06-101102 d
City of Federal Way . •
Community Development Services Plumbing Permit #: 06-101102-00-PL
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (2553)835-3050
Project Name: CLAYTON
Project Address: 32010 42ND PL SW Parcel Number: 873196 0610
Project Description: Install shower stall and replace kitchen waste line.
Owner Applicant Contractor `
ROBERT A&SANDRA G CLAYTON WARREN WILLIAMS MR PLUMBER INC
32010 42ND PL SW MR PLUMBER MRPLUI*066DJ 4/1/07
FEDERAL WAY WA 98023 ATTN: SHARON HENSINCEL ATTN: SHARON HENSEL
THIRD AVE SW 200 THIRD AVE SW
200
PACIFIC WA 98047 PACIFIC WA 98047
,
Plumbing Fixtures
Showers 1 Sinks 1'
CONDITIONS:
PERMIT,EXPIRES Friday, March 7, 2008
,Permit Issued on Wednesday, March 8,2006
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
c n the City of Fede Way.
Owner or agent: a- C' CI
Date: 3
Ilk
Nsi
ter,
• THIS CARD IS T( MAIN ON-SITE
CITY OF 4t0""t4tCommunity Development Inspection Record
Federal Way WR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06-101102-00-PL
Owner: ROBERT A & SANDRA G CLAYTON
Address: 32010 42ND PL SW
FEDERAL WAY, WA 98023-2404
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 R4‘.- Date 3//0/04 By Date
Final-Plumbing(4075)
Approved
\
By 0,�,1Date (f2
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tederai W - - _z_r) �cz�
Im7T DElY6LOPAItiM SBRVIcES�A AR g 2406 PERMIT SF MF CO ME ' PL 'E EN FP
3f3°258TMAVWA SOURI.IOBOX 971 d�,LI CATION
IP WAY,WA 98063-9718
253 835.2607•PAX 253-835.2609
unin 1"ffed mita" ."CITY UI FEDE
BUILDING DEPT. 5` , -�
The ollowi • is re• ired i ormation—an inco •lete a••lication will not be acce•ted. Please •rint le•ibly in in or • .
■ PROPERTY INFORMATION
SITE ADDRESS 3 .1c) ( S-11/4-) • e cea- - 6 e UITE/UNIT#
ASSESSOR'S TAX/PARCEL# 54 7 3 ( ( 6 - 0 / LOT SIZE(st)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description(
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work• ded on this permit onl
ASiretil l 10 q OL
f/'/�`
C, � +1�•. ( 4-1 L' Rif 0 1_,/ +K ,
PROJECT NAME(Name of Business or Owner Last Name) V 't: ,
U PEOPLE INFORMATION
PROPERTY N 7s 4 A PRIMARY PHONE
OWNER (
)
MAILING ADDRESS CITY,STATE,ZIP
3 0 Cf.Z (2( recti
CONTRACTOR COMPANYP2L
E APP CANT NAME FFICE PHONE
C r t L( U o �-cam, �I Q R3) (�r 'S Rq
MAIDLI//NGG�ADDRESSAiLe 5 ATE,¢IP
CAPitel)0)N..E5,0 s39.0
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBERER
B L ' / / 3) C 3( r`l
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with eech application) EXPIRATION DATE
APPLICANT N{PANY NAM APPLICANT NAME OFFICE PHONE
NT
)
NG ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT )
FAX NUMBER
❑Architect ❑`Tenant ❑Agent ❑ Other(Describe) ( )
CONTACT E
I ,n o f I > vollO,wf o $"3
vYo I E_MA1LADDRESSLENDER
xr_y ?�>) Yrf f't Ato'...'
L � ' ?�'� 3' 3,2,0: _
MAILING ADDRESS CITY,STATE,ZIP I
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? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE Cl TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN . 0 HIGHLINE ❑ PRIVATE(SEPTIC)
• 11111
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
•
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
�o neoroeso roses.
NUMBER OF FLOORS
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each re to be installed or relocated as part of this project Do not include existing fixtures to remain.
type of�
MECHAHICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS tcommereiep WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLiTMBING •
„ �,,()
BATHTUBS{orrub/shower Combo) G� ��'"'� SHOWERS WATER CLOSETS nail MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
IAVS(smmom sinks VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and further,that I
am authorised by the owner of the above premises to perform the work for which the permit application is made. 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 of Federal Way,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. � -
� ' I Y�:J�-� DATE
Cy
NAME/TITL (Title)
'(Signature)
RELATIONSHIP TO PROJECT U Owner O Agent o Contractor ❑Architect LI Other
•
1 1s s'3 vOK.,"•,)ti 9 a�}�; ��J�� ?0.r•
�I. ar ��,��.'� C ,. �11"saL;}s 1 1 0~ M o i ],•'"{ rs i/ °4
Bulletin#100—January 1,2006 Page 2 of 4 k\Handouts\Permit Application