15-101413 1
S • Plumbing,
City oi Federal
Community&Econ.DeWayServices Permit #: 15-101413-00.PL
33325 8th Ave S
Federal Way,ax x8003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:: ec
(253)835-2609 p q
Project Name: GOMONAY
Project Address: 1404 SW DASH POINT RD Parcel Number 515320 0651
Project Description: Reconfigure and replace bathroom.kitchen and laundry room plumbing fixtures
Owner Applicant Contractor
NATALYA GOMONAY DANIIL GOMONAY OWNER IS CONTRACTOR
1404 SW DASH POINT RD 1404 SW DASH POINT RD
FEDERAL WAY WA 98023 FEDERAL WAY WA 98023
Mechanical Fixtures
Gas Piping 1 Hot Water Tanks. 1
Plumbing Fixtures
Bathtubs 1 Dishwashers. 1 Drains 1
Other Plumbing Fixtures. 1 Showers 1 Sinks 3
Water Closets 2
PERMIT EXPIRES Sunday, September 20, 2015
Permit Issued on Tuesday, March 24, 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 will be in accordance with the laws, rules and regulations of the State of Washington
an he City of Federal Way.
Owner or agent — Date: 3/2 y/5'
L .. -12,, 1993
.i ; 'A'P LED
THIS CARD IS TO .MAIN ON-SITE V.
Crri OF 1 0 Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 15-101413-00-PL Address: 1404 SW DASH POINT RD
Project: NATALYA GOMONAY FEDERAL WAY, WA 98023-4524
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 .By P� Date 7//0/i .- •By Date
❑ Final-Plumbing(4075) c
Approved u W✓v– G.n. GCZ --.4--- — C 9"--- CC"--L,
B_JC.< Date l.-Z9--47
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
CITY of A • PERMITPPLICATION
Federal Way RECEIVED
PERMIT NUMBER L _ ( 0 ( { 3 _ 4/ MAR 2 4 2015
` _ _ 1--
111 _ Lam-- TARGET DATE v
(SITE ADDRESS 1 ("� 4 SUITE/UNIWS 1
:.............,__.._.a.»./ I 04 SVV, p `��p 1 e'�5N 1 R 0.
2ftekrai W c*j cf oa-
PROJECT oV�UATION ZONING ASSESSOR'S TAX/PARCEL# _ O
TT 5 ( 532' O _ _ ___ _
TYPE OF PERMIT ❑ BUILDING LvJ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT- G
-' Rt\oca- i. cll '-fi1p, «v,d s∎nk , Toile4
PROJECT DESCRIPTION f - , 1
Detailed description of work to 14 cJl cA S i w K i l'e t" E T 1 S h ovcr' -
a'
be included on this permit only C ISO wgQ pi loe S
I
NAME PRIMARY PHONE
PROPERTY OWNER (� ��� L7olrnpnu�( z63 112- 331-3
MAILING ADDRESS
1�t04 sW Dos, S (ntm C^<SPcO�c' mail .corm
CITY a STATE ZIP
Federal Wag 1n 1A , c38 02 3 _-
NAME D i PHONE
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/_
NAME PRIMARY PHONE
0 (Aj 14 eiV
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP - FAX
AME -_ - PRIMARY PHONE -, -.. -
PROJECT CONTACT ��a ii 1 o,.-v-.C'+',u1 253 222 13 1q
(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 19.2Z 09S)
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.
SIGNATURE: DATE 5/4 4/ /5
PRINT NAME: ''I o G
Bulletin#100—January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
•
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing f xtures to remain.
AIR HANDLING UNITS FANS • GA$PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS .HOODS(c.Ercial)
BOILERS FURNACES • HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLITh BIN4. PERM T
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
( BATHTUBS(or Tub/Shower Combo) LAVS(Hand Sinks) 2.. TOIL ETS I WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS} OTHER(Describe)
DRAINS l SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS se SINKS(xitchen/Utility) 1r WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS.
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes❑ No ❑Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TO FOR OFFICE USE
TA L
a' yF" ,"r`r�l, fi w a�.G341'i _...._.__.�..._ ...._-
FIRST FLOOR(or Mobile Home)
COVERED ENTRY —_— --—
°
GARAGE ❑ CARPORT ❑
Y'
E ISTIEG
Area Totals
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
is S•uare Feet • .e Stories
1 ril- set G 's',r' 311, "ur .
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
Area Construction #of
AREA DESCRIPTION in S•uare Feet Occupancy Group(s) • ,e Stories Additional Information
Airrei2,412i6.4.14.glik4i:Ala.gidZetsoarat AL,
TENANT AREA ONLY
Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application