06-104097 City of Federal Way Plumbing Permit #: 06-104097-00-PL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: JOHNSTONE
Project Address: 31029 22ND AVE S Parcel Number: 053700 0580
Project Description: Replacing drain under lavatory sink
Owner Applicant Contractor
VIOLET JOHNSTONE PATS PLUMBING INC PAT'S PLUMBING INC
31029 22ND AVE S 30459 MILITARY RD S PATSPI*083N5 (4/8/08)
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 30459 MILITARY RD S
FEDERAL WAY WA 98003
Plumbing Fixtures
Lavatories 1.00
PERMIT EXPIRES Thursday, August 14, 2008
Permit Issued on Tuesday, August 15, 2006
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 to ity of Federal Way.
Owner or agent: . � Date: — / — O 6
PlIVALED
41/4 THIS CARD IS TO REMAIN ON-SITE
CITY OF
. Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06-104097-00-PL
Owner: VIOLET JOHNSTONE
Address: 31029 22ND AVE S
AUBURN, WA 98003-4922
This card is part of your required inspection documents. 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.
❑ Plumbing Groundwork(4190) ❑ Rough Plumbing (4230) ❑ Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date By Date By Date
❑ Final-Plumbing(4075)
Approved
`By j� Date g--(
RECEIVED
/. an....A AU G 1 5 2006 in L - 1 Q , / �1 t
Federal Way Rw-wPIERMIT `� Z
COMMUNITY DEVEfAPMENTSERV/C�TY O� �ED� E� SF MF CO ME EL�'� �E EN FP
3332FEDERAL WAY BUILDINGAPPLICATION ,D
FEDERAL WAY,FAX 53 8359718 / /
253835-2607•FAX 253-835-2609
www.cthloitederalwawcom
The oilowin• is re•uired in ormation-an incom.lete a••lication will not be acce•ted. Please .rint le.ibi (in ink)or .1• .
/ • PROPERTY INFORMATION fi
SITE ADDRESS 316 a q c1 Ave.- S F• 'I 90 QG 3 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _ _ _ _ LOT SIZE(sfi
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate pagefar lengthy legal descrtpttoN
IN PROJECT INFORMATION
TYPE OF PERMIT (7 BUILDING la PLUMBING ❑ MECHANICAL
❑ DEMOLITION D ELECTRICAL ❑ ENGINEERING El FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide de nil d description of work included on this permit only)
Ra/'•cieq die,;, Mader fa✓.tl/ 7/ t,w k
PROJECT NAME(Name of Business or Owner Last Name) J G n.,J%-411 ee
IN PEOPLE INFORMATION
PROPERTY NAME ,f / 1 PRIMARY PHONE
OWNER v;Gltf' Jahll3/e,4L, (.153 1 8.3? - rza-t
MAILING ADDRESS CITY,STATE.ZIP
3/6a? a..1...1 "lye. 5 FJcr+l 4.4y I VA- 9(rc6 0
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
Pt -h Plµ►t6:) G•.r1 Pra..y L253 ) 9Y6 -547`1
MAILING ADDRESS CITY.STATE,ZIP CELL PHONE
30'(5'9 ii;l."Awy i1 S f• L/., wA` 9Yoo3 ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
Ao - o0- I o "o Ct 7--B L rA / 3I /.V ' (Ac) ) 9 ►(, -.0171
CONTRA(TUR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
P A} TS P2i- o tf3NS o'f /otT /,Zoor
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE �q qC�
Pc7 s pi.In.4i..,y /lorIc (AS3) 176 -✓ 1
MAILING ADDRESS 1 J CITY,STATE,ill' CELL PHONE
3o YS9• /•l i li/ A d 5 Felt-4 11./.7, w.f. 9Jw ( ) -
RELATIONSHIP'PO PROJECT FAX NUMBER
❑ Architect ❑Tenant D Agent ❑ Other(Describe) (25.3)1q4 -017
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
L...rfis fry. ( ) -
LENDER t. NAME
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKIERED BUILDING? D YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? D YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE D PRIVATE(SEPTIC)
i `
PROJECT FLOOR AREAS
•
AREA DESCRIPTION TOTAL
EXISTING PROPOSED
SQ.FT. SQ.FT.
SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE El CARPORT❑
i, y k�urosm � 'a�mo
NUMBER OF FLOORS
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of,/ixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS
EVAPORATIVE GAS EVAPORATIVE COOLERS
REFRIG.SYSTEMS
BBQS FANS HOODS(commerclaq WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCI , GAS PIPE OUTLLIa
PLUMBING
BATHTUBS(or Tub/Shower combo) SHOWERS WATER CLOSE1a frmieq MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and further,that I
am authorized by the owner of the above premises to perform the work Jor which the permit application is made. 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 of Federal Way,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 apart of
this application.
!� 6 till /2 666
NAME/TITLE DATE
(Signature) mile)
RELATIONSHIP TO PROJECT ❑ Owner ❑Agent I�Contractor ❑Architect ❑ Other
t , t �
ti a � r FQQhs�l ' . ' t - ,�
� a o c U P7 7 t � =e
t S . ,ap e �� ° ' . .to , r ret J - " a f s - # � a y ',n p � 1 a ' c 5;2 n e1' ✓ a R n ' d „' r t. B B r Y . _i t x :, x a ya r -t -
•
Bulletin#100—January 1,2006 Page 2 of 4 k\HandoutslPemut Application