12-103652 r
Mechanical
City of Federal Way
Community&Econ.Dev.Services Permit #: 12-103652-00-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: CLINE
Project Address: 32129 8TH AVE S Parcel Number: 150241 0050
Project Description: Install gas piping for permanent generator
Owner Applicant Contractor
MICHAEL E CLINE PUGET SOUND PLUMBING AND HEATING PUGET SOUND PLUMBING AND HEATING
32129 8TH AVE S 11803 DES MOINES MEMORIAL DR S PUGETSP929CF(2/25/14)
FEDERAL WAY WA 98003-5916 BURIEN WA 98168 11803 DES MOINES MEMORIAL DR S
BURIEN WA 98168
Additional Permit Information
Mechanical Valuation 1616.00 Is this an Online or O.T.C.application? Yes
Mechanical Fixtures
Gas Piping 1
PERMIT EXPIRES Tuesday, February 5, 2013
Permit Issued on Thursday, August 9, 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 accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: ) _ - Date: 2/-/-Z
G-"
.966V37ySi>
imA. THIS CARD IS TO REMAIN ON-SITE
CITY OF ' y Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 12-103652-00-ME Address: 32129 8TH AVE S
Project: MICHAEL E CLINE FEDERAL WAY, WA 98003-5916
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- S Date 64(' .tel 2 By Date
❑ Rough Electrical Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
CITY 9F ECEIVE'q PERMIT
Federal �Va� T /''� �\
COMMUNITY DEVELOPMEER201 A P P L I! A T I�■ N
253-835-2607• FAX 253783S5 -20M09 ` ((fill ��� iii iii VV ii V ♦♦
Uu'J,u , C.itcryyfi='ter vhanu. q�m
CITY OF FEDERAL WAY
cns
2—�—b ��.
ME
MF C PL DE EN FP
r
SITE ADDRESS
AW
SUITE/UNIT#
PROJECT VALUATION
-f
ZONING
ASSESSOR'S TAX/PARCEL #
A- o� 4 L
-- --
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ')�MECHANICAL
❑ DEMOLITION0 ENGIN/EE/RING ❑ FIRE PREVENTION
NAME OF PROJECT
('Tenant Name/Homeowner Last Name)
T- 115 f , , s1a
PROJECT DESCRIPTION
Detailed description of work to
�
be included on this permit only
PROPERTY OWNER
NAME
i L rllj� ( C �iG�>�
PRIMARY PHONE
Z�i - Y 3 / - 7 ( `l'`
MAILING ADDRESS `�r-L
E-MAIL
CITY
t 6,l
STATE
ZIP 06
NAME /yamt
PHONE
73�5`- r�
MAILING ADDRESS _ c�
E-MAIL
CONTRACTOR
CITY
STA,TEZIP
FAX
WA STATE ONTRACTOR'SJICENSE #
jsuc
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME /r le
( 6 rey,
� �
PHONE 7Z
Z6.
APPLICANT
MAILING ADDRESS-
�7y� S CLJ ,14'x2/��f
E-MAIL
CITY
5_e /('
STAT
ZIP
FAX
PROJECT CONTACT
NAME "!,/24'
y y–�y�
G G �/
PHONE 3'16 2672
(The individual to receive and
MAILING ADDRESS <j r
4J�~/�� 5vy�
E-MAIL
respond to all correspondence
concerning this application)
CITY 164— L
STATE
ZIP '//i,�
(C
FAX
ALTERNATE CONTACT NAME:
PHONE
E-MAIL
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value of $5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
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 1 will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. 1 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 of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as apart of this application.
^
k407
SIGNATURE: `
_DATE
III/Mar
PRINT NAME:
Bulletin #100–January I, 2011 Page 1 of k:AHandouts\Permit Application
df
a
P,LLMBLNG FIYTuRF-s
Indicate how many of each type of future to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS (or Tub/Shower Combo) LAVS (HanaSinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS (kitchen/utility) WATER HEATERS (Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
F2rI�'yC?fflfA(}N
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
00
FIS ,rotas l
AREA DESCRIPTION
}�ECHANIC;At.
�, 6 l 6
Occupancy Group(s) Construction
VALUE OF MECHANICAL WORK
Additional Information
(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 OTHER (Describe)
AIR CONDITIONER
FIREPLACE INSERTS
HOODS (commercial)
BOILERS
FURNACES
HOT WATER TANKS (Gas)
COMPRESSORS
GAS LOG SETS
REFRIGERATION SYST
DUCTING
I GAS PIPING
WOODSTOVES
P,LLMBLNG FIYTuRF-s
Indicate how many of each type of future to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS (or Tub/Shower Combo) LAVS (HanaSinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS (kitchen/utility) WATER HEATERS (Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
F2rI�'yC?fflfA(}N
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
00
4
AREA DESCRIPTION
Area
Occupancy Group(s) Construction
# of
Additional Information
in Square Feet
TXpe
Stories
k
z �' ��
NEw BUILDING
W-
ADDITION
C'O: ENTERCIAL-REN116, EI.l TNA T I'ItU TF
IE ITS
; �..
AREA DESCRIPTION
Area
Occupancy Group(s)
Construction
# Gf
Additional Information
in Square Feet
a
Stories
TOTAL BUILDING
TENANT APPA ONLY
PROSECT ARER ONLY
Bulletin #100 — January 1, 2011 Page 2 of 3 k:\Handouts\Permit Application