09-103781City of Federal Way 0 0 Q Plumbing
Community Development Services Permit #: 09- 103781 -60-'P L
P.O. Box 9718
Federal Way, WA 98063 -9718 Inspection Request Line: 253 835 -3050
Ph: (253) 835 -2607 Fax: (253) 835 -2609 p q
Project Name:. HEILAND
Project Address: 2723 SW 328TH ST
Parcel Number: 894520 0480
Project Description: Repiping all internal water service pipe and replacing several fixtures including water
heater.
Owner
Applicant
Contractor
JERRY HEILAND
SOUTH WEST PLUMBING
SOUTH WEST PLUMBING
2723 SW 328TH ST
2401 SW ALASKA ST
SOUTHWP071C6 (4/1/11)
FEDERAL WAY WA 98023 -2824
SEATTLE WA 98106 -1445
2401 SW ALASKA ST
1
Lavatories........ ............................... 1
SEATTLE WA 98106 -1445
,'
H-
ng
V,.
a. 9
..
Bathtubs .......... ...............................
1
Laundry Washer Outlets................
1
Lavatories........ ............................... 1
Other Plumbing Fixtures ................
Water, ** rs . ...............................
3
4,
Sinks................ ...............................
1
Water Closets.. ............................... 1
F1NAukv 01j310/o9
CITY OF -
Federal Way
PERMIT #:
09- 103781 -00 -PL
THIS CARD IS TO RAIN ON -SITE
Construction In ction Record
INSPECTION REQUE TS: (253) 835 -3050
Address: 2723 SW 328TH ST
Owner: JERRY HEILAND FEDERAL WAY, WA 98023 -2824
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.
E]
Plumbing Groundwork (4190)
❑
Rough Plumbing (4230)
Final Electrical
Approved
Gas Piping (4125)
Approved to cover
By
Approved
Approved to release test
By
Date
By
Date
By
Date
Final - Plumbing (4075)
Approved
By %- f� Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
Z- _ -Low AP
°"��~� PERMIT SAMa� CO ME E E EN FP
Federal Way
C 2S"3TPD&YSAX25 -8 5- 2609ES APPLICATION
253 - 8362607• FAX 253 - 8362609
unmdtwffedm wau.own
SITE ADDRESS
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14L az
SUTTZMNTT i
ZONING
AS8R8SOR'S TAX /PARCEI. e Ly
NAME OF PROJECT
��
rrenant or Homeowner Name)
Y CL VA rJ r-FP� E)F FEDERAL WAY
TYPE OF PERMIT
❑ BUILDING 0PLUMBING ❑ MBCIUMCAYL
cc �j
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGIN]SERING ❑ FIRE M&PAON
PROJECT DESCRIPTION
I b, 1
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
Te f, f Or.:( l v� r'.i
PRUEAIRY PHONE
(2S3) 7-- .-L/ 8 (C
MAILING ADDRESS, CITY, STATE, UP
E•MAii.
a 3 S . w - 3Z�YN sc-
OWNER IS ALSO:
❑ CONTRACTOR APPLICANT R PRO.TISCT CONTACT
NAME
PRMARY PHONE
CONTRACTOR
MAILING ADDRESS, CITY, STATE, UP Script . E
FAX
• W.
Z0 -
WA STATE CONTRACTOR'S LICENSE i
EXPIRATION DATE
FEDERAL WAY NUSMSSS LICENSE ►
6-* I C
i
NAME
PRIMARY PHONE
-
ZO6 3 - c575-C4 9
APPLICANT
MAMING ADDRESS, CITY, STATE, ZD' p♦'rj (�y
FAX
6? 40 (/
.s'` 1'X10w IS+ ' 10)06
-
PROJECT CONTACT
NAM
,, r ^ /
G�vL� f"I so'v
p
� b �
(The individual to receive and
v
7
respond to all Correspondence
N"MG ADDRESS, CITY, STATE, ZIP
i'TG t=
FAX
concerning this application)
-
ALTERNATE CONTACT NAME:
PRIMARY PHONE
E-MAH.
,-J'ierr 4 4 L 0
(Z5-3)9 -4-- S929 4
PROJECT FINANCING
NAME
oWNSR- IrnrANC$D
Required for projects with
r E ( LAN D
value of $5, 000 or more
G ADD , CITY, STATE, ZIP �ir p,, (—
PRDIARY PHONE
(RCW19.27095)
rig S WN
2063 172 -
I csrHfg under penalty
of perjury that Z am the property owner or authorised agent of the property ouster. Z certify that to the
best of my knowledge, the irVarmation submitted in support of this permit application is true and correct I certVy that Z will comply
with all applicable City of Federal Way regulations pertaining to the work authorised by the issuance of a permit. Z understand that
the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal lawn regulating
construction or environmental laws.
Z 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
such cuing, which maybe made by any person, including the undersigned, and filed against the
city, but only when sec c
out of the reliance of the city, including its q�icers and employees, upon the accuracy of the
information supptied �i
a jthb application.
SIGNATURE
DATE 9-.29-0
PRINT NAME:
c
FO OAJ s QIV
Bulletin # 100 - 4/17/2009
Page 1 of 4 k:\Handouts\Pennit Application
Value of Mechanical Work $ COPY OF BID OR ESTIMATE MUST BE PROVIDED
Indicate number of each type offixture to be installed or relocated as part of this project. Do not include edstingfixturesto remain
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (c 4
BOILERS FURNACES HOT WATER TANKS pao
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing futures to remain.
BATHTUBS (or Tub /shoaercombo) y LAVS (xoeasiok4 TOILETS �_ WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS witch./uwim WATER HEATERS (Electric)
HOSE BIBBS SUMPS _L WASHING MACHINES
PROJECT VALUATION WATER PURVEYOR SEWER PURVEYOR VALUE OF Z3138 MG IMPROVZXZNrS
$ l0 o00. $
ZXISTING /PREVIOUS USE LOT SIZE )Ia Squats Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
„ _ _ _ I o Yes xi No o Yes m No
Bulletin #100 — 4/17/2009 Page 2 of 4 kMandoutsTermit Application