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11-104458 4_ • Iluribing City of FederalWay Permit #: 11-104458-00-P L Community&Econ.n.D ev.Services 33325 8th Ave S Federal Way,WA 98003 Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050 -717.111 Project Name: BOGUE Project Address: 36014 3RD AVE S Parcel Number: 113780 0170 Project Description: Install water line for refrigerator Owner Applicant Contractor DAVID N&CYNTHIA D BOGUE DAVID N&CYNTHIA D BOGUE DAVID N&CYNTHIA D BOGUE 36014 3RD AVE S 36014 3RD AVE S 36014 3RD AVE S FEDERAL WAY WA 98003-8622 FEDERAL WAY WA 98003-8622 FEDERAL WAY WA 98003-8622 ,�r�•• .., z' .... , .,. ik�iii„ � �c...,,,,�, ', .,,., .....o-, !meg .. ,',gga. lk°,0A37-46-"Art: .�°. :..,y� Other Plumbing Fixtures 1 PERMIT EXPIRES Wednesday, May 2, 2012 Permit Issued on Friday, November 4, 2011 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 the City of Federal Way. Owner or agent: Z44.77:/ Date: /� F( KML ii /iofi THIS CARD IS TO MAIN ON-SITE CITY OF � Construction I ection Record Federal Way INSPECTION REQUE TS: (253)835-3050 PERMIT#: 11-104458-00-PL Address: 36014 3RD AVE S Project: DAVID N & CYNTHIA D BOGUE FEDERAL WAY, WA 98003-8622 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. 0 Plumbing Groundwork(4190) - 0 Rough Plumbing(4230) El Gas Piping(4125) Approved to cover Approved Approved to release test By Date By Date By Date El Final-Plumbing(4075) Approved By fif- Date //,-/e 1/ CI Rough Electrical Final Electrical CI Right of Way Approved Approved Approved By Date By Date By Date CITY OF •PERMIT •MF CO ME ` PL E EN FP Federa APPLICATION tly COMMUNITY DEV SERVICES a, 253-835-2607•FAX 253-835-2609 4u$ (Q urww.rityoffederuwau.ro V' ��l SITE ADDRESS C) 11\.‘ SUITE/UNIT# 3 C6-i 317- WVc S , rE17 W tfy, W 4- eiSoo3 PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL 7.- cc° 0- O ' 7C) TYPE OF PERMIT IDBUILDING rP ��/111 \\\\\\ LUMBING 0 MECHANICAL ❑ DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION NAME OF PROJECT (Tenant Name/Homeowner Last Name) PROJECT DESCRIPTION Hove .i, -y B,BEc Loc �Io,u e �S LSV S Detailed description of work to Ke. F- I i D( / ► e /.Je7^1 C t''/VR(9A-3 LAI/ be included on this permit only ?Se / �1 E M L L 4 Few f '- 49c-0 q) ,(-.O -i e8/l.) NAME PRIMARY PHONE PROPERTY OWNER \ ) l( I,'D aexiUF- 753 - 9S Z—3 ' 1 Q MAILING ADDRESS E-MAIL ff m 451 3 coo 14 3 TLO Ave 5 , b4_1e CITY STATE ZIP FE-0 Pi u)fry WA o®7 NAMED .t �1 PHONE (,% W r - MAILING ADDRESS E-MAIL CONTRACTOR CITY STATE ZIP FAX WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# NAME PHONE V-1 Ai APPLICANT MAILING ADDRESS E-MAIL CITY STATE ZIP FAX PROJECT CONTACT NAME PHONE (The individual to receive and ©A-) respond to all correspondence MAILING ADDRESS E-MAIL concerning this application) CITY STATE ZIP FAX ALTERNATE CONTACT NAME: PHONE E-MAIL PROJECT FINANCING NAMEEl OWNER-FINANCED Required value of$5,000 or more (RCW 19.27.095) 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 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 a part of this application. 1 �jJ SIGNATURE: /12GC�lC� ®[_ 4-4DATE /1/7// I PRINT NAME: 0/tS!'P r " " g©M; Bulletin#100—January 1,2011 Page 1 of 3 k:U-Iandouts\Permit Application R atiaatisLASiWk • VALUE OF MECHANICAL WORK $ (a copy of bid or esti e must be provided) Indicate how many of each type of fixture to be installed or - ed as part oft 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 OT WATER TANKS(Gas) COMPRESSORS GAS LOG SETS REF GERATION SYST DUCTING GAS PIPING WOODSTOVES � ,��-*a��,,,Exp: ,,,�aR..esis'�^'�.:� ;.e.:^���'fnr';�..��Ss,.s:�.u.�.:i:.ez.,.5.�.`� .�,,,.....�� ��.3.,.,,.ua ,. .„:.a.iw-� ,..:os:5,•�,,.,,.. £,>_-2>S_.,....z.>..-�; _.�..s...,.,. �. ._��,._r.r„ �a€_.�a.'„°�a Indicate how many of each type offixture 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 _ _ r ='- CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? ❑Yes❑ No ❑Yes ❑ No AREA DESCRIPTION(in square feet) Ei STING PROPOSED TOTAL r FOR OFFICE USE %• ',. ',"rs"s,:?: .�r�.�,.r, —_.......--'--- FIRST FLOOR(or Mobile Home) _- COVERED ENTRY ^ .. ° GARAGE ❑ CARPORT 0 rAW �a?.x a`, Area Totals ., TOTAL WAIN"', ESTIMATED SELLING PRICE$ #OF BEDROOM' x go- ,� �'. '�'ras" ,e .a��� � ,.E,_..,,., > �'�.�.. � :.s, ,3.,�,,,.�£I ;5:7,F-M- � ::;�',�5 '•' `�.,.mfi s�, u; x AREA DESCRIPTION WAR Occupancy Group(s) Construction Stories#of Additional Information ADDITION • AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information in S.uare Feet • .e Stories tgalige ,'Y<'° n se:.-" ,' :: .,F xi.n, a•- d 's'ers'`3r .. 4n.x. ;,k;- �.+'r3r TENANT AREA ONLY _ 221 ;� fl:Sg ,< Bulletin#100—January 1,2011 Page 2 of 3 k:\Handouts\Permit Application