13-100061Mechanical
City of ay
Community & Econ.ral Dev. Services Permit #: 13-100061 -00-ME
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Line: 253 835-3050
Ph: (253) 835-2607 Fax: (253) 835-2609 p a
Project Name: MCPHERSON
Project Address: 30834 6TH PL SW
Project Description: Remove/replace gas water beater
Parcel Number: 771620 0090
Owner
AlaRlicanj
Contractor
NORMA ROBERTA MCPHERSON
CASCADE PLUMBING & DEVELOPMENT
CASCADE PLUMBING & DEVELOPMENT
30834 6TH PL SW
19712 99TH ST E
CASCAPD895QC (11/3/13)
FEDERAL WAY WA 98023-4676
BONNEY LAKE WA 98391
19712 99TH ST E
BONNEY LAKE WA 98391
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes
Mechanical Fixtures
Hot Water Tanks ............................ 1
PERMIT EXPIRES Wednesday, July 3, 2013
Permit Issued on Friday, January 4, 2013
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
and the City of Federal Way.
Owner or agent: 4nn lr►�r�c �.m?�1� Date:1- q
FIN A won // x
M W*4 1 h Z/9(*
CITY OR
Federal Way
PERMIT #:
13 -100061 -00 -ME
THIS CARD IS TOMAIN ON-SITE
Construction In ection Record
INSPECTION REQUE TS: (253) 835-3050
Address: 30834 6TH PL SW
Project: NORMA ROBERTA MCPHERSON FEDERAL WAY, WA 98023-4676
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.
❑
Mechanical Rough -in (4165)
Gas Piping (4125)
Electrical
Approved
Final - Mechanical (4065)
Approved
By
Approved to release test
Approved
By
Date
By
Date
By
Date
❑
Rough Electrical
Approved
ElFinal
Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
•
Federal Way
PERMITAP
PLICA'T'ION
RECEIVED
PERnaT NUMSER I� _ t Q G 0 (Q '- 0 0 TARGET DATE JAN 0 4 2013
CITY OF FEDFRAI WAV
SITE ADDRESS
SmTE/U)i341#.
l`.UUJJ
30834 L7 -H P� s
VALUATION
ZONING
ASSESSOR'S TAR/PARCEL #
PROJECT
$ f C'-"0J-�'-
-7 2 X 2 0- VC)�
TYPE OF PERMIT
0 BUILDING ❑ PLUMBING MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PRONE
PROPERTY OWNER
r
MAWNG ADDRESS EMAIL
t-1 L t -D
CITY
STATE
ZIP
NAME PRONE
MAILING ADDRE8s C7�C)C E-MAIL
1
CONTRACTOR
TY
STATE
P - 21 FAR i '
WA STATE CTOR'S LICENSE #
EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE #
7 -
/L13
NAME PRIMARY PHONE
NAME
MAILING ADDRESS E MAu
APPLICANT
T j✓M
CITY
V% L4 &A La Le
STATE ZIP FAX
LA
N PRIMARY PHONE
PROJECT CONTACT
% G
MAILING ADDREs6
(The individual to receive and
respond to all correspondence
CITY STATE ZIP FAX
concerning this application)
PROJECT FINANCING
NAME ❑ OWNER -FINANCED
Required value of $5, 000 or more
MAILING ADDRESS, CITY, STATE, ZIP PRONE
(RCW 19.27.095)
I cert{fy under penalty of perjury that I am the property owner or authorised agent of the property owner. I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local state, or federal laws regulating
construction or environmental laws.
I fiurther agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in
the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as apart of this application.
-'ck'
SIGNATURE: 9 C DATE
PRINT NAME' ' 1 ,InG,¢ V -V'* � ' I
Bulletin #100 - January 1, 2013 Page 1 of 3 k:\Handouts\Permit Application
MECHANICAL PERMIT
CRITICAL AREAS ON PROPERTY?
1$/CS,-o
VALUE OF MECHHAI�CAL WORK
�"'
Indicate how many o each type offixture
to be installed or relocated as
part o this r*ct. Do not include existingfixtures to remain.
AIR HANDLING UNITS
FANS
GAS PIPE OUTLETS
OTHER (Describe)
AIR CONDITIONER
BOILERS
FIREPLACE INSERTS HOODS )commercisl)
FURNACES Z HOT WATER TANKS )ca,)
TOILETS
COMPRESSORS
GAS LOG SETS
REFRIGERATION SYST
URINALS
DUCTING
GAS PIPING
WOODSTOVES
VACUUM BREAKERS
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VALUE OF PLUMBING WORK
PLUMBING PERMIT
$
Indicate how many of each type offixture
to be installed or relocated as
part of this project. Do not include existirkgfixtures 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
TOTAL PERTURBS
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EMSTINO IMPROVEMENTS
EBISTINO/PREVIOUS USE
LOT SIZE (In Square Feet(
$IQSTINO FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No
❑ Yes ❑ No
COMMERCIAL - NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
is uare Feet Stories
ADDITION
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
Area Construction # of
AREA DESCRIPTION in Square Feet Occupancy Qronp(s► TvDe Stories Additional Information
TENANT AREA ONLY
Bulletin #100 —January 1, 2013 Page 2 of 3 k: liandoutsTennit Application