12-105140r
Plumbing
City of Federal Way
Community & Econ. Dev. Services ' Pa Permit #. 12-105140-00-PL
33325 8th Ave S a
Federal Way, WA 96003 t : Inspection Request Line: (253) 835-3050
Ph: (253) 835 -2607 Fax: (253) 835 -2609 xj L
Project Name: DAINARD
Project Address: 2025 S 308Th ST Parcel Number: 053700 0370
Project Description: Add shower, toilet and lavatory to existing laundry room.
Owner
Annliant
Contractor
JAMES DAINARD
ZEUS INVESTMENTS
ZEUS INVESTMENTS
14508 20TH ST SUITE 200
5023 NE 7TH PL
ZEUSIIL88906 (11/9/12)
BELLEVUE WA 98007
RENTON WA 98059
5023 NE 7TH PL
RENTON WA 98059
Lavatories ........ ............................... 1 Showers........... ............................... 1 Water Closets.. ............................... 1
PERMIT EXPIRES Wednesday, May 8, 2013
Permit Issued on Friday, November 9, 2012
1 hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and th will e i a ord ce with the laws, rules and regulations of the State of Washington
d the City of Federal Way.
Owner or agent: Date: Y— ri —1z a
Federal Way
THIS CARD IS TO MAIN ON -SITE
Construction In ection Record
INSPECTION REQ TS: (253) 835 -3050
PERMIT #: 12- 105140 -00 -PL Address: 2025 S 308TH ST
Project: JAMES DAINARD FEDERAL WAY, WA 98003 -4822
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.
❑ Plumbing Groundwork (4190)
0 Rough Plumbing (4230)
as Piping (4125)
Approved to cover
Approved
Approved to release test
By QN— Date L ^
By \4— Date 1t _, , `
By Date
Final - Plumbing (4075)
Approved
By Date _
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF OPERMI 1
Federal Way j•i
COMMUNITY DEVELOPMENT SERVICES ^ E C EAfDP L I C A T I O N
253 - 835 -2607• FAX 253- 835 -2609 eK` C
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NOV n 9 9tN ?.
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• MF CO ME PL DE EN FP
SITE ADDRESS
p j5 CV� ° _ A+ -- Jti�
SUITE /UNIT N
PROJECT VALUATION
T o ( "'
ING
ASSESSOR'S TAX /PARCEL M
�J J � O — V ,L
TYPE OF PERMIT
❑ BUILDING (PLUMBING ( MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name /Homeowner Last Name)
.--
PROJECT DESCRIPTION
CIA 3 y
CIQA ,
Detailed description of work to
PL_ ,
be included on this permit only
PROPERTY OWNER
NAME
V a✓"iel.�) Dc".11 a. f
PRIMARY PHONE
MAILING ADDRESS
y S /l%C '
E-MAIL I i
Ju". -e5 Ave4noc��. n el
CITY,
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STAT,f
ZIP
NAME_
(
PHONE
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I UDEL ' �l Y" )�U �O
CONTRACTOR
CITY-
LTV '�'1
W tt
1506q
FAX
WA STATE (�CONjTRRACTOR'S LI(CEE%N,S,E S
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE N
NAb[S
PHONE
APPLICANT
MAILING ADDRESS
EMAIL
CITY
STATE
ZIP
FAX
PROJECT CONTACT
(The individual to receive and
respond to all correspondence
NAME
/
oxE
,21� - 8Sa '17 S-q
MAILING ADD
E -MAIL
concerning this application)
CITY
AT
ZIP
FAX
ALTERNATE CONTACT NAME:
PfiONE
EMAIL
PROJECT FINANCING
NAME
0 OWNER- FINANCED
Required value of $5,000 or more
(RCW 19.27.095)
LING ADDRESS, CITY, STATE, ZIP
PHONE
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 1 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 cl ses out o the r lance of the city, including its officers and employees, upon the accuracy of the
information supplie 4 the ci asap thi ` pplication.
j Gj
SIGNATURE: +' DATE
PRINT NAME: I nh L..Oe
Bulletin #100 —January 1, 2011 Page 1 of 3 k:\I-iandouts\Permit Application
A
VALUE OF MECHANICAL WORK $ 100 (a copy of bid or estimate must be provided)
Indicate how many of each type of fixture 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 (commercial)
BOILERS FURNACES HOT WATER TANKS (Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS (or Tub /Shower combo)
LAVS (Handsinka)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Kitchen /Utility)
WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
WASHING MACHINES
Bulletin #100 — January 1, 2011 Page 2 of 3 k:\Handouts \Permit Application