13-100420 • • Plumbing
City of Federal Way ww nn
Community&Econ.Dev.Services Permit #: 13-1OV((���'F2V-0
O-PL
33325 8th Ave S
Federal Way,WA 98003 Request
Ph:(253)835-2607 Fax:(253)835-2609Inspectionq st Line: (253)835-3050
Project Name: YADON
Project Address: 30605 21ST AVE SW Parcel Number: 416730 0010
Project Description: Replace tub/shower faucet.
Owner Applicant Contractor ,
KENNETH YADON M T S PLUMBING CONTRACTORS INC M T S PLUMBING CONTRACTORS INC
30605 21ST AVE SW PO BOX 517 MTSPLCI164D7(7/6/14)
FEDERAL WAY WA 98023-2375 AUBURN WA 98071 PO BOX 517
AUBURN WA 98071
Plumbing Fixtures
Bathtubs 1
PERMIT EXPIRES Saturday, July 27, 2013
Permit Issued on Monday, January 28, 2013
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and t u e ill be in ac ort ce with the laws, rules and regulations of the State of Washington
a ity of Federal Way.
z
Owner or agent _l Date:
11, THIS CARD IS TO IN ON-SITE f ,
CITY OF Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 13-100420-00-PL Address: 30605 21ST AVE SW
Project: KENNETH YADON FEDERAL WAY, WA 98023-2375
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 inspecti s n sequence. On-going inspections are logged on the back of this card.
0 Plumbing Groundwork(4190) Ei ' c igh Plumbing(4230) ❑ Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date G5 Date I.,2G9..��_2 By Date
❑ Final-Plumbing(4075)
Approved
—13‹,.
Date— 2 c"-- /3
❑ Rough Electrical El Final ElectricalCI Right of Way
Approved Approved Approved
By Date By Date By Date
r RElliVED
CIT10P PERMI APPLICATION
Federal Way IAN 2 S 2013
17014
CITY JOF FEDERAL WAY
PERMIT NUMBER /3.
- / DS0 7' ® _
/ TARGET DATE
SITE ADDRESS SUITE/UNIT 9
30Pa$
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL 9
TYPE OF'PERMIT 0 BUILDING E PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT 4 4, J
PROJECT DESCRIPTION 2x-c74.. o �
Detailed description of work to (` %.„.74.e- IC-l t7<c 14-x"U 5 iV �
be included on this permit only IPr
NAME PRIMARY PHONE
PROPERTY OWNER "CP 4 t.(fp4 i}P z6(-4% t
MAILING ADDRESS I E-MAIL
30&o 2 i r w- -�
CITY STATE ZIP,
C4i> t).4 1 Z'3
NAME C `S 'FL,owttewe-) 6,t77-.. (Ur . 243
MAILING ADDRESS E-MAIL
CONTRACTOR P.O �t3ts�` Sl A- Ace-'-(`-N.ai`l's£r} y' f
CITY STATE ZIP FAX
?-)P,o,2 i,jfr ay-ra--t 1 Z,;-3 -`s 33-_3Yz Z.
WA STATE CONTRACTOR'S LICENSE 9 EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE 4
tA'r5 `Pi,CT" i w- '- / iD /
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS E-MAIL
ter
CITY STATE ZIP FAX
NAME PRIMARY PHONE
PROJECT CONTACT L &4{2
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence 0 +tea ei-tmtauo-tc&iiLe7I r
concerning this application) CITYsr*Tg 72FAX
NAME
PROJECT FINANCING OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
I certify under penalty of perjury that I 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 re ance of the city, including its officers and employees, upon the accuracy of the
information suppli to the city as apart oft a plication.
'4d1
SIGNATURE: 1'‘2 DATE //Z.-eVC
PRINT NAME: C i"1 Td 3Z`I S t C7 t-5—
Bulletin#100-January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
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VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
$
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(eommereisi)
BOILERS FURNACES HOT WATER TANKS(Goo)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT
$
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
I BATHTUBS(or1ub/shower Combo) LAVS(Hand sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS / OTHER(Describe
DRAINS SHOWERS VACUUM BREAKERS 4I$)- V.`p
DRINKING FOUNTAINS I SINKS)Kitchen/Utility) WATER HEATERS(eketric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
$
EXISTING/PREVIOUS USE LOT SIZE(Ia Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes ❑ No ❑Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER(describe)
Area Totals
TOTAL
**NEW HOMES maxi*
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area Occupancy Construction #of
in Square Feet P�cY Groups) TYPe Stories Additional Information
NEW BUILDING
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet TYPe Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100-January 1,2013 Page 2 of 3 k:\Handouts\Permit Application