09-103020Mechanical
City of Federal Way
Community Development Services Permit #: 09 -103020 -00 -ME
P O. Box 9718
Federal Way, WA 98063-9718 Inspection Request Line: (253) 835-3050
Ph: (253) 835-2607 Fax: (253) 835-2609
fa
a
Project Name: JENKINS
Project Address: 2009 S 301ST PL Parcel Number: 798290 0260
Project Description: Gas furnace changeout in garage
Additional Permit Information
klecitaltical Valuation...................................._.......4257 Is this an Oniine or O.T.C. ajpplication?........... r: -...Yes
Mechanical Fixturesfr
Furnaces........................................ 1
PERMIT EXPIRES Tuesday, February 2, 2010
Permit Issued on Thursday, August 6, 2009
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 accordpnce wilt the laws, rules and regulations of the State of Washington
and=f )tF' Pi e3 ay.
Owner or agent:
AUG 062009
Date:
Owner
Am3licant
Contractor
TRINITY JENKINS
ROSSOE ENERGY SYSTEMS INC
ROSSOE ENERGY SYSTEMS INC
2009 S 301ST PL
9367 RAINIER AVE S
ROSSOES964RS (12/10/10)
FEDERAL WAY WA 98003-4262
SEATTLE WA 99118
9367 RAINIER AVE S
SEATTLE WA 98118
Additional Permit Information
klecitaltical Valuation...................................._.......4257 Is this an Oniine or O.T.C. ajpplication?........... r: -...Yes
Mechanical Fixturesfr
Furnaces........................................ 1
PERMIT EXPIRES Tuesday, February 2, 2010
Permit Issued on Thursday, August 6, 2009
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 accordpnce wilt the laws, rules and regulations of the State of Washington
and=f )tF' Pi e3 ay.
Owner or agent:
AUG 062009
Date:
CITY OF V:&
Federal Way
PERMIT ##:
THIS CARD IS TO RV]%4AIN ON-SITE
Construction In p xtion Record
INSPECTION REQU,,. TS: (253) 835.3050
09 -103020 -00 -ME Address: 2009 S 301 ST PL
Owner: TRINITY JENKINS FEDERAL WAY, WA 98003-4262
Scheduled inspections may be failed if this card is not on-site. DO NOT LQJE 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)
El Gas Piping (4125)
1:1 Finial - Mechanical ( 5)
Approved
Approved to release test
Approved
By Date
By Date
13 Date
For ins tar reference nal
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
RECEIVED BY
COMMUNITY DEVF +ENT DEPARTMENT
Federal Way AUG o 6 nVERMIT 2L"A
Fed
COAPS S
253-835-
2607- FAX 253835-2609 AP P L I CAT I O N
r�uu.ilun,IFrr1r!rrd�0i. Wel
SF MF CO ME EL PL DE EN FP
1 1
PROPERTY
BITE ADDRESS P LGLce--
C\
�
SUITE/UNIT 0
SUITE/UNIT #
ZONING
ASSESSOR'S TAR/PARCEL #
770�
PROJECT
NAME OF PROJECT
(Tenant or Homeowner Name)
�NZ
❑ BUILDING ❑ PLUMBING . MECRANICAL
TYPE OF PERIMT
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION
PROJECT DESCRIPTION
C
Detailed description of work to
be included on this permit only
PEOPLE
PROPERTY OWNER{
NAME
{� �L *�` S
PRIMARY PHO,NEEM
(-2S-3)14 I - 2- � )
ifAUMFG ADDR>ft Cllr . ZIP
E-KAIL
CONTRACTOR APPLICANT E] PROJECT CONTACT
OWNER IS ALSO:
lyAKVO
PRIMARY PHONE
CONTRACTOR
MAILING ADDRESS. CITY. STATE, ZIP �-
FAX
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
=� i L—� �- z �0
`i ��$-1nG54 rarc��
NAME
PRIMARY PHONE
APPLICANT
MAILING ADDRESS, CITY, STATE, ZIP
FAX
PROJECT CONTACT
NAM l
_ PRIMARY PHONE
--7---6,S
(The individual to receive and
`�
MARMG ADDRZW. , STATE, ZIP G
Ct C-�-
YQ-- -SL
FAX
respond to all correspondence
concerning this application)
�(o 1 Wks v-
ALTERNATE CONTACT NAME:
PRIMARY PHONE
E -MAH.
PROJECT FINANCING
NAME
OWNER -FINANCED
Required for projects with
MAILING ADDRESS, CITY, STATE, ZIP
PRIMARY PHONE
value of $5,000 or more
(RCW 19.27.095)
I certM 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 irtformation 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 sp04 claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
igfarmation supplied rd the city as a part o(fj tljjisnapplication,
—
PRINT NAME C�
Bulletin #100 — 4/2112&9 Page 1 of 4 kAHandouts\Permit Application
PLUMBING FIXTURES _
Indicate num r of each type ofJlxture to be installed or relocated as part of tits project. Do not Include existing, ktures to remain.
