14-1037057 t 1
r Plumbing
City of Federal Way Permit #:14- 103705 -00 -P L
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Line: 253 835 -3050
Ph: (253) 835 -2607 Fax: (253) 835 -2609 p q
Project Name: SIBUP.G
Project Address: 806 S 295TH PL Parcel Number: 515210 0060
Project Description: Plumbing for (1) shower (2) sinks (2) toilets and laundry washer outlet install
Owner
A n�,.licant
Contractor
JIM SIBURG
EXHALT HIM PROPERTIES INC
EXHALT HIM PROPERTIES INC
806 S 295TH PL
14119 77TH AVE E
EXALTBP927RJ (12/11/14)
FEDERAL WAY WA 98003
FEDERAL WAY WA 98373
14119 77TH AVE E
FEDERAL WAY WA 98373
LaundryWasher Outlets ................ 1 Lavatories........ ............................... 2 Showers........... ............................... 1
Water Closets .. ............................... 2
PERMIT EXPIRES Tuesday, January 20, 2015
Permit Issued on Thursday, July 24, 2014
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. 1,:?
Owner or agent: ii��i�, /<CS. Date: % �
FINALED
CITY OF 4A A
Federal Way
PERMIT #:
14- 103705-00 -PL
THIS CARD IS TO rection ON -SITE
Construction In Record
INS PECTION REQ 3) 835 -3050
Address: 806 S 295TH PL
Project: JIM SIBURG FEDERAL WAY, WA 98003 -3703
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 CAN W Date irlt
Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
Plumbing Groundwork (4190)
Rough Plumbing (423)
Gas Piping (4125)
Approved to cover
Approved
Approved to release test
By
Date
BZ:X^C <., Date _ S
By
Date
Final - Plumbing (4075)
Approved
By CAN W Date irlt
Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
11
CITY OF
Federal Way
PERMIT NUMBER
0 •
PERMIT APPLICATION
Pace fm
SITE ADDRESS
806 S 295-FI-I PL FEDEFRAL l ",,'A
FT, JUL 24 2014
TARGET DATE CITY-Of FEDERALWAY
SUITE/L
PROJECT VALUATION ZONING ASSESSOR'S TAX; PARCEL
$ 1300 00 5 2 1
0 U 6 0
— --- - -------- -
TYPE OF PERMIT
NAME OF PROJECT &BUPG
iNS'FALL I SHM'VER. SINK:'� AND 2T`0H-P:T-S
. .......... ____ - - - -------- .... . .......... . __ . . . .......... . . --- ------------ _________.________.___
. ....... — -------------- — --
PROJECTDESCRIPTION
01, of) thl'�
— ------- — -----
NAME
PRIMARY PHONE
PROPERTY OWNER Jlr\,,l AND JEANETTE SIBIJf�G
MAILING ADDRESS
EMAIL
306 S, 29_5TH. PL
rC1 iT STATE T ZIP
FEDERAL fin, AY
1 NAME
PHONE
EX4LI- H'�l PROP E'S, iNiC
253 -536-1790
MAILING ADDRESS
E-MAIL
4119 q 7
f 71-H AVE EAS11
EHPINC1017 CcVAOLCOM
CONTRACTOR
FAX
CITY STATE ZIP
FEDEF�AL WAY 'vVA 98373
253-471-0614
-- — ------- --
WA STATE C,ON �ACTOR'SLICENSEz EXPIRATION
TR
DATE
FEDERAL WAY BUSINESS LICENSE
EXALTHP(Q7Ri 12 11
1 14
I—NAMR-_
PRIMARY PHONE
STEVE PUFZYEW
253-536-1790
APPLICANT MAILING ADDRESS
141 ! I 771Fj r\\!�
- 1_1
F-MAIL
E.HPINC1 0 1 7(CqA0L,C0M
CITY STATE ZIP
FAX
PUYALLUP V",'A 98373
253-471-0614
PRIMARY PHONE
PROJECT CONTACT STEVE PURYEAR
MAILING ADDRESS
253-536-1790
E-MAIL
14119 77TH AVE EAST
EHPINC10I7 (�_)A0L-COM
cspwl' 'o';11 corl< i ---- ------
rw'C'TomIj CITY STATE ZIP
FAX
PLA'ALLUP 'v%A 98373
253-536-1790
PROJECT FINANCING F NAME ..1 1 - M - AND - JEANETTE - S - IBU�'�G
OWNER-FINANCED
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
806 S 295TH Pt- FE.DFRAL VVAY, WA
F_--of-my -knowledge, the information submitted in support of this permit application is trite and correct. I certify that I will comply with
lc*t,,i-tifyiiridcrpeti(iltyofl)ey-.iury that leiryi the ptopertyownct I certify that to the best
I
all applicable City of Feder-tit Way regulations pertaining to the work authorized by the issuance
of it permit. I understand that the
issuance of this permit does riot remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
Ifurther agree to hold harmless the City of Federal Way as to any clain, (including costs, expenses,
and attorneys' fees incurred in
the investigation and defense of such claim /, tvhich 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 t1o, city„ including its officers and ernployces, upon the accuracy of the
information supp ed to the city as a part of this application.
