05-106488 • ►'
•
City of Federal Way ' Plumbing Permit #: 05-106488-00-PL
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: GENERD
Project Address: 136 S 299TH PL Parcel Number: 891420 0260
Project Description: Gas piping to kitchen stove
Owner Applicant Contractor
DOUGLAS C GENORD PATS PLUMBING INC PATS PLUMBING INC
GAIL A GENORD 30459 MILITARY RD S PATSPI*083N5 (4/8/06)
136 S 299TH PL FEDERAL WAY WA 98003 30459 MILITARY RD S
FEDERAL WAY WA FEDERAL WAY WA 98003
98003-4308
Plumbing Fixtures
Gas Pipe Outlets 1
CONDITIONS:
PERMIT EXPIRES Saturday,.December 22, 2007
••Permit Issued on Thursday, December 22, 2005
-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
J
and the City of Federal Way.
Owner or agent: / � J�Gam']' Date: /7i' Zi'' _ of
FINAL E'D
THIVCARD IS TO MAIN ON-SITE
CITY OF !iommunity Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-106488-00-PL
Owner: DOUGLAS C GENORD
Address: 136 S 299TH PL
FEDERAL WAY, WA 98003-4308
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) 0 Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date By Date By Date
0 Final-Plumbing (4075)
Approved
B J/c Date/7��
il. RECEIVED
Federal Way o PERMIT
COMMUNITY DEVELOPMENT SERVICES EC 2 2 200,5 SF MF CO ME EL DE EN FP
333258p•AVENUE SOUTH•POB 9718 APPLICATION
FEDERAL WAY.WA 98063 9 r'Y / /
253 835 2607•FAX 253 835 2609 OF FED
wwo.nt ederadway_mm a,' wt- pEp wA Y
The ollowin• is r .wired in ormation-'an incom•lete a.•lication will not be acce•ted. Please •rint le ibl. (in ink)or .
3 �7 (� / • /PROPERTY IINFORMATION
SITE ADDRESS 13 6 3 G!x )q'I f 11 /�P 1. f e d c f�. I Iv.y , 91 ' 'o 3 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# O I 1 ( a v - 0 a C 0 LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
■ PROJECT IIN FORMATION
TYPE OF PERMIT E:3 BUILDING ({/PL/UMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
Re_ rc�f;t) ,4) 1'4 - 'fa' k.f<4,,I slz-v,
PROJECT NAME(Name of Business or Owner Last Name) P 4.± 5 ()Ai-Pa b i If
• PEOPLE INFORMATION
PROPERTY NAME i PRIMARY PHONE
OWNER Oak /•L5 ■ 6,," Gcrlori (os3) 9Y/ -5934'
MAILINI/ADDRESS CITY,STATE,ZIP
I 34 s a99-tts PI F'del-& l l,✓.y . W titc-00 3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
P•.± s P/, Lin (as3 )ft' -c9-??
MAILING ADDRESS 30 Ifs? L,T.f / R I. CITY.STATE,ZIP CELL.PHONE
.P.&. 64,X s. FC1GrA ( i./‘y, w4 9irco3 ( ) -
CaY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
a 0- o a-L a A 0 7- 7- B L l2, / 31 Ids- (ai3) 916 -c17-1
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
P T s P i * o r 3 N s / /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
P,k f'5 PI�et i C 3 -5-711
MAILING ADDRESS I CITY,STATE,ZIP A. CELL PHONE
30 415-9' / t;l; ' y i I. s . r4..dtra ( t✓r-/t �✓,I tl&t3 ( ) -
RELATIONSHIP TO PROJECT � FAX NUMBER
9
❑Architect ❑ Tenant ❑Agent 'Other(Describe) PIu.wI 6c f(ar3 )iY6 -OP
1
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
Li-(413 /'rc.tit/ (as3) ciY6 -5999 e u.rfi.foaids/0I%n4i1, cc-M
LENDER he y 095 info NAME I
' 'ftvalueexceeds',$5,000
MAILING ADDRESS CITY,STATE.ZIP PHONE
( ) -
MI DETAILED BUILDING INFORMATION / 11�
EXISTING USE (,9w.5 I rAt- fb k:. ,4.4 sfc✓c PROPOSED USE <9•.-$ li\c fc ii-r/eke.n sieve-
EXISTING
ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ ( 6 I • Y$
SPRINKLERED BUILDING? ❑ YES IdNO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES liYNO
WATER SERVICE PROVIDER ❑ LAKEHAVEN D HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT❑
REPSDNO - PROPOSED MrAL "ffM. *
NUMBER OF FLOORS
""NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
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 $
AIR HANDLING UNrrs EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS)comm.,ni.i) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS(meet) MISC(Describe)
V DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
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. �J ,�/ C
NAME/TITLE Lam..i(� /�� tiLA.-& ' DATE /1-■
(Signature) Critic)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent ❑ Contractor ❑Architect ❑ Other
;# U
n NEW n ADDITION o ALTERATION c REPAIR a TENANT IMPROVEMENT`
BUILDING SHELL ONLY`? a YES a NO BASIC PLAN? o TES to NO
ZONING DESIGNATION - CHANGE OF USE? n YES 1.NO
NEW ADDRESS REQUIRED? o YES -n NO UR/SEPA/SU? RYES C NO
PLATTED LOT/ n YES a NO DEMO PERMIT REQUIRED? a TES ❑NO
Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application