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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