13-103808City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: POOLE
Project Address: 2427 SW 307TH ST
Project Description: Replace some water piping.
• Plumbing
Permit #: 13 -103808 -00 -PL
Inspection Request Line: (253) 835-3050
Parcel Number: 416770 0200
Owner
Al2RIicant
Contractor
LIA POOLE
LIA POOLE
OWNER IS CONTRACTOR
2427 SW 307TH ST
2427 SW 307TH ST
FEDERAL WAY WA 98023
FEDERAL WAY WA 98023
Plumbing Fixtures
Other Plumbing Fixtures ............... 1
PERMIT EXPIRES Monday, February 24, 2014
Permit Issued on Wednesday, August 28, 2013
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: Date:
• THIS CARD IS TO MAIN ON-SITE
CUT OF ^�-� Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 13 -103808 -00 -PL Address: 2427 SW 307TH ST
Project: LIA POOLE . FEDERAL WAY, WA 98023-7858
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.
Final - Plumbing (4075)
Approved
By Date
Plumbing Groundwork (4190)
Rough Plumbing (4230)
0
Gas Piping (4125)
Approved to cover
By
Approved
Approved to release test
By
Date
By
Date
By
Date
Final - Plumbing (4075)
Approved
By Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
4
W. RWEIVED •
CITY OF AUG 2 8 2013 PERMIT APPLICATION
Federal Way
CITY OF FEDERAL WAY 3b�
//// CDS /
PERMIT NUMBER _ 3 ffO 9S _ P L
TARGET DATE
SITE ADDRESS
c;i'1Z � SW 3,) i "' 5fi
SUITE/UNIT ►
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL t
$3sDC)-1)D
-�t i—c� 1 �4-—bZD-b—
TYPE OF PERMIT
❑ BUILDING PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME: OF PROJECT
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PROJECT DESCRIPTION
I/I
Detailed description of work to
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be included on this permit only
PROPERTY OWNER
NAME
(, I^tn POS
PRIMARY PHONE
MAD.ING ADDRESS
2 21 SW T+"'
E-MAIL
Ae—em r ss
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STATE
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PHONE 7 JC!
MAILING ADDRESS 1
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EMAIL
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CONTRACTOR
CITY ` V ✓
SSTATICZIP
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WA ST Ow TOR'8 LICENSE M
EXPIRATION DATE
FEDERAL WAY BUSINE88 E
NAMEG„� no'\ I�
PRIMARY PHONE
I YL
MAILING ADDRE88
a 1 Sw
E-MAIL
APPLICANT
CT-ekval
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FAX
W,
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NAME` P I�
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PRIMARY PHONE
PROJECT CONTACT
L I^ I
MAILING ADDREss C�
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IC-MAIL
(The individual to receive and
respond to all correspondence
CITY VecG I Wa-
STAI//%,��/ 4
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i
FAX
concerning this application
PROJECT FINANCING
NAME
Iey OWNER -FINANCED
Required value of $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 certVy that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorised by the issuance of a permit. 1 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:
DATE
Q ,r�V13
V L
PRINT NAME:
Bulletin #100 — January 1, 2013 Page 1 of 3 k:\liandouts\Permit Application
11
4, • •
VALUE OF MECHANICAL WORK
MECHANICAL PE:RN49.IT $
Indicate how many of each qW offixture 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 ic cA
BOILERS FURNACES HOT WATER TANKS (G-)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
GENERAL INFORNMATION
CRIT[CAL AREAS ON PROPERTY?
WATER PURVEYOR
VALUE OF PLUMBIVG WORK
PLUMBING P'i RN11T
$
Indicate how mang of each type offtirture
to be installed or relocated as
part of this project Do not include existing fixtures to remain.
BATHTUBS (or Tub/ sbrmrCombo)
LAVS (Hand sinks)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (mwi—/uebty)
WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL F XTURES
GENERAL INFORNMATION
CRIT[CAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF WaSTAIG IMPROVEMENTS
EXISTING/PREVIOUS USE
LOT SIZE (In Sgnase Peet)
EMMNG FIRE SPRIM=R SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No
❑ Yes ❑ No
COMMERCIAL - NENWADDI-TIO!v
AREA DESCRIPTION Area Occupancy Group(s) Construction #) of Additional Information
In Square Feet a Stories
IiEW BIIILD1Ef3
Bulletin #100 — January 1, 2013 Page 2 of 3 k:\HandouLs\Permit Application