11-101339 • # III •City of Federal Way • Mechanical
Community Development Services Permit #: 11-101339-00-ME
P.O.Box 9718 FILE
Federal Way,WA 98063-9718
Inspection Request Line: (2
53)(253)835-2607 Fax(253)835-2609 p q 835-3050
Project Name: MEYER
Project Address: 33017 48TH AVE SW Parcel Number: 802951 0320
Project Description: Installing approx.20 of new gas piping and new cooktop.
Owner Applicant Contractor
GERALD L MAYER DAMIAN JOHN CONSTRUCTION DAMIAN JOHN CONSTRUCTION
33017 48TH AVE SW 2330A 190TH ST SW DAMIAJC973N9 (9/21/11)
FEDERAL WAY WA 98023-3311 LYNNWOOD WA 98036 2330A 190TH ST SW
LYNNWOOD WA 98036
Z � ::,, 71.
I ildl zS 3F;•�;-! fit1 1 4.f::. ! r ,'',;.
, » frtt..
Mechanical'' n k Valuationy2125 Is this an Online or O.T.C.application? Yes
x" may' S t h. ,. j .. •i"• �.`x Sirhn, 77:,1,1/M111111111.6
x
ir:: ;a;'sA 'kt:: «, i 4 ,sr3, 4MeGn 011` '1.i«...v.. ,<- f.„. fit.„,.:.' `,. ,
Gas Pipe Outlets 1 Ranges 1
PERMIT EXPIRES Wednesday, October 5, 2011
Permit Issued on Friday, April 8, 2011
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use wi 1y in -c • • -.--,ii h the laws, rules and regulations of the St a of Washington
-4 •- City of Federal Way.
Owner or agent: Date:
THIS CARD IS T MAIN ON-SITE
crry Construction I ection Record
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 11-101339-00-ME Address: 33017 48TH AVE SW
Project: GERALD L MAYER FEDERAL WAY, WA 98023-3311
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 c. R1 Date u�,l l_,1 Bye Date,L_, 1—l) ,
❑ Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
"1.4." — I 0 I 3 5 cf
MF
cnoF
EOPPERMIT CO PL DE EN FP
Fe7draRECEIV
COMMUNITY DEVELOPMENTSERVICES A P P L I C A T I O N
253-835-2607•FAX 253-835-2609 i 16
9aS� r' Lrde!u.'unucon, APR 0 8 a �
SITE ADDRI SITY OF iE✓`R�� AY SUITE/UNIT#
- .IC) t-).. Lk.(736 L-P--- S PROJECT VALUATION ZONING AssESSOR'S TAX/PARCEL#
SZ
M-CO _ -
TYPE OF PERMIT ❑BUILDING 0 PLUMBING MECHANICAL
0 DEMOLITION 0 ENGINEERING FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) `Fd'�. ....0--`
PROJECT DESCRIPTION P—V ) &e iCo COO(C-A0C
Detailed description of work to
be included on this permit only
N PRIMARY PHONE
PROPERTY OWNER 7kr4Ac Jr-., ?G`` ,3/ /'Q1
MATTRESS ZJ �� l q �{ A.4...... ......4_, E-MAIL
bb<-v�"ii SxZ U n�3
kNtiSk —1�ti,nCO,ti �� �"1 OGS-9S. y3Z') -
MAILING ADDRS _ �., ,,.,,�,
CONTRACTOR ?33D` 19(54.• �1 SLA-} Wiritt � �)G 1 vor'�%
hnu..DoJ STATS zit:::) (...`�D � $$��l�t`tg�l �-`� Z
W STATE CONTRACTOR'S LICENSE Ii fes,/'\7 EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE M
NAME PHONE
APPLICANT MAILING ADDRESS oy‘314,,,C4 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
IRCW 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 laws.
I further agree to hold harmless the City of Feder. "•••-as to any claim(including costs,expenses, and attorneys'fees incurred in
the investigation and defense of such claim), ��ay be made by any person,including the undersigned,and filed against the city,
but only where such claim ''es • liance of the city, including its officers and employees, upon the accuracy of the
information supplied to f • this ap•lieation.
SIGNATURE: / DATE ilyi (I
PRINT NAME: * "L (• iAiV i c-
I
Bulletin#100—January 1,2011 Page 1 of 3 k:\Handouts\Permit Application
• 0
"w:iv.}`= «u ''tri`-ri,i-4,.^a. . '..-t:`• - t ..` .diel :._ ;a :, i,, �#.�, .< <,',. :f � .,:,.r'
Y . r 'fit .:.£' Y•� _ - ,
..•`v'��." +I:i�r#��'�"!^, -�i1:�.�, ':t� ~�-"1"',.air��� .v�:c� "� {�(j '�`����� ''k,:; � ' ;`..`"�' •3,= � � 4't ri�>
�.Ae rs�- �� �; �"' ���.�_" »a af�Yf,'. •�.'i.. ��*.'?l' •�u`7Tkari.
