19-103760City of Federal way
Community Development Dept
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: NEMETHY
Project Address: 33913 12TH PL SW
Project Description: Install gas piping to barbeque and range.
Mechanical
Permit #:19-103760-00-ME
Inspection Request Line: (253) 835-3050
Parcel Number: 957814 0140
Owner
Applicant
Contractor
TIMOTHY & KIMBERLY NEMETHY
VLAD HVAC
VLAD HVAC
33913 12TH PL SW
1207 69TH AVE E
VLADHHL855KQ (5/22/21)
FEDERAL WAY WA 98023
FIFE WA 98424
1207 69TH AVE E
FIFE WA 98424
Additional Permit Information
Mechanical Work Valuation? .............. I .................. . Hil(i
Is this an Online orO.T.C. a )lication?.................. Yes
i
Mechanical Fixtures
Gas Piping 1 Gas Pipe Outlets
PERMIT EXPIRES Sunday 24ebruary, l
Permit Issued o esdaugust 6, 2
1 #N
I hereby certify that the above information is correct an that the con on on the above described property
and the occupancy and the ill be in accordance with the laws, es and regulations of the State of
Washi and the City of Federal Way. C�
Owner or agent: • Date: 6 , /
4k
CITY OF
Federal Way
PERMIT #: 19 103760 00
THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
Address: 33913 12TH PL SW
Project: TIMOTHY & KIMBERLY NEMETHY 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.
t❑ Mechanical Rough -in (4165)
Gas Piping (4125)
Final - Mechanical (4065)
Approved
p
�O �S� Approved to reteaso test
Approved
By Date
By Date 1.2
By Date
r
Rough Electrical
0Final
Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
RECEIVE®
. PERMIT APPLICATION
CITY OF �� AUG 0 6 2019
PERMIT CENTER t 33325 8th Avenue South +Federal Way, WA 98003-6325
Federal Way CITY OF FEDERAL Wqy 253-835-2607 + FAX 253-835-2609 + permitcenter@cityoffederalway.com
COMMUNfTY DEVELOPMENT
PERMIT NUMBER _ S _V 2 &_ D_ -" 1 �_: TARGET DATE
SITE ADDRESS SUITE/UNIT #
3 S 913 j2 I-il P w �-� � t t"a'°
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL #
$ � 1 ' 5 7 � - � I 0
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
I-] At rr ` Y �,
If aS
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
Nay
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PRIMARY PHONE
PROPERTY OWNER
MAILINGJr17DRFSS
E-MAIL
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CITY
STATE ZIP
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MAILING AD� SS � ^ �
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CONTRACTOR
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STATE�
ZIP ' /
FAX
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FEDERAL WAY BUSINESS LICENSE #
-
NAMle
APPLICANT
MJdLING ADDRESS
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MAIL
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a��'�'�
ZIPD 4_
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FAX
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NAME
PRIMARY PHONE
PROJECT CONTACT
MAILING 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
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 ofjieers and employees, upon the accuracy of the
information supplied4thcityas a part of this application.%
DATE �(�s! � /
SIGNATURE:
PRINT N a O
Bulletin #100 — January 29, 2016 Page 1 of 2 k:\Handouts\Permit Application
VA
MECHANICAL PERMIT LUE OF MECHANICAL WORK
Indicate how marW of each type of w.ure to be installed or relocated as tprt of this project. Do not include a dWs res 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
VA LUE OF PLUMBING WORK
Indicate how many of each type qffwture
to be installed or relocated as
part o this project. Do not include existing res 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/Unity)
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?
❑ Yes ❑ No
PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No
RESIDENTIAL -NEW OR ADDITION
AREA DESCRIPTION (in square feet)
EXISTING
PROPOSED
TOTAL
FOR OFFICE USE
BASEMENT
FIRST FLOOR (or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER (describe)
Area Totals
EXISTING
PROPOSE.
TOTAL
**NEW HOMES
ONLY**
ESTIMATED SELLING PRICE $
# OF BEDROOMS
COMMERCIAL - NEW/ADDITION
AREA DESCRIPTION
Area in
Square Feet
Occupancy Group(s)
Construction
a
# of
Stories
Additional Information
NEW BUILDING
ADDITION
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area in
S uare FeetType
Occupancy Group(s)
Construction
StoriesfAdditional
Information
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin #-100 —January 29, 2016 Page 2 of 2 k:\Handouts\Permit Application