08-105706f a
Plumbing
City of Federal Way ��.//.
Community Development Services Permit #: 08-105706-00-PL
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: CARLSON. �..-
Project Address: 310 S 314TH PL Parcel Number: 794300 0060
Project Description: Relocating electric water heater to garager & installing shower stall.
Owner
Applicant
Contractor
LARRY L& JOELLEN CARLSON
J K CONSTRUCTION
J K CONSTRUCTION
310 SW 314TH PL
PO BOX 3354
JKCONKC975QC (11/03/09)
FEDERAL WAY WA 98003
FEDERAL WAY WA 98063
PO BOX 3354
FEDERAL WAY WA 98063
Showers ........... ............................... 1 Water Heaters.. ............................... 1
PERMIT EXPIRES Saturday, May 30, 2009
Permit Issued on Monday, December 1, 2008
1 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:-
Ala
THIS CARD IS TO AIN ON -SITE f
CITY OF Community Developm t Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 08- 105706 -00 -PL
Owner: LARRY L & JOELLEN CARLSON
Address: 31O .S 314TH PL
FEDERAL WAY, WA 98003 -5213
This card is part of your required inspection documents. 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) Gas Piping (4125)
Approved to cover Approved Approved to release test
By Date By Date j By Date
Q Final - Plumbing (4075)
Approved
By 4, W Date - - 6
❑ Rough Electrical
Approved
By Date
For in_ pe r reference only
❑ FINAL - Electrical
Approved
By Date
M.O.
A d 5 D
Y RECEIVE PERMIT
S CC MMUN YDEVELOPAGWSUWCES MF O /
ME EL P E EN FP
9995SYUB �2,. �
FSBL WAY, WA 98069.9718 J t 2AX , C o zooAPPLI CATI O N
www.d9yWkd0mhm.com
The following is reeq!L F DER n Aan incomplete application will not be accepted. Please P t ie 9
0bi (in) or type.
SITE ADDRESS
SUITE /UNIT #
ASSESSOR'S TAX /PARCEL #1 U� - U v�L) LOT SIZE (sfl
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(AN-* `pc°- LagcJbrMWeW1Vdd—Cudm]
PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING jKPLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT NAME (Name of Business or Owner Last Namel
PEOPLE •• •
PROPERTY
OWNER
PROJECT
CONTACT
LENDER
NAME P
PRIMARY) PHONE _
7
_ 7
COMPANY NAME / APPLICANT NAME OFFICE PHONE
MAILING ADDRESS �Q CITY, 3T}� /E,�Z� CELL PHONE
o�-1' Tl is �dTGt/ 4/16: C� -
CITY OF FEDERAL WAY BUSINESS LICENSE NUME ERA71ON DATE FAX NUMBER
NTRACTORV TION NUIiB1UR EXPIRATION DATE X-MAILADDRESS
C _ _ C_ _ S c:_.-3 -d
COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILINO ADDRESS CITY, STATE, ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER _
❑ Architect ❑ Tenant ❑ Agent ❑ Other ( ) -
NAME PRIMARY PHONE E -MALL. ADDRESS
NAME Per RCW 19. ?7.096:
Lender injormation is 1equired ifPTojea value &xamods $5,000
MARINO ADDRESS CITY, STATE, ZIP PHONE "
PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRII�TI{LERED BUILDING? O YES, 17 NO FIRE; SUPPRESSION SYSTEM PROPOSED /REQUIRED? _ o . YES ONO
WATER SERVICE PROVIDER 13 LAKEHAVEN O HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER c3 L IKFHAVEN ❑ HIGHLINE ❑ PRIVATE SEPTIC(
Co-r'
COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILINO ADDRESS CITY, STATE, ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER _
❑ Architect ❑ Tenant ❑ Agent ❑ Other ( ) -
NAME PRIMARY PHONE E -MALL. ADDRESS
NAME Per RCW 19. ?7.096:
Lender injormation is 1equired ifPTojea value &xamods $5,000
MARINO ADDRESS CITY, STATE, ZIP PHONE "
PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRII�TI{LERED BUILDING? O YES, 17 NO FIRE; SUPPRESSION SYSTEM PROPOSED /REQUIRED? _ o . YES ONO
