12-103454 11111 • Mechanical
City&Fco Way Permit #: 12-103454-00-ME
Econ.CommuniDev.Services
33325 8th Ave S 9
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p 4
Project Name: MYERS
Project Address: 1212 SW 342ND PL Parcel Number: 640370 0260
Project Description: Install gas line for stove
Owner Applicant Contractor
MARIA L MYERS PINKY'S PLUMBING LLC PINKY'S PLUMBING LLC
1212 SW 342ND CT PO BOX 68133 PINKYPL905LS(6/10/14)
FEDERAL WAY WA 98023-7072 SEATTLE WA 98168 PO BOX 68133
SEATTLE WA 98168
Additional Permit Information
Mechanical Valuation 500 Is this an Online or O.T.C.application? Yes
Mechanical Fixtures
Gas Piping 1
PERMIT EXPIRES Tuesday, January 22, 2013
Permit Issued on Thursday, July 26, 2012
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 Ci of Federal Way.
Owner or agent: k. ' . Date: 17'-(29/41—,2-0/?. •
THIS CARD IS TO ON-SITE ,
CITY OF
4A 0 Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 12-103454-00-ME Address: 1212 SW 342ND PL
Project: MARIA L MYERS FEDERAL WAY, WA 98023
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) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By f Date 7-3/-12_,
❑ Rough Electrical Final Electrical Right of Way
Approved Approved1:1 Approved
By Date By Date By Date
.i / - 10 -1--5 f
'`'
4 Federal CEIVED PERMIT •
MF CO PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES APPLICATION ‘
253-835-2607•FAX 253-835- t 2 6 2012
www cituoffeJemlway o
/I ((//
CITY OF FEDERAL WAY 01"
SITE ADDRESS CDS SUITE/UNIT#
is a 3g0-M PL st)
PROJECT VALUATION ZONING ASSESSOR'3�PARCEL/ ,__ F D - -^ 0- , O
TYPE OF PERMIT ❑ BUILDING 0 PLUMBING TN MECHANICAL
❑ DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) ii 1/4\1 N
PROJECT DESCRIPTION L�r14iiGt1\ QC<S �inr Sit,ve
Detailed description of work to vv
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER L;,v1 tt> , ,y2_/�
MAILING ADDRLBS E-MAIL
Lata Stanck L s& .
CITY STATE air
NAME PHONE
• P-10.1\1 'S ` 1 A`n��Irl / LL C.- t,/�p /_ 7 - /997--
MAILING ADDRESS E-MAIL
CONTRACTOR to X 6 s‘'3> ci451v iastrii"t E P»�K79914nj •bj;
CITY STA5-e Cf,i}1� ,W E ZIP it 9 8 I S FAX
WAS TE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAT BUSINESS LICENSE#
yiiii
NAME - a ` PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
PROJECT CONTACTAM Dti
�1 ``
(The individual to receive and
2ce-�L -2- \c PHONEaoQ`3b1 _ j ,`�
`
respond to all correspondence MA1LIN ADDRESS / E-MAIL `
concerning this application) 6 O 13-S
C c�- �� fE ZIP 8 f 6 ir
FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
tC( ion 953-34d-8a37
PROJECT FINANCING NAME
0 OWNER-FINANCED
Required value of$5,000 or more /
7.
)
(RCW 19.2095) MAILING ADDRESS, TY,STATE,ZIP PHONE
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 o the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the ci (as a part of this application.
SIGNATURE: /`/ DATE UT" ¢L, d')9
PRINT NAME: i)WI- 'IJ e rck 6 cony
Bulletin#100—January 1,2011 Page 1 of 3 k:Wandouts\Permit Application
4.
r
VALUE OF MECHANICAL WORK $ Jw — ( k(a copy of bid or estimate must be provided)
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS I GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commernal)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES r •7- •y - •' ryn t �•>; ;.
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
$
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes ❑ No ❑Yes ❑ No
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
FIRST FLOOR(or Mobile Home)
COVERED ENTRY --- -- — _`--_----_—
•
GARAGE ❑ CARPORT ❑ —
EwSTt1D ntorae=D TOTAL -- — — --Area Totals
ESTIMATED SELLING PRICE$ #OF BEDROOMS
.
AREA DESCRIPTION Area Occupancy Group(s) Construction of Additional Information
in -•uare FeetA. Stories
ADDITION
AREA DESCRIPTION N Area » Occupancy Group(:) Construction of Additional Information
in S•uare Feet • .e Stories
'"„1?, `- i>: ,t,',•:•,:i"*(.'t'L'.-,,^ ' ', ,. ..< �T •N..N. ,:5,,4„...,. .r". I• -
•
TENANT AREA ONLY
",:',V':'` c., • • i,.r - ,:',';;-.;,;:,:,:!,,:,-:1-:- Ff,., ,..L : .t.-, : '. :',^z,'.-i!
.,
x'.tix...i<. -. .. .. %;fd.srf.. ".',:f4'1•0..4‘..-.'sf..`¢-,�s. ,. .. =r-a:..< ti „xi'::€:i
Bulletin#100—January 1,2011 Page 2 of 3 k:\Handouts\Permit Application