07-103321,. " - t
r City of Federal Way Mechanical Permit #• 07- 103321 -00 -ME
• Community Development Services •
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609 Inspection Request Line: (253) 835 -3050
Project Name: FARR
Project Address: 32144 33RD AVE SW Parcel Number: 873190 1020
Project Description: Installed gas pipe for gas range stub out, gas dryer, gas bbq and garage stub out
Owner
Applicant
Contractor
BRENT FARR
BRENT FARR
BRENT FARR
32144 33RD AVE SW
32144 33RD AVE SW
32144 33RD AVE SW
FEDERAL WAY WA 98023
FEDERAL WAY WA 98023
FEDERAL WAY WA 98023
Additional Permit Information
Mechanical Valuation ................ ............................300 Over the Counter Permit? ...................................... Yes
u ! I
6. 1
y THIS CARD IS TO REMAIN ON -SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 103321 -00 -ME
Owner: BRENT FARR
Address: 32144 33RD AVE SW
FEDERAL WAY, WA 98023 -2275
This card is part of your required inspection documents. 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)
Approved
Gas Piping (4125) LJ Final - Mechanical (4065)
Approved to release test I,j�/ Approved
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
ASSESSOR'S TAX /PARCEL # _ _ _ , _ - _ LOT SIZE (s])
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
/Attach separate pagefar lengthy legs! deapipd-ij
PROJECT • •
TYPE OF PERMIT ❑ BUILDING O PLUMBING O MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑- FIRE PREVENTION SYSTEM
PROJECT DESCRIPTIjI�i (Provide detailed description of work included on this permit only) '
T__ i J N _t_ ii_ / C _
4- —<:q
OFFICE PHONE
( I -
Q -&—j-
.. -Federal Way ECE1VEi� P PERMIT: M I T
IJ cti4'� r
,L-
,
COMMUNITY DEVELOPMENT SERVICES
SF MF
CO
EL PL DE EN FP
33325' 8TH AVENUE SOUTH. Po BOX 9718
FEDERAL WAY, WA 98063.9718 1UN 1 s) APPLICATION
253- 835.2607• PAX 253.835 -2609
OFFICE PHONE
To
PEOPLE
•• •
R%W. d_1yfPedemhoat.ccom
FAX NUMBER
PROPERTY
CITY OF FEOERAL Wpy .
is
The following requirftibftj "T a'ii incomplete application will not be
accepted. Please
print
legibly (in inkj or type.
PROPERTY •. •
OWNER
M
SITE ADDRESS 22 ( Li" 3-3 R-Q Al
c
SL
SUITE /UNIT #
ASSESSOR'S TAX /PARCEL # _ _ _ , _ - _ LOT SIZE (s])
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
/Attach separate pagefar lengthy legs! deapipd-ij
PROJECT • •
TYPE OF PERMIT ❑ BUILDING O PLUMBING O MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑- FIRE PREVENTION SYSTEM
PROJECT DESCRIPTIjI�i (Provide detailed description of work included on this permit only) '
T__ i J N _t_ ii_ / C _
ADDRESS CITY STATE
CONTRACTOR
COPY of cuts requited
wNh ne epptieeHon
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
4- —<:q
OFFICE PHONE
( I -
ZIP
PROJECT NAME (Name of Business or Owner Last Nam el
IJ cti4'� r
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
FAX NUMBER
CONTRACTORS REGISTRATION NUMBER EXPIRATION DATE
E -MAIL ADDRESS
COMP NY(N�AJME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
PEOPLE
•• •
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent ❑ Other
FAX NUMBER
PROPERTY
E
NAME
E -MAIL ADDRESS
PRIMARY PHONE
OWNER
M
MAILING
ADDRESS CITY STATE
CONTRACTOR
COPY of cuts requited
wNh ne epptieeHon
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
,COMPANY NAME -
Y1 e'-
APPLICANT NAME
OFFICE PHONE
( I -
ZIP
E -MAIL ADDRESS
,COMPANY NAME -
Y1 e'-
APPLICANT NAME
OFFICE PHONE
( I -
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
FAX NUMBER
CONTRACTORS REGISTRATION NUMBER EXPIRATION DATE
E -MAIL ADDRESS
COMP NY(N�AJME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent ❑ Other
FAX NUMBER
E
PRIMARY PHONE e�
WJ %,X
E -MAIL ADDRESS
NAME
PerRCW 19,57095:
Lender information is required if project value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
EXISTING ASSESSED /APPRAISED VALUE $
SPRINKLERED BUILDING? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHA
SEWER SERVICE PROVIDER ❑ L VEN
USE
VALUE
SUPPRESSION SYSTEM
• HIGHLINE ❑ TACOMA ❑
• HIGHLINE ❑ .PRIVATE ISEP
WORK $
/REQUIRED? ❑ YES ❑ NO
ATE (WELL)
2
AREA DESCRIPTION
EXISTING
S : FT:
PROPOSED
89. FT.
TOTAL
S . FT.
BASEMENT
O NEW o ADDITION
o ALTERATION O REPAIR o TENANT IMPROVEMENT.
BUILDING SHELL ONLY?
FIRST
o NO
BASIC PLAN?
a YES o NO
SECOND
CHANGE OF USE?
THIRD
NEW ADDRESS REQUIRED?
o YES
o NO
ADDITIONAL FLOORS (DESCRIBE)
o YES ONO
PLATTED LOT?
o YES
DECK (O COVERED OR O UNCOVERED ?)
DEMO PERMIT REQUIRED?
o YES ONO
GARAGE O CARPORT Cf
NUMBER OF FLOORS
srnns :ma
PAOlOBSD
TOTAL
TOTAL er
TOTAL PROPOSED &F
TOTAL BY
' "NEW HOMES ONLY'* NUMBER OF BEDR S ESTIMATED SELLING PRICE $
Indicate number of
Value of Mechanical
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
of fixture to be\instFiled or
O id CWY OF
PLE MBING
BATHTUBS (or Tub /Sho r Comboj
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS /
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS LOG SETS
LAYS (Bathroom Sinks)
RAINWATER SYST
MPS
as part of U4,firoject. Do. not include existing fixtures to remain.
UST BE INCLUDED WITH APPLICATION)
GAS PIPE OUTLETS WOODSTOVES
.(SAS WATER HEATERS MISC (Describe)
HOODS (commerciao
RANGES
REFRIG. SYSTEMS
URINALS MISC (Describe)
VACUUM BREAKERS
WATER CLOSETS (7 ailet)
WASHING MACHINES
I certify under penalty of perjury that the information furnished by me is true'and correct to the best of my knowledge, and further, that I
am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 flied against the City of Federal Way, but only where such claim
arises out of the reiiapee of the city, including its officers and employees, upon the accuracy of the information supplied to the city as a part of
this application. 7 � 11
NAME /TITLE �%J�' �!/y
(Signature)
TIONSHIP TO PROJECT
""
❑ Owner
`� o- �
❑ Agent ❑ Contractor
DATE
(Tide)
❑ Architect ❑ Other
�
O NEW o ADDITION
o ALTERATION O REPAIR o TENANT IMPROVEMENT.
BUILDING SHELL ONLY?
o YES
o NO
BASIC PLAN?
a YES o NO
ZONING DESIGNATION
CHANGE OF USE?
o YES ONO
NEW ADDRESS REQUIRED?
o YES
o NO
UP /SEPA /SU?
o YES ONO
PLATTED LOT?
o YES
o NO
DEMO PERMIT REQUIRED?
o YES ONO
Bulletin #100 — January I; 2007 Page 2 of 4 kUiandouts\Permit Application .