16-103562 r • Plumbing
Community&of Federal Econ.Devv Services Permit #: 16-103562-00-PL
33325 8th Ave S
Federal Way,WA 98003 �253 Li
Request R Line:i
Ins ecton e
Ph:(253)835-2607 Fax:(253)835-2609 p 4 (253)835-3050
Project Name: FRANTZEN
Project Address: 30820 8TH AVE SW Parcel Number: 555820 0110
Project Description: Replace galvanized water piping with Pex.
Owner Applicant Contractor
ALVIN FRANZEN ALVIN FRANZEN OWNER IS CONTRACTOR
1412 BEACH DR NE SUITE A 1412 BEACH DR NE SUITE A
TACOMA WA 98422 TACOMA WA 98422
Plumbing Fixtures
Other Plumbing Fixtures. 1
PERMIT EXPIRES Wednesday, January 18, 2017
Permit Issued on Friday,July 22, 2016
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.
Owner or agent: (,il.� Date: 9/F
Z /�
• THIS CARD IS TO ON-SITE
CITY OF 1�M�! . a
S . Construction In ection Record - -
Federal INSPECTION REQ TS:(253)835-3050
PERMIT#: 16-103562-00-PL Address: 30820 8TH AVE SW
Project: ALVIN FRANZEN FEDERAL WAY, WA 98023-4605
Scheduled inspections may be failed if this card is not on-site. p0 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) 0 Rough Plumbing(4230) ' 0 Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date By 0... Date �` .By Date
El Final-Plumbing(4075)
Approved
By 0./sci ,a Date q,_ 1 1
0 Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
RECESED PERMIPAPPLICATION
CITY OF
PERMIT CENTER+ 33325 8th Avenue South + Federal Way,WA 98003-6325
Federal Way JUL 2 2 2016 253-835-2607 + FAX 253-835-2609 +permitcenter@cityoffederalway.com
CTY OF FEDERAL WAY
/
PERMIT NUMBER / 3 -
/ fe!- —`c 4 TARGET DATE
SITE ADDRESS SUITE/UNIT#
36eaa ve. S �J
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
TYPE OF PERMIT ❑ BUILDING L "PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT td4relk Re 'D: tP ha
PROJECT DESCRIPTION &e c* :04 y �/ 4 �-z c �74"�' (21 I Z
Detailed description of work to W I Z l e Not,-
be included on this permit only
NAME 1,1 PRIMARY PHONE
Fit. zeu 206 - 159 :51339
PROPERTY OWNER MAILING ADDRESS E,�M;�L
y z L t. �,�. a0. 44-'4 I`T�►€SOONl- 4cPe(ri"ev,
CITY STATE ZIP CO"
i -e-a ti'.- g8 Y L
NAME PHONE
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME S PRIMARY PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAME PRIMARY PHONE
PROJECT CONTACT ,4L 6244W Zeit/ 24 - qqq- LI 3 3'9
(The individual to receive and MAILING ADDRESS �� E-MAIL
respond to all correspondence $.4lS to 43
concerning this application) CITY STATE ZIP FAX
NAME
PROJEC •- - - ❑ OWNER-FINANCED
I- value is$5,000 or more MAILING 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 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 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 claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
7/2z//E
SIGNATURE: DATE
PRINT NAME: /r 4 f /9-44 #4
Bulletin#100–January 29,2016 Page 1 of 2 k:\Handouts\Permit Application