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06-105467Nf City of Federal Way Community Development Services P.O. Box 9718 Federal Way, WA 98063-9718 Ph: (253) 835-2607 Fax: (253) 835-2609 f Mechanical Permit #: 06 -105467 -00 -ME Project Name: PHILLIPS Project Address: 818 S MAXINE HILLS WAY Project Description: REP - Installation of (3) gas pipe outlets Inspection Request Line: (253) 835-3050 Parcel Number: 515293 0120 Owner Applicant Contractor KATHY PHILLIPS J & K PLUMBING INC J & K PLUMBING INC 818 S MARINE HILLS WAY 34127 183RD AVE SE JKPLUI*159RD 3/19/07 FEDERAL WAY WA 98003 AUBURN WA 98092 34127 183RD AVE SE AUBURN WA 98092 Additional Permit Information Mechanical Valuation............................................2700 Over the Counter Permit? ...................................... Yes Mechanical Fixtures Gas Pipe Outlets ............................. 3 PERMIT EXPIRES Owner or agent: ;urday, October 25, 2008 esday, October 25, 2006 ` THIS CARD IS TO REMAIN ON-SITE .' CITY OF Community Development Inspection Record. Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 06 -105467 -00 -ME Owner: KATHY PHILLIPS Address: 818 S MARINE HILLS WAY FEDERAL WAY, WA 98003-3183 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 G ti Date/,O. Z7, v ` By C. c..j Datelo - r 7 • o CIrVOF 51 � / Federal Way¢ Zop6 PERMIT' ---" 5 SF MF CO E LPL DE EN FP COMMUNITY DEVELOPMENT SERVICEDCA A l� 3332E D AVENUE SOUTH • 63 BOX 97 v L I C AT I O N ° FEDERAL WAY, X 98063 -260 253-835-2607• FAX 253-835-2609 � www d1yoffederalwau.com '� aO`�O`N� The following is required information -an incomplete application will not be accepted. Please print legibly (in ink) or type. J� PROPERTY•. • SITE ADDRESS �/y C tP/ �I6�%��L-� CSL -CJS SUITE/UNIT # � ASSESSOR'S TAX/PARCEL # - LOT SIZE (sj) LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) (Attach separate page for lengthy legal description) PROJECT• • TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING kMECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlul Gft -75 1P/ Sf 6- PROJECT NAME (Name of Business or Owner Last Name) r 1 1 1 1 1.�5 PEOPLE• • PROPERTY OWNER CONTRACTOR r COPY of card regnlred wtth each appllcatlon APPLICANT PROJECT CONTACT LENDER EXISTING USE NAME PRIMARY PHONE �v AILING ADDR SS - CITY,TATE, . 0J, � � E-MAIL ADDRESS COMPANY ME k {� u -M a A%G- - APPLICANT NAME �u� lOFFIC PHONE wP; I - MAIL 10 ESS Y3�S� �' CI �AT�E�Rw�, CELLPHONE311L^G_ CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER (z5;_9a�� - � CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DA ❑ Architect ❑ Tenant ❑ Agent ❑ Other COMPANY NAM APPLICANT NAME OFFICE PHONE k G..Um�r � � �' PHONE c ► - MAILING ADDRESS CITY, STATE, ZIP CELL PHONE RELATIONSHIP TO PROJECT FAX NUMBER ❑ Architect ❑ Tenant ❑ Agent ❑ Other - NAME PRIMARY PHONE E-MAIL ADDRESS NAME Per RCW 19.27.093: Lender information is required if project value exceeds $5,000 MAILING ADDRESS CITY, STATE, ZIP PHONE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ 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 0 PRIVATE (SEPTIC) AREA DESCRIPTION EXISTING S . FT. PROPOSED SQ. FT. TOTAL SQ. FT. BASEMENT URINALS MISC (Describe) DISHWASHERS RAINWATER SYST FIRST EVAPORATIVE- COOLERS GAS PIPE OUTLETS WOODSTOVES BBQS SECOND GAS WATER HEATERS MISC (Describe) BOILERS FIREPLACE INSERTS THIRD COMPRESSORS FURNACES RANGES ADDITIONAL FLOORS (DESCRIBE) GAS LAG SETS REFRIG. SYSTEMS DECK (❑ COVERED OR ❑ UNCOVERED?) GARAGE ❑ CARPORT ❑ NUMBER OF FLOORS 111TING PROPOSED TOTALTOTAL ERIS- Sf TOTAL PROPOSED SF TOTAL 9f "NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ 0 FIXTURES 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 o ALTERATION o REPAIR o TENANT IMPROVEMENT Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION) URINALS MISC (Describe) DISHWASHERS RAINWATER SYST AIR HANDLING UNITS EVAPORATIVE- COOLERS GAS PIPE OUTLETS WOODSTOVES BBQS FANS GAS WATER HEATERS MISC (Describe) BOILERS FIREPLACE INSERTS HOODS (commercial) COMPRESSORS FURNACES RANGES DUCTS GAS LAG SETS REFRIG. SYSTEMS PLUMBING o ALTERATION o REPAIR o TENANT IMPROVEMENT BATHTUBS (or Tub/shower combo) LAVS (sauvoumSinks) URINALS MISC (Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS WATER CLOSETS rroueq ELECTRIC WATER HEATERS SINKS WASHING MACHINES HOSE BIBBS SUMPS a YES o NO 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 itsoffjcers and employees, upon the accuracy of the information supplied to the city as a part of this annlication. %� NAME/TITLE RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent ❑ Contractor 5-- DATE 2� 2::9C (Title( ❑ Architect ❑ Other o NEW ❑ ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES o NO BASIC PLAN? ❑ YES ❑ NO ZONING DESIGNATION CHANGE OF USE? ❑ YES ❑ NO NEW ADDRESS REQUIRED? ❑ YES ❑ NO UP/SEPA/SU? o YES o NO PLATTED LOT? a YES o NO DEMO PERMIT REQUIRED? ❑ YES o NO Bulletin #100 — January 1, 2006 Page 2 of 4 k\ Handouts\Permit Application