08-103333 City of Federal Way •
munity velopServices Mechanical Perm#: 08-103333-00-ME
P.O.DeBox 9718ment
ederal Way,WA 98063-9718
253)835-2607 Fax (253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: SMALL
Project Address: 31528 42ND AVE SW Parcel Number: 873198 2800
Project Description: Replace gas piping for water heater and furnace.Extend gas piping to deck for a BBQ.
Owner Applicant Contractor
GREG SMALL GREG SMALL PLATINUM PLUMBING CO
31528 42ND AVE SW 31528 42ND AVE SW PLATIPC017C2 2/22/2009
FEDERAL WAY WA FEDERAL WAY WA 4029 S 170TH ST
98023-2120 98023-2120 SEATAC WA 98188
Additional Permit Information
Mechanical Valuation 500 Is this an Online or O.T.C.application9 Yes
Mechanical Fixtures
Gas Piping 1 Gas Pipe Outlets 3
PERMIT EXPIRES Monday, January 5, 2009
Permit Issued on Wednesday, July 9, 2008
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
an e City of Federal Way.
7 / r
Owner or agent: � ��/ Date: / e
THIS CARD IS TO REMAIN ON-SITE ' ' '
CITY OF . ommunity Developmilt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-103333-00-ME
Owner: GREG SMALL
Address: 31528 42ND AVE SW
FEDERAL WAY, WA 98023-2120
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.
El Mechanical Rough-in(4165) ElGas Piping(4125) ,❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By (,,, Date 5. (3- Ug By C Cij Date A-(5- 0
For inspector reference only __ __
❑ Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
CITY OFc'l
Federal VVay 'ilECE40% ( v 3 7 '3 .'
COMMUNITY DEVELOPMENT SERVICES R M I T SF MF CO EL PL DE EN FP
33325 8ThD AVENUE SOUTH•PO BOX 9718 A. "P L I C A T I O N
FEDERAL WAY,FAX
98063-9718 JUL O ��► TD /
253-835-2607•FAX 253-835-2609 J v
www.atuoffedemlvtau.cwm
ERAL -- �___ _ _
Thefollowingis ERA
�u�r d n—an incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION •
-
SITE ADDRESS_ .> 1 S ay Z&P I vv S i,.J SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# – — LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTIONa detailed description of work included on this permit onig)
rd
,,l✓,, , Atii� 2NA r s . g,s; ,,)b r-, P/p,iv 41
v 17C — r_ iz- 0, C c)A)A)4:C<r 0 k.)
PROJECT NAME(Name of Business or Owner Last Name) • jPi LI—
N
L_N PEOPLE INFORMATION
PROPERTY NAME � �/ PRIMARY PHONE
/7
OWNER C" Re l�` l c–.( t1,-P, l...-L--- la3)?? j g- l F, 4
MAILING ADDRESS
CITY,STATE,ZIP
"� E-MAIL ADDRESS
- 1St-S1 142 p!✓k g(A) j vfri AA 53( 1 3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHO,8E
FL-197i PJ v)ih, p uPIfr,a ,tJ c ('.c7-: ) 19y - Zet2
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
to ma( _ / 0 vii //lc- 9 yi v( (:-.;3) q,-t5" - 7Z73
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE , FAX NUMBER
—CONTRACTOR'S
'Z'I _
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS —
PLATO /7 ( 017 C-.Z.,_
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
l(.1 Z 6- �)/4/11491A--. ( - ) ��7`t - 1Z.5-6
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT ( )
FAX NUMBER
0 Architect o Tenant o Agent 0 Other ( ) _
PROJECT NAME
/, (� ,n PRIMARY PHONE E-MAIL ADDRESS
cJ
CONTACT C 7 1` J t 4y1/ I) (z.,---3) y--i'{- - C ZS-6
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
■ PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ. FT. SQ.FT. SQ.FT.
BASEMENT
FIRST '�.,,
SECOND --.."`
``0.
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(❑COVERED OR ❑UNCOVERED?)
GARAGE 0 CARPORT 0
_ EXISTING PROPOSED TOTAL
TOTAL EXISTING SF TOTAL PROPOSED ST TOTAL Sr
NUMBER OF FLOORS
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
U FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL C7
Value of Mechanical Work$ Co� (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(Commerciai)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING URINALS MISC(Describe)
BATHTUBS(or Tub/Shower Combo) LAVS(Bathroom sinks)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(rode[)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
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 e made by any person, includiin g the undersigned, andd against the city, but only
where such claim arises out of the reliance of the city, including its officers and employees,ees upon the accuracyofthe information supplied to
the city as a part of this application.
Cr. 6--- DATE 0 y
SIGNATURE: x
Property Owner and/or Authorized Agent
•
❑NEW o ADDITION o ALTERATION ❑ REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES ❑NO
ZONING DESIGNATION CHANGE OF USE? ❑YES ❑NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o
NO
PLATTED LOT? ❑YES ❑NO DEMO PERMIT REQUIRED? ❑YES o NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application