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12-103026City of Federal Way Community & Econ. Dev. Services 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835 -2607 Fax: (253) 835 -2609 0 Mechanical Permit #: 12- 103026 -00 -ME Inspection Request Line: (253) 835 -3050 Project Name: AGODOA a4 ( la Project Address: 518 S 288TH PL Parcel Number: 515293 0230 Project Description: Repair gas piping and extend 6' from meter Owner AR12lican Contractor LAWRENCE AGODOA ROTO ROOTER SERVICES COMPANY ROTO ROOTER SERVICES COMPANY SHIRLEY AGODOA 3111 S PINE ST ROTORSCI22BR (4 /3/14) 13217 GLENHILL RD TACOMA WA 98409 3111 S PINE ST SILVER SPRING MD TACOMA WA 98409 20904 Additional Permit Information Mechanical Valuation ................ ............................500 Is this an Online or O.T.C. application ? ................. es Mechanical Fixtures GasPiping ....... ............................... 1 PERMIT EXPIRES Saturday, December 29, 2012 Permit Issued on Monday, July 2, 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 nd Cl of Federal Way. jo Owner or agent: Date: 7- Z / Z I �," *Ixlta CITY OF ' Federal Way PERMIT #: THIS CARD IS TO MAIN ON -SITE 40 Construction In ection Record INSPECTION REQ TS: (253) 835 -3050 12- 103026 -00 -ME Address: 618 S 288TH PL Project: LAWRENCE AGODOA FEDERAL WAY, WA 98003 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) Approved to release test Final Electrical Approved Final - Mechanical (4065) Approved By Date By Date r) Date Date By Date _ — Rough Electrical Approved Final Electrical Approved Right of Way Approved By Date By Date By Date CIFt OP CEI *PERMIT Federal W VED C 2 3- -835 -2 DEVELOPMENT SER{ APPLICATION �b S O2L O12 CITY OF FEDERAL WAY 2-- 1C----3C) z� MF COCND PL DE EN FP �,4 bl SITE ADDRESS ,� � L SUITE /UNIT M 5 / -*71 /iV / G S Ax-4- I% 1 � r ©o PROJECT VALUATION $ ZONING ASSESSOR'S TAX /PARCEL N - C2�� TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING "ECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT (Tenant Name /Homeowner Last Name) �G '2=0 S 4 /` ►" �7 /� o r-) c) PROJECT DESCRIPTION �'� `s /ail/ G �� f� Detailed description of work to be included on this permit only PROPERTY OWNER NAME �1 C,4 /e / O Q MARY PHONE Z!'5-3 MAILING ADDRESS .5/ 5. ¢2 /N.5 / /GGS E -MAIL FAD ew'4 L &//A y STATE ✓/� ZIP 2IP � � D 03 NAME Q %d 8 Chi''- - PHONE G/E C7 MAILING ADDRESS Z!5- Z 5 Z E -MAIL CONTRACTOR CITY /C E A 7 STATE ZIP 9-0 3 FAX WA STATE CONTRACTOR'S LICENSE M Rot -o,esC Z 2 9A! EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE N NAMEn �I PRONE --5- MAILING ADDRESS 25232 7 77/ A(/�, S• E- L APPLICANT CITY K f 4!�� STATE � ZIP FAX PROJECT CONTACT (The individual to receive and respond to all correspondence NAME 5 A PHONE MAILING ADDRESS E -MAIL concerning this application) CITY STATE ZIP FAX ALTERNATE CONTACT NAME: PHONE E -MAIL PROJECT FINANCING NAME OWNER - FINANCED Required value of $5,000 or more IRCW 19.27.0951 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 fled 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 t is application. SIGNATURE: DATE 2 PRINT NAME: E�' If ¢-/,f Bulletin #100 -January 1, 2011 Page 1 of 3 k:\Handouts\Permit Application S VALUE OF MECHAMCAL WORK Indicate how many of each type of fixtL AIR HANDLING UNITS _ AIR CONDITIONER BOILERS _ _ COMPRESSORS _ DUCTING _ Indicate how many of each typo BATHTUBS )m Tnb /Shower combo) DISHWASHERS DRAINS DRINKING FOUNTAINS HOSE BIBBS (a copy c to be installed or relocated as FANS _ FIREPLACE INSERTS _ FURNACES _ GAS LOG SETS _ GAS PIPING re to be installed or relocated as LAVS )Nana Sinks) _ RAINWATER SYSTEMS _ SHOWERS _ SINKS (Kitchen /utility) _ SUMPS bid or estimate must be provided art of this project. Do not include GAS PIPE OUTLETS _ HOODS )c--W) HOT WATER TANKS )Gas) REFRIGERATION SYST WOODSTOVES a fixtures to remain. OTHER (Describe) f this project. Do not include existing fixtures to remain TOILETS WATER PIPING URINALS OTHER (Describe) VACUUM BREAKERS WATER HEATERS (FA -uria) WASHING MACHINES E.-" -YA11, ft'AMORMW I Bulletin #100 - January 1, 2011 Page 2 of 3 k:\Handouts\Permit Application