19-101575City of Federal Way
Community Development Dept
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: BISIG
Mechanical
Permit #:19-101575-00-ME
Inspection Request Line: (253) 835-3050
Project Address: 32805 47TH AVE SW Parcel Number: 802950 0200
Project Description: Gas piping for cook stove and future barbeque.
Owner
Applicant
Contractor
STEVEN & AMELIA BISIG
PUGET SOUND GAS WORKS LLC
PUGET SOUND GAS WORKS LLC
32805 47TH AVE SW
2317 TWIN PL
PUGETSG851N6 (8/26/19)
FEDERAL WAY WA 98023
ANACORTES WA 98221
2317 TWIN PL
ANACORTES WA 98221
Additional Perrgit ma ion
Mechanical Work Valuation? ................................. 2600 Is this an Online or O.T.C. application?.................. Yes
Me real Fixtures
0 Gas Piping 1
,�
PERMI FIRES Monday, 30 S4,igje er, 2019
Permit Issued on Wednesday, I , 2019
1
1 hereby certify t t the ab In mation is correct and th onstruction on the above described property
and the occupy a I the a will be in accordance wi t laws, rules and regulations of the State of
Washington and the City a ederal Way.
Owner or agent: • Date:
<Id
_�k
-STY Of
Federal Way
THIS CARD IS TO REMAIN ON -SITE
Construction inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 19 101575 00 Address: 32805 47TH AVE SW
Project: STEVEN & AMELIA BISIG FEDERAL WAY WA 98023-1916
Scheduled inspections maybe failed if this card is not on -site. DO NOT LOSETHIS 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) Q Gas Piping (4125) 0 Final - Mechanical (4065)
Approved
By Date
Approved to release test
By `Go5 Date / -
Approved
By Date
El
Rough Electrical
❑ Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
kv Date
By
Date
RECEIVE® 44, CITY OF PERMIT APPLICATION
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Federal 1P11ay APR 0 3 2019 PERMIT CENTER + 33325 8th Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcente ncityoffederalway.com
CITY OF FEDERAL WAY
f� COMMUNITY DEVELOPMENT �r
PERMIT NUMBER `�'j _ / �7_ `I
TARGET DATE
SITE ADDRESS
PROJECT VALUATION
TYPE OF PERMIT
NAME OF PROJECT
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
CONTRACTOR
APPLICANT -
PROJECT CONTACT
(The individual to receive and
respond to all correspondence
concerning this application)
SUITE/UNIT #
1;1G ASSESSOR'S TAX/PARCEL #
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❑ BUILDING ❑ PLUMBING XMECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
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NAME
PRIMARY PHONE
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MAILING ADDRESS,-
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CITY
ST TE
ZIP
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NAMTUC,et W
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PHONE Y� ,
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MAILiN DRESS
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MAIL .�
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STAT CONTRACTOR'S LICENSE #
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LING A�MG d�
ZIP e
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IRAT ON DATE FEDERAL WAY BUSINESS LICENSE #
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PRIMARY PHONE
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E-MAIL (I
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NAME PRIMARY PHONE
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
AM
PROJECT FINANCING NE ❑ OWNER -FINANCED
When value is $5, 000 or more MAILING ADDRESS, CITY, STATE, ZIP PHONE
(RCW 19.27.095)
I certify under penalty of per 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 appycation.
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PRINT NAME: 4� ---
DAT
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Bulletin #100 — January 29, 2016 Page 1 of 2 k:\Handouts\Permit Application