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15-101939
t • Plumbing C1 of Federal way Permit #: 15-101939-OO-P L Community&Econ.Dev.Services 33325 8th Ave S Federal way,Fax. 98003 Inspection Request Line: (253)835-3050 Ph:(253)835-2607 Fax:(253)835-2609 � 4 Project Name: HOLMES-GROVES Project Address: 32036 28TH AVE SW Parcel Number. 873190 0240 Project Description: Remove and replace existing tub/shower,vanity and toilet Owner Applicant Contractor LYN HOLMES ELITE INSTALLERS NW ELITE INSTALLERS NW WILLIAM M GROVES 10605 SE 240TH ST SUITE 404 ELITEIN873D9(4/8/17) 32036 28TH AVE SW KENT WA 98031-4903 10605 SE 240TH ST SUITE 404 FEDERAL WAY,WA 98023 KENT WA 98031-4903 • Plumbing Fixtures Bathtubs 1 Drains 1 Lavatories 1 Other Plumbing Fixtures 1 Water Closets 1 PERMIT EXPIRES Sunday, October 18, 2015 Permit Issued on Tuesday,April 21, 2015 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the use ill be ac dance with the laws, rules and regulations of the State of Washington r and the City of Federal Way.Owner or agent: Date: "T 2 / FINALEC THIS CARD IS TO ON-STYE �'• err Construction In ection Record Federal Way INSPECTION REQ TS: (253)835-3050 PERMIT#: 15-101939-00-PL Address: 32036 28TH AVE SW Project: LYN HOLMES FEDERAL WAY, WA 98023-2277 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) -0 Rough Plumbing(4230) El Gas Piping(4125) Approved to cover Approved Approved to release test By Date 1 �C Date4,_zQ_cc-7!y Date ❑ Final-Plumbing(4075) 1 Approved By j S Date 4124 l t w- El Rough Electrical Final Electrical Right of Way Approved Approved Approved By Date By Date By Date • Ph- CITY OF 1 PERMI'TtPPLIC N Federal Way o,� APR 21 2015 '�10 PERMIT NUMBER 1 5 _ I 0 1 C) 3 9 _ CITY OF CDS�L WAY TARGET DATE SITE ADDRESS v)3( Z g A V��_�_ / SUITE/UNIT# W $ PROJECT VALU ION ZONING ASSESSOR'S # l 9 U _ O 4 o ^© TYPE OF PERMIT ❑ BUILDING 4PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT 6 r0 YG S / /7`04 e S PROJECT DESCRIPTION re 15�' c ((el I. ^C `s AO 4••sr / epA Cd. c.✓,:A4 Detailed description of work to Ike- / new V Q t 17 c., (A' ta,le--f- re "(i be included on this permit only / NAME PRIMARY PHONE PROPERTY OWNER /0 0,4" 6-,es- 4 ' 4 laid 1i S as *Z 3 3 6 2( MAILING ADD S E-MAIL 32038 , CITY STATE ZIP ,else,,( (,v 147 (A49 etg0 a 3 1 1 NAME I Ile. Ti',!Sliu f/eI k VV ass- G3 S G22 MAILINNG ADDRESS ,- E-MAIL CONTRACTOR 64 P-7 S /q'lC f "iJ"I r l/0( CITY K I STATE _ ZIP q FAX WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# c(,t&],- et7 0 �► s i _ NAME /� PRIMARY PHONE kne. QS Gov,Y✓mac. 7t9 APPLICANT MAILING ADDRESS E-MAIL CITY I STATE ZIP FAX NAME Li/' ie_O'er h PRIMARY PHONE PROJECT CONTACT S f j°j�/ 1 �.cS-3 6'53 g/Z4' (The individual to receive and MAILING ADDRESS E-MAIL respond to all correspondence concerning this application) CITY STATE ZIP FAX NAME PROJECT FINANCING ❑ OWNER-FINANCED Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE (RCW 19.27.095) 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 clai arises out the reliance of the city, including its officers and employees, upon the accuracy of the information supplied to t city a .STrof this application. SIGNATURE: DATE q•-- ( /s5 PRINT NAME: coa S�/--rsc)"Y. Bulletin#100—January 1,2013 Page 1 of 3 k:\Handouts\Permit Application