09-100775 City of Federal Way 110 Plumbing
Community Development Services Permit #. 0�-100775-00-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
s 3
Project Name: SOUTH KING FIRE &RESC F
Project Address: 31617 1ST AVE S Parcel Number: 072104 9210
Project Description: Repair and replace piping to hotwater tank and hosebib
Owner Applicant Contractor
FIRE DISTRICT#39 FIRE DISTRICT#39 FIRE DISTRICT#39
31617 1ST AVE S 31617 1ST AVE S 31617 1ST AVE S
FEDERAL WAY WA FEDERAL WAY WA FEDERAL WAY WA
98003-5201 98003-5201 98003-5201
•fi S"'- N v6a` �` �c�Y ��¢ =f,,:
Water Heaters 1 Hose Bibbs 1
PERMIT EXPIRES Saturday, August 29, 2009
Permit Issued on Monday, March 2, 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: •€&2-:eDate: —Z-
l • THIS CARD IS T EMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 09-100775-00-PL
Owner: FIRE DISTRICT#39
Address: 31617 1ST AVE S
FEDERAL WAY, WA 98003-5201
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 By Date By Date
.❑ Final-Plumbing(4075)
Approved
By n Date z_S--OSI
For inspector reference only
0 Rough Electrical ❑ FINAL-Electrical
Approved Approved
By Date By Date
.. I v o 7
Federal Wa = — — — 7
_ PERMIT
COMMUMTYDEVELOPMENT SERVICES Cif" SF MF CO ME EI��DE EN FP
3332:: WAYWA 9 063.V1 9718 AAD 0 2 y� CATION 1
253 8352607•FAX 253-835-2609
MAR ElL]Rl��l[,T T 0 c / /
wunu.dlrroffederal�unurnm - � Jl[,v-f�vj��,T�
The following an incomplete application will not be accepted. Please print legibly(in ink)or type. ]
�1tf01Jl11(tltiOn
is PROPERTY INFORMATION
SITE ADDRESS 3 1647 SrAve .5 . SUITE/UNIT#
ASSESSOR'S TAR/PARCEL#< — —— LOT SIZE(sJ)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) Sex211.4 KtAlC., 6'I i Ail!! REScUS ST,l'Ti®N 0''
•
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING ■ PLUMBING 0 MECHANICAL
0 DEMOLITIO• 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work in.duded on this oermit onit()
RE> I t_ _ At4Z L. .0 0
2
PROJECT NAME(Name of Business or Owner Last Name sts 0T N ie.'Rl G /-'�sE A'1111 �� 'C TA non) (o
• PEOPLE INFORMATION
PROPERTY NAME �j PRIMARY PHONE
OWNER 500114 IC/NC, r-.2.- AIVo P szLi{ (253 )' q -G Z3'1
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
311)7 /-srAv�.5 .0f26/2.4L1441 WA 9 'oda
CONTRACTOR COMPANY•NAME APPLICANT NAME OFFICE PHONE
`--^J r A ' ( )
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 N/ S APPLICANT NAME OFFICE PHONE( )
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
a Architect a Tenant a Agent a Other ( ) -
PROJECTNAME
~ PRIMARY PHONE E-MAIL ADDRESS
CONTACT
`-'� l-.+)�ticE Be (Zo 6, 151 D - (y 24 E7--.
LENDER NAME
Per RCW 19.37.095: •
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE PRO•• A. USE
EXISTING ASSESSED/APPRAISED VALUE$ n- OF PROPOSED WORK $
SPRINILERED BUILDING? a YES o N• FIRE SUPPRESSION SYSTEM P- • -: - N./REQUIRED? a YES a NO
WATER SERVICE PROVIDER a LAKt.BA* - a HIGHLINB a TACOMA a PRIVATE )
•
SEWER SERVICE PROVIDER a LAKEHAVEN a HIGHLINE a PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
•
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 erseao I rani. TWA&=MIDID sr TORY.neard/msr TOrlLsr
"IYEW HOMES ONLY'" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FLXTURES
Indicate number of each type of fvdure to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECEfAHICAL
Value of Mechanical Work$ (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(coomesta q
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS*Ttb/ShmwrComb LAVS Madman Sid* URINALS chpescribs
DISHWASHERS RAINWATER SYST VACUUM BREAKERS Tom( y"j fi
DRINKING FOUNTAINS SHOWERS WATER CLOSETS crease
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
I certify under penalty of perjury that I am the property owner or authorised 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 taws. •
I further agree to hold harmless the City of Federal Wag 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 apart of this application. •
SIGNATURE• �2% ! DATE 3—2—O
, Property Owner and/or Authorized Agent
•
l ' r°3= fi fa,a
a NEW a ADDITION o ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHFIT.ONLY? a YES a NO BASIC PLAN? , o YES a.NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? a YES a NO ITP/SEPA/SII? a YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO
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Bulletin#100—January 1,2009 Page 2 of 4 k\Handouts\Permit Application