12-104948 • Mechanical
City of Federal Way
Community&Econ.Dev.Services Permit #: 12-104948-00-M E
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line:
Ph:(253)835-2607 Fax:(253)835-2609 p q (253)8353050
Project Name: NOBLE
Project Address: 29314 11TH PL S Parcel Number: 515230 0100
Project Description: Gas piping for permanent generator.
Owner Applicant Contractor
RUTH NOBLE RUTH NOBLE OWNER IS CONTRACTOR
29314 11TH PL S 29314 11TH PL S
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
Additional Permit Information
Mechanical Valuation 450 Is this an Online or O.T.C.application? Yes
Mechanical Fixtures
Gas Piping 1 Gas Pipe Outlets 1
PERMIT EXPIRES Sunday, April 28, 2013
Permit Issued on Tuesday, October 30, 2012
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 be in -ccordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Date: ]0—c30~/c)
THIS CARD IS TOMAIN ON-SITE .
CITY OF • Construction Inlection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 12-104948-00-ME Address: 29314 11TH PL S
Project: RUTH NOBLE FEDERAL WAY, WA 98003-3739
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.
❑ Mechanical Rough-in(4165) 0 Gas Piping(4125) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By n is A Date
11- I - / .By C Date
11—/--- / -1...._
❑ Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
lik. __Z. - / 0 1 'I 4- ,
10
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CITY OF CEIVED q'ERMIT slilipt4F CO ME PL DE EN FP
Federal
COMMUNITY DEVELOPMENT*4E4 O
2012 APPLICATION
253-835-2607•FAX 253-835-2609
WIMP 402'gerc7!;Uli,com 01
CITY OF FEDERAL WAY a /
CDS
SITEADD
RE•S/SL/� J'L�, V�/7 fil PAlia .l
SUITE/UNIT#
0,--,2 3 VALUATION // / ZONING fg�3 ASSESSJ3ec / CEk
TYPE OF PERMIT
0 BUILDING v UI MECHANICAL
❑ DEMOLITION 0 ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) , ,/'
PROJECT DESCRIPTION �/ V
Detailed description of work to IiQt /mss 2r>1 74e reP N
be included on this permit only if
NAME PRIMARY PHONE
PROPERTY OWNER A u�6 A/a/(//C/� .; -3., „�V 3 1P a'LZ7 76i
MAILING ADDRESS 0 YE-MAIL
a131q iii4 /c
f � �, - ST ZIP
NAME (,� /� PHONE
O Y`
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE M EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE N
/ /
NAME Q PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
PROJECT CONTACT // o ��», r�
(The individual to receive and JA ILIP, 1166-1 'i/* y6r`J zit7'0- /ei
respond to all correspondence MAIL G DRESS `'` � E-MAIL
concerning this application) — ,9't7 ve,� f ,$ .
crry J�`i'�/ STA'[: ZIP����� FAX
ALTERNATE CONTACT NAME: IW`G/eft PHON- E-MAIL
PROJECT FINANCING NAME --"4111111111111111 0 OWNER-FINANCED
Required value of$5,000 or more
(RCW 19.27.095) MAILING ADDR--:, ITY,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 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 veli•nce of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part o is.-.•plication.
SIGNATURE: i' DATE /461— )---4,)
l
PRINT NAME: 1----. i
—
Bulletin#100-January ,2011 Page 1 of 3 k:\Handouts\Perrnit Application
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VALUE OF MECHANICAL WORK • %ea-CPC a copy of bid or estimate must be provided)
Indicate how many of each type of fvd - • .- --- . -• 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(commerrrn
BOILERS FURNACES HOT WATER TANKS ices)
COMPRESSORS 0 GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
....,,, yd..-.- .. .,.<.,. ,,... u? .<,.... ."`;,. u.*s...m .._....... <.�........................rs� ,.,; ,....�a.,rv....._.�.�. „��.,�`..,..se..,.>�m......�.<,.. .... ...._. ..,._.a.m. ,.�_.<
Indic,to how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
:•THTUBS(or Tub/Shower Combo) LAVS(Hand sinks) TOILETS WATER PIPING
DI' WASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
D-. S SHOWERS VACUUM BREAKERS
DRINK G FOUNTAINS SINKS(Kkrien/uwiiy) WATER HEATERS(EIerlrir)
HOSE BI::S SUMPS WASHING MACHINES r, .
CRITICAL AREAS ON PROPERTYWATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEME
$
EXISTING/PREVIOUS USE • SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESS 4 N SYSTEM?
D Yes D No ❑Yes ' No
AREA DESCRIPTION(in square feet), EXISTING PROPOSED TOTAL II OFFICE USE
„
FIRST FLOOR(or Mobile Home) IMII
777- -- -
'1' 1 -_ fix° �z � �
-71
COVERED ENTRY MM WA"
5 • - ,
GARAGED CARPORT D -_._
� TOTAL
Area Totals 4
ESTIMATED SELLING PRICE$ #OF BEDR•IMS
AREA DESCRIPTION Area Occupancy Groups) *Construction #Of Additional Information .
in -.ua. k J.a Stories
ADDITION rAll= -__
AREA DESCRIPTIO, Area Occupancy Group(s) . tion #of Additional Information
in r uare FeetStories
TENANT -REA ONLY
Bulletin#100-January 1,2011 Page 2 of 3 k:\Handouts\Permit Application