VALUE OF MECHANICAL WORK $ b2 I£ 5 (a copy of bid or estimate must be provided)
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS I GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commerr#at)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
a.wf:%t''',7`; ^s _e• .• .'-�f; :;' - - mss+ ' =i ^: •::
' - .e .. • ;11
'i_S�k.F:pdY.O...*•-.... ..... ,.x..;..�'e ..,. ._._....,.,z..... .., u. . ..
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(Kitchen/Utility) WATER HEATERS(EI rtno
. HOSE BIBBS i• SUMPS WASHING MACHINES - TOTAL-FIXTURES:
;
T;,:, '"s:t%,:/?1 1,zittf ., `,;%v. ,.R-:,:i � ";.;:i=.:.:R ''' ri„t,s 4',,`'7 � r V&.' -. . ''- y .t= :q 'Y,," iM >, <+ F�'„"'drF r ,•: s� „'w'.b:.4 ,.� ! -N��"Nx�^�1--Cr t[. .r' (it-.. `«r a, , LE,"t<.ti: r' '' ar�,3�.i't?4;;',':,,��e'Af4F <T
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?
E Yes ri No Yes E, No
��.:':i F” �r-�.�.r�'>" ' :',�-,y�e'�;t�. - ](` �`1c "�`' �j/^��Tf TT�a■■�11►� •'. x ..R,... . .. _ .,r,�;i.
• z4441>' >:�."t£,r';; �. .4:: ',1 .[if r.`��`T,* L7!'l� :fiLirtio Y-'.i'.i-,,-:z '-h. •- ;�-' Y .":r •.{:' i' «'' y
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
FIRST FLOOR(or Mobile Home)
•: 3Y's,'yy,' 0"'xv `,n .1,-,-,:-"s
,,. t. - .e,y�`*.r•, ;x•.. { s ::.:". .
COVERED ENTRY
"�` 315'i � :' ,,--i,. .,+ems..,' _.:,.
GARAGE
(�}❑, CARPORT 0
oravE
EXISTING PROPOSED TOTAL
Area Totals
_ 7r.,4._. . ':4 '**NEW HOMES'OlNLY** '`'„', ;c::
ESTIMATED SELLING PRICE$ I #OF BEDROOMS
” i�r'asrA:4rv«" !".,,,'I::::'''—'1"..-'4,41''',1-.',:1;,‘
r,,-I::`.' `'4 '; YtrF5}d , a.,4
=*":;:3 ' 1*-';',:-, :r*AlAi�>0' N:: ,-': ` K
' - j::`; •;p
...
Area Construction N ofAREA DESCRIPTION
Occupancy Group(s) Type Additional Information
in Square FeetStories
4+*, N µ , $-rc .' t y; }3Y+i •tom' x` - ., _ "
:�'�. :'t .-Y::: :,Yyn�.,"'Ifh�~ ,I,a'S.•Tv,,.•'::.',3'.Y' `
ADDITION
s:.''`,.'t`,1af,Pn.-:<:^ .•si yff >%b'z?' .d�sy"+ {�,,y{_ ., yy�y:,s,[:/:+.., r `v,.x� 4y1T�Vr -TaT�.1' }T{+i�Y
' "'''':i44:,''' .` .ci ,,:-`4 %i!..•..:- ? 'k; VIV liLi -:�+�I: '' {Y T#NT IM ROVEMJ NTS- 4 : . .. - .
AREA DESCRIPTION Area Occupancy Group(s) �(� Construction of Additional Information
in Square FeetType Stories
.?"1-4.::''"14."-,r-.::;-# 9w! f yi•t C • "�•'zx= ,: �M,• S" .$.• .&,. .k4�x
.,1 ', ^<..+ -.** ^yYe' ;:-.<3v : s;- -x- ' 7 if r 70'r,^ -.?,.• '' tea;.f,`ix` �''�,u y _.;5's,`�w•
. ._ 's. 5 , .vs^ •`„fix`,. v � >:•;.'.:'l1:s. 'u,".:: .�'�.` wti '�' .5�+. ,• ii ?�'"". .., �• �µ�
TENANT AREA ONLY
Bulletin#100-January 1,2011 Page 2 of 3 k:\Handouts\Permit Application