17-103546 It
Plumbing
City of Federal Way Permit #:17-103546-00-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: C&C COMMUNICATION
Project Address: 33650 6TH AVE S Parcel Number:926480 0210
Project Description: Rough-in for future sink,sewage ejector and cold water line.Install in-line electric water heater
on another sink.
Owner Applicant Contractor
CALISTA REAL ESTATE LLC D M PLUMBING&BACKFLOW TESTING D M PLUMBING&BACKFLOW TESTING
33650 6TH AVE S LLC LLC
FEDERAL WAY WA 98003 PO BOX 11082 DMBACBT871DJ(3/11/19)
TACOMA WA 98411 PO BOX 11082
USA TACOMA WA 98411
USA
a •.
PERMIT EXPIRES Saturday,20 January,2018
Permit Issued on Monday,July 24,2017
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 accordance with the laws, rules and regulations of the State of
W- • ( and the City of Federal Way.
'' i7,
Owner or agent: � /��� Date:
•
THIS CARD IS TO REMAIN ON-SITE
��oF Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 103546 00 Address: 33650 6TH AVE S Unit 106
Project: CALISTA REAL ESTATE LLC FEDERAL WAY WA 98003
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE TIM 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.
I® Plumbing Groundwork(4190) '.El Rough Plumbing(4230) '�® Final-Plumbing(4075)
Approved to cover Approved Approved
,By Date •4 By ei P�tr.t Date q......3_,...‘-‘ ,iBY C' Date 'D «.7.—‘'`) ,
D Rough Electrical 0 Final Electrical E Right of Way
Approved Approved Approved
By Date By Date By Date
PERMIT' APP �*.�^j
CITY OF �� �F�1 T
1111.
Federal Way LL..��VV
2 (,, Q JUL242017
PERMIT NUMBER I '_ 1 0 ✓ 5 `�-' 1 L CITY OF FEDERAL WAY
TARGET DATE COMMUNITY DEVELOPMENT
SITE ADDRESS SUITE/UNIT#
PROJECT�VALUATION
ON — �' N' ASSESSOR'S TAX PARC # /D'
4 e 0
0 - . 1 0
$
9
TYPE OF PERMIT ❑ BUILDING PLUMBING ❑ MECHANICAL 0 DEMOLITION 0 ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT C C CO H M U(v 1 C Afl C v
PROJECT DESCRIPTION / '4b -/ J /f '� '�1�
Detailed description of work to /J� � ��� �� /�f / _
be included on this permit only `11 p k 9) f, y , '— ,. C z//4 !^
NAME PRIMARY PHONE
PROPERTY OWNER MAILING ADDRESS E-MAIL
CITY STATE ZIP
NAM r PHONE
ir/g2 g7172 ,
MAILING ADDRESS E-MAIL
`,� E-MAIL
CONTRACTOR �/ - "��1 Ow
CITY STATE ZIP FAX
W T T ONT CT R'S LI EXPIRAT ON DA FEDERAL WAY BUSINESS LICENSE#
c T �`(.DJ a, 1 l (F��7jy
NAME / 41 BINARY PHONE
APPLICANT MAILIN ADD60
RESS E-MAIL
C/ L/Pi��•loZ'ar_. S ✓ 14 ZIP ,(/ i J FAX ...
NAM /► •,� � (J !T
PRIMARY PHONE
PROJECT CONTACT /J�v(� �`// L 7o"7,74--Q-5--,
-The individual to receive and
Gi .....,,,,z7.7,/__ E-MAIL
respond to all correspondence (P ---/44/6
concerning this application) CITY0
TAT ZIP FAX
ral tt- ZIP
... .. –NAME
PROJECT FINANCING 0 OWNER-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 out of he reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to •`• 'r as a p•• of this application.
SIGNATURE: �� �� DATE 7.-T0--- C 7
PRINT NAME: 7 A ` ry!/l�
Bulletin#100-February 22,2016 Page 1 of 2 k:\I-Iandouts\Permit Application