 1 of 3 k:\Handouts\Permit Application
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VALUE OFMECAAMCAL WORK $ (COL-1 -------- (a(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) 1 ii
BOILERS FURNACES HOT WATER TANKS(Gas) fr rZ / .D r44',.,
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES \-
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(orTub/showercombo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kuchen/Uhhty) WATER HEATERS(Etectnc)
HOSE BIBBS SUMPS WASHING MACHINES 1QTAI11tIIRi;iw';`s
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CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
$
EXISTING/PREVIOUS USE LOT SIZE(In 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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fk.^ .. x .i ,,. 1."<%
. ,�''.,,. " '.SZtNiYRix;;.' .2...: J. -.—____--
FIRST FLOOR(or Mobile Home)
—
COVERED ENTRY —_ — -- — —
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, J
Y:c 'iAi: '• . -. . e. ..1 .ITi •t. ` ,',.,, :r;.•,9;" at. .n'MOM. ---------
GARAGE 0 CARPORT 0
-- — — — — --
r •',i„ ,: ,-1''%iuTz,:•?` 7Ic150,' '.,z `.I"'s�. sf^ — ---
EXISTING PROPOSED TOTAL
Area
��Totals
ESTIMATED SELLING PRICE$ #OF BEDROOMS
:'4• .2n- ,may , •. 3 ,. „-. - .>- ,.'`•_" -
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AREA DESCRIPTION ®� Occupancy Group(s) Construction #of Additional Information
t� A, Stories
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ADDITION _.■.■ ■
AREA DESCRIPTION
Area Occupancy Groups) Construction #of Additional Information
in -`uare Feet
.11,a Stories
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:: :#...... st�' ���..
TENANT AREA ONLY
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Bulletin#100—January 1,2011 Page 2 of 3 k:\Handouts\Permit Application