12-100684 Mechanical
City of Federal Way • •
Community&Econ.Dev.Services Permit #: 12-100684-00-ME
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: WILSON
Project Address: 28922 12TH AVE S Parcel Number: 516201 0130
Project Description: Install 14kw standby generator and running natural gas to generator
`
Owner Applicant Contractor
HENRY PARKER WILSON C A C COMMERCIAL AIR CORP C A C COMMERCIAL AIR CORP
28922 12TH AVE S PO BOX 395 CACCOAC085J3(04/15/13)
FEDERAL WAY WA REDMOND WA 98073 PO BOX 395
98003 REDMOND WA 98073
Mechanical Valuation 500 Is this an Online or O.T.C.application? Yes
Gas Piping 1
PERMIT EXPIRES Sunday, August 12, 2012
Permit Issued on Tuesday, February 14, 2012
I hereby certify that the above information is correct and that the construction on the above described property and
im
the occupancy a • -- - e will be in accor-- - he laws, rules and regulations of the State of Washington
a d the Ci of Federal Way.
Owner or agent: ..`_ _ __,A _ ik • Date: a//tti/1 2.
FIt4AIl.E ' 3/t/il
, THIS CARD IS TO REMAIN ON-SITE
CITY OF • Construction I ection Record
Federal WayINSPECTION RE UESTS: (253)835-3050
Q
PERMIT#: 12-100684-00-ME Address: 28922 12TH AVE S
Project: HENRY PARKER WILSON FEDERAL WAY, WA 98003-3707
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 _;c1/4,,,4 Date aD._ 1, i Z By 11.,f. Date g,.2, y
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
z - 1 o o &6'�
j `mwderal�� PERMIT • MF COePL DE EN FP
Fe
4 COMMUNITY DEVELOPMENT SERVICES PLICATION
253-835-2607•FAX 253-835-2609
FEB 1 4 20'2
SITE ADDRCATY OF FEDERAL WAY SUITE/UNIT It
2481 ' t 2Z trisTill AVENUCS
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL S
$ 1,`j ex) 51 (c 4, ja 1 - Q l S_ O
0 BUILDINGPLUMBING 11 ECHANICAL
TYPE OF PERMIT
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0 DEMOLITION ❑ ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) I f01r,
PROJECT DESCRIPTION n I
Detailed description of work to (AMS { tC
be included on this permit only P "kat), ter)
NAMB ,�f S.n.e/le-•.. PRIMARY PRONE
PROPERTY OWNER V�/VVV2-53^Z� .aO(0S1
MARLING ADDRESS E-MAIL
,2cict'xel, I•i GnR- S
CITY STATE
' G� Citi P7,§-4,,�� 3
/CONTRACTOR MAKIN 395—
E-�AII "' a, €
CITY ST_ATS ZT�
FAX
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TOATE
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WAy$Tj A1'F�CO D4�RACTOR'S LICENSE _s -.-.. ttE / 0 OATS FEDERAL WAY BUSINESS LICENSE N . -I,
113
NAME `i PHONE
APPLICANT MAILING ADDRESS E-MAILI
CITY STATE ZIP FAX
PROJECT CONTACT NAME PHONE
(The individual to receive and
respond to all correspondence MAIIdNG ADDRESS E-MAIL
concerning this application) ,
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME
0
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 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 reliance o the city, including its officers and employees, upon the accuracy of the
information suppl as a part of this
(' / AZ.
SIGNATURE: DATE / Li
PRINT NAME: DO 01 (i lam/ Pec4 Irc e
Bulletin#100-January 1,2011 Page 1 of 3 k:\Handouts\Permit Application
• • •
MECHANICAL FIXTURES
VALUE OF MECHANICAL WORK $ (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 inch"1P existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial)
BOILERS FURNACES HOT WATER TANKS(Gas) SL
COMPRESSORS GAS LOG SLfS REFRIGERATION SYST
DUCTING I GAS PIPING WOODSTOVES
PLUMBING FIXTURES
Indicate how many of each type offixture ixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Comm) LAVS(lana sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTLMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/utsity) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
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
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER(describe)
MISTING PROPOSED TOTAL
Area Totals
'*NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
Area #of
AREA DESCRIPTION in Square Feet Occupancy Group(s) Con Ion St ries Additional Information
NEW BUILDING
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100-January 1,2011 Page 2 of 3 k:\Handouts\Permit Application