MECHANICAL FIXTURES
TOILETS
O
Value a Medmical Work $ q 5-1 (7) COPY OF BID ORESTlII7ATEMC75TBEFROVIDED)
Indicate number of each type
offiriure to be installed or relocated as part of this project. Do not include exfstftgflxfures to remain.
AIR HANDLING UNITS
FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER
FIREPLACE INSERTS HOODS (cm iw)
BOILERS
T
1 FURNACES HOT WATER TANKS (G—)
COMPRESSORS
GAS LOG SETS REFRIGERATION SYST
DUCTING
GAS PIPING WOODSTOVES
PLUMBING FIXTURES _
Indicate num r of each type ofJlxture to be installed or relocated as part of tits project. Do not Include existing, ktures to remain.
BATin (or Tub/Shower combo) LAVS (liana Sinks)
TOILETS
WATER PIPING
D ASHERS RAINWATER SYSTEMS
URINALS
OTHER (Describe)
RAINS SHOWERS
VACUUM BREAKERS
EXISTING/PREVIOUS USE
DRINKING FOUNTAINS SINKS (ICltchen/uulfty)
WATER HEATERS (FJectrlc)
PROPOSED FIRE SUPPRESSION SYSTEM?
,�:HOSE BIBBS SUMPS
WASHING MACHINES
TOTAL FIRTIIRES
GENERAL INFORMATION
PROJECT VALUATION
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
FOR OFFICE USE
BASEMENT
EXISTING/PREVIOUS USE
LOT SDIE (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)
ADDITION
SECOND FLOOR
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
COVERED ENTRY
Occupancy Groups)
Construction
# of
Stories
Additional Information
DECK
GARAGE ❑ CARPORT ❑
TENANT AREA ONLY
OTHER (describe)
PROJECT AREA ONLY
Area Totals
Erma
raoroam
TareL
"NEW HOMES ONLY—
ESTIMATED SELLING PRICE $ # OF BEDROOMS
COMMERCIAL - NEW/ADDITION
AREA DESCRIPTION
NEW BUHMING
Area
in Square Feet
Occupancy Group(s)
Construction
# of
Stories
Additional Information
ADDITION
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area
in Square Feet
Occupancy Groups)
Construction
# of
Stories
Additional Information
TOTAL BUUM-WO
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin #100 - 4/21/2009 Page 2 of 4 kAHandoutslPennit Application
City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: JENKINS
Project Address: 2009 S 301ST PL
Project Description: Gas furnace changeout in garage
Mechanical
Permit #: 09 -103020 -00 -ME
Inspection Request Line: (253) 835-3050
Parcel Number: 798290 0260
Owner
Applicant
Contractor
TRINITY JENKINS
ROSSOE ENERGY SYSTEMS INC
ROSSOE ENERGY SYSTEMS INC
2009 S 301ST PL
9367 RAINIER AVE S
ROSSOES964RS (12/10/10)
FEDERAL WAY WA 98003-4262
SEATTLE WA 99119
9367 RAINIER AVE S
SEATTLE WA 98118
Additional Permit Information
Mechanical Valuation .................................. .... .4257 Is this an Online or O.T.C. application?.............. ,.Yes
Mechanical Fixtures
Furnaces. ........................................ 1
PERMIT EXPIRES Tuesday, February 2, 2010
Permit Issued on Thursday, August 6, 2009
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 b accordpnce with the laws, rules and regulations of the State of Washington
i arid,fl�6,0ity0 [Way.
Owner or agent:
AUG 0,02009
P/�A4FO
Date:
CITY OF
Federal Way
THIS CARD IS TO RFT%IAIN ON -SIT E.
Construction Ins1p..xtion Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT ##: 09 -103020 -00 -ME Address: 2009 S 301 ST PL
Owner: TRINITY JENKINS FEDERAL WAY, WA 96003-4262
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.
