17-100705I
Mechanical
CityofFe&MWay Permit #:17 -100705 -00 -ME
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Line: (253) 835-3050
Ph: (253) 8352607 Fax: (253) 835-2609
Project Name: COLONIAL FOREST CONDOMINIUM - BLDG 16 UNIT 165
Project Address: 32525 1ST PL Scel Number: 169730 0880
Project Description: Installation of gas line for fireplace. IL 1000,
Owner
Applicant
Co for
GEORGE PFEIFFER
GEORGE PFEIFFER
BU PLUMBING
32525 1ST PLS
32525 IST PL S
EP*880LA (6/06/18)
FEDERAL WAY WA
98003-5712
FEDERAL WAY WA 98000
25836 193RD PL SE
IJ/
COVINGTON VISA 98042
X0'7
THIS CARD IS TO REMAIN ON-SITE
Construction
Federal Wa Inspection Record
Way INSPECTION REQUESTS: (253) 835-31150
PERMIT #: 17100705 00 Address: 325251ST PL S Unit 165
Project: George Pfeiffer FEDERAL WAY WA 98003-5700
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) 2❑ Gas Piping (4125) l1B,
0 Final - Mechanical (4065)
Approved Approved to release test Approved
3y Date By /- tJ Date 7-1417 Date
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
I
4ik
CITY OF
Federal Way
PERMIT NUMBER'
RE6EIVED
FEB 13 2017
CITY OF FEDERAL WAY
DS
o6
PERM I*APPLICATION
PERMIT CENTER + 33325 81s Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenter@cityoffederalway.com
TARGET DATE
SITE ADDRESS
��sas• /STpb+e - .5 FE b wA-Y aA-
SUITE/UNIT #
16 - (A;c /
PROJECT VALUATION
ZONING
ASSESSOR'S TAR/PARCEL #
$ aaao,—
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
1� f Q/�% -OF a4s 4Q)A—
PROJECT DESCRIPTION
Detailed description of work to
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be included on this permit only
NAME ^��/�
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PRIMARY PHONE
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PROPERTY OWNER
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CITY
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PHONE S&36* � OV
MAILING ADDRESS �+�w
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E-MAIL
CONTRACTOR
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ZIPA��
EXPIRATION
FAX
WA STATE CONTRACTOR'S LICENSE #
DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
FoP�o�
PRIMARY PHONE
APPLICANT-
MAILING � `''D
E-MAIL
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CITY
C/L1 "m
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FAX
PROJECT CONTACT
NAME�nn ^. �---
PRIMARY PHONE
MAMING ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
OWNER -FINANCED
When value is $5,000 or more
(RCW 19.27.095)
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I cert(fy 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 to t city as apart of this application.
SIGNATURE: ` DATE
PRINT NAME: E TtCO
Bulletin #100 — January 29, 2016 Page 1 of 2 k:\landouts\Permit Application
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