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HomeMy WebLinkAbout15-101939 t • Plumbing
C1 of Federal way Permit #: 15-101939-OO-P L
Community&Econ.Dev.Services
33325 8th Ave S
Federal way,Fax. 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 � 4
Project Name: HOLMES-GROVES
Project Address: 32036 28TH AVE SW Parcel Number. 873190 0240
Project Description: Remove and replace existing tub/shower,vanity and toilet
Owner Applicant Contractor
LYN HOLMES ELITE INSTALLERS NW ELITE INSTALLERS NW
WILLIAM M GROVES 10605 SE 240TH ST SUITE 404 ELITEIN873D9(4/8/17)
32036 28TH AVE SW KENT WA 98031-4903 10605 SE 240TH ST SUITE 404
FEDERAL WAY,WA 98023 KENT WA 98031-4903
•
Plumbing Fixtures
Bathtubs 1 Drains 1 Lavatories 1
Other Plumbing Fixtures 1 Water Closets 1
PERMIT EXPIRES Sunday, October 18, 2015
Permit Issued on Tuesday,April 21, 2015
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use ill be ac dance with the laws, rules and regulations of the State of Washington r
and the City of Federal Way.Owner or agent: Date: "T 2 /
FINALEC
THIS CARD IS TO ON-STYE �'•
err Construction In ection Record
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 15-101939-00-PL Address: 32036 28TH AVE SW
Project: LYN HOLMES FEDERAL WAY, WA 98023-2277
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.
0 Plumbing Groundwork(4190) -0 Rough Plumbing(4230) El Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date 1 �C Date4,_zQ_cc-7!y Date
❑ Final-Plumbing(4075) 1
Approved
By j S Date 4124 l t w-
El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
•
Ph-
CITY OF 1 PERMI'TtPPLIC N
Federal Way o,�
APR 21 2015 '�10
PERMIT NUMBER 1 5 _ I 0 1 C) 3 9 _ CITY OF CDS�L WAY
TARGET DATE
SITE ADDRESS v)3( Z g A V��_�_ / SUITE/UNIT#
W
$ PROJECT VALU ION ZONING ASSESSOR'S # l 9 U _ O 4 o
^©
TYPE OF PERMIT ❑ BUILDING 4PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT 6 r0 YG S / /7`04 e S
PROJECT DESCRIPTION
re 15�' c ((el I. ^C `s AO 4••sr / epA Cd. c.✓,:A4
Detailed description of work to Ike- / new V Q t 17 c., (A' ta,le--f- re "(i
be included on this permit only /
NAME PRIMARY PHONE
PROPERTY OWNER /0 0,4" 6-,es- 4 ' 4 laid 1i S as *Z 3 3 6 2(
MAILING ADD S E-MAIL
32038 ,
CITY STATE ZIP
,else,,( (,v 147 (A49 etg0 a 3
1 1
NAME I Ile. Ti',!Sliu f/eI k VV ass- G3 S G22
MAILINNG ADDRESS ,- E-MAIL
CONTRACTOR
64 P-7 S /q'lC f "iJ"I r l/0(
CITY K I STATE _ ZIP q FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
c(,t&],- et7 0 �► s i _
NAME /� PRIMARY PHONE
kne. QS Gov,Y✓mac. 7t9
APPLICANT MAILING ADDRESS E-MAIL
CITY I STATE ZIP FAX
NAME Li/' ie_O'er h PRIMARY PHONE
PROJECT CONTACT S f j°j�/ 1 �.cS-3 6'53 g/Z4'
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING ❑ 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 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 clai arises out the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to t city a .STrof this application.
SIGNATURE: DATE q•--
( /s5
PRINT NAME: coa S�/--rsc)"Y.
Bulletin#100—January 1,2013 Page 1 of 3 k:\Handouts\Permit Application