07-102854City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
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Plumbing Permit #: 07- 102854 -00' E
Inspection Request Llha.. (253) 835 -3050
Project Name: FARRELL
Project Address: 3712 SW 331ST PL Parcel Number: 873213 0530
Project Description: Repipe gas line for stove
Owner
Applicant
Contractor
MICHAEL FARRELL
A+ SEPTIC & PLUMBING
A+ SEPTIC & PLUMBING
3712 SW 331ST PL
7225 PACIFIC AVE SE
ASEPTPS055MM (8/03/08)
FEDERAL WAY WA
OLYMPIA WA 98503
7225 PACIFIC AVE SE
98023 -2643
OLYMPIA WA 98503
Plumbing Fixtures
Other Plumbing Fixtures ............... 1
PERMIT EXPIRES Sunday, May 24, 2009
�
,ie rM itisstiodon Friday, May 25, 2007
I her at the above inf9rm, ation is correct and that the construction on tWabo,
OC ilid the use will a in accordance. with the laws rules and reaulatiorns of
Owner o
�30
� k
and
on
. ® THIS CARD IS TO REMAIN ON -SITE
clrrOF Community Development Inspection Record . .
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT m: 07- 102854 -00 -PL
Owner: MICHAEL FARRELL
Address: 3712 SW 331ST PL
FEDERAL WAY, WA 98023 -2643
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.
❑ Plumbing Groundwork (4190) ❑ Rough Plumbing (4230) ❑ Gas Piping (4125)
Approved to cover Approved Approved to release test
By Date By Date By Date
❑ Final - Plumbing (4075)
Approved
ByG Dates
,f/- k 5-- 2, 5 - 6 7 -c- %,^)
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
RESUBMITTEa- - . _LC 2_89`
OTT OFO& Federal Way PE RM IIAY 2 5 zoo? SF MF CO ME E PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES
33325 D AVENUE SOUTH • 63 BOX 9718 /� P P T I � T T��
FEDERAL WAY, WA 98063 -9718 L(1/, L {�_}�{ TD
253- 835.260AX 253 - 835 -2609 t A' p AL
www.ci o ederalwau.cotrz I G EP7�
The following is required information -an incomplete application will not be accepted. Please print legibly (in ink) or type.
SITE ADDRESS 3 %
SUITE /UNIT #
ASSESSOR'S TAX /PARCEL # &-72- � 1 - Q 5 _:7a -0 LOT SIZE (sf)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach separate page for lengthy legal description)
PROJECT • •
TYPE OF PERMIT ❑ BUILDING JAI PLUMBING ❑ MECHANICAL
❑ DEMOLITION '❑\ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu)
/Y _ _ _ a c i _l_ _
PROJECT NAME (Name of Business or Owner Last Name) ! W I XL-A./ I
PEOPLE •- •
PROPERTY
OWNER
CONTRACTOR
COPY of card required
with each appLLc .
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
NAME
PRIMARY PHONE
ME
OFFICE PHONE
('O
_
L
MAILING ADDRESS
, STATE, ZIP
E-MAIL ADDRESS
, STATE, ZIP
q8
37 phrip
I F
( -
C PANY NA
APPLICANT
ME
OFFICE PHONE
('O
�}-
L
MAILING ADDRESS
CITY, STATE, ZIP
MAILING ADDRESS
.�
, STATE, ZIP
q8
CELL PHONE
❑ Architect ❑ Tenant ❑ Agent ❑ Other
( -
_
CITY OFFEDERAL WAY BUSINESS�Llp NSE NUMBER
I EXPMATION DATE
FAX NUMBER
Zb -p - C) -CC)
12-/31 I Cj
( ) -
CONTRACTOR'S REGIST TION NUMBER
EXPIRATION DATE
E -MAIL ADDRESS
L 45c- O en
&
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
�ppZ
3
PHONE
( -
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other
( -
NAME PRIMARY PHONE E -MAIL ADDRESS
NAME
Per RCW 19.27.095:
Lender information is required if project value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
EXISTING ASSESSED /APPRAISED VALUE $_
SPRINKLERED BUILDING? ❑ YES ❑ 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)
PROJECT •••
AREA DESCRIPTION
AREAS
EXISTING
SO. FT.
PROPOSED
S . FT.
TOTAL
3 . FT.
BASEMENT
❑ YES ❑ NO
BASIC PLAN?
FIRST
❑ NO
ZONING DESIGNATION
SECOND
CHANGE OF USE?
❑ YES
o NO
THIRD
❑ YES ❑ NO
UP /SEPA /SU?
ADDITIONAL FLOORS (DESCRIBE)
❑ NO
PLATTED LOT?
❑ YES ❑ NO
DECK (❑ COVERED OR ❑ UNCOVERED ?)
DEMO PERMIT REQUIRED?
❑ YES
❑ NO
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
EXISTIDO
PROPOSED
TOTAL
TOTAL AWTM BY
TOTAL PROPOSED Sr
TOTAL sr
*"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
Value of Mechanical Work
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
PLUMBING
BATHTUBS (or Tub /Shower combo)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
(A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS LOG SETS
LAVS (Bathroom sinks)
RAINWATER SYST
SHOWERS
SINKS
SUMPS
GAS PIPE OUTLETS
GAS WATER HEATERS
HOODS (Commercial)
RANGES
REFRIG. SYSTEMS
URINALS
VACUUM BREAKERS
WATER CLOSETS (Toilet)
WASHING MACHINES
WOODSTOVES
G MISC (Describe)
MISC (Describe)
I certify under pe o penury that t rmation furnished by me is true and correct to the best of my knowledge, and further, that I
am authorized owner of the above remise to perform the work for which the permit application is made. I further agree to hold
harmless t City of Federa Way as to an claim ( cluding costs, expenses, and attorneys' fees incurred in the investigation and defense of
such cl ,which may be ade 6y an pets , {ncl ding the undersigned, and filed against the City of Federal Way, but only where such claim
arise out of the reliance the c , includin its fficers and employees, upon the accuracy of the information supplied to the city as a part of
this plication.
TO PROJECT ❑
Agent A Contractor ❑ Architect ❑
5/2M
❑ NEW ❑ ADDITION
❑ ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY?
❑ YES ❑ NO
BASIC PLAN?
❑ YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE?
❑ YES
o NO
NEW ADDRESS REQUIRED?
❑ 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 MandoutsTermit Application