El
Mechanical Rough -in ( 5)
❑
Gas Piping (4125)
Fina - Mechanical (4065)
Approved
Approved to release test
Approved
By
Date
By
Date
l3. Date
For inspector reference only T
❑ Rough Electrical FINAL - Electrical
Approved Approved
By Date By Date
RECEIVED BY
COMMUNITY IJEVF +ENT DEPARTMENT
Federal Way AUG o 6 nPERMIT
COMMUMTY DEVELOPMENT SERVICES APPLICATION
253,8 2607• FAX 253-835-2609
Zigl,I"�yl+xilfwj?"Au OJI'm n
SF MF COME EL PL DE EN FP
1 1
PROPERTY
SITE ADDRESS
�i bb`s S, 30)'sk Ce- ujc`� 3
SUITE/UNIT #
ZONING
ASSESSOR'S TAR/PARCEL #
PROJECT
NAME OF PROJECT
(Tenant or Homeowner Name)
LN"1
❑ BUILDING ❑ PLUMBING )(MECHANICAL
TYPE OF PERMIT
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION
PROJECT DESCRIPTION
LA� „
Detailed description of work to
be included on this permit only
PEOPLE
RAM
PRIMARY PHONE
(2N GN I - '�2-000
PROPERTY OWNER
MAILING ADDRESS, CITY, STATE, ZIP
E-MAIL
[�—
❑ CONTRACTOR APPLICANT ❑ PROJECT CONTACT
OWNER IS ALSO:
PRIMARY PHONE
CONTRACTOR
MAILING ADDRESS. CITY. STATE, ZIP
S•�09=. Q
FAX
-
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
S b 1 �� - S z 5a�,a
► �$� i���5 r
NATE
PRIMARY PHONE
APPLICANT
I
MAILING ADDRESS, CITY, STATE, ZIP
r FAX
4
PROJECT CONTACT
NAME
Nvt-
PRIMARY PHONE
-7
�2'Q -?--
(Tie individual to receive and
-S
MAILING ADDRESS. C 7ty. STATE. ZIP C�
C � �� l �� �� � S I Com. �Qyt 1 ❑
FAX
� � _
respond to all correspondence
concerning this application)
ALTERNATE CONTACT NAME:
/ PRIMARY PHONE
S � "
E-MAIL
PROJECT FINANCING
NAME -- — -
OWNER -FINANCED
Required for projects with
MAILING ADDRESS, CITY, STATE, ZIP
PRIMARY PHONE
value of $5,000 or more
(RCW 19.27.095)
r -
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certVy that to the
best of my knowledge, the irtformation submitted in support of this permit application is true and correct. I cert(fg 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.
Ifurther agree to hold harmless the City of Federal Way as to any claim iinctuding 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
cites, but only where ski •i= claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
igro7fion supplied the city as a part of this application.
�^�%.�}��y7`
�4 �_ �J Qac
SIGNATURE.- -� I]rATIC f'� 71:1M —
PRINT NAME C7
Bulletin #100 - 4/21 r7t q Page 1 of 4 kAHandouts\Permit Application
MECHANICAL FIXTURES
✓7�-1ov
Value o Mechanical Work $ 14L� - 1 (A COPY OF BID OR ESTY TE 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 OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (C—1w)
BOILERS FURNACES HOT WATER TANKS (Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING FIXTURES
Indicate nu r of each type of f IxWre to be installed or relocated as part of this project. Do not include exfst&W 1xtures to remain.
BAT (or'Nb/Shower Combo) LAVS (uooe Sinks) TOILETS WATER PIPING
D ASHERS RAINWATER SYSTEMS URINALS OTHER (Describe)
RAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS aut i en/onuty] WATER HEATERS (FJeeb-w
HOSE BIBBS SUMPS WASHING MACHINES TOTAL F &TURES
GENERAL INFORMATION
PROJECT VALUATION
$cj�N
LA -2.5-1
WATER PURVEYOR
SEVER PURVEYOR
VALUE OF EXISTING IMPROVEMENT'S
$
EXISTING/PREVIOUS USE
LOT SEZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
ADDITION
❑ Yes ❑ No
❑ Yes ❑ No
RESIDENTIAL
AREA DESCRIPTION (in square feet)
EXISTING
PROPOSED
TOTAL
FOR OFFICE USE
BASEMENT
NEW BUILDING
ADDITION
FIRST FLOOR (or Mobile Home)
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
SECOND FLOOR
AREA DESCRIPTION
Area
in Stivare Feet
Occupancy Group(s)
Construction
COVERED ENTRY
Additional Information
TOTAL BUILDING
DECK
TENANT AREA ONLY
GARAGE ❑ CARPORT ❑
OTHER (describe)
PRWECT AREA ONLY
Area Totals
PROPOSM
TMw
"NEW HOMES ONLY"
ESTIMATED SELLING PRICE $
# OF BEDROOMS
COMMERCIAL - NEW/ADDITION
AREA DESCRIPTION
Area
in oars Feet
Occupancy Group(s)
Construction
a
# of
Stories
Additional Information
— -
NEW BUILDING
ADDITION
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area
in Stivare Feet
Occupancy Group(s)
Construction
# of
Stories
Additional Information
TOTAL BUILDING
TENANT AREA ONLY
PRWECT AREA ONLY
Bulletin #100 – 4/21/2009 Page 2 of 4 k:\llandouts\Pernut Application