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02-103418City of Federal Way Community Development Services 33530 1st Way S Federal Way, WA 98003-6210 Ph: 253.661.4000 Fax: 253.661.4129 Project Name: BICKFORD Mechanical Permit #:02 -103418 - 00 - ME Inspection request line: 253.835.3050 Project Address: 2425 SW 308TH Pl Parcel Number: 416780 0040 Project Description: MECH - Replacement of a gas hot water heater and installation of a pressure reducing valve and mainline shutoff. Owner Applicant Contractor M Dudley & June L Bickford M Dudley & June L Bickford PLATINUM PLUMBING CO 2425 SW 308TH PL 2425 SW 308TH PL 4029 S 170TH ST FEDERAL WAY WA 98023-7821 FEDERAL WAY WA 98023-7821 SEATAC WA 98188 (206) 988-1642 Mechanical Valuation..........................................1125 Over the Counter Permit ...................................... Yes PERMIT EXPIRES February 4, 2003, IF NO WORK IS STARTED. Permit issued on August 8, 2002 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: . Date: A'0- e , -ZOO.Z g'—Z� -- o Z �8 s�/ a� /✓fir /L ��`/ .i fir,-fql jh(f�iMiCdl r eon LL a"OF G EO Erz \W -'>FW �bNfraC�a t' �S �.•►t �4c SC CONSTRUCTION PERMIT APPLICATION APPLICATION NUMBER: O 2 - / 3 /_� - 00 APPLICATION NUMBER: APPLICATION NUMBER: - - **The following is required information — Please print (in ink) or type** Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. PROPERTY INFORMATION SITE ADDRESS: i/.2.� SYt/ 3QB /tel ASSESSOR'S TAX/PARCEL #: / G Z 8 LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): Lo1 /a � o �' 1al'.0 Pa roafes ,Di✓isior, i1% /u�,.� 6' � f'/air - e - TYPE OF PROJECT (This application): ❑ BUILDING 0 PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description): /2[.olQ „ e>l 4dr 11}F/ 1V&541 h PROJECT NAME: PROPERTY OWNER: CONTRACTOR: APPLICANT: NAME: / DAYTIME PHONE: (2S3) 613,6 - �W 7.Z MAILING ADDRESS (STREET ADDhESS; CITY, STATE, ZIP): yis sr✓ 308 �� P/�, fulcra % A/, , wA za80z 3 NAME: 1pla,17JI127 DAYTIME PHONE: (1W 4 ) MY 14 11.t MAILING ADDRESS (STREET ADDRESS; CITY, VrATE, ZIP): EVENING PHONE: CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: (ropy of card required) NAME: DAYTIME PHONE: /yl . to '06r' A4r al (-9-V3 ) ~ - -W 7.Z MAILING ADDRESS (STREET RESS; STATE, ZIP): EVENING PHONE: esa.�, e a s a is vc ( ) - RELATIONSHIP TO PROJECT / FAX NUMBER: El ARCHITECT LTJ TENANT ❑ OTHER( DESCRIBE): ( ) - E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR EXISTING USE: PROPOSED USE: ■ DETAILED BUILDING INFORMATION EXISTING BUILDING ASSESSED/APPRAISED VALUATION SPRINKLERED BUILDING? ❑ YES ❑ NO WATER SERVICE PROVIDER: SEWER SERVICE PROVIDER: PROPOSED VALUATION FOR IMPROVEMENTS: $ l I FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) ❑ LAKEHAVEN 11 HIGHLINE 11 PRIVATE (SEPTIC) _ 3 **MEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ ■ PROTECT FLOOR AREAS I FLOOR EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL BASEMENT FIRST SECOND THIRD FOURTH OTHER FLOORS (DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL: Indicate number of each type of fixture MECHANICAL AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S) BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S) BOILERS) FIREPLACEINSERT(S) RANGE(S) MISC.( ) COMPRESSOR(S) FURNACE(S) DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHERS) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC RGAS DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUTLET(S) SINKS) WATER CLOSET(S) MISC. ( ) INTERCEPTORS) SUMP(S) ; 13LOCK I certify under penalty of perjury t the information furnished by me is true and correct to the best of my knowledge, and further, that I am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 of Federal Way, 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. �/ y NAME/TITLE: DATE: 0 a O2 t!1 PROPERTY OWNER VA-PPLdANT ❑ CONTRACTOR COMMUNITY DEVELOPMENT SERVICES • 33S30 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL. WAY, WA 98063-9718 •253-661-4000 • FAX: 253-661-4129 www.cbmffedmlway.com ROM :Platinum Plumbing Co. FAX NO. :253 945-0330 Aug. 08 2002 03:31PM P1 ((%0/2002 10:56 FAK 360 902 5312 COA'TRACTOR RE(,,; S1'R.;Vf Li ON 11001 CRUMCC IC: 01 DEPART MEN I OF LABOR ANDINDUSTRIE8 CRIS CONSTRUCTION CONTRACTOR INF04M-4TL0N Prod ?OPTION ?LICENSE RMSER: _ (ADD,C.H0,REN,REP,PRT,CAL PL8UNZ;01jC2 or Screen 10) ?Status: A ACTIVE Contractor Name: PLATINUM PLUMBING co ?ContractOt Type: CC CONST CONT Parent Company : USI: 001934108 Search Name PLATINUM PLUMBI Address Line 1 ; 4029 8 170TH Address Line 2 ; City,Sli1tQ,ziF SEATTLE WA 9e1ea Telephone 2062469808 County: 17 KIN& EtTective Date 022299 ?Reg Reason Cade: ecialtyss Type: T Expiration Date: 022203 ?Specialty Cade 1: Ad INDIVI©UAL Suspended Date : 00aa0o . Specialty ;,ode 2: EX PLUMBING Nbr of Type cng: i Audit Until Date: 000000 O'rIfCA SPEC F90 Received Dt; 000000 Emplvyeost LINIIS ID: JY/N) F1=Hlp F2*LfW F3=End F4-Adr FB -Pry M6 VXT Record Review suceessYul