19-103999 'iii e► r
Plumbing
City ofFederal Way Permit #:19-103999-0Q PL
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax(253)835-2609
Project Name: UNO
Project Address: 30620 2ND AVE SW Parcel Number: 556000 0760
Project Description: Re-plumb house supply and drain.
Owner Applicant Contractor
GORDY UNO GORDY UNO OWNER IS CONTRACTOR
30620 2ND AVE SW 30620 2ND AVE SW
FEDERAL WAY WA 98023 FEDERAL WAY WA 98023
USA USA
Other Plumbing Fixtures 1
PERMIT EXPIRES Saturday, 15 February,2020
Permit Issued on Monday,August 19,2019
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 int accordance with the laws, rules and regulations of the State of
Washington and the Cityof Federal Way.
Owner or agent: , • 75--i1,,, Date: — (7 - /7
F /
l
fill°11
1
THIS CARD IS TO REMAIN ON-SITE
°mom Construction Inspection Record
Federal way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 19 103999 00 Address: 30620 2ND AVE SW
Project: GORDY UNO FEDERAL WAY WA 98023-3906
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.
® Plumbing Groundwork(4190) 0 Rough Plumbing(4230) 3❑ Final-Plumbing(4075)
Approved to cover ' Approved Approved /.By
Date By �-LDate ct-12- (ci Bya5Date f26/1
r .
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
` DECEIVED
��.. PERMIT APPLICATION
FCITY OF AUG 19 2019 PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
ederal Way 253-835-2607 + FAX 253-835-2609 +perrnitcenter@cityoffederalway.com
c..............................2
COMMUNITY DEV 0 ME-
PERMIT NUMBER / _, I 6 5 qer,' ' /06 TARGET DAT
SITE ADDRESS SUITE/UNIT#
3020 2-ti ,,i(t e s _(--).
PROJECT VALUATION ZONING ASSESSOR'S0 0 0 _-TAX/PARC
$ (U��a
S Q7 O
TYPE OF PERMIT 0 BUILDING g PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT bt
14.10
Rf (U /-Ia U 5 �v t 4� c-A (� 1r G
PROJECT DESCRIPTION P y
Detailed description of work to
be included on this permit only
NAME ( PRIMARY PHONE
r7e-i V- 1/4y `) �U ,24:)G 78 3 e".:5-7o
PROPERTY OWNER
MAILING ADDRESS/ E-MAIL.36 Sc'r d 5 Civ, 4.
CI1.YPc)ru ( (A--)(...t.- I STATE ZIP d 23
NAME � ( PHONE
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME C- Ckf)At1 PRIMARY PHONE
APPLICANT- MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAME - PRIMARY PHONE
PROJECT CONTACT
AAAVA
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
PROJECT FINANCING NAME ; 0 OWNER-FINANCED
When value is$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 to the city as a part of this application.
SIGNATURE: j e .. I lt19 DATE O /
PRINT NAME:
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
$
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 GAS PIPE OUTLETS OTHER(Describe),
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING PERMIT VALUE OF PLUMBING WORK
$ /O, 000
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 TOTAL FIXTURES
GENERAL INFORMATION
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
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
r x.
FIRST FLOOR(or Mobile Home)
m OID ,°- P -:. - ,, :. I ,,,--,f."4-„,-*'
v,_
COVERED ENTRY
DECK ( fi ti
GARAGE D CARPORT ❑
CkTHER adds � �; -
��, , 1ft', 'fix bx �f;; 1 ;�Br Gn ...._..._.....-_-. _.__—_............__..........-....-_......__.__-..........__.._.......__....-..._.........._
Area Totals EXISTING PROPOSED TOTAL
�,, - ,,i- =' **vEtr Oft OIilLr ',;I I' -,,-...„‘.4,0,
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
Square FeetType Stories
'`'P iv � s -,,,>;.‘: ,l 'rr->4....,,,fL'z, sa , s r '/ t � �; 0C r .''
;.f il1DING , ' €9 � w.x ',- r, - t
a
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(e) Construction #of Additional Information
Square Feet Type Stories
a ' C 'r jva ' • s '< .V ,,...4., %` ov b f3 f*'i'd*iw va ' xTOTAL D G ' 3 im, 9' r, r�„
TENANT AREA ONLY
PRO(JEcT tea, ,. n ,
Bulletin#100-January 29,2016 Page 2 of 2 k:\Handouts\Permit Application