04-102193City 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: BALLINGER
Project Address: 34731 7TH SW Ve,
Project Description: Install gas line to range
r
. s
Mechanical Permit #:04 - 102193 - 00 - ME
Inspection request line: 253.835.3050
Parcel Number: 132174 0220
Owner
Applicant
Contractor
Neil A Ballinger & Barbara J Ballinger
J & K PLUMBING INC
J & K PLUMBING INC
34731 7TH AVE SW
1710 S 341ST PL UNIT B-20
1710 S 341ST PL UNIT B-20
FEDERAL WAY WA
FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
98023-8442
(253)838-1865
Mechanical Valuation..........................................825 Over the Counter Permit...................................... Yes
Mechanical Fixtures
DescriptionQuantity Description Quantity Description Quanti
Gas Piping
PERMIT EXPIRES November 29, 2004.
Permit issued on June 2, 2004
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:
THIS CARD IS TO REMAIN ON-SITE
CITY OF: Community Development Inspection Record
Federal Wray IVR INSPECTION REQUEST PHONE # (253) 835-3050
PEW141T #: 04 -102193 -00 -ME
Owner: J & K PLUMBING INC
Address: 34731 7TH AVE SW
FEDERAL WAY, WA 98023-8442
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.
❑ Mechanical Rough -in (4165) ❑ Gas Piping (4125) ❑ Final - Mechanical (4065)
Approved Approved to release test Approved
By Date By Date �-' .. By Date (.v.. 3 -�
Federal Way ,,PERMIT
COMMUMIY DEVELOPMENT S ,' `- - o j�[�y A SF MF C M L PL DE EN FP
33530 FIRST WAY , WA 98063-9718
8 P 3-9718 I� ti l� �ii'ry ,�_� ���� V 1 1T I
FEDERAL WAY, WA 98- 6 1-4 18 D / /
253-661-4115• FAX 253fi614129
uww.dtvolfederdwav
The following is required information -an incomplete application will not be accepted. Please print legibly (in ink) or tune.
SITE ADDRESST7 � % VE -=7 , SUITE/UNIT #
ASSESSOR'S TAX/PARCEL # - LOT SIZE (sj)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach s ,�pamfe page for kmgthy legd d—ripnon)
PROJECT1 • •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING l7(MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this l2ermit onl
A/ S 7 �-1 4- (::—: � 4-./,r TG ry —
PROJECT NAME (Name of Business or Owner Last Name) jJ� LL f SG�i2
PEOPLEINFORMATION
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
RE
� 4_
PRIMARY PHONE
o 1%-7
_
MAILING ADDRESS CITY, STATE, ZIP
-3 �31T4i
1.0
/CELL PHONE
i 1
COMPANY NAME APPLICANT NAME
Al C.
OFFICE PHONE
MAILING ADDRESS CITY, STATE, ZIP
MO `�-1—
CELLPHONE
PRIMARY PHONE
+J /
le� G®-
c: s
c2�3�35
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EX44PATION DATE
FAX NNUUMMBER
MAILING ADDRESS
— — — — — — — — — — B L l l
k457
lbs
CONTRACTOR'S REGISTRATION NUMBER (copy of card required with each application(
EXPIRATION
DATE
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
1 -
MAILING ADDRESS
CITY, STATE, I.IP
/CELL PHONE
i 1
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent ❑ Other (Describe)
FAX NUMBER
( 1 _
NAME
1.. /1 •�� J
T YL_
PRIMARY PHONE
+J /
le� G®-
E-MAIL ADDRESS
Per RCW 19.27.095. Lender information is
required if project value exceeds $5,000
NAME
MAILING ADDRESS
CITY, STATE, ZIP
EXISTING ASSESSED/APPRAISED VALUE $
DETAILED BUILDING INFORMATION
PROPOSED USE
VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
PROJECT FLOORAREAS
AREA DESCRIPTION
EXISTING S . FT.
PROPOSED S . FT.
TOTAL
BASEMENT
SINKS
GAS PIPE OUTLETS
SUMPS
FIRST
URINALS
LAVS (Bath—msinl )
VACUUM BREAKERS
SECOND
ZONING DESIGNATION
CHANGE OF USE?
THIRD
o NO
NEW ADDRESS REQUIRED? o YES ❑ NO
UP/SEPA/SU?
FOURTH
❑ NO
PLATTED LOT? ❑ YES ❑ NO
DEMO PERMIT REQUIRED?
ADDITIONAL FLOORS (DESCRIBE)
o NO
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS?
TOTAL EXISTING
TOTAL PROPOSED
TOTAL EXISTING AND PROPOSED
`•NEW HOMES ONLY`" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
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
Value of Mechanical Work $ O�
AIR HANDLING UNITS EVAPORATIVE COOLERS
BBQS FANS
BOILERS FIREPLACE INSERTS
COMPRESSORS FURNACES
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS (-Tuo/shote«Combo)
SHOWERS
DISHWASHERS
SINKS
GAS PIPE OUTLETS
SUMPS
WASHING MACHINES
URINALS
LAVS (Bath—msinl )
VACUUM BREAKERS
GAS LOGS
HOODS (comm«dai)
RANGES
GAS WATER HEATERS
WATER CLOSETS (Toii<q
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
REFRIG. SYSTEMS
WOODSTOVES
MISC (Describe)
MISC (Describe)
I certify under penalty of perjury that 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.
NAME/TITL
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent kContractor
DATE ^�
❑ Architect ❑ Other
FOR OFFICE USE ONLY
o NEW o ADDITION
❑ ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑ YES ❑ NO
BASIC PLAN?
o YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE?
n YES
o NO
NEW ADDRESS REQUIRED? o YES ❑ NO
UP/SEPA/SU?
❑ YES
❑ NO
PLATTED LOT? ❑ YES ❑ NO
DEMO PERMIT REQUIRED?
❑ YES
o NO
Bulletin # 100 — March 30, 2004 Page 2 of 4 k\Handouts — Revised\Permit Application