05-104696 City of Federal Way
Community Development Services Plumbing Permit #: 05 - 104696 - 00 - PL
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax (253)835-2609 Inspection request line: (253) 835-3050
Project Name: SLATON 5
Project Address: 3307 SW 319TH Unit25 (171, /g. Parcel Number: 698000 0250
Project Description: Installation of(1)electric water heater.
Owner Applicant
Contractor
Terence R Slaton &Leigh L Slaton WASHINGTON WATER HEATERS WASHINGTON WATER HEATERS
X30} S w 3 I R 'Pt_
13 04 / Litt1}�S 32015 56TH AVE S 32015 56TH AVE S
Feerui lit W14 AUBURN WA 98001 AUBURN WA 98001
GGGIII (800)978-8588
Plumbing Fixtures
Description
!Quantity Description Quantity Description QQuantityl
Water Heaters I I - ..
a. PERMIT EXPIRES September 14,2007.
Permit issued on September 14,2005
1 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: See Application /�/�
Date:
O
V
\N
THIS CARD IS TO REMAIN ON-SITE
'4,CITY OF Community Development Inspection Record
-`°°
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #:Way
Owner: TERENCE R SLATON
Address: 3307 SW 319TH ST Unit 25
FEDERAL WAY, WA 98023-2233
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.
❑ ou h Plumbing(4230) ❑ Gas Piping(4125)
Plumbing Groundwork(4190) ❑ g Approved Approved to release test
Date
Approved to cover
By Date By
By Date Y Rough
Final-Plumbing (4075)
Approved
BY .��l�f Date `\�,Z\,Oc
COMMUNITY DEVEEOPMENB DEPARTMENT
t1.YW ';r-0 1 3 2005 05- / 0 7 /../ _&'
Federal Way PERMIT ,....--.SF MF CO ME E ODE EN FP
33325 8"'AVENUE SOUTH•PO BOX 9718
F�5207 AX 38560 APPLICATION 36 P25.329
11)n,w.dh1016-dern711,n9.rani
•
The • fie fired • -an . ,,late ' ,•lieat�cn will not he Please
!� MI PROPe.RTY INFORMATION
BITE ADDRESS V� � J�°� � '�•*� C�Z? , �_�C ' —r
/y /� //q 1 /UNIT i
ASSESSOR'S TAX/PARCEL 1 ( '(.(.n n b/' —(4(E0.:.V kek ei
`�}c/9=�t j LOT SIZE/s�
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
,Aeach separate page iv len"Leg ldes,IpeanJ
MI PROJECT INFORMATION
TYPE OR PERMIT 0 BUILDING Q PLIIMBING ❑ MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this•o niit onlu)
'
PROJECT NAME(Name of Business or Owner Last Name)
IN PEOPLE INFORMATION
OWNER ��U(,5t N¶4J 51 / an- PRIMARY PHONE
MAILING ADDRESS G.� ( �/J ��
C STATE,ZIP
% 3IC1L'— Val , ,e,, 0.7._ CUc.,_._ e:iB-oa3
CONTRACTOR COMPANY NAME t p� [ I' (' ��� / �((,,� APPLICANT NAME
Ui QStiI l e, - ,uJ CLIP: Gl`i-g OFFICE PHONE
MAILING ADD> CT L EZIP �`UG � t� )q--- -��
CITY,STATE, CELL PHONE
a -i 0 tS - ALA C•1 u et �j6cZ) ('47-5) 1 -"A:551 C6'
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
-L sz- . Z C. GI -.5 L_ Jz l 17-t ( 4 3 )5 - Th-(
CONTRACTORS REGISTRATION NUMBER loopy of card required with each eppLk tleei RATION DATE
( -) /fr t '.- ‘ii. v p / '/7 /c)
APPLICANT C MP NAME ,/ /. APPLICANT NAME OFFICE PHONE
162554tinv G(j/347 /hits"") e rL�//)A 7'61r ( 0i )')7p - S.5..S'
MAILING AD ESS N� ZIP , CELL O
PHONE
615 564 I441-z 5 /4ttAzro Wa.. &LOG/ ( Z5) 3�f7. -711/11
RELATIONSHIP TO PROJECT FAX,N�`UMBER
❑ Architect h Tenant e 0 Other(Describe) (-66to)375 - 7Y5Y
CONTACT yap PRIMARY PHONE
ar LLivA.e.. C-ct," (%-4) ) e-ms e-ms - 5% he S,ADDRESS N 1 otte y kiii
LENDER Ter RCW 19.27.095: Lender information is NAME / 0
if
required project value exceeds*8,000 Ai MAILING ADDRESS CITY,STATE,ZIP
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES O NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKERAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIOHLINE 0 PRIVATE(SEPTIC)
,
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
BASEMENT SQ.FT. SQ. FT. SQ.FT.
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT❑
NUMBER OF FLOORS exwrngo PROPOAMO TOTAL TOTAL=ATMS AT TOTAL PROPOSED AT TOTAL Sr
-
AANEWHOMESONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture 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 COOLERS GAS LOGS REFRIG. SYSTEMS
BBQS FANS HOODS(cnmmerd,1) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC IDescribe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/shmvercombo) SHOWERS WATER CLOSETS(Toilet) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE HIBBS
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 authorised by the owner of the above premises to perform the work for 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 a part of
this application.
NAME/TITLE �"'.'"-4-1_-0/- CJ C3 .. M n - 'A5 DATE
-1 - C7c
(Signature( (Title(
RELATIONSHIP TO PROJECT ❑ Owner Lo._Agent ❑ Contractor o Architect ❑ Other
FOR OFFICE USE ONLY
o NEW o ADDITION o ALTERATION o REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES a NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? a YES ❑NO
NEW ADDRESS REQUIRED? ❑YES a NO UP/SEPA/SU? a YES o NO
PLATTED LOT? ❑YES o NO DEMO PERMIT REQUIRED? a YES o NO
Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application