09-104800 • Mechanical
r City of Federal Way �
Community Development Services Permit #: 09-104800-00-ME
P.O Box 9718
Federal-260,WA 98063-9718Ins Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax (253))8835-35-2609 p Q
Project Name: BROWN
Project Address: 807 S 364TH ST Parcel Number: 292104 9130
Project Description: Installing 3 new gas stub-outs and new cooktop. Other stub-outs are for a future furnace&
a future exterior BBQ
Owner Applicant Contractor
DEAN C BROWN GAS SOLUTIONS INC GAS SOLUTIONS INC
TERESSA BROWN 30421 128TH PL SE GASSOSH966D5(3/28/10)
807 S 364TH ST AUBURN WA 98092 30421 128TH PL SE
FEDERAL WAY WA 98003-7436 AUBURN WA 98092
0,0F
Mechanical Valuation 1600 Is this an Online or O.T.C.application? Yes
f` 'M hankbiI Fi ►e6 v.' f 1
Gas Pipe Outlets 3 Ranges 1
• PERMIT EXPIRES Sunday, June 6, 2010
Permit Issued on Tuesday, December 8, 2009
I hereby certify that the abov information is correct and that the construction on the above described property and
the occupancy and the use ill be in accordance with the laws, rules and regulations of the State of Washington
the City of Federal Way.
Owner or agent: Date: /2_7C4-%v c'e}
'fit N ittoLaj. iz /' fc
40A. THIS CARD IS TO MAIN ON-SITE
CITY,F • Construction In ection Record . ,
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT#: 09-104800-00-ME Address: 807 S 364TH ST
Owner: DEAN C BROWN FEDERAL WAY, WA 98003-7436
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.
E Mechanical Rough-in(4165) El Gas Piping(4125) El Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By V ' Date /yoi .
•
El Rough Electrical Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
A
2--(x(-0,32--(x(-0,3 - 104'50D
imor
Federal Way E MIT CO PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES / /
253-835-2607•FAX 253-835-2609
www.atisontderalwau.com D E4rPLICATIONP''Q
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.,a.-r.. r. .. E- •SITE ADDRESS
SUITE/UNIT# ZONING ASSESSOR'S TAX/PARCEL#
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NAME .. ......- „„t,... ."`. '. ;: =:r�H , '3 ;;
OF PROJECT
(Tenant or Homeowner Name) ., C./�\/‘ , n C.`i
0 BUILDING 0 PLUMBING ,MECHANICAL
TYPE OF PERMIT
0 DEMOLITIONS 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION
C,..‘S {).' i L„ ( V �.1 i "3.,
PROJECT DESCRIPTION
Detailed description of work to S n a C( - '6` .1? p ti - ( A Si x d (Q
be included on this permit only
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NAME ,.�;:.u,::�cc...x..ievtu.t„bi'
� PRIMARY PHONE
PROPERTY OWNER 1' GA\N- L •J ( ) -
MAILING ADDRESS,CITY,STATE,ZIPE-MAIL
OWNER IS ALSO: o CONTRACTOR x APPLICANT 0 PROJECT CONTACT
NAMEPRIMARY PHONE
U-lc_c7 1c
S � s ( 2eL) 41 - Li L14-
CONTRACTOR NAILINGG ADDRESS,CITY,STATE,ZIP ""- ' FAX
`t 2 n ,I.,_ (...� Z`' �`_ JJ s. v..,.. ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY EUSINESS LICENSE#
Cy,-1S-sv',,)ktie-i s to 1)3 / /
NAME PRIMARY PHONE
APPLICANT ( ) -
MAILING ADDRESS,CITY,STATE,ZIP FAS
PROJECT CONTACT NAME ( )
PRIMARY PHONE
(The individual to receive and t(_\-c_. 0d.- ` ( 26(t) 41E,- LI Li A
respond to all correspondence MAILING ADDRESS,CITY,STATE,ZIP A —._,, Li 6 O 1 S FAX
concerning this application) 'at Z?�.-) r y 2_`, V _I,�i h r1,,,-- ( )
ALTERNATE CONTACT NAME: PRIMARY PHONE E-MAIL
PROJECT FINANCING NAME (ZOC ) 41'1/4-S- .(414- Cr,N.J jet v ra e ti 1 . LL•-%-.
❑ OWNER-FINANCED
Required for projects with
value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PRIMARY PHONE
(RCW 19.27.095) ( ) -
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I
certify that to the
best of my knowledge,the information submitted in support of this permit application is true and correct.I certify that I will comply
with all applicable City of Federal Way regulations pertaining to the work authorised by the issuance of a permit.I understand that
the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred
in the investigation and fense of such claim), which may be made by any person, including the undersigned, and filed against the
city, but only where such laim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to city as a part of this application.
•
SIGNATURE: �� •
DATE t--L/6 (05
PRINT NAME: i\-' Lt )&
-t-c-%t S
Bulletin#100-4/17/2009 Page 1 of 4 k:\Handouts\Permit Application
ill MECHANICAL FIXTUI. s 1
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE PROVIDED)
Indicate number 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 l� OT ER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(coromeei.fl - C�
BOILERS )t FURNACES HOT WATER TANKS(G..)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING FIXTURES
Indicate number 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(Kitoi n/Uniity) WATER HEATERS(ekctric(
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
PROJECT VALUATION 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
RESIDENTIAL
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL
FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE 0 CARPORT 0
OTHER(describe}
Area Totals : r� TOTAL
**NEW HOMES ONLY*'
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction Stories
Additional Information
in Square Feet
NEW BUILDING
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Construction #of
in Square Feet Occupancy Group(s) Type Stories Additional Information
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—4/17/2009 Page 2 of 4 k:\Handouts\Permit Application