07-103339City of Federal Way
Community Development Services Mechanical Permit #• 07- 103339 -00 -ME
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: GENTRY
Project Address: 32820 20TH AVE S Unit 8
Project Description: Installation of gas line to mobile home.
Parcel Number: 144170 0080
Owner
Applicant
Contractor
BARBARA GENTRY
PAT'S PLUMBING INC
PAT'S PLUMBING INC
32820 20TH AVE S UNIT 8
30459 MILITARY RD S
PATSPI *083N5 (4/8/08)
FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
30459 MILITARY RD S
FEDERAL WAY WA 98003
Additional Permit Information
Mechanical Valuation ................ ............................500 Over the Counter Permit? ...................................... Yes
Mechanical Fixtures
GasPiping ....... ............................... 1
PERMIT EXPIRES Saturday, June 20, 2009
Permit Issued on Wednesday, June 20, 2007
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: —
(e
THIS CARD IS TO REMAIN ON-SITE
CITY OF-- Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 103339 -00 -ME
Owner: BARBARA GENTRY
Address: 32820 20TH AVE S Unit 8
FEDERAL WAY, WA 98003 -9428
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 arc 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) ❑ Gas Piping (4125) ❑ Final - Mechanical (4065)
Approved Approved to release test A.ppro%ed
By Date By Date By Date
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
J
gFoovED
Federal Way JUN 2 p 2007 PERMIT - 3 3 3 �
COMMUNITY DEVELOPMENT SERVICES SF MF CO EL PL DE ENV FP
33325 D AVENUE SOUTH . PO BOX 9718 A T) LI CATI O N
FEDERAL WAY. FAX 53835 (�F ra:OER iv
253 - 835 -2607• FAX 253 -835- BU'LD�NG D
www.citgojjederalway com `
The following is required information - an incomplete application will not be accepted. Please print legibly (in ink) or type.
SITE ADDRESS 3,;S.20 h ✓t s #r
ASSESSOR'S TAR /PARCEL # i i i l -7 G -
SUITE /UNIT #
Q 8 G LOT SIZE (S,))
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Aaach separate page far 1—g ft legd dl- ripli -)
PROJECT • •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provides detailed description of work included on this permit onlU)
.J, H S7�L�I 9• S IJ�G �`M fX /�7� ^1 7� rIG••✓ %1Ki� -
PROJECT NAME (Name of Business or Owner Last Nam el Gt N T' Y
PEOPLE • •
PROPERTY
OWNER
CONTRACTOR
COPY of e��tl /(y�G•teQA�
alth each `i p II�••..�n
APPLICANT
PROJECT
CONTACT
LENDER
NAME
6 d 6 r.- 6e, rl
PRIMARY PHONE
(ass) 6l7 - *-qW
MAILING ADDRESS
3 ;%;.V IRO n Ave- S .
T .(ZI
E -MAIL ADDRESS
COMPANY NAME
P.f /3 P/1.r,lin
APPLICANT NAME
OFFICE PHONE
(A0 )9yG -5999
MLING ADDRESS
AI
Y y7
CITY TATS ZIP
fi n w. J✓�t 9r��
CELL PHONE
( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXP[RA , Aa7 DATE
la0 -QO - Id.z o9 7 -00 - BC /a /3 /
FAX NUMBER
(-M )-M
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE
E -MAIL QDRESS
COMPANY NAME /
Al f J ?/.^ N% 7
APPLICANT NAME
OFFICE PHONE
- 5999
MAILING ADDRESS
CITY. STATE. IP
CELL PHONE
RELATIONSHIP TO PROJECT [L .1{,
❑ Architect ❑ Tenant ❑ Agent Other GonTtxt7Zr
FAX NUMBER
(A 5-3) 9 yG -,0171
NAME
G a• r f 7� P2«.
PRIMARY PHONE a
(.Z S 3) 9 YG - Sg `% 1
E -MAIL ADDRESS G yr
i�*K 61 • cw1
NAME
Per RCW 19.27.095:
Lender information is required f project value exceeds $5,000
MAILING ADDRESS
CITY. STATE. ZIP
PHONE
EXISTING USE R #- f.�Ja Or L
EXISTING ASSESSED /APPRAISED VALUE $,
SPRINKLERED BUILDING? ❑ YES
M NO
PROPOSED USE
VALUE OF PROPOSED WORK $ /
FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES /NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
0
PROJECT ••• AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
S . FT. S . FT. S . FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS (DESCRIBE)
DECK (❑ COVERED OR ❑ UNCOVERED ?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL EX6fWG SF TOTAL PROPOSED SF TOTAL SF
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
- =Noi
Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC (Describe)
BOILERS FIREPLACE INSERTS HOODS (c.--iali
COMPRESSORS FURNACES RANGES
DUCT'S GAS LOG SETS REFRIG. SYSTEMS
BATHTUBS (mTub /Sbo— Combo)
LAVS (Bathroom Sinks)
URINALS MISC (Describe)
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
DRINKING FOUNTAINS
SHOWERS
WATER CLOSETS (Toll i
ELECTRIC WATER HEATERS
SINKS
WASHING MACHINES
HOSE BIBBS
SUMPS
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 filed against the City of Federal Way, 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 a part of
this application.
NAME/TITLE
Q
p. � 1 r �a rs i►>' .
(Signature) ('nt'(e)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent ®'Contractor ❑ Architect ❑ Other.
Q6/.aoAa cc %
FOR OFFICE USE ONLY
❑ NEW ❑ ADDITION
❑ ALTERATION
E REPAIR -j TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑ YES E NO
BASIC PLAN? ❑ YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE? n YES
❑ NO
NEW ADDRESS REQUIRED? i- YES ❑ NO
UP /SEPA /SU? ❑ YES
❑ NO
PLATTED LOT? ❑ YES ❑ NO
DEMO PERMIT REQUIRED? ❑ YES
❑ NO
Bulletin #100 - April 2, 2007 Page 2 of 4 k \Handouts\Permit Application