13-100088 Mechanical
City of Federal way Permit #.• 13-100088-00-ME
Community 8 Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 98003 Request uest Line:
Ph:(253)835-2607 Fax:(253)835-2609q (253)835-3050
Project Name: WALKER
Project Address: 31007 39TH AVE SW Parcel Number: 758200 0150
Project Description: Gas line replacement.
Owner Anniicant Contractor
KEVIN&CLAIRE WALKER KEVIN&CLAIRE WALKER OWNER IS CONTRACTOR
826 SW 313TH CT . 826 SW 313TH CT
FEDERAL WAY WA 98023 FEDERAL WAY WA 98023
Additional Permit Information
Mechanical Work Valuation?.................................1100 Is this an Online or O.T.C.application?.................Yes
Mechanical f=ixtures;
Gas Piping...................................... 1
PERMIT EXPIRES Satur y, 1 , 2013
Permit Issued on Monday, J u 7, 2013
1 hereby certify that the above information is correct and that th onstructi bove described property and
the occupancy and the use will be in accordance with the I , rules and s of the State of Washington
and the City o eder Way.
Owner or agent: �.--- � Date: "7
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THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 13-100088-00-ME Address: 31007 39TH AVE SW
Project: KEVIN & CLAIRE WALKER FEDERAL WAY, WA 98023-2179
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.
0 Mechanical Rough-in(4165) El Gas Piping(4125) Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By a Date —'q_, By Date
� V
Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
JP
arof RECEIVED PERM IWPPLICATION
Federal Way ,►AN 07 2013
CITY OF FEDERAL WAY
PERMIT NUMBER —�� U 6 S — M E TARGET DATE
SITIS ADDRESS SUITE/UNIT 8
PROJECT VALUATION ZONING ASSESSOR'S TAXAPAIRCEL t
$ ob __Z X -2- O C) -
TYPE OF PERMIT ❑BUILDING ❑ PLUMBIN CHAMCAL ❑ DEMOLITION ❑ ENGINEERING ❑FIRE PREVENTION
NAME OF PROJECT
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME c 11 PRIMARY PHONE
PROPERTY OWNER !/G�1 2 ��j/� I�cJGc� -2 Z� '�Gf 7
MAII.IIQG ADDRESS K E.
b o7 ti �z. 5G� 7�t�.�' �<'s� c � k�7
CITE STATE
6iz�- w
NAS D
PHONE
MAULING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE M EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE S
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS EMAIL
CITY STATE I ZIP FAX
NAM ' 1 PRIIIARY PRONE
PROJECT CONTACT )T3 Z Z
The individual to receive and MAIL G ADDRESS 19-HAM
respond to all correspondence e d(} t• C�
concerning this application) CITY STATE ZIP FAX
a
NAME
PROJECT FINANCING ❑ 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 I am the property owner or authorized 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 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,
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 t?_{e city as apart of this application.
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SIGNATURE: ! }' DATE
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Bulletin#100-January 1,2013 Page i of 3 k:\Handouts\Permit Application