05-105090 ■
City of Federal Way Plumbing Permit #: 05 - 1 0.5090 - 00 - PI
Community Development Services ,
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: HENISH
Project Address: 2814 SW 347TH Parcel Number: 957480 0049
Project Description: Repiping of water system and partial repipe of waste system.
Owner Applicant Contractor
Mark Henish SW PLUMBING SW PLUMBING
PO Box 23852 2401 SW ALASKA ST 2401 SW ALASKA ST
SEATTLE WA 98106 SEATTLE WA 98106
PO Box 23852 !Federal Way,WA 98093-0852 (206)932-1777
Plumbing Fixtures
Description Quantity, _Description
Quantity Description ',Quantity
Bathtubs 1 Dishwashers _
t Laundry Washer Outlets —'li I
(vatories I----1-2-1,1Other Plumbing Fixtures 2 I Showers 1
-
----,
r
Sinks 1 Water Closets 2 I
PERMIT EXPIRES October 6,2007.
Permit issued on October 6,2005
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: 74.6 J Date: /0 G -oS
THIS CARD IS TVEMAIN ON-SITE , ,
cs°=v OF - �.�
Nth,
a) THIS
Development Inspection R ' d
Federal Way IVR INSPECTION ECTION REQUEST PHONE # (233) 835-3050
PERMIT #: 05-105090-00-PL
Owner: MARK HENISH
Address: 2814 SW 347TH ST
FEDERAL WAY, WA 98023-3038
This card is part of your r.quircd'aspe.., , !.,,t, .i,p ii _a ,his cat.' "S'ttUS CA1111..
Inspections are listed as close to sequential order as possible(lead left to right,top to bottom). Please schedule inspect tons as appiota cnc. Wurk must not
be covered until it is approved. Check with your in:Fe,tor if ysu are unsure about any of the inspections or the inspection sequel- 2 C r,spections
are logged on the back of this card.
r
❑ Plumbing Groundwork(4190) ❑ Rough Plumbing (4230) ❑ Gas 1'ipi s (4125)
Approved to cover Approved / Approved to release test
By Date By �f Date/0719'tr By Date
�❑ Final-Plumbing(4075)
Approved
By /F Date rei/ar
RECEIVED
u1Y OF
Federal Way q 2005 PERMIT
` — '�` �-
COMMUNITY DEVELOPMENT SERVICES -.,,,CT 0 3 SF MF CO ME E
33325 6*"AVENUE SOUTH•PO BOX 9718
PL PL
. `�E EN FP
FEDERAL WAY,FAX 53-63.260 , �LI C AT I Cl)N
zs3.33s-zearY,WA 93-x3.9718,QTY OF FEDE To / IOW
{ www.dfaoffederalwavam m II! ! 1Nr DFP', /
The oilowirt. is re.uired in ormatian-an tnco .Zeta a,•Iicatiort will not be acce•tad. Please •first Ier •1 in or •
n' IN PROPERTYINFORbIATION
(
SITE ADDRESS / / • /'L' T 7 Tt r9�
f, SUITE/UNIT#
ASSESSOR'S TAX/PARCEL B r -
LOT SIZE(s/)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
:.., . El PROJECT INFORMATION —
TYPE OF PERMIT
0 BUILDING PLUMBING 0 MECHANICAL, -
D DEMOLITION CI ELECTRICAL 0 ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onll)
_ O - Tt � .-x
PROJECT NAME(Name of Business or Owner Last Name) --A//$/%
' IN PEOPLE INFORMATION .
PROPERTY NAME
OWNER 4. //L r�.� PRIMARY PHONE
MAILING ADDRESS J'T `O' )JrZ. -
Z 1 CITY STATE,ZIP
CONTRACTOR COAANY NAME
APPLICANT NAME
OFFICE PHONE
l•v� y (Zee)
L / 777 4�sol3/�^ .__.-c-711--
MAILING ADDRESS
CITY,STATE, IP ,/ 4 CELL PHONE �"
ve l 'S n f 4-2 4-s-tq J' cS'E�I-rr2 w!4t ( '6 )Si et - Tz'S3
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE �- 'FAX NUMBER
-i -/ e7 L8' 6-B. / / f )
CONTRACTORS REGISTRATION NUMBER(copy ofd required with each application)
.9 69 ci 2-Ai- iv p o t / c Z EX/(RATION DATE
• /
APPLICANT COMPANY NAME _
APPLICANT NAME
/OFFICE PHONE
MAILING ADDRESS C )
CITY,STATE,ZIP - CELL PHONE
RELATIONSHIP TO PROJECT C
❑ Architect D Tenant ❑Agent ID Other(DescriGeJ FAX NUMBER
CONTACT
PRIMARY PHONE
2„� %o_ E-MA(LADDRESS
LENDER 1 Q�
NO ADDRESS -
CITY,STATE,ZIP
IN DETAILED BUILDING INFORMATION
EXISTING USE
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE !$
VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? CI YES D NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?
WATER SERVICE PROVIDER D LAKEHAVEN D IHGIILINE (WE ) ❑ YES ❑ NO
❑ TACOMA
SEWER SERVICE PROVIDER D LAKEIIAVEN D HIGBLINE P PRIVATE(WELL)
PRIVATE(SEPTIC)
i
PROJECT FLOOR AREAS ,
AREA DESCRIPTION EXISTING PROPOSED TOTAL
1
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE) ••
DECK(COVERED?)
GARAGE ❑ CARPORT❑
EXISTING PROPOSED TOTAL q;a K.J..'AL1 .:% v,,tA apl'ori r3A #y+ ALer,. �""' _
NUMBER OF FLOORS ,'f as Y,;? '"'' .?%,-,0`- ',. .
**NEW HOMES ONLY** 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(comme,ci q WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES / GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING Z
/ BATHTUBS(orTrn/snarrrcemcol
SHOWERS WATER CLOSETS Roney MISC(Describe)
/ DISHWASHERS / SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
E r' WASHING MACHINES URINALS HOSE BIBBS
1 .2- LAYS(Bathroom sinker VACUUM BREAKERS ELECTRIC WATER HEATERS
i
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 for which the permit app Ucation 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.
/ DATE C `'
NAME/TITLE +r � `� IC�.- —��
(Signature! (lithe(
RELATIONSHIP TO PROJEC'L Er Owner ❑ Agent , contractor ❑ Architect ❑ Other
t• II tl..tt .pt .x, r7t€I. , .,: ,rc :`t, i(r ',t,V,C. "AJ.� .•(t•I
'I')sit.ty ) vtti,I tt(cl,'( i'.) ,t,t.!v o1'* ti.:-.p.•. ,n.:a t(a'.
�+$ J c e) a r ■ 01.El;.I:eoYl i !i } i (r1
Bulletin#100–January 7,2005 Page 2 of 4 k\Handouts\Permit Application