17-100959 Plumbing
City of Federal Way Permit #:17-100959-00-PL
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: SIMPSON
Project Address: 33020 10TH AVE SW Parcel Number: 420500 1250
Project Description: Replace existing water heater.
Owner Applicant Contractor
GALE SIMPSON KELLY DAFFERPIPE PRO PLUMBING LLC PIPE PRO PLUMBING LLC
33020 10TH AVE SW UNIT E203 22707 115TH ST CT E PIPEPPP877KL(5/13/17)
FEDERAL WAY WA 98023 BONNEY LAKE WA 98391
22707 115TH ST CT E
BONNEY LAKE WA 98391
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Water Heaters 1
PERMIT EXPIRES Sunday,27 August,2017
Permit Issued on Tuesday,February 28,2017
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 cordance with the laws, rules and regulations of the State of
Washy n and the City of Federal Way.
42,
Owner or agent: 0 Date: 2^ ZB -17
DATE INSPECTOR AREA AND TYPE OF 1NSPEC'TION
THIS CARD IS TO REMAIN ON-SITE
CITY
Construction Inspection Record
INSPECTION REQUESTS: (253)835-3050
PERMIT#: 17 100959 00 Address: 33020 10TH AVE SW Unit E203
Project: GALE SIMPSON ,= FEDERAL WAY WA 98023
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.
® Plumbing Groundwork(4190) ® Rough Plumbing(4230) El Final-Plumbing(4075)
Approved to cover Approved Approved
*By Date ��By Date ��By ISN Date 31 i )1
0 Rough Electrical 0 Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
A.. PERMIPAPPLICATION
CITY OF 1
ZOPERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
crry OF F � IF-. A.835-2607 + FAX 253-835-2609 +permitcenter@cityoffederalway.com
Federal Way
PERMIT NUMBER I 7 _ l 0 0 9 5 _ p f l_ -,p_ , / i 7
TARGET DATE
SITE ADDRESS SUITE/UNIT#
3 020 ID A tJ ai E ao 5 Ksrj weir Cra03
PROJECT VALUATION ZONING
ASSESSOR'S TAX/PARCEL#
$ 12�v 111 D
,s-0 0 _ r -z_-5- D
TYPE OF PERMIT 0
BUILDING )(PLUMBING 0 MECHANICAL ❑DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT n
PROJECT DESCRIPTION ' ' rc.,4osc_`,A tx 1-\ AY _
Detailed description of work to
be included on this permit only
NAME - c I PRIMARY PHONE
PROPERTY OWNER MAILING �6 S IAAP'fc�,J Z.'53-'5/7- 87U a
AILING ADDRESS E-MAIL
S5 azo io'%A At/Z- sJ 41 eze,?
W
CIT 1.4 STATE ZIP
70oz3
v�67JdC.. �,�/
NAME PHONE
?1P2 !720 7w ,slA tr Lk-4_, Zs777 .5-"S/
MAILING ADDRESS E-MAIL
CONTRACTOR ZZ70? 1(5{`a S.V. GT S ? ri>rluml "--lOiOf ipeen)�
CITY ,/ STATEFAX
�J7q FAX
{ jNJlJuW Li/ s C--)� l O 6 i
WA STATE CONT OR'S LICENSE# EXPI DATE FEDERAL WAY BUSINESS LICENSE#
?i176 ?9? 711&L 5' /7 Ttiii ION/ )q) _
NAME PRIMARY PHONE
APPLICANT- MAILING ADDRESS E-MAIL
. CITY STATE ZIP FAX
. NAME PRIMARY PHONE
PROJECT CONTACT ( (Ayt. A FF4- Z5.3 77/ 3-13/
(The individual to receive and MAILING ADDRESS _i iii E-MAIL
respond to all correspondence Z2?07 1 i `, S?.L7 0.
concerning this application) oI�vc (44W'- STATE
zlCt g 3�\ FAX
1
NAME
PROJECT FINANCINGOWNER-FINANCED
When value is$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 of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplie o the city as a of this application. GG�� �/
SIGNATURE: 7) DATE Z� L5- k /
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PRINT NAME: 1� I`y \)A lL
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
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(commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
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.
BATHTUBS(or Tub/shower combo) LAVS(Hand sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(kitchen/utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES l TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In 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
0/47
FIRST FLOOR(or Mobile Home)
/ % i l'.i / i J 1. /`!fes A' vl' `� r', .�j���� ..�/' *"?':;i00$4-010'; ..__.._......_._.........................�r......m..........��..........._................._._........._�.....�__.................._.............-..
f
COVERED ENTRY
r� ,�� ���r�',';:�,s< �•s;��,. ,,,� ,. .%� �'�.;%' rJ��`:; dFf,�/"�F/�:;. f u g 4?"qw ger r•�../j',�•rA,;letz p—..._._.....___...._...---........:.....:...._...._......_...........__............__......__..._.__.............__...- ---.......
GARAGE ❑ CARPORT ❑
J, ; firs; , :'V V / — --......._..._-......_ ........__.........._
�.. fi .-„
Area Totals
EXISTING PROPOSED' TOTAL
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
Construction #of
AREA DESCRIPTION IMEll Occupancy Group(s) a Stories Additional Information
)� � err,
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
Construction #of
AREA DESCRIPTIONOREM Occupancy Group(s) .e
1,aStories Additiottal Information
#
7f'7977:777,11,
( ? rx*• q/ r¢ .era q t•fs=r
metas 3�r � a; �.�
TENANT AREA ONLY ,-_--
Bulletin#100—January 29,2016 Page 2 of 2 k:\I-Iandouts\Pennit Application