09-104430 • Plumbing
City of Federal Way _
Community DevebpmentServices Permit #. 09 04430-00-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: BAKKER
Project Address: 28903 8TH AVE S Parcel Number: 515292 0180
Project Description: Plumbing for(2)showers(replacing existing bathtubs)and piping as necessary.
Owner Applicant Contractor
BRYAN BAKKER LEDICO BUILDER LLC LEDICO BUILDER LLC
CHRISTIE BAKKER PO BOX 516 LEDICBL948D4(3/24/10)
28903 8TH AVE S HOBART WA 98025 PO BOX 516
FEDERAL WAY WA 98003-3702 HOBART WA 98025
•
Showers 2
PERMIT EXPIRES Tuesday, May 11, 2010
Permit Issued on Thursday, November 12, 2009
I hereby certify that the above i ormation is correct and that the construction on the above described property and
the occupancy and the use a in ord nce with the laws, rules and regulations of the S - - of Washington
d the City of Federal Way.
Owner or agent: Date: it
FIK* IUD 'Itt/I°
•
DATE INSPECTOR AREA AND TYPE Ot, .NSPECTION
jZ•2M9 c.tJ ry :,, 7fz/Avi %, s4et..e.-, •,
a/ 440- (10 AGeo rezi34 ,
j THIS CARD IS TO AIN ON-SITE ,.
CITY OF 0 Construction Ins tion Record
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT#: 09-104430-00-PL Address: 28903 8TH AVE S
Owner: BRYAN BAKKER FEDERAL WAY, WA 98003-3702
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) - -El Rough Plumbing(4230) El Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date Date /2� _c) By Date
o Final-Plumbing(4075)
Approved
By ,G4C Date / Oa
1
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
� RECEi g. Ve323 - o� � � o
Federal Way PERMIT SF MF CO ME ELO DE EN FP
D 1 Calt)\I t 2 Z PLICATION /
253-835-2607•FAX 253-835-2609
www.cituoffederalwau.com �EDER^L\NRY
';�(
E� 0 COS PROPERTY
SITE ADDRESS
f ct a _3 S. 11..1 ,./t'
SUITE/UNIT C I ZONING 1 ASSESSOR'S TAX/PARCEL i / /�
J - U I O 0
NAME OF PROJECT
(Tenant or Home oouxter Name) i t 41-14-
❑BUILDING V PLUMBING ❑MECHANICAL
TYPE OF PERMIT
❑DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION
I2 7Lra3 u ( S 410 s j v 1 /3 d-ft-4 fi-Ccw'.S (dam c:)cam
PROJECT DESCRIPTION
Detailed description of work to t, N i 1€;'
be included on this permit only
PEOPLE
NAME PRIMARY PHONE
PROPERTY OWNER L f( T i 1`∎'i¢� 0 ('2e ei ) `f k 9 - ")i a
MAILING ADDRESS.CTPY,STATE.ZIP b-MAR
2$V 3 S p. ,ate; SD, cLr tk i-c► &lee.A.Cto rim ,c.;•+
OWNER IS ALSO: ❑ CONTRACTOR ❑ APPLICANT ❑ PROJECT CONTACT
NAME PRIMARY PHONE
LCA)( Ge 1 3 t+ (L `) ' '-h - h3
CONTRACTOR
MAILING ADDRESS.CITY.STATE.ZIP FAX
e , . t' o. 5i An rW'14 ('ice C) -0141
WA STATE CONTRACTOR'S LICENSE IF EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE f
t.-- 40 `I$ )j.� / Z.' /2.=i
('� �t C.rL�.
APPLICANT
NAME �-/� �� �Z` ' ( )PRIMARY PHONE
MAILING ADDRESS,CITY.STATE.ZIP FAX
PROJECT CONTACT PRIMARY PHONE
(The individual to receive and L 0 :'L- 1 1 c (' `b C ¶
respond to all correspondence HARING ADDRESS.CITY.STATE,ZIP FAX
concerning this application) P.c. b ,),A, t (A, /1 ('(2i )`'1 (3 - a((e
ALTERNATE CONTACT NAME: PRIMARY PHONE E-MAIL
( )
PROJECT FINANCING mum ❑
OWNER-FINANCED
Required for protects with •
value of$5,000 or more MAILING ADDRESS.CITY -1 PRIMARY PHONE
(RCW 19.27.095) -
( )
I certJy under penalty of perjury that I am the property owner or authorised agent of the property owner.I certify that to the
best of my knowledge,the information submitted in support of this permit application is true and correct.I cert4fy that I will comply
with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that
the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental I. .
I further agree to hold ('"'"less t City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred
in the Investigation and , - =of suc lain),which may be made by any person,including the undersigned,and filed against the
city,but only where such tirthe reliance of the city,including its officers and employees, upon the accuracy of the
I fformation supplied to t ' . as a of tia app n•
SIGNATURE: DATE (} (�
//0PRINT NAME: I-0)c"c it w L.' .ri�2nu
Bulletin#100-4/21/2009 Page 1 of 4 k:\Handouts\Permit Application
a
• O.
MECHANICAL FIXTURES
..".- Value of M•d• r N Work$ (A COPY OF'BID OR ESTIMATE MUST BE PROVIDED)
Indicate number of each type of' r e to be ins ta or relocated as part of this project Do not include existing fixtures to remain.
AIR HANDLING UNITS FAN GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER PLACE INSERTS HOODS(comO, mb
BOILERS FURNACES HOT WATER TANKS(co.)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES—
PLUMBING FIXTURES
Indicate number of each type of,Jixture to be installed or relocated as part of this project Do not include existing jbctures to remain.
BATHTUBS(or fhb/Shower Combo) (Hood sum) TOILETS X WATER PIPING
DISHWASHERS RAINWATER SYST'1.MS URINALS OTHER(Describe)
DRAINS V SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS([utehm/utmty( WATER HEATERS(P7ecbu)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
PROJECT VALUATION WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
$ $
EXISTING/PREVIOUS USE LOT SIZE GA Square Feet) EXISTING FIRE SPRINKLER=mum PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes❑ No ❑Yes ❑ No
RESIDENTIAL
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL ... .
FOR R OFFICE USE
BASEMENT - - —
FIRST FLOOR(or Mobile Home) --
SECOND FLOOR
COVERED ENTRY
DECK .__7 .___,_
GARAGE ❑ CARPORT ❑
OTHER(describe)
Area Totals PR TOTAL
"NEW HOMES ONLY"
ESTIMATED SELLING RICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESC ON Area Constraction i of
NIA Square Feet Occupancy(imup(s) Stories Additional Information
NEW BUl'�Z�IINO —
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Square Feet
Occupancy Group(s) Construction Type Stories Additional Information
in TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100-4/21/2009 Page 2 of 4 k:\Handouts\Penmit Application