10-104888* -City of Federal Way • i Mechanical
Community Development Services Permit #. 10 -104888 -00 -ME
P.O. Box 9718
Federal Way, WA 98063-9718 ....
Ph: (253) 835-2607 Fax: (253) 835-2609 p;' j Inspection Request Line: (253) 835-3050
Project Name: FERRER
Project Address: 33719 32ND AVE SW Parcel Number: 954280 1180
Project Description: Run gas piping to new gas dryer which is located upstairs.
Owner
AoDlicant
Contractor
JOSE M FERRER
MORRISON PLUMBING INC.
MORRISON PLUMBING INC.
2652 SW 351ST ST
328 37TH ST NW SUITE H
328 37TH ST NW SUITE H
FEDERAL WAY WA 98023-3092
AUBURN WA 98001
AUBURN WA 98001
�+dditional Kermit Info
Mechanical Valuation............................................500 Is this an Online or O.T.C. application? ................. Yes
Gas Piping ...................................... 1 Gas Pipe Outlets............................. 1
Plumbing Fixtures .. .
Laundry Washer Outlets ................ 1 Water Closets................................. 1
PERMIT EXPIRES Wednesday, May 18, 2011
Permit Issued on Friday, November 19, 2010
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:c,Date:
THIS CARD IS TO RF AIN ON-SITE
A%rrCITY OF Construction In ction Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 10 -104888 -00 -ME Address: 33719 32ND AVE SW
Project: JOSE M FERRER FEDERAL WAY, WA 98023-7723
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)
Final - Mechanical (4065)
Approved
Approved to release test
Approved
By Date_
By Date _ A.Z,
By Date ��rl
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
A&
ECEIV liPERMIT
r
Fe cera
COMKIWITY VE VELOPMENT SERVIMN 0 V
253-835-2607- FAX 253-835-2609 19 APPLICATION
CITY OF FEDEKAL WAf
r�
-60
VMF COME CP!�DE EN Fl?
SITE ADDRESS L, -1SUITE/UNIT
Sw
#
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
$
TYPE OF PERMIT
1-1 BUILDING PLUMBING XMECHANICAL
El DEMOLITION D ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner lomeozuner Last Name)
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
uls
PROPERTY OWNER
NAME
PFPKART PHONE -
I -av
of
MAILING ADDRI�SS
•
E-MAIL
CITY
STATE
ZIP
NAME
PHONE
CONTRACTOR
MAILING ADDRESS
ih, o J//W., 9 /-/
E-MAIL
CITY
*TATE,
I 01)4�
ZIP..,
FAX
WA STATE CONTRACTOR'S LICENSE 4
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME '00 P
PHONE
APPLICANT
MAILING ADDRESS
E-MAIL
4L;i L L,
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAME
PHONE
(The individual to receive and
4
MAILING ADDRESS
E-MAIL
respond to all correspondence
concerning this application)
A
CITY
STATE
ZIP
FAX
ALTERNATE CONTACT NAME:
PHONE
E-MAIL
PROJECT FINANCING
NAME
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 r am the property owner or authorized agent of the property owner. r certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. r certify that r 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.
rfurther 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.
SIGNATURE: DATE 5
PRINT NAME:
Bulletin #100 — April 14, 2010 Page 1 of 3 k:\Handouts\Permit Application
J*
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fLxtures to remain.
BATHTUBS (or Tub/shower combo)
LAVS Mend Sinks)
TOILETS WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (&tchen/Utility)
WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
ASH z'•%<'•'%'<........
Xz W ING MACHINES1......'
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 ea Occupancy GroupConstruction # of s) Type Stories Additional Information
ADDITION
Area Construction # of
AREA DESCRIPTION in Square Feet Occupancy GroupType Stories s) Additional Information
_
TENANT AREA ONLY
Bulletin #100 — April 14, 2010 Page 2 of 3 k:\IIandouts\Perrnit Application
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