SIGNATURE:
DATE 7-22-2014
PRINT NAME." _STEVE PUR-YEAR
'03
I
I ,
1 • •
MECHANICAL PERMIT
b�&cotc how many w;, 1tjp,
s H% \MAN(� i"
NIR " t)NI)ITI()N
o II T 1 1 1 f , 1 'Ic i s I Irl fo t 7 1 rr, 7o c? I I I I i
f
A i i i x S
EXISTING/ PREVIOUS USE LOT SIZE (I. Sq..— Feet) EXISTING FIRE SPRINKLER SYSTEM? � PROPOSED FIRE SUPPRESSION SYSTEM?
ye" No Yes N'0
RESIDENTIAL NEW OR ADDITION
Area i Construction # of
AREA DESCRIPTION i I Occupancy Group(s) Additional Information
I in Square Feet I Type Stories
- ------- -----
NEW BUILDING I
PLUMBING PERMIT
AREA DESCRIPTION fin square feet)
EXISTING
3 PROPOSED
, L $ 1800.00
h?d,,(ole how man c),, (ociL'-id,(
71t,,�; iv�y,
o, i clwlc ;�,i�;r7!i(j totio-es t') rer
2
E> \SEMF.,,NT
2—
A
AREA DESCRIPTION
V FP.111 _N1 i I1':<
\T
0 1 iWN fl)es(" h(.)
I W1 VN S 1
9nf),I'I;Ia
N)TAI. BUILDING
--- -----
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. .
iio,�!,
I ,t, VA(-
7 "j"s 5 TOTAL FIXTURES
GENERAL INFORMATIO N
)ECK
------------
- — ------
CRITICAL AREAS ON PROPERTY' WATER PURVEYOR
SEWER M3RVEYOR
__T
VAL IJE OF EXISTING IMPROVEMENTS
EXISTING/ PREVIOUS USE LOT SIZE (I. Sq..— Feet) EXISTING FIRE SPRINKLER SYSTEM? � PROPOSED FIRE SUPPRESSION SYSTEM?
ye" No Yes N'0
RESIDENTIAL NEW OR ADDITION
�JSTt�
COMMERCIAL - NEW /ADDITION
Area i Construction # of
AREA DESCRIPTION i I Occupancy Group(s) Additional Information
I in Square Feet I Type Stories
- ------- -----
NEW BUILDING I
ADDITION
AREA DESCRIPTION fin square feet)
EXISTING
3 PROPOSED
TOTAL
�COMMERCIAL - REMODEUTENANT
IMPROVEMENTS
E> \SEMF.,,NT
AREA DESCRIPTION
FT,1,?ST 1:i,00P (or j'vIt ilt, /bowel
Occupancy Group1s)
pon
Tye-,
# of
stories
SECOND FLOOR
N)TAI. BUILDING
--- -----
.
. .
TENANT ONLY
PROJECT �iKli -1 ONLY
--- — --------
— -----
)ECK
(de scrthcj
Area Totals
EM MN, 1
.......
.... ..
**NEW HOMES ONLY-
�JSTt�
COMMERCIAL - NEW /ADDITION
Area i Construction # of
AREA DESCRIPTION i I Occupancy Group(s) Additional Information
I in Square Feet I Type Stories
- ------- -----
NEW BUILDING I
ADDITION
�COMMERCIAL - REMODEUTENANT
IMPROVEMENTS
AREA DESCRIPTION
Area
Tin Square Feet
Occupancy Group1s)
pon
Tye-,
# of
stories
Additional Information
N)TAI. BUILDING
--- -----
.
. .
TENANT ONLY
PROJECT �iKli -1 ONLY
--- — --------
— -----
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