WATER SERVICE PROVIDER 13 LAKEHAVEN O HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER c3 L IKFHAVEN ❑ HIGHLINE ❑ PRIVATE SEPTIC(
Co-r'
NAME PRIMARY PHONE E -MALL. ADDRESS
NAME Per RCW 19. ?7.096:
Lender injormation is 1equired ifPTojea value &xamods $5,000
MARINO ADDRESS CITY, STATE, ZIP PHONE "
PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRII�TI{LERED BUILDING? O YES, 17 NO FIRE; SUPPRESSION SYSTEM PROPOSED /REQUIRED? _ o . YES ONO
WATER SERVICE PROVIDER 13 LAKEHAVEN O HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER c3 L IKFHAVEN ❑ HIGHLINE ❑ PRIVATE SEPTIC(
Co-r'
PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRII�TI{LERED BUILDING? O YES, 17 NO FIRE; SUPPRESSION SYSTEM PROPOSED /REQUIRED? _ o . YES ONO
WATER SERVICE PROVIDER 13 LAKEHAVEN O HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER c3 L IKFHAVEN ❑ HIGHLINE ❑ PRIVATE SEPTIC(
Co-r'
AREA DESCRIPTION
EXISTING
S . FT.
PROPOSED
S . FT.
TOTAL
S . FT.
BASEMENT
VACUUM BREAKERS
DRINKING FOUNTAINS _2[_
SHOWERS
FIRST
_ ZZACTI M WATER HEATERS
SINKS
WASHING MACHINES .
SECOND'
SUMPS
o YES "
c NO
THIRD
o YES o NO
UP /SEPA /SU?
ADDITIONAL FLOORS (DESCRIBE)
D NO
PLATTED LOT?
a YES D NO
DECK (❑ COVERED OR ❑ UNCOVERED ?)
DEMO PERMIT REQUIRED?
D YES
o NO
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
snsrsro
n WOO
TOM
mrwstwnwar
MAL000rossssr
for"ar
"NEW HOMES ONLY"" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate. number of each type of fixture to be installed or relocated as part of this project. Do not buIude existing fixtures to remain.
114 AX"CAL
Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
VL —tea . r
AIR HANDLING UNITS EVA�RA CdOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC (Describe)
BOILERS FIREPLACE>INSERTS HOODS aq
COMPRESSORS FURNACES RANGES
DUCTS. GAS LOG SETS REFRIG. SYSTEMS
�LillldRIIllCi
THTUBS I :nib /sho.er comeq
LAVS la a — shoo
URINALS MISC (Describe)
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
DRINKING FOUNTAINS _2[_
SHOWERS
WATER CLOSETS Iro&q
_ ZZACTI M WATER HEATERS
SINKS
WASHING MACHINES .
HOSE BMBS
SUMPS
o YES "
Z cwtVq under penalty of perjury that I am the property owner or authorized agent of the property owner. I ce t(& that to the best of my
knowledge, the bVIbrmation submitted in support of this permit application is true and correct. I certUk that 1 will comply with all appReabie
City of Federal Wag regulations pertaining to the work authorised by the issuance of a permit. t understand that the issuance of this permit
does not remove the owner's responsibility for compliance with local, state, or federal laws regulating conduction or environmental laws.
Z farther 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 claing, which may be made by any person, including the undersigned, and /tied against the city, but only
where such claim arises out of the reliance of the city, inchuiing its of ears and employees, upon the accuracy of the information supplied to
the city as apart of this application.
SIGNATU
Owner and /or Authorized
DATE
o NEW o ADDITION
o ALTERATION
o REPAIR o, TENANT IMPROVENNT
BUMDDIG SHELL ONLY?
o YES o NO
BASIC PLAN?
b. YES
d NO
ZONING DESIGNATION
CHANGE OF USE?
o YES "
c NO
NEW ADDRESS REQUIRED?
o YES o NO
UP /SEPA /SU?
o YES
D NO
PLATTED LOT?
a YES D NO
DEMO PERMIT REQUIRED?
D YES
o NO
Bulletin #100 — January 1, 2008 Page 2 of 4 k\Iandouts\Pennit Application