00-100599 •
City of Federal Way Plumbing Permit #:00 - 100599 - 00 - PL
Community Development Services
33530 1st Way S
Federal Way,WA 98003-6210 Inspection request line: 253.661.4140
Ph:253.661.4000 Fax:253.661.4129
(3:30pm cut-off for next day inspections)
Project Name: GONZALES(PLUMB)
Project Address: 4609 SW 327TH Parcel Number: 189820 0090
Project Description: PLUMB-NEW SUMP PUMP
Owner Applicant Contractor
Norman H&Mary Ann Gonzales NONE OWNER IS CONTRACTOR
4609 SW 327TH PL
FEDERAL WAY WA
98023-1928 NONE
Plumbing Fixtures
Description Quantity) Description Quantity Description Quantity
Sumps - 1
CONDITIONS:
•
Permit issued on
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 City of Federal Way.
Owner or agent: 4, �/j/� �� Date:
It
BUILDING DIVISION
' F
�� 0 • 33530 First Way South
�--�� � Federal Way,WA 98003
N,N) FlYREC0
EI\1E� Fax(253)661-4129(253) 00
FEB 1 6 2006
APPLICATIONp �yBUILDING PERMIT
PLEASE PRINT APPLICATION # 0 0— 1) i
Site address
Tern Sar e) 24 6.9.74
�C /; Lot # Assessor's Tax #
/6�l (//Y `Cl �/1
Building Ovirrrer's Name\, ) 0 Addresses460/) r, ) SD 7 pc
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City 1' d,ei / / (,t�eQ �A State U4 Zip q go.)_ 3 i'L/ o�Phone..25'3"O 4-
6�liK�"�/ '"� L
Description of Work J
A CANT <>> > > ' > »`'>
Name (F,M,L)
Address
ity State Zip
Contact Person Day Phone Other Phone Fax
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iCT. . ... Federalder
I WaYBusiness License
Company Name b
I
Address
City State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified 0 Yes 0 No
: <::<:::
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Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
B
11111/
•5TRUG:TUF
xisting Use •roPosed Use
1111 —
Permit includes: ❑ Building ❑ Plumbing ❑ Mechanical ❑ Other
Type of Work: ❑ Residential ❑ New ❑ Remodel ❑ # of bedrooms ❑ Deck
LI Commercial ❑ Addition ❑ Repair ❑ Garage ❑ Shed
Enter 1st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft
Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area sq ft
Water Availability ❑ Sewer Availability ❑ On-Site Septic System Availability 0 !Project Valuation $
Zoning I Lot Size Existing Bldg Valuation $
:>:>:Ij ` > >< <'>>Ei� °>< < >> > > < >> For new residential
n/ - r0 0
se
d selling cost: $
Name Address
City State Zip
MECHANICAL<CONTRACT( R:.>::>::>::>::»:`>'<<>`
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUNIBINWCON,64diiiiiiiiiIiiiii2iii1;iiiiiiiiiiii
Contractor Na e Address
City State Zip
C act Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PtUMBtNG`F1XTU
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaterser.9imps
Lavatories Washing Machine Drains Total f=ixture Count
ATI N ONLY LY $
O
MECHANICAL EVALU
Fuel Type (gas/electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping Range Air Handling > = 10,000 CFM 30-50 Tons
Furn <100K BTUs Gas Log Unit Heater 50+ Tons
Furn >100 BTUs Fans Miscellaneous Fuel Tanks
Gas Hwt Hood Boilers Above Ground
Cony Burner Duct Work 0-3 Tons Under9round
BBQ's Wood Stoves 3-15 Tons Total Unit Count
DISCLAIMER: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 permit application is made.I further agree to save harmless the City of Federal Way as to any claim(including costs,expenses,and
attorneys'fees incurred in investigation and defense of such claim),whic f ay be made by any person,including the undersigned,and filed against the City of Federal Way,but only
where such claim arises out. .-reliance of the city,including its oil•- and employees,upon the accuracy of the information supplied to the city as a part of this application.
Owner/Agent: 7�
'J / Date: G
6 7(!)6•
Ruv fo5/18 C
REV 6F0 S/18/99