09-101895 'Plumbing
-• ( ty of Federal Way • µ
Community Development Services • Permit #: 09-101895-00-PL
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: MARTIN
Project Address: 30247 1ST PL S Parcel Number: 339180 0111
Project Description: Replacing plumbing damaged in fire
Owner Applicant Contractor
MICHAEL AND JILL MARTIN MICHAEL AND JILL MARTIN MICHAEL AND JILL MARTIN
19445 EDGECLIFF DR SW 19445 EDGECLIFF DR SW 19445 EDGECLIFF DR SW
NORMANDY PARK WA 98166 NORMANDY PARK WA 98166 NORMANDY PARK WA 98166
Piumbit tures
Bathtubs 2 Dishwashers 1 Laundry Washer Outlets 1
Lavatories 2 Sinks 1 Water Closets 2
PERMIT EXPIRES Wednesday, November 18, 2009
Permit Issued on Friday, May 22, 2009
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: � �~�+ - / •� Date: .� Z ?'
i�
r w*u i °f'foi
THIS CARD IS TO MAIN ON-SITE
CITY OF 41t ommunity p Inspection m nt Ins ection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 •
PERMIT #: 09-101895-00-PL
Owner: MICHAEL AND JILL MARTIN
Address: 30247 1ST PL S
FEDERAL WAY, WA 98003-4037
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.
0 Plumbing Groundwork(4190) ❑ Rough Plumbing(4230) ❑ Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date B Cj Date G--)._e"-? -61) By Date
- 0 Final-Plumbing(4075)
Approved
By &Are I ate /
•
•
For inspector reference only _ __
❑ Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
ctry OF EcEr U _ LO_Lz3G -FederaIway •
� PERMIT V — Vii//
' COMMUNITY DEVELOPMENT SERVICES SF MF CO ME EL 'I. DE EN FP
3332FEDE5 8TEAVENUEWAYSOUTH8•0PO BO63-9718X 9718:11 2 :... APPLICATION TD
RAL WA 9
253-835-2607•FAX 253-8352609 / /
www.dttroffederalwau.conn ips..
r)
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION
SITE ADDRESS 3E Z-T 7 } '4o:: A' / ( '1""1"-,)" SUITE/UNIT#_
ASSESSOR'S TAX/PARCEL# - _ __ LOT SIZE(sj)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach alePearae Page far try legal duaipdaa)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
PROJECT NAME(Name of Business or Owner Last Name)
• PEOPLE INFORMATION
PROPERTY / NAME / / PRIMARY PHONE
OWNER x ,A-si:= / ._l r /•12-e_-(7----) ( - , ) —
/ MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
( ) -
MAILING ADDRESS• CITY,STATE,ZIP CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
( ) -
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect 0 Tenant 0 Agent 0 Other ( ) -
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT ( ) -
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO .
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
. ` - it PROJECT FLOOR AREAB.
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ,FT. SQ. FT. SQ.FT.
BASEMENT
•
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL=SI Sr TOTAL pRopggsp Sr TOTAL ST
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
II 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.
MECFIANICAL
Value of Mechanical Work$ L1� ' ' (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(Commercial)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
__. BATHTUBS(or Tub/Shoarercombq LAVS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS fro
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE` •
I certify under penalty of perjury that I ant 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
Property Owner and/or Authorized Agent
a NEW a ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN?
❑YES a.NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS
.-
REQUIRED. a YES a NO UP/SEPA/SU? a YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100—January 1,2009 Page 2 of 4 k\Handouts\Permit Application