10-101374 41.
City of Federal Way Plumbing• •
Community Development Services Permit #: 10-101374-00-PL
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609 p q
Project Name: ROSCHER
Project Address: 32515 24TH AVE SW Parcel Number: 638670 0340
Project Description: Installation of pot filler above range.
`
Owner Applicant Contractor
TRACY&LAIMA ROSCHER TRACY&LAIMA ROSCHER TRACY&LAIMA ROSCHER
32515 24TH AVE SW 32515 24TH AVE SW 32515 24TH AVE SW
FEDERAL WAY WA 98023 FEDERAL WAY WA 98023 FEDERAL WAY WA 98023
@
Sinks 1
PERMIT EXPIRES Sunday, October 3, 2010
Permit Issued on Tuesday, April 6, 2010
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 in accordance with the laws, rules and regulations of the State of Washington
and the i of Federal Way.
Owner or agent: `� V Date:
F%NMI0DS/tO/IQ
. 441116.
• THIS CARD IS TO AIN ON-SITE
CITY°F Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 10-101374-00-PL Address: 32515 24TH AVE SW
Owner: TRACY & LAIMA ROSCHER FEDERAL WAY, WA 98023-2507
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) CI Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date Bq
,1
Date.4 (.0 By Date
0 Final-Plumbing(4075)
Approved
By i --0,1' Date ?.0/?O/d
0 Rough ElectricalEl Final Electrical EJ Right of Way
Approved Approved Approved
By Date By Date By Date
E1 EgibprpMIT S F CO ME ELit)E EN FP
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C 201Y -8I3TYDEVEiO 352669 6 zc,JAPPLICATION
www.cittioffederalwai.om
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NAME OF PROJECT
(Tenant or Homeowner Name) V S C/
❑BUILDING Ll7MBING 0 MECHANICAL.
TYPE OF PERMIT ❑ DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION
5)1- l( b ore
PROJECT DESCRIPTION
Detailed description of work to 19 if�A 1 ( S l A �S "
be included on this permit only
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NAS' PRDYARY PHONE
PROPERTY OWNER ri kO E CIX PA
MAILING ADDRESS,CITY,STATE, IP E-MAIL
3dtS �
OWNER IS ALSO: ❑ CONTRACTOR ❑ APPLICANT 0 PROJECT CONTACT
NAME PRIMARY PHONE
01(AnAZ1
CONTRACTOR MAILING ADDRESS,CITY,STATE,ZIP FAX
WA STATE CONTRACTOR'S LICENSE i EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE t
NAME PRIMARY PHONE
APPLICANT ( -
MAILING CITY,STATE,ZIP ( FAX
1, ) _
PROJECT CONTACT NAME PRIMARY PHONE
(The individual to receive and ) -
respond to all correspondence MAILING ADDRESS,CITY,STATE,ZIP FAX
concerning this application) ( )
ALTERNATE CONTACT NAME: (/ PRIMARY PHONE E-MAIL
1 -
PROJECT FINANCING NAS
0 OWNER-FINANCED
Required for projects with
value of$5,000 or more MAILING ADDRESS, , ATE, PRIMARY PHONE
(RCW 1927.095)
) -
I certify under penalty of perjury that/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 ,'including its officers and employees, upon the accuracy of the
information supplied to the city part of plica
NATURE: 6t4 t � DATE t1/6'/A'C/C
RINT NAME: CL'J)1 7 C� �c Jc-12
Bulletin#100-January 1,2010 Page 1 of 4 k\Ilandouts\Per tit Application
+.
Value of Mechanical Work (A COPY OF BID OR ESTIMATE MUST BE PROVIDED)
Indicate number of each type of fixture to be :-• talle. •r relocated as part of this project. Do not include existing fixtures to remain.
-AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER F ' PLACE IN ' "A. HOODS jcommen;ep
BOILERS FURNACES HOT WATER TANKS(Gan)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVESt
•
._ ..._.tG- "``
Indicate number of each type of fixture to be installed or relocated as part of this project Do not include existing fixtures to remain. -
BATHTUBS(or Tab/Shower Combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINHING FOUNTAINS 0 SINKS(IGccheD/utility
WATER HEATERS zwaci.)
• HOSE BIBBS SUMPS WASHING MACHINES TOTAti FIXTURES.
PROJECT VALUATION WATER PURVEYOR SEWER PURVEYOR. VALUE OF EXISTING IMPROVEMENTS
$
EXISTING/'', OUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes❑ No ❑Yes ❑ No
AREA DESC• n• •N(in square feet) EXISTING PROPOSED TOT• FOR OFFICE USE
BASE1 ENT
FIRST FLOOR(or Mobile Hom=
• COVERED ENTRY
FGIf
GARAGE 0 CARPORT 0
4JTkiERdescre#
O PROPOSSD TOTAL
Area Totals
ESTIMATED SELLING ICE$ OF BEDROOMS-
AREA DES• . n• ION Area Construction #of
Occupancy .up(S) Additional Information
in Square Feet Type Stories
ADDITION
—.. . ... . �( .mss .. .................................
AREA DESCRIPTION Area Construction #of
Occupancy Group(s) Additional Information
in Square Feet Type Stories
TENANT AREA ONLY
Bulletin#100—January 1,2010 Page 2 of 4 k:\Handouts\Permit Application