11-100232 City of Federal Way • Mechanical Community Development Services Permit ,,{{�,/,ft: 11 -100232-00-M E
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)FILE 835-3050
Project Name: HOTCHKISS
Project Address: 28637 8TH PL S Parcel Number: 515296 0050
Project Description: Install new generator
Owner Applicant Contractor
HARRY L HOTCHKISS DOVETAIL RENOVATIONS DOVETAIL RENOVATIONS
28637 8TH PL S 11401 29TH ST NW DOVETRC933PE(3/17/12)
FEDERAL WAY WA GIG HARBOR WA 98335 11401 29TH ST NW
GIG HARBOR WA 98335
Mechanical Valuation 200.00 Is this an Online or O.T.C.application? Yes
' • f - .
PERMIT EXPIRES Monday, July 18, 2011
Permit Iss»l on Wednesday, January 19,2011
I hereby certify that the above information is correct and that the construction on the above described property and
' the occupancy and the use will «- in a , - e with the laws, rules and regulations of the State of Washington -
--d the City of Federal Way. •
Owner or agent: Date: l ( ? 7/
FIN ALFA /zsft
•
` THIS CARD IS TO AIN ON-SITE '
CITY OF • Construction Ins tion Record
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT#: 11-100232-00-ME Address: 28637 8TH PL S
Project: HARRY L HOTCHKISS FEDERAL WAY, WA 98003-3118
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) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By �� Date /20 By f Date /�i Date/-20._
0 Rough ElectricalEl 0 Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
H _ ( oo7 _32-
Fer l a • PERMIT
iip
COM INITYDEVELOPMENTSERVICES APPLICATION
AEtEr. ./ E5N FP
253-835-2607•FAX 253-835-2609
JAN 1 9 71'
SITE ADDRESS - CITY OF F ®III._ WAY
/�y
Sg37 SfiL' P1 S, H( L✓ w/ ' Foo3 CDS
PROJECT VALUATION ZONING ASSESSO S TAX/PARCEL 0
$ 2_00 CRS ` -, S 1 5 Z q 6' _ ? o S 6
TYPE OF PERMIT 0 BUILDING 0 PLUMBING IKMECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) t-f d i .1 (
PROJECT DESCRIPTION /
Detailed description of work to ,i +-A(,/ .-A-5 f (V1 6 e'Lec'el.)""
be included on this permit only
- - - NAME ..._ __ PRIMARY PHONE
PROPERTY OWNER /'/MAILING / 14,C, k t�s
2_r L37 8-'`` 0l. /S_ E-MAIL
Cm_
-- - - I STAT
E I
4,
ZI�Q\ t-,/ TOO
3
,
NAME PHONE
CONTRACTOR Po.,L -,( 1.-c..
MAILING ADDRESS '
yf /O . 2. 9 ' s /i^,
C i v or/Y' STATB ZIP
A/.-. E-MAIL
FAX
WA STATE CONTRACTOR'S LICENSE A EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE 0
(7°VC AC 93310L .' / _l7 / 12
NAME
f` n. C '— t PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE I ZIP FAX
PROJECT CONTACT NAMEPHONE
(The individual to receive and 0..-r..._ ,S.-,,k5 P� 3 ?j Z 2 5/
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application) ((( /51 0/ ). 9 lc't S' /L.,,--V/!1- �gy� E-MAIL
5 A 5't5'-6,167 �i4-Gr`4
CITY STATEC7 (4Z l l ' 3 s FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
percale F` 90 -q 5-6 7(4Ac,-7,- /2-3e5(
PROJECT FINANCII — NAME
�A OWNER-FINANCED
Required value o 00 or more
9.27.095) MAILING ADDRESS,CITY,STA • ONE
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 r- ance of the city, including its officers and employees, upon the accuracy of the
information supplied to the ci •<a part• a"application.
i /
----2
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SIGNATURE: DATE r q
/ ( �! `
PRINT NAME: U -r .-'"' i.e.--
Bulletin
c e-Bulletin#100-April 14,2010 Page 1 of 3 k:\I-landouts\Permit Application
• • 11P
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VALUE OF MECHANICAL WORK $ —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 GAS PIPE OUTLETS T— OTHER( escribe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commerc ) q r' ✓_
BOILERS FURNACES HOT WATER TANKS(G.) J
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(HandSinkm) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS Ixitch.qutsity) WATER HEATERS(Iambic) /
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CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VAL.- •F.EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTE PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes❑ No ❑ Yes ❑ No
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Area Totals
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ESTIMATED SELLING PRICE$ #OF BEDROOMS
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Area Construction #of
AREA DESCRIPTION Occupancy Group(s) Additional Information
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Area Construction #of
AREA DESC• I ION Occupancy Additional Information
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Bulletin#100-April 14,2010 Page 2 of 3 lc:\Handouts\Permit Application