13-102111 Mechanical
CCommuntity of Econ.DeFederal v.ay
Services Permit #: 13-102111-00-ME
33325 8th Ave S r—__;„1
Federal way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 1; L-74
Project Name: EGUSA
Project Address: 29808 2ND AVE SW Parcel Number: 513730 0050
Project Description: Extend existing gas line for dryer hook-up
Owner Applicant Contractor
MICHELLE EGUSA PATS PLUMBING INC PATS PLUMBING INC
29808 2ND AVE SW 30459 MILITARY RD S PATSPI*083N5 (4/8/14)
FEDERAL WAY WA 98023 FEDERAL WAY WA 98003 30459 MILITARY RD S
FEDERAL WAY WA 98003
Additional Permit Information
Is this an Online or O.T.C.application Yes
Mechanical Fixtures
Gas Piping 1
PERMIT EXPIRES Sunday, November 10, 2013
Permit Issued on Tuesday, May 14, 2013
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and use will be in : ord nce with the laws, rules and regulations of the State of Washington
1 an the City of Federal Way.
Owner or agent: ;% fes-. Date: t -5:-/If—/...3
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4111 THIS CARD IS TO MAIN ON-SITE
COFConstruction In ection Record `
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 13-102111-00-ME Address: 29808 2ND AVE SW
Project: MICHELLE EGUSA FEDERAL WAY, WA 98023-3507
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 Mechanical Rough-in(4165) 0 Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date itittii.s. Date By Date /
�.2(— 2 /
Rough Electrical 0 Final Electrical0 Right of Way
Approved Approved Approved
By Date By Date By Date
•
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CITY OFA PERMIT APPLICATION ��,
Federal Way RECEIVED
PERMIT NUMBER I _ I 10 2JJ.
( _ 2__0 MAY 14 2013
TARGET DATE
CITY OF FFDFRAL WAY
SITE ADDRESS SUITE/UNIT tDs
02631 3,05S ,,v) ie S c.)
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL/
$ a1 3 - v
D
TYPE OF PERMIT 0 BUILDING 0 PLUMBING Ld'1VIECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT E 3 s a -
PROJECT DESCRIPTION
4 /c.A4 L- LL6,,u, c'f
Detailed description of work to
be included on this permit only
NAM PRIMARY PHONE
PROPERTY OWNER /�
tCJX\Q E-(; ( r2o(„ _ai�_ O (Q9
MAILING ADDRESS 1 `"
a9<6W<3 & Aa Ape_ Sk)
CITE q 6 ; STATE ZIP
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NW?to P 1,� �1�t'f�l4 6753-q 46 '5"1
MAILING ADDRESS ` l \ E-MAIL` '�,,
CONTRACTOR 3r�{Sg ltl0�l/ � Ver,..IyQ.90�I� �.uf&,/1] ,(
TY 1 BTA P
FAX J J
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WA STATE CONTRACTOR'S L4CENSE M EXPIRATIpN DATE FEDERAL WAY BUSINESS LICENSE C
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NAM 3- 4\ LS�v -V\V `„ lG`"' - y [7.9
APPLICANT
MAILING ADDRESS Q E-MAIL `��J -+�—
.r� t- l f A-A�II STATE P it (R 1``C%US D' ( l9 (0-14
—Lel? vJA 6I )3 o53 -94(0---PI 1
N PRIMARY ONE a
PROJECT CONTACT R)°_,( `.L 0 t.AA,2-c ,25 3 1-144,- S 9 l Y
(The individual to receive and MAILING ADDRESS
respond to all correspondence a)`1 c� AA d (+cuT t� J E-MAIL I V 9A( ye1.�n 1,A unb i. „„,,
concerning this application) (T'` ^ ` V
4 C)Q..CA6 W t.� BAJA ZIPVpn 3 A?)3 -94cn -<LA-I 1
PROJECT FINANCING NAME 0 OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
I certify under penalty of perjury that I am the property owner or authorised 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 authorised 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 o t s application.
SIGNATURE: _/ �"v) DATE 5 - I _1
PRINT NAME: y 3I,I,MJ
Bulletin#100-January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
•
• • •
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $ /65257)
Indicate how many of each type of fixture to be installed or relocated aso his project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS 1 AS PIPE OUTLETS THER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial) P l�
4-1
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS / GAS LOG SETS REFRIGERATION SYST
DUCTING jx� GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $
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} LAYS(Hand Sinks TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/utuity) WATER HEATERS(Electric(
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(Iu Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes❑ No ❑Yes o No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOI FLOOF3
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
**sser .tneiY 5 r "'''`
11
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
Area Construction #of
AREA DESCRIPTION Occupancy Group(s) Additional Information
in Square Feet Type s Stories
�f�wy bbiiss ,-. .� W`.
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in S.uare Feet J•e Stories ��
TOTAL g 1
TENANT AREA ONLY
l � �' 4.tt Nt S=kxF4
ARFAOSLY x' 's s ...„4.4, 47,w $s b,.
Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application