12-100736City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Project Name: MCGURN
Project Address: 418 S 325TH PL Unit X -2
Project Description: Replacing an electric water heater
r
a
Plumbing
Pert #: 12- 100736 -00 -PL
Inspection Request Line: (253) 835 -3050
Parcel Number: 9266601900
Owner
Applicant
Contractor
THOMAS H MCGURN
THOMAS H MCGURN
THOMAS H MCGURN
JOAN L MCGURN
418 S 325TH PL UNIT X2
418 S 325TH PL UNIT X2
418 S 325TH PL UNIT X2
FEDERAL WAY WA 98003 -5865
FEDERAL WAY WA 98003 -5865
FEDERAL WAY WA 98003 -5865
Plumbing Fixtures
Water Heaters .. ............................... 1
PERMIT EXPIRES Tuesday, August 14, 2012
Permit Issued on Thursday, February 16, 2012
1 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:
F 7 1 NkU A5 z/l2 11Z
CITY OF
Federal Way
PERMIT #:
Project:
TINS CARD IS TO REMAIN ON -SITE
is Construction Iiection Record
INSPECTION REQU TS: (253) 835 -3050
12- 100736 -00 -PL Address: 418 S 325TH PL Unit X -2
THOMAS H MCGURN FEDERAL WAY, WA 98003 -5805
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.
Plumbing Groundwork (4190)
E:] Rough Plumbing (4230)
Final - Plumbing (4075)
Approved to cover
Approved
Approved
By Date
By Date
/
By Date O -22
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
.,or
Federal wa ERMIT
COMMUNITY DEVELOPMENT L I C AT I O N
253 - 835 -2607• FAX 253 -83 -2609
mr�w.nh o'edemluaLcom
FEB 16,
S*AF CO ME PL DE EN FP
SITE ADDRESS ^�EDE A j
SUITE /UNITM
PROJECT VALUATION
ZONING
ASSESSO TAR /PARCEL M
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name /Homeoumer Last Name)
G
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
PRIMARY PHONE
MAILING ADD REPS ..rya
E -MAIL
CI / ( �
STATE
ZIP.
/
NAME
PHONE
�A
MAILING ADD
E -MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE M
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE M
NAME
PHONE
APPLICANT
MAILING ADDRESS n
E -MAIL
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAME
PHONE
(The individual to receive and
MAILING ADDRESS
E -MAIL
respond to all correspondence
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
MAILING ADDRESS, CITY, STATE, ZD?
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 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 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.
SIGNATURE: / y —1 . da'. 'z DATE
v
PRINT NAME:: ?. y . �• i -t
Bulletin #100 —January 1, 2011 Page 1 of 3 k:Wandouts\Permit Application
•
VALUE OFMECHAMCAL WORK $
BATHTUBS (or Tub /shower combo)
(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
GAS PIPING
WOODSTOVES
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.
BATHTUBS (or Tub /shower combo)
LAVS (Hand sinks)
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
CRITICAL AREAS ON PROPERTY?
EXISTING /PREVIOUS USE
WATER PURVEYOR
LOT SIZE (In Square Feet)
SEWER PURVEYOR I VALUE OF EXISTING IMPROVEMENTS
EXISTING FIRE SPRINKLER SYSTEM? I PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No ❑ Yes ❑ No
Bulletin #100 — January 1, 2011 Page 2 of 3 k:\Handouts \Permit Application